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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 44-year-old woman presents to the office to discuss contraception. During the gynecologic examination, you notice an anterior cystocele to the hymenal ring. The woman denies any bulge symptoms but does report dribbling of urine, especially when she coughs or jogs.
Which one of the following is the best next step?

A) Pelvic-floor physiotherapy
B) Topical estrogen
C) No impact sports
D) Urology consultation
E) Vaginal hysterectomy

2. A 58-year-old woman presents with a 1-year history of functional decline. She reports seeing rodents and little children invading her bedroom. Her partner tells you she has a slow, unsteady gait and tends to fall. On examination, she cannot sustain her attention during cognitive testing. Which one of the following is most likely to be found on brain imaging?

A) Medio-temporal atrophy
B) Bilateral frontal atrophy
C) Cerebellar atrophy
D) No structural abnormality
E) Subdural hematoma

3. A 20-year-old nulligravid woman presents with severe pain during menstruation. She is unable to take nonsteroidal anti-inflammatory drugs (NSAIDs) and is adamant about not taking any hormonal therapy. She has questions about non-medicinal therapeutic options. Which one of the following recommendations is the most appropriate?

A) Laparoscopic uterine nerve ablation (LUNA)
B) Spinal manipulation
C) Massage therapy
D) Progesterone-releasing intrauterine device
E) High-frequency transcutaneous electrical nerve stimulation (TENS)

4. You have been asked to develop a program in your hospital for people who are at the highest risk of death by suicide. The hospital administrator asks you to describe the types of patients they should expect in the program. Which one of the following groups is the most likely prominent demographic?

A) Men aged 11 to 20 years who have histories of juvenile delinquency and narcotic use
B) Men aged 50 to 70 years who have limited social supports and alcohol use disorder
C) Women aged 20 to 40 years who have cluster B personality disorders and experience relationship losses
D) Patients of both sexes who have psychotic disorders
E) Women aged 14 to 20 years who have histories of being abused and who are experiencing financial hardships

5. An 80-year-old woman presents to your office with weight loss and generalized weakness. Her husband calls you after the appointment and asks that his wife not be told if she is diagnosed with cancer as hearing this will likely " kill her. " Investigations subsequently show that she has metastatic lung cancer. Which one of the following is the best next step?

A) Telephone her to inform her she has a bad pneumonia and prescribe antibiotics.
B) Tell the patient she requires a computed tomography scan of the chest.
C) Book an immediate appointment with your patient.
D) Tell her husband she has metastatic lung cancer.
E) Arrange an urgent consultation with her children to confirm her wishes.

Solutions: