Medical Council of Canada MCCQE Part 1 MCCQE

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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 40-year-old woman presents with a 3-month history of discharge from her right nipple. The discharge was initially milky white, but over the last 2 weeks, the patient has noted blood stains on her bra. There is mild discomfort in the same breast around the time of menses periods. On physical examination, the upper outer quadrant of the breast is tender, but there are no palpable lumps. You are able to express fluid from the nipple which is in fact blood-tinged. Which one of the following is the most likely diagnosis?

A) Intraductal papilloma.
B) Ductal carcinoma in situ.
C) Paget disease.
D) Staphylococcal infection.
E) Mammary duct ectasia.

2. A 25-year-old man presents to the Emergency Department with diffuse abdominal pain and anorexia. He was tackled in a football game yesterday. He reports a 3-week history of sore throat and fatigue. Vital signs are as follows:
Blood pressure: 95/45 mm Hg
Heart rate: 96/min
Temperature: 37.6°C
Which one of the following is the most likely diagnosis?

A) Pyelonephritis
B) Ruptured duodenum
C) Pneumonia
D) Ruptured spleen
E) Appendicitis

3. You are providing antenatal consultation to a primiparous woman of 37 weeks' gestation who was admitted for labour induction. Repeat prenatal ultrasounds confirm a chronically small fetus who has never demonstrated easily detectable fetal movement. Maternal health has been normal throughout the pregnancy and she has received all antenatal serum screening. This fetus is at significant risk for which one of the following?

A) Congenital hypothyroidism.
B) Spina bifida.
C) Chromosomal abnormalities.
D) Fetal stroke.
E) Infantile diabetes.

4. A 26-year-old woman, gravida 1, para 0, aborta 0, presents to your office at 10 weeks' gestation to review the results of her antenatal blood work. She tested positive for hepatitis C. Which one of the following is most advisable to share with her regarding the risks to her and her unborn child?

A) The infant will need to be treated with an antiviral.
B) It is safe to breastfeed.
C) She will likely develop hepatocellular carcinoma.
D) Pregnancy will increase her viral load.
E) She should terminate the pregnancy.

5. A 24-year-old nulligravid woman presents to the office with an absence of menstruation since discontinuing her oral contraceptives 8 months ago. She previously had a regular menstrual cycle when taking oral contraceptives for the past 10 years but stopped because of headaches, which have only gotten worse since.
She also noticed mild breast discharge for the past several months. Which one of the following examination findings is most likely?

A) Low BMI
B) Abnormal visual field testing results
C) Presence of severe hirsutism
D) Nodular breast irregularities

Solutions: