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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 60-year-old woman presents with a 7-day history of bloody diarrhea and diffuse mild abdominal tenderness. Stool tests (culture, ova/parasites) are negative. Which one of the following is the best next step?

A) Prescribe broad-spectrum antibiotics.
B) Recommend symptomatic observation.
C) Recommend a trial of loperamide.
D) Order a diagnostic colonoscopy.
E) Prescribe tapered-dose steroids.

2. A 56-year-old woman presents to your office with a 9-month history of intolerable sweating, palpitations, and periodic anxiety. Her last period was 12 months ago. She continues to have regular Papanicolaou testing with no worrisome pathology. She is otherwise healthy. Which one of the following is the most effective treatment for these symptoms?

A) Regular exercise, weight loss and smoking cessation
B) Low-dose clonidine
C) Evening primrose oil
D) Estrogen in combination with progesterone
E) Antidepressant agent

3. A 53-year-old man presents to the Emergency Department with a 3-week history of believing his neighbor is poisoning him by pumping gas through his home's air vent. He appears distracted, irritable, and is speaking very quickly. He has a family history of depression. Which one of the following is the most likely diagnosis?

A) Bipolar I disorder
B) Brief psychotic disorder
C) Delirium
D) Psychotic disorder secondary to traumatic brain injury
E) Malingering

4. A 19-year-old primigravid woman presents to the office with a rapid increase of abdominal girth and shortness of breath. Her pregnancy is at 27 weeks' gestation, as confirmed by early ultrasonogram. The symphysis-fundal height is 45 cm. The fetal heart rate is 150/min (110-160). Which one of the following is the most likely diagnosis?

A) Polyhydramnios.
B) Fetal macrosomia.
C) Partial mole.
D) Twin pregnancy.
E) Ovarian tumour and ascites.

5. A 62-year-old woman with type 2 diabetes comes in for follow-up. She has noticed that her vision has been getting blurry over the past year and that she now needs a bright light to look at photos of her grandchildren.
Upon fundoscopic examination, you note yellow deposits in the central retina. Which one of the following is the most likely diagnosis?

A) Cataracts.
B) Age-related macular degeneration.
C) Diabetic retinopathy.
D) Retinal vein occlusion.
E) Open-angle glaucoma.

Solutions: