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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 26-year-old woman, gravida 1, para 0, aborta 0, consults you at 36 weeks' gestation regarding newborn care. She has HIV. Which one of the following is the best advice regarding reducing the risk for transmission of HIV to her newborn?

A) Bottle-feed her newborn expressed breast milk.
B) Avoid kissing her newborn.
C) Formula-feed her newborn.
D) Breastfeed her newborn during the colostrum period only.
E) Bottle-feed her newborn boiled expressed breast milk.

2. A 16-year-old boy presents to the emergency department with a 12-hour history of fever and rigors. He has sickle cell anemia. On examination, his vital signs include the following:
Heart rate
110/min (60-100)
Respiratory rate
20/min (12-18)
Temperature
38.8 °C, oral (36.5-37.5)
Which one of the following places this patient at risk for sepsis?

A) Neutrophil dysfunction
B) Systemic iron overload
C) Chronic anemia
D) Functional asplenia
E) Immunoglobulin deficiency

3. Which one of the following bodies decides whether a physician is permitted to practise medicine in a province or territory?

A) The provincial or territorial medical association
B) The College of Family Physicians of Canada or the Royal College of Physicians and Surgeons of Canada
C) The board of the hospital or health region where the physician wants to practise
D) The provincial or territorial medical licensing authority
E) The provincial or territorial Ministry of Health

4. A 39-year-old woman comes to see you for her periodic health examination. Her father died at 55 of colon cancer, and she is concerned about the possible risk of her developing bowel cancer. Which one of the following would you advise her in terms of screening for colorectal cancer?

A) Double contrast barium enema now.
B) Fecal immunochemical test (FIT) annually.
C) Computed tomography colonography at age 50.
D) Immediate sigmoidoscopy.
E) Colonoscopy at age 40.

5. A 34-year-old man sustained a blunt testicular trauma 2 hours ago. On physical examination, the patient has a
1.5-cm tall scrotal hematoma. You cannot palpate the testicle. Which one of the following is the best initial management?

A) Discharge with analgesics
B) Order a technetium 99m pertechnetate scan
C) Order ultrasonography of the scrotum
D) Observe for 24 hours and discharge if stable
E) Plan surgical exploration

Solutions: