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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 26-year-old woman, gravida 2, para 1, presents with a positive pregnancy test. Her previous pregnancy was associated with preeclampsia, and she delivered a 1000 g boy at 34 weeks ' gestation. Her blood pressure is
130/86 mm Hg. Which one of the following is the best recommendation for this pregnancy?

A) Complete bed rest starting at 20 weeks ' gestation.
B) Amniocentesis for karyotyping.
C) Accurate dating by ultrasound.
D) Genetic assessment and counseling.
E) Prophylactic labetalol.

2. You are meeting an otherwise healthy 10-year-old boy in your office for the first time. His BMI is at the 80th percentile. He has no symptoms and his physical examination is normal. Which one of the following is the best next step?

A) Thyroid function testing
B) Morning serum cortisol
C) Fasting lipid profile
D) Hemoglobin A1c
E) No investigations

3. A 15-year-old boy is brought to your office because of concerns about his breast development. He has no other symptoms. His physical examination does not reveal any other abnormality. Which one of the following is the best next step?

A) Order cranial magnetic resonance imaging
B) Order adrenal ultrasound
C) Perform serum prolactin level
D) Perform serum estrogen level
E) Reassure the patient

4. A 78-year-old man presents to the Emergency Department with chest pain. His electrocardiogram and blood work confirm an acute myocardial infarction. He is admitted to the Intensive Care Unit. Three days later, he develops right-sided abdominal pain. An ultrasonogram reveals an inflamed gallbladder with no evidence of stones. He does not improve after 48 hours of antibiotics. Which one of the following is the best next step?

A) Arrange for endoscopic retrograde cholangiopancreatography
B) Send for laparoscopic cholecystectomy
C) Send for hepatobiliary iminodiacetic acid (HIDA) scan
D) Arrange for percutaneous cholecystostomy
E) Broaden antibiotic therapy

5. A 62-year-old woman is taken to the operating room for an elective laparoscopic cholecystectomy. Induction of anesthesia triggers a severe hypertensive crisis that ultimately resolves after administration of a 5 mg bolus of phentolamine.
Which one of the following is most consistent with this presentation?

A) Increased thyrotropin (thyroid-stimulating hormone) level
B) High plasma cortisol
C) Elevated plasma catecholamines
D) Low renal vein renin
E) Low urinary metanephrines

Solutions: