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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 30-year-old woman presents to the office with her partner and reports that they are planning for her to conceive soon. They visited Mexico recently and are concerned about exposure to the Zika virus. Which one of the following is the best next step?

A) Prescribe a prophylactic antiviral medication
B) Request serologic testing
C) Refer the couple to an infectious disease specialist
D) Recommend ceasing conception until 3 months after the couple's return to Canada
E) Explain that condoms are ineffective in preventing sexual transmission of Zika virus

2. A 32-year-old woman presents to the office with questions related to the mRNA vaccines that are approved for COVID-19. She is a health care worker. She gave birth to a healthy child 2 months ago. Before being immunized, which one of the following is the most important detail to elicit from the patient's history?

A) Presently breastfeeding.
B) Work in a medical unit caring for patients with COVID-19.
C) Current immunosuppression.
D) Previous anaphylactic reaction to vaccine components.

3. You are providing medical care to a 78-year-old man and notice a skin lesion which you suspect is malignant melanoma. He has been living in a long-term care facility for 2 years because of incontinence, mobility and vision problems. He is well-liked by facility staff and residents, manages his own affairs and communicates clearly. He has designated his daughter to be his substitute decision-maker and has signed a Do Not Resuscitate (DNR) order. Which one of the following is the best next step in providing care to this patient for his skin lesion?

A) Perform a biopsy to ensure an accurate diagnosis before discussing diagnosis and treatment.
B) Respect his DNR wishes, and do nothing about the skin lesion.
C) Contact the daughter to inform her of your findings and discuss possible investigations.
D) Discuss your tentative diagnosis with him and ask about his preferences regarding investigations.
E) Ask him whether you can discuss your diagnosis and care with his daughter.

4. A 32-year-old man presents to the clinic for assessment of a dog bite sustained 3 days ago while traveling in another country. He recalls having seen the dog eat where he was staying, and the animal did not appear well.
On examination, the patient has 2 distinct deep puncture wounds on his left leg. There is an erythematous border but no exudate. He is unsure of his immunization status. Which one of the following is the most appropriate management?

A) Arrange for wound debridement
B) Irrigate the wounds with hydrogen peroxide
C) Start antibiotic treatment with ciprofloxacin
D) Order serum creatine kinase
E) Give rabies immunoglobulin and vaccine

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

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