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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are counselling a couple that is concerned about the risk that their second child could be affected by the same X-linked recessive disorder (hemophilia A) as their last child, a boy. Neither parent has this disorder.
What is the probability that their second child will be affected?

A) 25% if the child is a girl
B) 100% whether the child is a boy or a girl
C) 50% if the child is a boy
D) 25% if the child is a boy
E) 50% if the child is a girl

2. You are called to the Emergency Department to see a 6-month-old boy with a 3-day history of fever. Physical examination reveals an irritable infant with a temperature of 38.1°C. His vital signs are:
Blood pressure: 87/50 mm Hg
Respiratory rate: 80/min
Heart rate: 140/min
Oxygen saturation: 92% on room air
The infant has no skin findings. On chest examination, you hear coarse crackles on the right side of the chest.
Which one of the following is the best next step in the management of this child?

A) Reassurance.
B) Intravenous fluids.
C) Oral steroids.
D) Intravenous antibiotics.
E) Oral antibiotics.

3. A 63-year-old woman presents to your office with a history of progressive abdominal discomfort over the past five months. She reports bloating and difficult digestion with constipation. She has no urinary symptoms and denies vaginal or rectal bleeding. An abdominal ultrasound shows a large complex pelvic mass with internal multiloculation and moderate ascites. The cancer antigen 125 (CA 125) is elevated at 1023 U/mL (< 35 U
/mL). Which one of the following is the most likely diagnosis?

A) Chronic hematosalpinx
B) Ovarian hyperstimulation syndrome
C) Serous carcinoma of the ovary
D) Metastatic uterine adenocarcinoma
E) Rectosigmoid adenocarcinoma

4. You have been asked to develop a program in your hospital for people who are at the highest risk of death by suicide. The hospital administrator asks you to describe the types of patients they should expect in the program. Which one of the following groups is the most likely prominent demographic?

A) Women aged 20 to 40 years who have cluster B personality disorders and experience relationship losses
B) Men aged 11 to 20 years who have histories of juvenile delinquency and narcotic use
C) Men aged 50 to 70 years who have limited social supports and alcohol use disorder
D) Patients of both sexes who have psychotic disorders
E) Women aged 14 to 20 years who have histories of being abused and who are experiencing financial hardships

5. You are caring for a 17-year-old girl who has end-stage renal disease. She is receiving dialysis at the hospital
3 times a week. She requests medical assistance in dying (MAID). Which of the following is the best next step?

A) Suggest a trial of home dialysis.
B) Refer the patient to a psychiatrist.
C) Explore the reasons for the patient's request for MAID.
D) Inform the patient that she will need parental consent to be assessed for MAID.
E) Explain to the patient that she is not terminally ill.

Solutions: