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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are seeing a 5-month-old infant who has had intermittent stridor since age 2 months. He is otherwise healthy. He has been drinking well and has been reaching all the age-specific developmental milestones.
Which one of the following is the most likely diagnosis?

A) Vascular ring.
B) Subglottic hemangioma.
C) Aspiration of a foreign body.
D) Tracheoesophageal fistula.
E) Laryngomalacia.

2. A 62-year-old woman presents with abdominal pain, fever and chills. She was hospitalized 4 weeks ago for sigmoid diverticulitis. She felt well after her discharge from hospital until 5 days ago when the fever started.
She is now anorexic. On examination, she has right upper quadrant pain and her temperature is 38.5 °C.
Which one of the following investigations is most likely to confirm the diagnosis?

A) Abdominal radiography.
B) Cholescintigraphy (HIDA scan).
C) Ultrasound of abdomen.
D) Endoscopic retrograde cholangiography.
E) Chest radiography.

3. A 45-year-old woman presents with a 2-week history of a sore left breast. It has become red and swollen. She was previously well, and her menstrual cycles are regular. She has no history of breast cancer, and she has no children. On examination, she has a red, tender, indurated area in her left breast that has only partially responded to oral antibiotics after 10 days. Which one of the following is the most appropriate next step?

A) Proceed with incision and drainage.
B) Start intravenous antibiotics.
C) Perform a breast biopsy.
D) Change the oral antibiotic.
E) Start nonsteroidal anti-inflammatory agents.

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

5. A 78-year-old man presents to the office with urinary hesitancy, straining to void his bladder, and a sensation of incomplete bladder emptying. On history, he has a BMI of 36 and type 2 diabetes. Which one of the following medications would most likely help the patient's symptoms?

A) Fesoterodine.
B) Empagliflozin.
C) Hydrochlorothiazide.
D) Nitrofurantoin.
E) Tamsulosin.

Solutions: