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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 28-year-old woman presents because of spotting mid-menstrual cycle. Speculum examination reveals an ulcerated endocervical polyp. Which one of the following is the most appropriate management?

A) Polypectomy.
B) Colposcopy.
C) Cryotherapy.
D) Serial cytology.
E) Punch biopsy.

2. A 56-year-old woman comes to your office because she has not been herself since her husband died in a car crash 6 weeks ago. She has no prior psychiatric history. Her son is concerned because she cries frequently, has a poor appetite, rarely leaves home and is distraught. Her sadness fluctuates and increases when she thinks of her husband. She often thinks about death, and she wishes she could join her deceased husband. Which one of the following is the best next step?

A) Refer to a social worker.
B) Admit to day hospital.
C) Offer reassurance.
D) Arrange for family systems therapy.

3. A 1-week-old boy born at full term is brought by his parents to the office with a 2-day history of eye swelling and watery discharge. This morning, the discharge became thick and yellow. On physical exam, he is afebrile and fussy with bilateral eyelid edema, purulent discharge, and erythematous conjunctivae. After taking appropriate cultures of the eyes, which one of the following is the best next step?

A) Admit the patient and start antibiotic therapy
B) Recommend lacrimal sac massage
C) Prescribe an oral antibiotic and reassess in 48 hours
D) Reassure the parents and prescribe a topical antibiotic
E) Advise warm compresses every 2 to 3 hours until discharge is cleared

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

5. A 10-day-old boy is brought to the Emergency Department with a fever. The newborn looks well. Other than a rectal temperature of 38.6 °C, findings of the physical examination are unremarkable. When you list all the recommended testing their baby will have to undergo, the parents become upset at all the testing their baby will have to undergo. Which one of the following is the best approach?

A) Inform the parents that child protection services may be contacted if they refuse care.
B) Encourage the parents not to be present during the procedures.
C) Reassure the parents that their child will be given an appropriate analgesic.
D) Proceed with testing and address the parents ' concerns afterwards.
E) Advise the parents that their child will not remember painful procedures.

Solutions: