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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 12-year-old girl presents to your office in late November with an exacerbation of asthma which has been well controlled since her diagnosis at age 5. The family has had cats for 3 years. Last June, they moved to a basement apartment. Which one of the following is the most likely cause of her asthma exacerbation?

A) Mold allergy
B) Pollen allergy
C) Cold intolerance
D) Cat allergy
E) Fungal infection

2. A 30-year-old woman presents to your office for a follow-up assessment of a sports-related musculoskeletal injury to her right leg. She requests a letter for her employer regarding her return to work. You feel she should be able to manage some aspects of her factory work. Which one of the following is most appropriate to include in your medical note to this patient ' s employer?

A) Diagnosis
B) Physiotherapist ' s evaluation
C) Medical imaging results
D) Required workplace accommodations
E) Treatment options

3. A 25-year-old woman presents to the Emergency Department with a 2-hour history of pelvic pain associated with no other symptoms. The first day of her last menstrual period was 14 days ago. On examination, her vital signs are as follows:
Blood pressure
108/72 mm Hg
Heart rate
110/min
Temperature
37 °C
Abdominal examination reveals rebound tenderness and guarding. Pelvic examination reveals exquisite left adnexal tenderness. Which one of the following is the most likely diagnosis?

A) Appendicitis
B) Diverticulitis
C) Hemorrhagic ovarian cyst
D) Adenomyosis
E) Endometriosis

4. A 28-year-old woman presents to the office in great distress because she has no money for groceries or rent.
She is a single mother of a 7-year-old girl. She has a history of gambling disorder. She has felt unable to cope for the last 3 months and has started gambling again. Today, she is crying, and she shares that her boyfriend became violent with her yesterday. Which one of the following is the highest priority for assessment?

A) Screen for recreational drug and alcohol use.
B) Determine the risk of violence to the patient and her child.
C) Evaluate for depression.
D) Investigate the patient ' s need for financial assistance.
E) Define the extent of the patient ' s gambling disorder.

5. A 22-year-old woman presents to the office for episodic mood changes that her boyfriend has noticed. During such episodes, she cries suddenly, is irritable and sad, and withdraws from socializing. Which one of the following would be most useful in establishing a diagnosis?

A) Mood journal.
B) Personality testing.
C) Urine drug screen.
D) Interviewing the boyfriend alone.
E) Trial of lorazepam.

Solutions: