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Medical Council of Canada MCCQE Part 1 Sample Questions:

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

2. A 2.5-year-old boy is brought to the Emergency Department after he consumed a button-shaped battery. Chest and abdomen radiographies are performed. Which one of the following locations mandates urgent removal of the battery?

A) Ileum
B) Jejunum
C) Duodenum
D) Stomach
E) Esophagus

3. Your colleague's receptionist asks you to assess her 4-year-old daughter who has had 2 episodesof acute otitis media in the last month. The mother wants you to arrange a consultation with an ear, nose and throat (ENT) specialist to get a tympanostomy before her daughter starts school. You do not believe there is a surgical indication at this time. Which one of the following is the best next step?

A) Explain that there is no indication for the surgery but refer her daughter for consultation.
B) Call the ENT consultant on call to discuss your dilemma.
C) Decline to send her daughter for consultation and explain your decision.
D) Suggest that the next time they go to the Emergency Department for quicker access to the ENT consultant.
E) Ask another family physician to see the daughter due to a conflict of interest.

4. A 55-year-old man presents with vague abdominal pain and general weakness. His mother had colon cancer and died at age 60 years. His physical examination findings and complete blood count results are normal.
Which one of the following tests should be ordered first?

A) Colonoscopy
B) Magnetic resonance imaging of the abdomen
C) Fecal immunochemical test (FIT)
D) Air-contrast barium enema
E) Computed tomography colonography

5. A 3-year-old boy is brought to the office because he is not using his right arm after a fall from a swing.
Radiographs reveal a new fracture and old healing fractures. The parents deny any previous injuries. In addition to providing care for the fracture, which one of the following is the best next step?

A) Advise the parents to better supervise the patient.
B) Refer the family to the social work department.
C) Investigate the patient to rule out metabolic or endocrine disorders.
D) Monitor the patient for future injuries.
E) Notify child protection services.

Solutions: