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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 26-year-old woman, gravida 2, para 2, aborta 0, has just delivered a full-term newborn via spontaneous vaginal delivery after 4 hours of labor. Following oxytocin administration and placental expulsion, there continues to be a steady trickle of bright red blood from her vagina. On examination, the placenta is intact and the fundus feels firm. Her vital signs are within normal range.
Which one of the following is the most likely diagnosis?

A) Disseminated intravascular coagulopathy
B) Uterine atony
C) Uterine rupture
D) Retained products of conception
E) Vaginal or cervical tear

2. A 35-year-old woman, gravida 3, para 0, aborta 3, presents with her male partner because she has been unable to conceive despite trying for more than 1 year. Her menstrual cycles have been absent for 9 months, and she has occasional mild cyclic pain. She has a medical history of 3 suction curettages. Her BMI is 24.
Investigation results are as follows:
Hysterosalpingogram: Obliterated uterine cavity, no tubal dye spill
Progesterone (midluteal): 48.0 nmol/L (16.4-59.0)
Partner ' s semen: All parameters normal
Which one of the following is the most likely diagnosis?

A) Perimenopause
B) Intrauterine synechiae
C) Fibroids
D) Polycystic ovary syndrome
E) Hypothalamic insufficiency

3. A 6-week-old boy is brought to your office by his parents for a follow-up following a recent urinary tract infection. His abdominal ultrasound shows dilated urinary bladder and ureters as well as bilateral hydronephrosis. Which one of the following historical findings would be most helpful in establishing the correct diagnosis?

A) Poor urinary stream
B) Malodorous urine
C) Recent circumcision
D) Macroscopic hematuria
E) Crying during micturition

4. A 66-year-old woman suffering from a progressive neurological disease is admitted to a long-term care centre. Her husband does not wish to participate in discussions about the seriousness of his wife ' s disease and is convinced that she will soon come back home. During his 2nd visit to the centre, he gives you a cheque for a substantial sum made out to you, the treating physician, for your own research. Which one of the following is the best response to your patient ' s husband?

A) Inform him you would only be able to accept a smaller amount of money
B) Decline to accept the cheque
C) Refer the husband to the centre ' s social worker
D) Accept the money as a contribution to the long-term care centre ' s fundraising campaign
E) Suggest he donate to your medical group

5. A 58-year-old woman presents with a 1-year history of functional decline. She reports seeing rodents and little children invading her bedroom. Her partner tells you she has a slow, unsteady gait and tends to fall. On examination, she cannot sustain her attention during cognitive testing. Which one of the following is most likely to be found on brain imaging?

A) Bilateral frontal atrophy
B) Medio-temporal atrophy
C) No structural abnormality
D) Cerebellar atrophy
E) Subdural hematoma

Solutions: