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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 36-year-old woman presents to the office with a 2-month history of multiple asymptomatic bumps on her vulva. She is not currently sexually active but has had 2 male sexual partners in the past, with the most recent relationship ending 1 year ago. On examination, she appears to have genital warts. She has not received the human papillomavirus (HPV) vaccine and is not interested in any treatment that is not absolutely necessary.
Which of the following is the best next step?

A) Papanicolaou test.
B) Excisional biopsy.
C) Cryotherapy.
D) Contact tracing.
E) HPV vaccine.

2. A 51-year-old man comes to your clinic for follow-up regarding his type 1 diabetes. His hemoglobin A1c is
12.5% (normal 4-6%). He has never had such high blood sugar results. He drinks 2 beers per night to help with sleep. He is not well rested because he has been sleeping on a friend's couch since losing his job last year. Which one of the following is the best next step?

A) Ensure that he has the finances to adequately monitor his diabetes.
B) Send him for thyroid function testing.
C) Prescribe an antidepressant to improve his energy and motivation.
D) Ask him to create a food journal and refer him to a dietitian.

3. A 4-year-old girl is brought to the family practice by her father. The child has a 2-week history of low-grade fever, fatigue, and sore throat. She has also developed several small, round, mildly tender lumps bilaterally in her neck. She was previously well. Which one of the following is most likely to be found on abdominal examination?

A) Generalized tenderness
B) Renal mass
C) Shifting dullness
D) Abdominal bruit
E) Palpable spleen

4. A 30-year-old woman presents to the office with her partner and reports that they are planning for her to conceive soon. They visited Mexico recently and are concerned about exposure to the Zika virus. Which one of the following is the best next step?

A) Prescribe a prophylactic antiviral medication
B) Explain that condoms are ineffective in preventing sexual transmission of Zika virus
C) Refer the couple to an infectious disease specialist
D) Recommend ceasing conception until 3 months after the couple ' s return to Canada
E) Request serologic testing

5. A 26-year-old woman, gravida 1, para 0, aborta 0, presents to your office at 10 weeks' gestation to review the results of her antenatal blood work. She tested positive for hepatitis C. Which one of the following is most advisable to share with her regarding the risks to her and her unborn child?

A) Pregnancy will increase her viral load.
B) The infant will need to be treated with an antiviral.
C) She should terminate the pregnancy.
D) It is safe to breastfeed.
E) She will likely develop hepatocellular carcinoma.

Solutions: