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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 42-year-old man presents with a history of fatigue and weight loss. He looks unwell, has a darker than usual complexion and his liver is enlarged. He is also found to have marked glycosuria. Which one of the following is the most useful diagnostic test?

A) Serum ferritin
B) Serum alpha-1 antitrypsin
C) Serum amylase
D) Hemoglobin A1c
E) Serum cortisol

2. 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) Trial of lorazepam.
D) Interviewing the boyfriend alone.
E) Urine drug screen.

3. A 20-year-old nulligravid woman presents with severe pain during menstruation. She is unable to take nonsteroidal anti-inflammatory drugs (NSAIDs) and is adamant about not taking any hormonal therapy. She has questions about non-medicinal therapeutic options. Which one of the following recommendations is the most appropriate?

A) Progesterone-releasing intrauterine device
B) Massage therapy
C) Laparoscopic uterine nerve ablation (LUNA)
D) Spinal manipulation
E) High-frequency transcutaneous electrical nerve stimulation (TENS)

4. A 43-year-old man comes to your office for the first time. He has not seen a doctor in over 5 years and has no known past medical history. On examination, his blood pressure is 120/70 mm Hg, and the remainder of his examination is normal. As part of the initial visit, you order some screening blood work that reveals a fasting blood glucose of 6.3 mmol/L (3.3-5.8) and a hemoglobin A1c of 6.1% (4-6). Which one of the following is the best next step?

A) Order an exercise stress test.
B) Order a urine albumin:creatinine ratio.
C) Test capillary blood glucose 4 times a day.
D) Perform a 75 g oral glucose tolerance test.
E) Order thyrotroph (thyroid-stimulating hormone) level.

5. A 31-year-old woman, gravida 1, para 0, presents to Labour and Delivery with regular contractions at approximately 24 weeks' gestation. As you review her prenatal records, which one of the following is the most reliable way of establishing gestational age?

A) Symphysis fundal height.
B) Last menstrual period.
C) Crown-rump length at 8-12 weeks.
D) Serial ultrasound in 3rd trimester.
E) Mid 2nd trimester ultrasound.

Solutions: