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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 1-week-old boy born at full term is brought by his parents to the office with a 2-day history of eye swelling and watery discharge. This morning, the discharge became thick and yellow. On physical exam, he is afebrile and fussy with bilateral eyelid edema, purulent discharge, and erythematous conjunctivae. After taking appropriate cultures of the eyes, which one of the following is the best next step?

A) Admit the patient and start antibiotic therapy
B) Reassure the parents and prescribe a topical antibiotic
C) Prescribe an oral antibiotic and reassess in 48 hours
D) Advise warm compresses every 2 to 3 hours until discharge is cleared
E) Recommend lacrimal sac massage

2. A 27-year-old woman presents to her family physician ' s office and states that she is pregnant and would like to be referred for an abortion. She is at approximately 9 weeks ' gestation by dates. The family physician has personal conscience-based objections to the procedure. Which one of the following would be the best next step for this physician?

A) Explain their personal views about therapeutic abortion to the patient
B) Refer the patient to another physician
C) Ask the patient to return in 2 weeks to give her time to consider her options
D) Recommend that the patient consider adoption

3. A 94-year-old woman with severe dementia is referred for vaginal bleeding and a persistent foul odour from the vagina. She lives in a long-term care facility. She has been using a ring pessary for the past 15 years. Her current pessary has not been replaced in 2 years. On examination, there is moderate vaginal atrophy. After removing the pessary, which one of the following is the best next step?

A) Wash the pessary and recommend a daily saline douche.
B) Start vaginal estrogen.
C) Prescribe vaginal metronidazole gel.
D) Arrange for a hysteroscopy and endometrial biopsy.
E) Perform a vaginal biopsy.

4. A 46-year-old woman with a palpable breast lump underwent diagnostic mammography that revealed a suspicious mass in her right breast. The radiologist recommended a breast biopsy. The referring physician did not see the mammogram report or the recommendation for biopsy. One year later, invasive breast cancer is diagnosed in the patient. Which one of the following is most likely to prevent this issue from happening again?

A) Having a tracking system for all investigative reports.
B) Requiring radiologists to phone the referring physician with every result.
C) Notifying patients only if there is an abnormal finding.
D) Asking patients to call laboratories and imaging centres for their test results.
E) Booking return appointments with the referring physician to follow up every result.

5. A 16-year-old boy is brought to the office for examination, which reveals the lesion in the attached image and similar lesions on other parts of his body. You also notice multiple scattered subcutaneous tumors that he says have been there for a long time. Which one of the following is the most likely diagnosis?

A) Sarcoidosis.
B) Lipomatosis.
C) Dermatofibromas.
D) Neurofibromatosis.
E) Vitiligo.

Solutions: