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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 54-year-old woman presents to your office to discuss breast cancer screening. She is asymptomatic with no history of breast cancer. She had a fibroadenoma removed when she was 24 years old. The patient is not on any medications. Her family history is significant for a great-aunt with breast cancer. The patient has not had genetic testing but had normal breast screening 2 years ago. Which one of the following is the best next step?

A) Mammography.
B) Positron emission tomography scan.
C) Breast magnetic resonance imaging.
D) Reassurance.
E) Monthly self-breast examination.

2. 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) Arrange for a hysteroscopy and endometrial biopsy.
C) Perform a vaginal biopsy.
D) Start vaginal estrogen.
E) Prescribe vaginal metronidazole gel.

3. A 4-month-old girl is brought by a parent to your clinic with a history of recurrent vomiting since birth. She cries with feeding and has not gained weight in the last 2 weeks. Her hemoglobin level is 95 g/L (100-125).
The patient is currently being fed thickened hypoallergenic formula. Which one of the following is the most appropriate therapy?

A) Loperamide.
B) Omeprazole.
C) Metoclopramide.
D) Calcium carbonate.
E) Bismuth sulfate.

4. You are following an otherwise healthy 3-month-old girl whose severe bilateral sensorineural deafness was diagnosed after early identification through a universal newborn hearing screening program. She has reached the developmental milestones for her age and has no features of an underlying syndrome. There is no family history of hearing loss. The parents request information on the speech and language prognosis for their daughter. Which one of the following is the most appropriate response?

A) Most children with this condition learn to hear and speak fluently with appropriate early intervention.
B) Sign language and a school for the hearing impaired will be needed.
C) Long-term literacy is likely to be limited to a grade 4 level.
D) The prognosis is unpredictable and not well known.
E) Significant limitation in expressive and receptive speech should be expected.

5. A 38-year-old woman has progressive renal failure despite optimal medical treatment for her glomerulonephritis. Her ex-husband asks if he might be considered as a kidney donor. They have joint custody of their 10-year-old son. Which one of the following is the best response to the ex-husband's request?

A) Advise against a donation because of their divorce.
B) He may proceed with assessment for possible organ donation.
C) His request must be refused because of the risk of leaving their child with 2 unhealthy parents.

Solutions: