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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. An investigator interested in the etiology of neonatal jaundice conducted a study where he selected 150 children diagnosed with this condition and 150 children born in the same time period and in the same hospital who did not have a diagnosis of neonatal jaundice. He then reviewed the delivery records of their mothers to determine various prenatal and perinatal exposures. This is an example of which one of the following?

A) Clinical trial
B) Ecological study
C) Cohort study
D) Case-control study
E) Cross-sectional study

2. A 38-year-old marathon runner presents to your office with a 6-month history of increasing right hip pain.
The pain is worse with acclivity and has prevented him from running for the last 4 months. He denies fever or chills. His wife adds that she is concerned because he is increasingly disengaged with the family and not interested in other activities he usually enjoys, including sex. Which one of the following is the best next step in management?

A) Further inquiry into depressive symptoms.
B) Short course of anti-inflammatory medications.
C) Magnetic resonance imaging of the pelvis and right hip.
D) Physiotherapy for hip strengthening.
E) Blood work including inflammatory markers.

3. A 16-month-old boy is brought to your office because of red, itchy and crusted patches on his cheeks and chin. Physical examination also reveals similar patches in the flexor creases of both arms. The groin and axillae regions are clear. Which one of the following is most likely to contribute to this condition?

A) Recent use of oral amoxicillin.
B) Vaccination for measles, mumps and rubella.
C) A family history of atopic reactions.
D) Introduction of cereals before 6 months of age.
E) Varicella-zoster infection.

4. A 38-year-old woman presents with diffuse nodularity in the outer upper quadrant of her right breast. There is no obvious dominant mass, nipple discharge, or skin dimpling. There are no palpable lymph nodes. Which one of the following is the most likely diagnosis?

A) Intraductal carcinoma
B) Paget disease
C) Mastitis
D) Fibrocystic change
E) Benign phyllodes tumour

5. A 78-year-old woman is brought to the Emergency Department by her son because she has a sodium level of
124 mmol/L (136-146). The sodium was checked as part of a blood work panel ordered by her primary health care provider to investigate symptoms of urinary frequency, fatigue, and thirst. Today, she has a blood glucose level of 44.0 mmol/L (4.0-11.0). The original blood work done by her primary health care provider did not include glucose. The patient is treated for hyperglycemia and dehydration and begins insulin. The patient and her son repeatedly express their frustration that their primary health care provider missed the diagnosis. Which one of the following is the best next step?

A) Report the primary health care provider to the provincial or territorial medical regulatory authority
B) Empathize with the patient and her son and agree that the health care provider did not meet the standard of care
C) Explain that routine glucose screening was not indicated
D) Call the primary health care provider to alert them to their oversight
E) Offer to find an alternate health care provider to assume the patient's primary care

Solutions: