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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 28-year-old woman presents because of spotting mid-menstrual cycle. Speculum examination reveals an ulcerated endocervical polyp. Which one of the following is the most appropriate management?

A) Punch biopsy.
B) Cryotherapy.
C) Colposcopy.
D) Serial cytology.
E) Polypectomy.

2. A 58-year-old woman presents to your office with heavy vaginal bleeding. She has a history of type 2 diabetes and hypertension. Some active bleeding is visible on speculum examination. Ultrasound reveals an endometrial thickness of 12 mm. Endometrial biopsy shows complex hyperplasia with atypia. Which one of the following is the best next step?

A) Prescribe topical progesterone
B) Organize hysteroscopy
C) Arrange endometrial ablation
D) Refer for hysterectomy and bilateral salpingo-oophorectomy
E) Obtain consent for dilatation and curettage

3. You have just completed a well-baby check on a 6-month-old in the office where you have recently begun to practice. You ask the registered nurse to give the immunizations. She refuses, saying this is not within her scope of practice. Which one of the following is the best next step?

A) Contact the provincial/territorial nursing regulatory body to make a complaint about her.
B) Offer to be present while she gives the immunizations so that she will be supervised.
C) Insist that she give the immunizations as she should be competent to do so.
D) Recognize your error in making the request and refrain from asking again.
E) Give the immunizations yourself and then discuss the matter with the nurse later.

4. A mother brings her 1-month-old infant for routine health examination. The infant was born at term with no complications. He is exclusively breastfed every 3-4 hours and growth parameters are normal. His mother tells you that feedings are difficult (the baby cries any time she tries to put him down) and that she is exhausted. Her husband has been on a military mission since the infant was 2-weeks-old. Which one of the following is the most appropriate next step in management?

A) Inquire about symptoms of depression.
B) Increase the frequency of the feeds.
C) Suggest a switch to hypoallergenic infant formula.
D) Refer to a lactation consultant.
E) Reassure that this is a normal phase.

5. A previously well 4-year-old boy is brought to your office by his mother. She is concerned by his behaviour.
Shortly after falling asleep, he awakens, screams loudly and cries. He appears frightened and does not respond to his mother's efforts to calm him. During these episodes, he appears agitated and flushed. After 15-20 minutes, he settles back to sleep. Physical examination is unremarkable. Which one of the following is the most likely diagnosis?

A) Panic disorder.
B) Nightmare disorder.
C) Nocturnal seizures.
D) Non-rapid eye movement sleep arousal disorder.
E) Temper tantrums.

Solutions: