Medical Council of Canada MCCQE Part 1 MCCQE

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Medical Council of Canada MCCQE Part 1 Sample Questions:

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

2. A 70-year-old hypertensive woman with a history of congestive heart failure (CHF) secondary to left ventricular dysfunction presents to your office with a persistent dry hacking cough. She claims it began when she was started on ramipril. Which one of the following medications would be most appropriate to replace ramipril, to ensure that the risk of morbidity associated with CHF remains low?

A) Nitrates
B) Angiotensin II receptor blocker
C) Cox-2 inhibitor
D) Calcium channel blocker
E) Alpha-blocker

3. A 63-year-old woman presents to your office with a history of progressive abdominal discomfort over the past five months. She reports bloating and difficult digestion with constipation. She has no urinary symptoms and denies vaginal or rectal bleeding. An abdominal ultrasound shows a large complex pelvic mass with internal multiloculation and moderate ascites. The cancer antigen 125 (CA 125) is elevated at 1023 U/mL ( < 35 U
/mL). Which one of the following is the most likely diagnosis?

A) Serous carcinoma of the ovary
B) Metastatic uterine adenocarcinoma
C) Chronic hematosalpinx
D) Rectosigmoid adenocarcinoma
E) Ovarian hyperstimulation syndrome

4. A 42-year-old businessman known to have type 2 diabetes and ischemic heart disease is admitted to hospital with acute coronary syndrome. He admits to drinking 4 beers a day for the last 6 years and to binge drinking twice a year when his school buddies are in town. Your chart review reveals that he had a seizure secondary to alcohol withdrawal during his last admission. Which one of the following elements of his history puts him at highest risk of having another such seizure?

A) The quantity of alcohol he consumes daily.
B) The number of years he has consumed alcohol.
C) His binge drinking.
D) His previous episode of alcohol withdrawal.
E) His medical comorbidities.

5. A 39-year-old woman comes to see you for her periodic health examination. Her father died at 55 of colon cancer, and she is concerned about the possible risk of her developing bowel cancer. Which one of the following would you advise her in terms of screening for colorectal cancer?

A) Fecal immunochemical test (FIT) annually.
B) Immediate sigmoidoscopy.
C) Double contrast barium enema now.
D) Colonoscopy at age 40.
E) Computed tomography colonography at age 50.

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