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Medical Council of Canada MCCQE Part 1 Sample Questions:

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

2. A 14-month-old boy is brought to see you for a well-baby check-up and is noted to have only one testis.
Ultrasound confirms an undescended testis. Which one of the following is the best next step?

A) Surgical removal of the undescended testis
B) Observation for a year
C) Hormonal therapy with testosterone
D) Surgical orchiopexy
E) Hormonal therapy with gonadotropins

3. A 34-year-old woman, gravida 2, para 1, aborta 0, presents to the labor and delivery ward at 32 weeks ' gestation with a 24-hour history of worsening frontal headache, photophobia, and neck stiffness. Vitals:
BP: 121/78 mm Hg
HR: 90 bpm
Temp: 38°C
Neuro exam reveals a 2-beat ankle clonus. Tone and power are otherwise normal. No localizing signs or papilledema. Abdomen is soft, fetus is cephalic.
Which one of the following is the best next investigation?

A) Computed tomography of the head
B) Lumbar puncture
C) Urine protein to creatinine ratio
D) Amniocentesis with culture
E) Fetal ultrasonography

4. A 29-year-old man comes to the office for an initial visit. He is being treated for schizophrenia and epilepsy.
He has a 20 pack-year history of smoking. His medications are carbamazepine, clozapine, and quetiapine. In the past year, he has gained a considerable amount of weight. Aside from a BMI of 32, the results of his physical examination are unremarkable. Which one of the following conditions should he be investigated for?

A) Cushing disease
B) Type 2 diabetes
C) Chronic obstructive pulmonary disease
D) Sleep apnea
E) Acromegaly

5. A 62-year-old man (wealthy philanthropist) with emphysema from smoking and a 21-year-old woman (elementary teacher) with cystic fibrosis are both compatible matches for a lung transplant. Which criterion determines organ allocation?

A) The patient's value and contributions to society.
B) Whether the underlying condition is due to self-induced illness.
C) The patient has family members who rely on them for income.
D) The date the patient was placed on the waiting list.
E) The clinical severity of the patient's pulmonary disease.

Solutions: