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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 20-year-old woman, gravida 0, para 0, presents with increased facial hair. Her periods are regular and moderate. Her BMI is 24, and her blood pressure is 110/70 mm Hg. Which one of the following is the most likely diagnosis?

A) Idiopathic hirsutism.
B) Sertoli-Leydig cell tumour.
C) Adrenal hyperplasia.
D) Polycystic ovary disease.
E) Hilar cell tumour.

2. A 21-year-old man presents to the Emergency Department with a 6-month history of unusual behavior. He believes that he has been specially chosen to found a new religion. He says he has seen visions of angels in his bedroom. He appears disheveled and malodorous. On further inspection, you note that he drinks 2 liters daily.
Which one of the following is the most appropriate initial management?

A) Valproic acid
B) Cognitive behavior therapy
C) Carbamazepine
D) Risperidone
E) Electroconvulsive therapy

3. You are a physician working at a university campus health centre. Staff at the centre are thinking about initiating a campus-wide education campaign on stimulant medication use and misuse. From a physician ' s perspective, which one of the following is the key message to include in this campaign?

A) Adverse effects and health risks associated with stimulant medication use.
B) Legal perspectives regarding nonprescription stimulant medication use.
C) Improvement of study habits through educational initiatives.
D) Prevalence of stimulant medication use by students on university campuses.
E) Ethical perspectives regarding nonprescription stimulant medication use.

4. A 3-week-old boy is brought by his parents to your clinic for a well-child visit. The newborn was born at term after an uncomplicated pregnancy. He is exclusively breastfed and is thriving. Physical examination findings are normal except for jaundice. Total bilirubin is 172 #mol/L (#100), and conjugated bilirubin is 4 #mol/L (#5). Results of a complete blood count and reticulocyte count are within the normal range. The results of a direct antiglobulin (Coombs) test were negative. Which one of the following, if any, is the most appropriate investigation?

A) Urine culture.
B) Test for galactosemia.
C) No investigation required.
D) Hepatobiliary ultrasonography.
E) Liver enzymes and serum albumin.

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

Solutions: