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Medical Council of Canada MCCQE Part 1 Sample Questions:
1. The parents of a 12-year-old boy present to your clinic to discuss their son's submersion injury. The patient was seen in hospital for 6 months after being pulled unresponsive from a lake at his friend's house; he had been submerged for an estimated 20 minutes. After extended resuscitation and a 2-month stay in the intensive care unit, he remains in a persistent vegetative state but needs no respiratory or cardiac support. When evaluating the discharge from hospital, which one of the following is most appropriate?
A) Advocate for home care support so that the parents can care for their son safely at home
B) Plan for a progressive return to school with a home caregiver
C) Organize scheduled readmissions to hospital to provide the family with respite care
D) Continue intensive rehabilitation in the acute care hospital for the best chance of recovery
E) Recommend placement in a palliative care facility
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) Organize hysteroscopy
B) Refer for hysterectomy and bilateral salpingo-oophorectomy
C) Prescribe topical progesterone
D) Arrange endometrial ablation
E) Obtain consent for dilatation and curettage
3. A 66-year-old woman has a 3-month history of dry cough and weight loss. A new chest radiograph reveals a large 2-cm mass in her right upper lobe, which is consistent with carcinoma. You look at her previous films and realize that you had read her chest radiograph as normal 1 year ago, but now clearly see a faint opacity in precisely the same location as her current lesion. Which one of the following is the best next step?
A) Remark only on the new chest radiograph in your report
B) Create a report only after communicating with your medical regulatory authority
C) Comment on the previous chest radiograph and the new one in your report
D) Prepare a report only after communicating with your department head
E) Write a report only after communicating with your professional insurer
4. You are a family physician caring for a healthy 60-year-old woman. Which one of the following preventative interventions is most useful?
A) Fasting blood glucose every year.
B) Fasting lipid profile every year.
C) Bone densitometry every 2 years.
D) Cervical cytology every year.
E) Mammography every 2 years.
5. A 35-year-old woman, gravida 3, para 0, aborta 3, presents with her male partner because she has been unable to conceive despite trying for more than 1 year. Her menstrual cycles have been absent for 9 months, and she has occasional mild cyclic pain. She has a medical history of 3 suction curettages. Her BMI is 24.
Investigation results are as follows:
Hysterosalpingogram: Obliterated uterine cavity, no tubal dye spill
Progesterone (midluteal): 48.0 nmol/L (16.4-59.0)
Partner ' s semen: All parameters normal
Which one of the following is the most likely diagnosis?
A) Polycystic ovary syndrome
B) Fibroids
C) Hypothalamic insufficiency
D) Intrauterine synechiae
E) Perimenopause
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: E | Question # 5 Answer: D |








