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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 59-year-old woman comes to the office because her 48-year-old sister was recently diagnosed with cervical cancer. Your patient thinks her mother may have also had cervical cancer. A Papanicolaou (Pap) test performed 16 months ago had normal results, as did all previous Pap tests. Which one of the following is the best next step?

A) Arrange for human papillomavirus testing.
B) Offer a repeat Pap test now.
C) Arrange for colposcopy.
D) Offer a repeat Pap test 3 years from the previous one.
E) Offer annual Pap testing for the next 5 years.

2. A 26-year-old woman, gravida 2, para 2, aborta 0, has just delivered a full-term newborn via spontaneous vaginal delivery after 4 hours of labor. Following oxytocin administration and placental expulsion, there continues to be a steady trickle of bright red blood from her vagina. On examination, the placenta is intact and the fundus feels firm. Her vital signs are within normal range.
Which one of the following is the most likely diagnosis?

A) Disseminated intravascular coagulopathy
B) Uterine atony
C) Retained products of conception
D) Vaginal or cervical tear
E) Uterine rupture

3. A 16-month-old boy is brought to your office because of red, itchy and crusted patches on his cheeks and chin. Physical examination also reveals similar patches in the flexor creases of both arms. The groin and axillae regions are clear. Which one of the following is most likely to contribute to this condition?

A) Varicella-zoster infection.
B) Introduction of cereals before 6 months of age.
C) Vaccination for measles, mumps and rubella.
D) Recent use of oral amoxicillin.
E) A family history of atopic reactions.

4. A 62-year-old woman is taken to the operating room for an elective laparoscopic cholecystectomy. Induction of anesthesia triggers a severe hypertensive crisis that ultimately resolves after administration of a 5 mg bolus of phentolamine.
Which one of the following is most consistent with this presentation?

A) High plasma cortisol
B) Low urinary metanephrines
C) Increased thyrotropin (thyroid-stimulating hormone) level
D) Low renal vein renin
E) Elevated plasma catecholamines

5. An 85-year-old man is transferred from an acute care hospital to your long-term care (LTC) facility after treatment for a hip fracture. He has a fever, headache, myalgia, and malaise. He has been in contact with LTC staff and family but not with other residents. None of the other residents or LTC staff are symptomatic. As additional investigations are being arranged, which one of the following is the best next step?

A) Immunize the resident for influenza.
B) Inform public health authorities.
C) Close the LTC facility to new admissions.
D) Isolate the affected resident.

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