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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 6-week-old boy is brought to your office by his parents for a follow-up following a recent urinary tract infection. His abdominal ultrasound shows dilated urinary bladder and ureters as well as bilateral hydronephrosis. Which one of the following historical findings would be most helpful in establishing the correct diagnosis?

A) Recent circumcision
B) Macroscopic hematuria
C) Crying during micturition
D) Poor urinary stream
E) Malodorous urine

2. A 34-year-old man presents to your office with a 2-week history of headaches and double vision when he looks to the right. On physical examination, you note that he is unable to gaze laterally with his right eye.
Which one of the following cranial nerves is most likely affected?

A) Oculomotor.
B) Optic.
C) Trigeminal.
D) Abducens.
E) Trochlear.

3. A 21-year-old man presents to the office with persistent pain and swelling of the wrist 2 weeks after falling on his outstretched hand. Anteroposterior and lateral radiographs of the wrist taken at the time of the injury showed no evidence of fracture or dislocation. Which one of the following is the most likely cause of the patient ' s symptoms?

A) Fracture of the carpal scaphoid.
B) de Quervain tenosynovitis.
C) Undisplaced fracture of the distal radius.
D) Subluxation of the lunate bone.

4. A 28-year-old woman presents to your office with a 6-month history of intermittent dizziness associated with nausea and a rotational sensation. Physical examination shows pallor of 1 optic disk, generalized hyperreflexia and nystagmus to the left. Which one of the following is the most likely diagnosis?

A) Acoustic neuroma.
B) Labyrinthitis.
C) Prolactinoma.
D) Meniere disease.
E) Multiple sclerosis.

5. A 56-year-old woman is admitted to hospital with gastrointestinal bleeding. Her hemoglobin level is low and the physician who saw her in the Emergency Department has recommended a blood transfusion. You attend her on the unit and tell her that a blood transfusion will help her feel better. Which one of the following is the best next step?

A) Withhold the transfusion to avoid any risk for liability.
B) Ask a colleague to see the patient and make the same recommendation.
C) Review the patient's chart to see if she consented to transfusions in the past.
D) Discuss with the patient the potential risks and benefits of having a transfusion.
E) Give the patient a blood transfusion before her condition becomes unstable.

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