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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 72-year-old man presents to your office with reports of a hard lump slowly enlarging in the right inguinal area. He is otherwise healthy. Which one of the following is most likely to reveal the cause of his lump?

A) Palpation of the liver.
B) Examination of the testicles.
C) Digital rectal examination.
D) Palpation of the spleen.
E) Sexual history.

2. A 60-year-old man has a strong family history of aortic aneurysms. Screening abdominal ultrasonography reveals an incidental < 1 cm mass in his left kidney. Computed tomography confirms that the mass is consistent with renal adenocarcinoma. Which one of the following is the most appropriate step in management?

A) Organize angiographic ablation of the renal mass
B) Repeat computed tomography in 6 months
C) Plan partial nephrectomy
D) Refer to radiation oncology
E) Arrange magnetic resonance imaging of the abdomen

3. A 38-year-old marathon runner presents to your office with a 6-month history of increasing right hip pain.
The pain is worse with acclivity and has prevented him from running for the last 4 months. He denies fever or chills. His wife adds that she is concerned because he is increasingly disengaged with the family and not interested in other activities he usually enjoys, including sex. Which one of the following is the best next step in management?

A) Further inquiry into depressive symptoms.
B) Physiotherapy for hip strengthening.
C) Blood work including inflammatory markers.
D) Magnetic resonance imaging of the pelvis and right hip.
E) Short course of anti-inflammatory medications.

4. The developers of a urinary protein dipstick test have indicated that they have reduced the problem of false positive results by changing the test so that it becomes positive at a higher concentration of protein. Which one of the following statements best describes how this screening test will be affected?

A) The validity of the test will be reduced.
B) There will be more false negatives.
C) The positive predictive value will remain the same.
D) Both sensitivity and specificity will improve.
E) The accuracy of the test will be reduced.

5. A 28-year-old woman presents to the office in great distress because she has no money for groceries or rent.
She is a single mother of a 7-year-old girl. She has a history of gambling disorder. She has felt unable to cope for the last 3 months and has started gambling again. Today, she is crying, and she shares that her boyfriend became violent with her yesterday. Which one of the following is the highest priority for assessment?

A) Investigate the patient ' s need for financial assistance.
B) Define the extent of the patient ' s gambling disorder.
C) Screen for recreational drug and alcohol use.
D) Evaluate for depression.
E) Determine the risk of violence to the patient and her child.

Solutions: