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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 33-year-old woman presents to a walk-in clinic with a severe right-sided facial paralysis that started suddenly this morning. She denies any numbness or limb weakness. She has no headache or fever. Which one of the following findings on history/physical examination would suggest a more concerning diagnosis?

A) Ability to wrinkle forehead on affected side.
B) Inability to close the eye on affected side.
C) Loss of corneal reflex on affected side.
D) Recent viral illness.
E) Hyperacusis on affected side.

2. A 42-year-old man presents with a history of fatigue and weight loss. He looks unwell, has a darker than usual complexion and his liver is enlarged. He is also found to have marked glycosuria. Which one of the following is the most useful diagnostic test?

A) Serum alpha-1 antitrypsin
B) Serum ferritin
C) Hemoglobin A1c
D) Serum amylase
E) Serum cortisol

3. A 78-year-old man presents to the office with urinary hesitancy, straining to void his bladder, and a sensation of incomplete bladder emptying. On history, he has a BMI of 36 and type 2 diabetes. Which one of the following medications would most likely help the patient's symptoms?

A) Fesoterodine.
B) Nitrofurantoin.
C) Tamsulosin.
D) Empagliflozin.
E) Hydrochlorothiazide.

4. A 34-year-old man sustained a blunt testicular trauma 2 hours ago. On physical examination, the patient has a
1.5-cm tall scrotal hematoma. You cannot palpate the testicle. Which one of the following is the best initial management?

A) Order ultrasonography of the scrotum
B) Observe for 24 hours and discharge if stable
C) Order a technetium 99m pertechnetate scan
D) Plan surgical exploration
E) Discharge with analgesics

5. A patient ' s mother comes to you with a prospective cohort study linking autism to the measles, mumps and rubella vaccine. After reviewing the study carefully, you question the results because of problems with the study design and execution. Which one of the following sources of error would be most important in the study design or execution?

A) Not accounting for all potential confounders during recruitment
B) Reporting standard error with point estimates of difference
C) Recruitment of study families at an autism seminar
D) Vaccine company sponsorship of study
E) Parental recall of vaccine administration

Solutions: