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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A surgical clinic would like to respond to the Truth and Reconciliation Commission of Canada: Calls to Action report. The clinic has implemented a mandatory cultural safety course for all employees and ongoing faculty development that includes teachings from Elders and Knowledge Keepers and teaching sessions about harm reduction, trauma-informed care, and antiracism. Which one of the following steps would further the clinic ' s goal of responding to this report?

A) Display the cultural safety certificate in the waiting room.
B) Evaluate how the staff enjoyed the teaching session.
C) Include trauma disclosure on the clinic ' s intake form.
D) Provide clinic information in the languages spoken by the community.

2. A 28-year-old nulligravid woman presents to your clinic with grey-green vaginal discharge that has a "fishy- type odour." Microscopy reveals superficial squamous cells with blurred borders caused by adherent bacteria.
The patient's symptoms abate after therapy with vaginal metronidazole. Which one of the following is the most likely cause of this clinical presentation?

A) Trichomonas vaginalis.
B) Gardnerella vaginalis.
C) Human papillomavirus.
D) Neisseria gonorrhoeae.
E) Chlamydia trachomatis.

3. 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) Refer for hysterectomy and bilateral salpingo-oophorectomy
B) Prescribe topical progesterone
C) Arrange endometrial ablation
D) Organize hysteroscopy
E) Obtain consent for dilatation and curettage

4. A 50-year-old man with prostate cancer, which is complicated by bony and cerebral metastases, presents to your office. He has a 24-hour history of increasing lower back pain and weakness in his legs. On examination, you note decreased knee and ankle reflexes on both sides. Earlier today he had fecal incontinence. Which one of the following is the best next step?

A) Stellate ganglion block.
B) Dose of parenteral steroids.
C) Consult to radiotherapy.
D) Consult to surgery.
E) Bed rest with subcutaneous analgesia.

5. A 42-year-old man presents for a follow-up visit for mild hypertension. His blood pressure has been consistently elevated over the last 2 visits. In discussion with the patient, you decide to initiate antihypertensives. He had previously been on ramipril and stopped when he developed tongue swelling. His past medical history consists of asthma and hyperlipidemia. Which one of the following is the most appropriate treatment at this time?

A) Hydrochlorothiazide.
B) Metoprolol.
C) Hydralazine.
D) Clonidine.
E) Enalapril.

Solutions: