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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A health authority implements the first-ever colon cancer screening program in its territory. Which one of the following colon cancer indices will likely increase?

A) Treatment rate
B) Incidence rate
C) Case fatality rate
D) Positive biopsy rate
E) Positive predictive value of the screening test

2. A 69-year-old man presents with a 4-day history of a painful right knee. On history, he denies any trauma or similar previous episodes. Examination reveals effusion of the right knee that is warm to the touch. Which one of the following is the best next step?

A) Joint aspiration
B) Nonsteroidal anti-inflammatory drugs
C) Intravenous antibiotics
D) Right knee radiography
E) Serum uric acid level

3. An intoxicated 28-year-old man is brought to the Emergency Department after being found in the snow. His vital signs are as follows:
Temperature: 33°C
Respiratory rate: 22/min
Heart rate: 123/min
The patient is shivering and displays some dysarthria and ataxia. After his wet clothing is removed, he is provided with a warm blanket. The results of the subsequent physical examination are unremarkable, except for frostbite of the ears and fingers. Which one of the following is the best next step?

A) Start continuous arteriovenous rewarming.
B) Apply heating pads to extremities.
C) Perform a peritoneal lavage.
D) Set the room temperature to 28°C.
E) Continuous warm bladder irrigation.

4. A 28-year-old woman presents because of spotting mid-menstrual cycle. Speculum examination reveals an ulcerated endocervical polyp. Which one of the following is the most appropriate management?

A) Polypectomy.
B) Colposcopy.
C) Serial cytology.
D) Cryotherapy.
E) Punch biopsy.

5. While covering for a colleague away on holidays, you receive the following laboratory results for one of her patients, a 24-year-old woman:
White blood cell count: 10 × 10#/L (4-10)
Hemoglobin: 80 g/L (123-157)
Mean corpuscular volume: 76 fL (80-100)
Platelet count: 150 × 10#/L (130-400)
You have arranged a follow-up appointment for the patient with your colleague. Which one of the following is the most likely diagnosis?

A) Iron deficiency anemia.
B) Thalassemia.
C) Leukemia.
D) Anemia of chronic disease.
E) Myelodysplasia.

Solutions: