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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 4-year-old boy is brought by his parents to your walk-in clinic with a 3-week history of fatigue, bruising, and intermittent fever. He was previously healthy. Physical examination reveals hepatosplenomegaly and petechiae. His complete blood count shows the following:
Platelet count, blood: 15.0 × 10#/L (206.4-443.3)
White blood cell (WBC) count, blood: 1.0 × 10#/L (4.7-13.5)
Hemoglobin (Hgb), blood: 70 g/L (105-135)
Which one of the following is the most likely diagnosis?

A) Iron deficiency anemia.
B) Viral illness.
C) Immune thrombocytopenia.
D) Acute lymphoblastic leukemia.
E) Bacterial sepsis.

2. A 29-year-old woman, gravida 1, para 0, aborta 0, presents to your clinic. Her pregnancy is at 22 weeks' gestation. Her blood pressure is 158/96 mm Hg. Which one of the following antihypertensive medications is contraindicated for this patient?

A) Nifedipine
B) Methyldopa
C) Ramipril
D) Hydralazine
E) Labetalol

3. A 24-year-old man is brought to the Emergency Department by ambulance with a severe pelvic fracture from a motor vehicle collision. After resuscitation and stabilization, he is noted to have a bloody penile discharge.
Which one of the following is the best next step?

A) Retrograde urethrography.
B) Voiding cystography.
C) Sonography of penis.
D) Foley catheter and continuous bladder irrigation.
E) Transrectal ultrasound.

4. An 18-month-old girl is brought in with a 3-day history of frequently passing loose stools. The stools are not bloody, but when she passes the stools, she is in obvious pain. She started vomiting earlier today, but she is still wetting diapers. On examination, she is mildly dehydrated but active and alert. Physical examination findings are otherwise normal. Which one of the following is the best management of this patient's case?

A) Regular diet only when the diarrhea is resolved.
B) No dairy for 2 weeks.
C) Oral rehydration solution.
D) Loperamide.
E) Combination of apple juice and chicken broth.

5. A young man and woman who are in a relationship present to the office for prenatal counselling. During the visit, you observe that the man ' s lips appear as shown in the referenced photo.

[Image shows grouped vesicular lesions on erythematous base affecting the lips-classic for herpes labialis (HSV-1).] Which one of the following is the best advice?

A) The woman must have a cesarean delivery
B) The man needs herpes simplex virus type-specific serology
C) The man should avoid performing oral sex during her pregnancy
D) The woman should have viral cultures of her cervix
E) The woman should take acyclovir throughout her pregnancy

Solutions: