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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. You are counselling a couple that is concerned about the risk that their second child could be affected by the same X-linked recessive disorder (hemophilia A) as their last child, a boy. Neither parent has this disorder.
What is the probability that their second child will be affected?

A) 50% if the child is a boy
B) 25% if the child is a boy
C) 100% whether the child is a boy or a girl
D) 50% if the child is a girl
E) 25% if the child is a girl

2. A 60-year-old woman presents with a 7-day history of bloody diarrhea and diffuse mild abdominal tenderness. Stool tests (culture, ova/parasites) are negative. Which one of the following is the best next step?

A) Prescribe tapered-dose steroids.
B) Order a diagnostic colonoscopy.
C) Recommend a trial of loperamide.
D) Recommend symptomatic observation.
E) Prescribe broad-spectrum antibiotics.

3. A 15-year-old boy is brought to the Emergency Department by his parents because he fainted at home earlier in the day. They are recent immigrants, and there is a language barrier. Which one of the following is the best option for facilitating a thorough history-taking?

A) A relative of the patient who can act as an interpreter.
B) An available laboratory technician who can act as an interpreter.
C) A virtual or in-person interpreter service.
D) Using simple language and speaking slowly.
E) A volunteer from the community who can act as an interpreter.

4. A 21-year-old man presents to the office with persistent pain and swelling of the wrist 2 weeks after falling on his outstretched hand. Anteroposterior and lateral radiographs of the wrist taken at the time of the injury showed no evidence of fracture or dislocation. Which one of the following is the most likely cause of the patient ' s symptoms?

A) Fracture of the carpal scaphoid.
B) de Quervain tenosynovitis.
C) Subluxation of the lunate bone.
D) Undisplaced fracture of the distal radius.

5. A 24-year-old man presents to your clinic with a 6-month history of fatigue. On examination, he is pale. His BMI is 16, and his blood pressure is 92/58 mm Hg. Initial laboratory work shows the following:
Creatinine: 64 µmol/L (49-93)
Potassium: 3.0 mmol/L (3.5-5.1)
Sodium: 138 mmol/L (136-146)
TSH: 2.40 mIU/L (0.34-5.60)
CBC: Normal
Which one of the following is the best next step?

A) Refer the patient to the emergency department
B) Ask permission to discuss the patient's weight
C) Consult gastroenterology
D) Advise increased caloric intake

Solutions: