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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. 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) Labetalol
B) Hydralazine
C) Ramipril
D) Nifedipine
E) Methyldopa

2. A 37-year-old woman presents to your clinic with frequent palpitations. She has no other symptoms and is quite active. Physical examination and resting electrocardiogram findings are normal. Which one of the following is the best next step?

A) Echocardiogram
B) Treadmill exercise test
C) Holter monitoring
D) #-Blocker

3. A 35-year-old woman, gravida 3, para 0, aborta 3, presents with her male partner because she has been unable to conceive despite trying for more than 1 year. Her menstrual cycles have been absent for 9 months, and she has occasional mild cyclic pain. She has a medical history of 3 suction curettages. Her BMI is 24.
Investigation results are as follows:
Hysterosalpingogram: Obliterated uterine cavity, no tubal dye spill
Progesterone (midluteal): 48.0 nmol/L (16.4-59.0)
Partner ' s semen: All parameters normal
Which one of the following is the most likely diagnosis?

A) Perimenopause
B) Intrauterine synechiae
C) Fibroids
D) Hypothalamic insufficiency
E) Polycystic ovary syndrome

4. A 33-year-old man with severe bacterial meningitis is intubated and unresponsive in the Intensive Care Unit.
If he receives immediate treatment, his prognosis is excellent. If he does not, he will likely die. Three years ago, the patient had Huntington disease diagnosed, but he has been asymptomatic since then. His advance directive, which was made before this hospitalization, states that he should be allowed to die if he contracts a life-threatening illness. His parents demand that he be treated for the meningitis. Which one of the following is the best next step?

A) Consult a second physician for an opinion on emergent treatment
B) Do not provide any treatment other than comfort measures
C) Ask for a current mental capacity assessment
D) Initiate treatment, using the parents as substitute decision-makers
E) Order an electroencephalography

5. A 71-year-old man is brought to the Emergency Department with sudden onset of shortness of breath and chest pain. He was discharged from hospital 1 week ago after a total hip arthroplasty. On examination, his respiratory rate is 32/min. There is visible respiratory distress, and chest auscultation is clear. Which one of the following is the most likely diagnosis?

A) Aortic dissection
B) Pulmonary embolus
C) Fat embolus
D) Cholesterol embolus
E) Myocardial infarction

Solutions: