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Medical Council of Canada MCCQE Exam Syllabus Topics:

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 34-year-old woman, gravida 3, para 2, aborta 0, presents at 38 weeks ' gestation. She is in early labor with ruptured membranes. Her previous pregnancy was complicated by fever during labor. Which one of the following would increase the risk of fever recurrence?

A) Epidural analgesia
B) Advanced maternal age
C) Multiparity
D) Precipitous labor

2. One of your patients presents to your clinic for a consultation regarding their recurrent hemoptysis. On review of their chart, you realize that although you had ordered chest radiography 2 months ago, the result cannot be found in the chart. You call the radiology department and are relieved to find that the chest radiography was done and that it did not reveal any pathology. After informing the patient of this lapse in reporting, which one of the following is the best next step?

A) Send a letter of complaint to the radiology department for not sending a report.
B) Reassure the patient that this is a rare occurrence in your clinic.
C) Remind the patient that they are responsible for calling for outstanding test results.
D) Review your clinic ' s filing procedures and make any needed improvements.

3. A 26-year-old woman, gravida 2, para 2, aborta 0, has just delivered a full-term newborn via spontaneous vaginal delivery after 4 hours of labor. Following oxytocin administration and placental expulsion, there continues to be a steady trickle of bright red blood from her vagina. On examination, the placenta is intact and the fundus feels firm. Her vital signs are within normal range.
Which one of the following is the most likely diagnosis?

A) Disseminated intravascular coagulopathy
B) Retained products of conception
C) Uterine rupture
D) Uterine atony
E) Vaginal or cervical tear

4. A 39-year-old woman comes to see you for her periodic health examination. Her father died at 55 of colon cancer, and she is concerned about the possible risk of her developing bowel cancer. Which one of the following would you advise her in terms of screening for colorectal cancer?

A) Immediate sigmoidoscopy.
B) Colonoscopy at age 40.
C) Computed tomography colonography at age 50.
D) Fecal immunochemical test (FIT) annually.
E) Double contrast barium enema now.

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

Solutions: