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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 45-year-old woman presents to the emergency department after being involved in a motor vehicle collision.
She reports severe right hip pain. On examination, the right hip is flexed and adducted. A radiograph shows a posterior dislocation. Which one of the following is the most appropriate management?

A) Open reduction under general anesthetic.
B) Total hip arthroplasty.
C) Closed reduction under sedation.
D) Gradual reduction with skeletal traction.

2. A 45-year-old man presents to the office and reports difficulty understanding conversations that happen in a noisy environment. Ear examination findings are normal. You request audiography, from which results show bilateral high-frequency sensorineural hearing loss with a notch at 4000 Hz. Which one of the following is the most likely cause of this patient's hearing loss?

A) Attending a firing range to practise shooting before each hunting season.
B) Having a hereditary condition.
C) Having had frequent ear infections during childhood.
D) Working in the construction sector for the past 20 years.
E) Having type 2 diabetes for 10 years.

3. A 72-year-old man reports that his wife says he has hearing trouble. Examination reveals that air conduction on the right side is less than on the left side and greater than bone conduction bilaterally. He hears a tuning fork placed on the top of his head better with his left ear. Which one of the following is the most appropriate next step in management?

A) Audiometry.
B) Wax removal from the ears by irrigation.
C) Computed tomography scan of the head.
D) Hearing aid.
E) Magnetic resonance imaging of the posterior fossa.

4. You are covering for your colleague who is on vacation this week. You receive the results from an ultrasonography that had been ordered for a 32-year-old woman, gravida 2, para 1, aborta 0. The ultrasonography-estimated fetal weight is below the fifth percentile for 30 weeks ' gestation; gestational age was confirmed by an earlier ultrasonogram. The amniotic fluid volume is within normal range. Her first child ' s birth weight was 2800 g at full term. Which one of the following is the best next step?

A) Reassure the patient that the fetus is probably at the lower range of normal weight
B) Plan a follow-up appointment as soon as your colleague is back from vacation
C) Schedule an urgent uterine artery Doppler ultrasonography
D) Ask the patient to present to the obstetrics ward for further fetal assessment
E) Discuss the benefits of acetylsalicylic acid

5. A 55-year-old man presents with vague abdominal pain and general weakness. His mother had colon cancer and died at age 60 years. His physical examination findings and complete blood count results are normal.
Which one of the following tests should be ordered first?

A) Fecal immunochemical test (FIT)
B) Air-contrast barium enema
C) Magnetic resonance imaging of the abdomen
D) Computed tomography colonography
E) Colonoscopy

Solutions: