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MCCQE Medical Council of Canada Qualifying Examination Part 1 Exam is now Stable and With Pass Result | Test Your Knowledge for Free

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Medical Council of Canada Qualifying Examination Part 1 Exam

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Total Questions : 348

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Question # 81

A 20-year-old woman, gravida 0, para 0, presents with increased facial hair. Her periods are regular and moderate. Her BMI is 24, and her blood pressure is 110/70 mm Hg. Which one of the following is the most likely diagnosis?

Options:

A.  

Adrenal hyperplasia.

B.  

Polycystic ovary disease.

C.  

Hilar cell tumour.

D.  

Sertoli-Leydig cell tumour.

E.  

Idiopathic hirsutism.

Discussion 0
Question # 82

A 14-month-old boy is brought to see you for a well-baby check-up and is noted to have only one testis. Ultrasound confirms an undescended testis. Which one of the following is the best next step?

Options:

A.  

Observation for a year

B.  

Surgical orchiopexy

C.  

Hormonal therapy with testosterone

D.  

Hormonal therapy with gonadotropins

E.  

Surgical removal of the undescended testis

Discussion 0
Question # 83

A 67-year-old man underwent his first endoscopy. He has long-term reflux and heartburn, treated intermittently with antacids. Biopsies of the distal esophagus reveal Barrett epithelium. Which one of the following is most important in determining the frequency of surveillance endoscopy?

Options:

A.  

Length of Barrett segment

B.  

Depth of intestinal metaplasia

C.  

Stricture formation

D.  

Grade of dysplasia

E.  

Family history of gastrointestinal malignancy

Discussion 0
Question # 84

A 62-year-old man (wealthy philanthropist) with emphysema from smoking and a 21-year-old woman (elementary teacher) with cystic fibrosis are both compatible matches for a lung transplant. Which criterion determines organ allocation?

Options:

A.  

The patient’s value and contributions to society.

B.  

The patient has family members who rely on them for income.

C.  

Whether the underlying condition is due to self-induced illness.

D.  

The clinical severity of the patient’s pulmonary disease.

E.  

The date the patient was placed on the waiting list.

Discussion 0
Question # 85

You are a physician working at a university campus health centre. Staff at the centre are thinking about initiating a campus-wide education campaign on stimulant medication use and misuse. From a physician ' s perspective, which one of the following is the key message to include in this campaign?

Options:

A.  

Improvement of study habits through educational initiatives.

B.  

Ethical perspectives regarding nonprescription stimulant medication use.

C.  

Legal perspectives regarding nonprescription stimulant medication use.

D.  

Prevalence of stimulant medication use by students on university campuses.

E.  

Adverse effects and health risks associated with stimulant medication use.

Discussion 0
Question # 86

A mother brings her 10-year-old son for his well-child check-up. She mentions that her 38-year-old husband has just had a heart attack due to high cholesterol levels and wants information regarding prevention of cardiovascular disease for her son. Which one of the following is the best approach to managing this problem?

Options:

A.  

Send the son for a lipid profile test

B.  

Prescribe a low-fat diet for the son

C.  

Reassure the mother as children do not have elevated lipid levels

D.  

Prescribe a weight-lifting exercise program for her son

E.  

Request a serum homocysteine and hemoglobin A1c

Discussion 0
Question # 87

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?

Options:

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.  

Ask the patient to present to the obstetrics ward for further fetal assessment

D.  

Discuss the benefits of acetylsalicylic acid

E.  

Schedule an urgent uterine artery Doppler ultrasonography

Discussion 0
Question # 88

A 37-year-old man comes to the office for follow-up of his opioid use disorder. He receives opioid agonist treatment, including some take-home doses. At this follow-up visit, he reports some nonprescription opioid use since his last visit. Which one of the following is the best next step?

Options:

A.  

Taper the dosage of the opioid agonist

B.  

Discontinue take-home doses

C.  

Increase the frequency of follow-up visits

D.  

Prescribe a cannabinoid

E.  

Slowly taper and discontinue the opioid agonist

Discussion 0
Question # 89

A 24-year-old nulligravid woman presents to the office with an absence of menstruation since discontinuing her oral contraceptives 8 months ago. She previously had a regular menstrual cycle when taking oral contraceptives for the past 10 years but stopped because of headaches, which have only gotten worse since. She also noticed mild breast discharge for the past several months. Which one of the following examination findings is most likely?

Options:

A.  

Nodular breast irregularities

B.  

Low BMI

C.  

Abnormal visual field testing results

D.  

Presence of severe hirsutism

Discussion 0
Question # 90

A 45-year-old man presents to your clinic for follow-up regarding his obsessive-compulsive disorder. He currently takes a high dosage of paroxetine, which he would like to discontinue because he feels well. His condition has been stable taking this medication since he was discharged from inpatient care 2 years ago. Which one of the following is the most appropriate recommendation?

Options:

A.  

Maintain the current dosage of paroxetine.

B.  

Reduce the dosage of paroxetine by 50%.

C.  

Discontinue paroxetine and refer for supportive psychotherapy.

D.  

Switch paroxetine to sertraline.

Discussion 0
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