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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 38-year-old woman, gravida 3, para 2, aborta 0, presents to the labour and delivery unit for induction of labour. Her pregnancy is at 42 weeks' gestation and has been uncomplicated to date. Which one of the following is the most appropriate information to provide to the patient?

A) Cesarean delivery is preferred.
B) Prostaglandin induction of labour is contraindicated.
C) Continuous electronic fetal monitoring in labour is recommended.

2. A 4-year-old girl is brought to the family practice by her father. The child has a 2-week history of low-grade fever, fatigue, and sore throat. She has also developed several small, round, mildly tender lumps bilaterally in her neck. She was previously well. Which one of the following is most likely to be found on abdominal examination?

A) Palpable spleen
B) Shifting dullness
C) Abdominal bruit
D) Generalized tenderness
E) Renal mass

3. A 63-year-old man is brought to the Emergency Department by ambulance after he injured his abdomen.
While working on a house, he fell 1 m from a scaffold and landed on a metal pipe. He is clinically stable but reports localized abdominal pain. On examination, he has a 17-cm laceration to his abdomen in the left hypochondrium. The laceration is 4 cm deep, but there is no fascial laceration. Which one of the following is the best next step?

A) Antibiotic irrigation of the wound.
B) Exploratory laparotomy.
C) Abdominal computed tomography.
D) Surgical debridement and delayed closure.
E) Primary repair of the laceration.

4. A health authority implements the first-ever colon cancer screening program in its territory. Which one of the following colon cancer indices will likely increase?

A) Positive biopsy rate
B) Positive predictive value of the screening test
C) Case fatality rate
D) Incidence rate
E) Treatment rate

5. A 26-year-old man presents to the office with a tender mass in his right neck. He was recently treated for a dental infection but is otherwise well. On examination, there is a 2-cm tender, mobile lymph node in the right anterior cervical chain. No other lymphadenopathy or abnormalities are found on physical examination.
Which one of the following is the best next step?

A) Ultrasonography of the spleen
B) Follow-up in 8 weeks
C) Computed tomography of the neck
D) Bone marrow biopsy
E) Lymph node biopsy

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