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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 2.5-year-old boy is brought to the Emergency Department after he consumed a button-shaped battery. Chest and abdomen radiographies are performed. Which one of the following locations mandates urgent removal of the battery?

A) Stomach
B) Duodenum
C) Esophagus
D) Ileum
E) Jejunum

2. A 58-year-old woman presents to your office with heavy vaginal bleeding. She has a history of type 2 diabetes and hypertension. Some active bleeding is visible on speculum examination. Ultrasound reveals an endometrial thickness of 12 mm. Endometrial biopsy shows complex hyperplasia with atypia. Which one of the following is the best next step?

A) Obtain consent for dilatation and curettage
B) Arrange endometrial ablation
C) Refer for hysterectomy and bilateral salpingo-oophorectomy
D) Prescribe topical progesterone
E) Organize hysteroscopy

3. A 36-year-old woman presents to the office with a 2-month history of multiple asymptomatic bumps on her vulva. She is not currently sexually active but has had 2 male sexual partners in the past, with the most recent relationship ending 1 year ago. On examination, she appears to have genital warts. She has not received the human papillomavirus (HPV) vaccine and is not interested in any treatment that is not absolutely necessary.
Which of the following is the best next step?

A) Contact tracing.
B) Papanicolaou test.
C) Excisional biopsy.
D) HPV vaccine.
E) Cryotherapy.

4. A 44-year-old woman presents to the office to discuss contraception. During the gynecologic examination, you notice an anterior cystocele to the hymenal ring. The woman denies any bulge symptoms but does report dribbling of urine, especially when she coughs or jogs.
Which one of the following is the best next step?

A) Pelvic-floor physiotherapy
B) No impact sports
C) Topical estrogen
D) Urology consultation
E) Vaginal hysterectomy

5. A 1-week-old boy born at full term is brought by his parents to the office with a 2-day history of eye swelling and watery discharge. This morning, the discharge became thick and yellow. On physical exam, he is afebrile and fussy with bilateral eyelid edema, purulent discharge, and erythematous conjunctivae. After taking appropriate cultures of the eyes, which one of the following is the best next step?

A) Advise warm compresses every 2 to 3 hours until discharge is cleared
B) Admit the patient and start antibiotic therapy
C) Recommend lacrimal sac massage
D) Prescribe an oral antibiotic and reassess in 48 hours
E) Reassure the parents and prescribe a topical antibiotic

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