MCCQE Exam Sample Online, New MCCQE Test Voucher
MCCQE Exam Sample Online, New MCCQE Test Voucher
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Medical Council of Canada MCCQE Part 1 Exam Sample Questions (Q77-Q82):
NEW QUESTION # 77
During an office visit, your 14-year-old patient requests a prescription for oral contraceptives. The province where you are working does not have a statutory age of consent. Which one of the following is the best next step?
- A. Notify child protective services because of the possibility of sexual abuse.
- B. Determine her understanding of the medical issues before prescribing the pills.
- C. Refuse to prescribe the pills because she is less than 18 years of age.
- D. Advise her to return with her parents so that legal consent can be obtained.
- E. Give her the prescription and book a follow-up appointment.
Answer: B
Explanation:
In Canada, a minor may consent to medical care if the physician believes they have the capacity to understand the nature, benefits, and risks. This is known as the "mature minor doctrine." Capacity is based on understanding, not age.
Toronto Notes 2023 - ELOM, "Consent and Capacity" Section:
"A minor may consent to treatment if they demonstrate sufficient maturity and understanding. It is the physician's responsibility to assess capacity prior to prescribing." MCCQE1 Objectives (ELOM > 99-3: Consent and Confidentiality):
"Candidates must assess the patient's ability to understand and make informed decisions, regardless of age." Prescribing without assessment (B) is premature. Reporting to child services (A) is only necessary if there are signs of abuse or coercion. Parental involvement (C) is not mandatory. Refusal based on age (E) contradicts legal and ethical practice.
NEW QUESTION # 78
You are asked to see a 30-year-old woman, gravida 8, para 4, aborta 1, for symptoms of postpartum depression. She immigrated to Canada 8 months ago. She has been reluctant to speak to members of the medical team without her family members, even when an interpreter is present. Which one of the following is the best next step?
- A. Allow 1 family member to stay and act as the interpreter
- B. Interview the patient and the family together
- C. Insist on conducting the interview with the patient alone
- D. Ask the patient to write down her history and have it translated
Answer: B
Explanation:
In cross-cultural care, especially for recent immigrants, it is essential to build rapport and respect patient preferences regarding family involvement. Involving family in the interview respects cultural norms and improves trust. A trained interpreter should be used to maintain confidentiality and accuracy, but collaboration with the family initially may encourage later private disclosure.
Toronto Notes 2023 - Ethics and Communication, "Cultural Competence":
"When encountering language or cultural barriers, patient comfort and cultural context must be respected.
Interviewing the patient and family together may facilitate trust, after which individual conversations may be possible." MCCQE1 Objectives (ELOM > 90-1: Communication and Patient-Centered Care):
"Candidates must approach patients in a culturally sensitive manner, particularly recent immigrants or those with language barriers, and foster trust." Insisting on a private interview (A) may alienate the patient. Family members should not act as interpreters (C). Written accounts (D) are inefficient and impersonal in acute mental health settings.
NEW QUESTION # 79
An 18-year-old man presents to your clinic with a history of intermittent, dull, achy pain on the left side of his scrotum, and he has now noted left scrotal enlargement. On examination, you note a swelling in the left scrotum when he is standing that disappears when he is supine. Which one of the following is the most likely diagnosis?
- A. Spermatocyte.
- B. Intermittent testicular torsion.
- C. Cryptorchidism.
- D. Hydrocele.
- E. Varicocele.
Answer: E
Explanation:
A varicocele is a dilatation of the pampiniform plexus that presents with a "bag of worms" appearance, worsens with standing, and improves when lying down. It is most common on the left side due to anatomical drainage differences.
Toronto Notes 2023 - Urology, Scrotal Disorders:
"Varicoceles often present with a dull, aching pain and scrotal swelling that worsens when upright and disappears when supine." MCCQE1 Objectives - Internal Medicine > Urology:
"Candidates must recognize and diagnose varicocele by physical exam findings and typical symptom history." Cryptorchidism (A) refers to undescended testes. Torsion (B) presents acutely with severe pain. Hydrocele (C) transilluminates and is not posture-dependent. "Spermatocyte" (D) is not a clinical diagnosis.
NEW QUESTION # 80
A 35-year-old woman, gravida 3, para 0, aborta 3, presents with her male partner because she has been unable to conceive despite trying for more than 1 year. Her menstrual cycles have been absent for 9 months, and she has occasional mild cyclic pain. She has a medical history of 3 suction curettages. Her BMI is 24.
Investigation results are as follows:
Hysterosalpingogram: Obliterated uterine cavity, no tubal dye spill
Progesterone (midluteal): 48.0 nmol/L (16.4-59.0)
Partner's semen: All parameters normal
Which one of the following is the most likely diagnosis?
- A. Hypothalamic insufficiency
- B. Fibroids
- C. Polycystic ovary syndrome
- D. Intrauterine synechiae
- E. Perimenopause
Answer: D
Explanation:
This patient has secondary amenorrhea, infertility, and a history of multiple uterine curettages, which strongly points toward Asherman syndrome (intrauterine adhesions or synechiae). The hysterosalpingogram shows an obliterated uterine cavity and no tubal dye spill-classic for intrauterine synechiae. Her midluteal progesterone level is normal, indicating ovulation.
Toronto Notes 2023 - Gynecology, "Infertility" section:
"Asherman syndrome results from intrauterine adhesions due to curettage, leading to amenorrhea and infertility. HSG shows an obliterated or irregular uterine cavity." MCCQE1 Objectives (Gynecology > 82-1: Infertility):
"Candidates should evaluate secondary amenorrhea and interpret imaging such as hysterosalpingogram in the diagnosis of intrauterine abnormalities." Other options are ruled out by the presence of normal ovulation (rules out hypothalamic and PCOS) and by imaging (not suggestive of fibroids or perimenopause).
NEW QUESTION # 81
A 30-year-old woman presents to the office with her partner and reports that they are planning for her to conceive soon. They visited Mexico recently and are concerned about exposure to the Zika virus. Which one of the following is the best next step?
- A. Explain that condoms are ineffective in preventing sexual transmission of Zika virus
- B. Refer the couple to an infectious disease specialist
- C. Prescribe a prophylactic antiviral medication
- D. Request serologic testing
- E. Recommend ceasing conception until 3 months after the couple's return to Canada
Answer: E
Explanation:
Comprehensive and Detailed Explanation:
The Zika virus can be sexually transmitted and poses a serious risk of congenital Zika syndrome if infection occurs during pregnancy. The CDC and WHO recommend that couples delay conception for at least 3 months after potential male exposure due to the virus's persistence in semen.
Toronto Notes 2023 - Infectious Diseases / Travel Medicine:
"Zika virus may persist in semen for weeks. Couples should delay conception for 3 months after male exposure, even if asymptomatic." MCCQE1 Objectives (Public Health > 65-3: Travel Medicine and Reproductive Health):
"Candidates must counsel appropriately regarding risks of Zika in conception and apply current public health recommendations." Testing (B) is not reliable for asymptomatic individuals. Antivirals (E) are ineffective. Condoms (D) do reduce risk. Specialist referral (A) is not needed in most cases with no complications.
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NEW QUESTION # 82
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