MCCQE Part 1 Exam (MCCQE) Free Practice Test

Question 1

A 45-year-old woman presents with a 2-week history of a sore left breast. It has become red and swollen. She was previously well, and her menstrual cycles are regular. She has no history of breast cancer, and she has no children. On examination, she has a red, tender, indurated area in her left breast that has only partially responded to oral antibiotics after 10 days. Which one of the following is the most appropriate next step?

A. Proceed with incision and drainage.

B. Perform a breast biopsy.

C. Start nonsteroidal anti-inflammatory agents.

D. Change the oral antibiotic.

E. Start intravenous antibiotics.

Correct Answer: B

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Question 2

A 42-year-old woman presents to your clinic requesting an increase in her stimulant dosage for the treatment of her adult attention-deficit/hyperactivity disorder. Her medical history includes hypertension and type 1 diabetes with associated nephropathy. She has been taking methylphenidate daily for 15 years. Which one of the following would need to be addressed before the dosage can be increased?

A. Estimated glomerular filtration rate of less than 30 mL/min/1.73 m² (#60).

B. Random glucose level that is often higher than 18.0 mmol/L (4.0-11.0).

C. Average home blood pressure reading of 150/80 mm Hg.

Correct Answer: C

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Question 3

A 47-year-old man has been training for a marathon. After a long run, he develops mild pain and swelling in his left knee. Examination shows a mild joint effusion and a soft tissue mass in the popliteal fossa. The knee radiograph is normal. Which one of the following is the best method of confirming the diagnosis?

A. Aspiration of the popliteal mass.

B. Ultrasound.

C. Arthroscopy.

D. Arthrocentesis.

E. Computed tomography.

Correct Answer: B

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Question 4

An 18-year-old woman comes to the office because of fatigue. She tells you she is struggling in her first year of university. She mentions that she spends much of her time rewriting her notes and filing and organizing her study materials. She is doing all the work in her group assignments because she feels others cannot do the work to a high enough standard. She has abandoned all enjoyable activities and seems to be constantly working and worrying about her grades. Which one of the following is the most likely diagnosis?

A. Obsessive-compulsive personality disorder.

B. Major depressive disorder.

C. Generalized anxiety disorder.

D. Obsessive-compulsive disorder.

Correct Answer: A

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Question 5

A 67-year-old farmer presents with a 6-month history of progressive weakness in both arms. He now has difficulty in climbing but says he can still drive his tractor. Examination shows slight but definite atrophy of muscles of pectoral girdle, especially over his scapula. Fasciculations are visible. There is hyperreflexia of most tendon reflexes of arms and legs, left ankle clonus and left Babinski reflex. Which one of the following is the most likely diagnosis?

A. Multiple sclerosis.

B. Astrocytoma of pons.

C. Cerebellar degeneration.

D. Amyotrophic lateral sclerosis.

E. Parkinson disease.

Correct Answer: D

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Question 6

A 31-year-old woman, gravida 4, para 3, aborta 0, presents at 8 weeks' gestation with scant vaginal bleeding and no abdominal pain. Her heart rate is 90/min and blood pressure is 100/70 mm Hg. A speculum examination reveals a closed cervix. The beta-human chorionic gonadotropin level is 300,000 IU/L. Which one of the following is the most likely diagnosis?

A. Threatened abortion.

B. Incomplete abortion.

C. Molar pregnancy.

D. Tubal pregnancy.

E. Implantation bleeding.

Correct Answer: C

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Question 7

A 19-year-old woman with a long-standing history of abuse and borderline personality disorder presents to your office. She has a number of superficial lacerations over her arms and legs. They look like they were caused by a sharp edge such as a knife. They are at various stages of healing, and some look like they are a few hours old, though none require stitches. Which one of the following is the most likely comment she would make about the injuries?

A. She is too afraid to kill herself.

B. She is experimenting with body modification.

C. She is obsessed with the look of blood.

D. She feels better afterward.

E. She uses them to get attention.

Correct Answer: D

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Question 8

A 60-year-old man presents because of a 6-month history of involuntary lip smacking and tongue movements.
His medical history is significant for schizophrenia, which has been very stable with haloperidol for the past
20 years. When educating the patient about these particular symptoms, which one of the following statements is accurate?

A. The symptoms will gradually decrease in intensity as he gets older

B. Anticholinergics are effective treatments for this condition

C. These movements occur in the majority of patients who are taking antipsychotics

D. His condition is potentially irreversible

Correct Answer: D

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Question 9

A 26-year-old woman, gravida 1, para 0, aborta 0, presents to your office at 10 weeks' gestation to review the results of her antenatal blood work. She tested positive for hepatitis C. Which one of the following is most advisable to share with her regarding the risks to her and her unborn child?

A. She should terminate the pregnancy.

B. She will likely develop hepatocellular carcinoma.

C. The infant will need to be treated with an antiviral.

D. Pregnancy will increase her viral load.

E. It is safe to breastfeed.

Correct Answer: E

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Question 10

You are travelling on a transatlantic flight. Halfway through the flight, an older passenger (# 65 years) begins to have chest pain and shortness of breath. An announcement is made over the intercom asking for help from any physicians or medical personnel. Which one of the following is the best next step?

A. Give advice to the flight attendants on how to proceed but do not offer any direct assistance.

B. Remain silent to avoid any liability that may be incurred by offering help.

C. Offer assistance only after the patient and the airline agree to release you from any liability.

D. Offer assistance and document the encounter in your own records afterwards.

Correct Answer: D

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Medical Council of Canada MCCQE Part 1 (MCCQE) Free Practice Test