MCCQE practice questions

A 31-year-old man presents with sharp central chest pain that began after a recent viral upper respiratory illness.

The pain worsens with inspiration and lying flat but improves when he sits forward.

His temperature is 37.7°C, pulse is 96/min, and blood pressure is 124/76 mm Hg.

A scratchy triphasic sound is heard along the left sternal border.

The 12-lead ECG is shown below.

A 33-year-old woman at 34 weeks has fever, uterine tenderness, maternal tachycardia, and fetal tachycardia.

Membranes ruptured 30 hours ago and purulent fluid is noted.

Broad-spectrum IV antibiotics are started.

She has no placenta previa and labor is not progressing.

A municipality has a high prevalence of dental caries, especially among children in lower-income neighbourhoods.

Most residents receive water from one centralized municipal system with naturally low fluoride content.

Access to preventive dental care and topical fluoride treatments is uneven.

The proposed intervention should benefit residents regardless of income or individual health-care access.

Engineering and monitoring systems can maintain fluoride within recommended safety standards.

A competent 26-year-old presents to a Canadian emergency department 24 hours after a sexual assault.

She consents to medical assessment but does not want police contacted.

She has no life-threatening injury and is able to understand the available medical and forensic options.

The clinician discusses pregnancy prevention, sexually transmitted infection prevention, HIV exposure assessment and evidence collection.

There is no concern involving a child or dependent adult and no other statutory reporting circumstance.