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Question 1/101/10
Formulating Most Likely Diagnosis
Formulating Most Likely Diagnosis
Formulating Most Likely Diagnosis
A 68-year-old man with a history of hypertension, obesity, and tobacco use presents to the emergency department reporting an acute onset of the worst headache of his life 45 minutes prior. His pain is 9/10 in intensity and is localized to the right side of his head. He has had 2 episodes of vomiting since and states his eyes are sensitive to light. His vital signs are within normal limits other than a pulse rate of 112/min, and blood pressure of 172/110 mm Hg. On examination, his pupils are dilated, and he has nystagmus with a right gaze. He has no facial or limb asymmetry or weakness. What is the patient’s most likely diagnosis?
Select the answer:Select the answer
1 correct answer
A.
Brain tumor
B.
Ruptured cerebral aneurysm
C.
Cluster headache
D.
Migraine headache
E.
Transient ischemic attack
"""" The clinical presentation of the patient, including the acute severe headache, vomiting, photophobia, elevated blood pressure, and neurological signs such as dilated pupils and nystagmus, strongly suggests a ruptured cerebral aneurysm. The option of a brain tumor is less likely given the acute onset of symptoms, while cluster headaches and migraines typically do not present with such neurological signs. Therefore, the most likely diagnosis is a ruptured cerebral aneurysm.
Right Answer: B
Quiz
Question 2/102/10
Applying Basic Scientific Concepts
Applying Basic Scientific Concepts
Applying Basic Scientific Concepts
A 45-year-old woman presents to her primary care provider to evaluate a rubbery nodule in the middle ⅓ of her right upper eyelid. She denies a history of trauma, pain, eye irritation, or tearing. Her examination reveals an approximately 2 mm soft, non-tender nodule that can be visualized externally and inside the lid. What condition could this patient potentially develop if the nodule increases in size?
Select the answer:Select the answer
1 correct answer
A.
Astigmatism
B.
Cellulitis
C.
Entropion
D.
Pterygium
E.
Stye
The patient likely has a chalazion, which is a granulomatous inflammation of a meibomian gland. If the nodule increases in size, it can cause mechanical irritation and inversion of the eyelid margin, leading to entropion. Astigmatism is unrelated to eyelid nodules. Cellulitis is an infection, which is not indicated here. Pterygium is a growth on the conjunctiva, not related to eyelid nodules. A stye is an acute infection of eyelash follicles, usually painful and tender, unlike the chronic, non-tender nodule here.
Right Answer: E
Quiz
Question 3/103/10
Clinical Intervention
Clinical Intervention
Clinical Intervention
When a physician associate is evaluating a patient with an eating disorder, which determinant on its own warrants inpatient management?
Select the answer:Select the answer
1 correct answer
A.
Amenorrhea
B.
Pulse rate of 50/min
C.
History of depression
D.
Potassium < 4.0 mmol/L
E.
Weight < 75% of ideal body weight
Severe malnutrition, indicated by weight less than 75% of ideal body weight, is a critical threshold warranting inpatient management due to the risk of serious medical complications. Amenorrhea is commonly associated but not an inpatient criterion by itself. A pulse rate of 50/min is bradycardic but does not necessarily require inpatient care. History of depression needs management but does not alone mandate inpatient care. A potassium level below 4.0 mmol/L is still normal, and hypokalemia usually refers to levels below 3.5 mmol/L.
Right Answer: E
Quiz
Question 4/104/10
Health Promotion and Maintenance
Health Promotion and Maintenance
Health Promotion and Maintenance
A 38-year-old man presents to the clinic with a complaint of right elbow pain for the last 3 weeks that has been worsening gradually. He reports working as an electrician and performing frequent repetitive and fine-motor movements. On examination, he has tenderness of the lateral epicondyle and pain with resisted wrist extension. What is the best initial management?
Select the answer:Select the answer
1 correct answer
A.
Corticosteroid injection
B.
Topical nitroglycerin
C.
Nonsteroidal anti-inflammatory drugs
D.
Acupuncture
E.
Counterforce bracing
The presentation is typical of lateral epicondylitis (tennis elbow). Initial management includes conservative measures such as use of nonsteroidal anti-inflammatory drugs to reduce pain and inflammation. Corticosteroid injections can be considered but are generally not first-line due to potential side effects and recurrence risk. Topical nitroglycerin, acupuncture, and counterforce bracing may have roles but NSAIDs remain the best initial choice to control symptoms.
Right Answer: E
Quiz
Question 5/105/10
History Taking and Performing Physical Examination
History Taking and Performing Physical Examination
History Taking and Performing Physical Examination
A 25-year-old woman presents to the clinic with right-sided calf and ankle pain that started after a hiking injury 1 day prior. She was pushing off of a boulder when she felt a pop and onset of pain. She has since complained of pain and difficulty ambulating. What special test should be performed to diagnose Achilles tendon rupture?
Select the answer:Select the answer
1 correct answer
A.
Calf squeeze/Thompson test
B.
Lachman test
C.
McMurray test
D.
Talar tilt test
E.
Anterior drawer test
"""" The question is appropriate for the context of the MCCQE Part 1 Practice Test as it tests knowledge relevant to diagnosing an Achilles tendon rupture, which is a relevant clinical scenario. The options provided include appropriate tests, and the correct answer is indeed the calf squeeze/Thompson test.
Right Answer: A
Quiz
Question 6/106/10
Pharmaceutical Therapeutics
Pharmaceutical Therapeutics
Pharmaceutical Therapeutics
In a college healthcare clinic, a physician associate is counseling an 18-year-old woman on contraceptive options after completing the history, physical examination, Papanicolaou test, sexually transmitted infection (STI) screening, and pregnancy testing. The patient is not planning to get pregnant for at least several years or more. Her laboratory results are normal. The patient smokes 1 pack of cigarettes daily and has a family history of breast cancer in her mother at age 48. What is the safest and most effective contraceptive option for this patient?
Select the answer:Select the answer
1 correct answer
A.
Birth control patch
B.
Condoms
C.
Withdrawal
D.
Levonorgestrel-releasing intrauterine device
E.
Vaginal ring
The question is appropriate for the MCCQE Part 1 Practice Test in India. It provides sufficient clinical details and relevant risk factors, and the answer options are complete. The safest and most effective contraceptive option for this patient is the levonorgestrel-releasing intrauterine device.
Right Answer: D
Quiz
Question 7/107/10
Using Diagnostic and Laboratory Studies
Using Diagnostic and Laboratory Studies
Using Diagnostic and Laboratory Studies
A 55-year-old woman suffered a biking accident requiring sutures for a laceration, which was subsequently complicated by cellulitis. After a week on cephalexin with no improvement in the cellulitis, trimethoprim/sulfamethoxazole was initiated. Shortly after finishing the antibiotics, the patient developed watery diarrhea, malaise, and abdominal pain. Her temperature now is 36.7°C (98.1°F), pulse rate 78/min, leukocytes 13.1 × 109/L, and albumin 2.1 g/dL. A stool sample is obtained and enzyme immunoassay (EIA) is done. What is the most likely diagnosis?
Select the answer:Select the answer
1 correct answer
A.
Crohn disease
B.
Ulcerative colitis
C.
Irritable bowel syndrome
D.
Salmonella infection
E.
Clostridioides difficile infection
""""The question accurately presents a clinical scenario consistent with the diagnosis of Clostridioides difficile infection, particularly following antibiotic use. The options provided are appropriate for a medical exam context.
Right Answer: E
Quiz
Question 8/108/10
Mental Health
Mental Health
Mental Health
The graduate nurse is assigned to the psychiatric care clinic and discussed the continuum of mental health with the nurse manager. Which statement, by the graduate, indicates understanding of the nurse’s role in maintaining a client’s mental health?
Select the answer:Select the answer
1 correct answer
A.
“I will assess for mental illness in a specific group of people with risk factors.”
B.
“I understand that mental health is the responsibility of counselors and psychiatrists.”
C.
“I will help identify resources that aid the client in reaching optimal mental health.”
D.
“I will assist in the assessment and diagnosis of a client’s mental health condition.”
The graduate nurse demonstrates an understanding of the nurse's role by recognising that assessment and diagnosis are fundamental components of mental health care. This indicates awareness of the collaborative process involved in identifying mental health conditions, where nurses play a critical part in evaluating the client's needs and contributing to effective treatment plans. This approach not only supports the client's mental well-being but also reinforces the importance of the nursing profession in the broader healthcare context.
Right Answer: D
Quiz
Question 9/109/10
Pharmacology
Pharmacology
Pharmacology
The nurse evaluates if two medication solutions are equivalent for administration to a client. Which ratio most effectively describes the equivalence of a 1:10 medication solution?
Select the answer:Select the answer
1 correct answer
A.
1,000:10,000
B.
100:10,000
C.
10,000:1,000
D.
10,000:100
A 1:10 medication solution means 1 part of medication per 10 parts of solution. To express this equivalently, multiply both parts by 100 to get 100:1,000. This is equivalent to 1,000:10,000, which matches option A.
Right Answer: A
Quiz
Question 10/1010/10
Formulating Most Likely Diagnosis
Formulating Most Likely Diagnosis
Formulating Most Likely Diagnosis
A 61-year-old woman with a past medical history of systemic lupus erythematosus, osteoporosis, and hypertension is seen in urgent care for “cola-colored” urine. She has been drinking her usual five 236.5-mL glasses of water per day with decreased urinary frequency. Appetite and physical activities are normal. Her temperature is 37.0°C (98.6°F), pulse is 78/min, respirations are 16/min, and blood pressure is 160/90 mm Hg. Urinalysis shows hematuria with dysmorphic RBCs, RBC casts, and proteinuria (1–2 g/24 hours). Physical examination shows edema of the feet and ankles but is otherwise unremarkable. What is the most likely diagnosis?
Select the answer:Select the answer
1 correct answer
A.
Nephrotic syndrome
B.
Nephrolithiasis
C.
Glomerulonephritis
D.
Diabetes insipidus
E.
Polycystic kidney disease
The question clearly describes a patient with features of glomerulonephritis. The presence of hematuria with dysmorphic red blood cells and RBC casts, along with subnephrotic proteinuria, hypertension, and edema supports the diagnosis of glomerulonephritis. The answer options are appropriately provided and the correct answer is option C. Therefore, the question is valid for the MCCQE Part 1 practice test in Canada.
MCCQE Part 1 Practice Test Practice test unlocks all online simulator questions
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What to expect from our MCCQE Part 1 Practice Test practice tests and how to prepare for any exam?
The MCCQE Part 1 Practice Test Simulator Practice Tests are part of the Medical Exam Database and are the best way to prepare for any MCCQE Part 1 Practice Test exam. The MCCQE Part 1 Practice Test practice tests consist of 10278 questions divided by 41 topics and are written by experts to help you and prepare you to pass the exam on the first attempt. The MCCQE Part 1 Practice Test database includes questions from previous and other exams, which means you will be able to practice simulating past and future questions. Preparation with MCCQE Part 1 Practice Test Simulator will also give you an idea of the time it will take to complete each section of the MCCQE Part 1 Practice Test practice test . It is important to note that the MCCQE Part 1 Practice Test Simulator does not replace the classic MCCQE Part 1 Practice Test study guides; however, the Simulator provides valuable insights into what to expect and how much work needs to be done to prepare for the MCCQE Part 1 Practice Test exam.
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Info quiz:
Quiz name:MCCQE Part 1 Practice Test
Total number of questions:10278
Number of questions for the test:100
Pass score:70%
Number of topics:41 Topics
Study topics:Number of questions:
Anatomy:144 Questions
Applying Basic Scientific Concepts:70 Questions
Behavioral Science / Psychiatry:100 Questions
Biochemistry:149 Questions
Biology for NEET-UG:466 Questions
Biostatistics/Epidemiology:119 Questions
Care of the Childbearing Family:203 Questions
Chemistry:204 Questions
Clinical Intervention:88 Questions
Embryology:47 Questions
Ethics:65 Questions
Family Medicine:222 Questions
Formulating Most Likely Diagnosis:146 Questions
Fundamentals of Nursing: Clinical Skills:162 Questions
Fundamentals of Nursing: Theory:151 Questions
Gerontology:80 Questions
Health Promotion and Maintenance:64 Questions
Histology:66 Questions
History Taking and Performing Physical Examination:70 Questions
Immunology:121 Questions
Internal Medicine:1631 Questions
Leadership:81 Questions
Med-Surg:816 Questions
Medical Genetics:50 Questions
Mental Health:72 Questions
Microbiology:237 Questions
OBGYN:195 Questions
OMM:235 Questions
Pathology:4 Questions
Pathology & Pathophysiology:1155 Questions
Pediatrics:428 Questions
Pharmaceutical Therapeutics:99 Questions
Pharmacology:1061 Questions
Physics:288 Questions
Physiology:624 Questions
Professional Practice:95 Questions
Psychiatry:135 Questions
Scope of Practice:22 Questions
Social Sciences/Ethics:60 Questions
Surgery:137 Questions
Using Diagnostic and Laboratory Studies:116 Questions
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