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Exam Code: MCCQE
Exam Questions: 232
MCCQE Part 1 Exam
Updated: 14 Jan, 2026
Question 1

A 25-year-old woman presents to the Emergency Department with a 4-hour history of severe left flank pain.

Her vital signs are as follows:

Heart rate: 94/min

Blood pressure: 130/80 mm Hg

Temperature: 37.3 °C

A non-contrast computed tomography shows a 6 mm stone in the distal left ureter with mild associated

hydronephrosis. In addition to appropriate analgesia, which one of the following is the best next step?


Options :
Answer: C

Question 2

A 26-year-old man presents with pain, numbness, and weakness in his right upper extremity. He works as a computer programmer, and his BMI is 32. Symptoms have worsened since he started spending more time on the keyboard. He reports that his right hand feels clumsier while he is typing. Physical examination reveals mild weakness in the intrinsic muscles of that hand, with a positive Tinel sign at the ulnar nerve. Which one of the following is the best next step?

Options :
Answer: E

Question 3

A 38-year-old man is brought by his wife to the Emergency Department with fatigue, dizziness, and nausea

after completing a hiking tour on a hot, humid day. His wife became worried after he had collapsed. He has

been sweating heavily and vomited twice on the drive in. His medical history is unremarkable, and he takes

no medications. His vital signs on arrival are as follows:

Blood pressure

85/57 mm Hg

Heart rate

120/min

Respiratory rate

18/min

Temperature

40.1 °C

Oxygen saturation

95%, room air

On physical examination, the patient's skin is dry, flushed, and warm to the touch. He has a diffuse

erythematous papular rash. Findings of a thorough physical examination are otherwise unremarkable. An

electrocardiogram shows sinus tachycardia. Which one of the following is the best next step?

Options :
Answer: A

Question 4

A 94-year-old woman with severe dementia is referred for vaginal bleeding and a persistent foul odour from the vagina. She lives in a long-term care facility. She has been using a ring pessary for the past 15 years. Her current pessary has not been replaced in 2 years. On examination, there is moderate vaginal atrophy. After removing the pessary, which one of the following is the best next step? 

Options :
Answer: C

Question 5

An 88-year-old married man is admitted following a cardiac arrest at home. He was not expected to recover, and after 2 weeks, he remains in a coma. His wife states, "I cannot let him go. That would be murder." As the attending physician looking after her husband, which one of the following is the best next course of action?

Options :
Answer: D

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