MCCQE Sample Questions

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MCCQE Sample Questions

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1. Which of the following values is increased during pregnancy?

a. serum iron
b. serum ferritin
c. iron binding capacity
d. all of the above
2. Pregnancy test can be positive in:
a. ectopic pregnancy
b. trophoblastic disease
c. spontaneous abortion
d. all of the above
3. During pregnancy:
a. serum iron is increased
b. total iron-binding capacity is increased
c. both
d. neither
4. A patient has anemia described as microcytic, hypochromic with normal
serum iron an TIBC, the most likely type is:
a. thalassemia
b. iron deficiency anemia
c. folate deficiency anemia
d. vitamin B12 deficiency anemia
5. Pregnancy is NOT advisable for cardiac patients with
a. mitral valve prolapse
b. patent ductus arteriosus
c. primary pulmonary hypertension
d. all of the above
6. The most common lymphadenopathy site in patients with Hodgkin's disease
is:
a. cervical
b. inguinal
c. mediastinal
d. supraventricular
7. The LEAST common histologic group of Hodgkin's disease in children is:
a. mixed cellularity
b. nodular sclerosis
c. lymphocyte depleted
d. lymphocyte predominant

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8. The most common adverse effect of clindamycin involver

a. respiratory system
b. cardiovascular system
c. central nervous system
d. gastrointestinal system
9. A patient has hypertension and hypokalemia, the next step should be:
a. plasma cortisol level
b. urinary catecholamines
c. intravenous pyelogram
d. plasma renin and aldosterone
10. At 32 weeks gestation, a 20 year old woman presents with severe lower
abdominal pain with tachycardia, hypotension, and fetal bradycardia, the most
likely diagnosis is:
a. uterine rupture
b. placenta previa
c. abruptio placentae
d. amniotic fluid embolus
11. Pellagra-like rash, ataxia, and delirium are most likely to occur in children
with:
a. Liddle's syndrome
b. Hartnup's disease
c. Bartter's syndrome
d. childhood polycystic disease
12. Hepatic cysts occur in 30% of patients with:
a. Liddle's syndrome
b. Hartnup's disease
c. Bartter's syndrome
d. adult kidney polycystic disease
13. Patients with Bartter's syndrome have:
a. hypokalemia
b. hypertension
c. decreased aldosterone secretion
d. decreased plasma renin activity
14. Hypokalemia, normal blood pressure, elevated aldosterone secretion and
plasma renin activity are features of:
a. Liddle's syndrome
b. Hartnup's disease
c. Bartter's syndrome
d. renal tubular acidosis
15. Which of the following kidney stones is more common in females than in
males?
a. calcium stones
b. uric acid stones

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c. struvite stones
d. all of the above
16. The most common cause of bilateral hydronephrosis in boys is:
a. calculi
b. ureterocele
c. retrocaval ureter
d. posterior urethral valves
17. The most common complication of frontal sinusitis is:
a. meningitis
b. brain abscess
c. subdural abscess
d. osteitis of the frontal bone
18. Choanal atresia occurs unilaterally in:
a. 5%
b. 25%
c. 50%
d. 75%
19. The most common cause of nasal furuncle is:
a. s. aureus
b. klebsiella
c. s. pneumoniae
d. group A streptococci
20. More than 90% of cases of sore throat and fever in children are due to:
a. viruses
b. s. aureus
c. s. pneumoniae
d. group A streptococci
21. The most common cause of peritonsillar cellulitis or abscess (quinsy) is:
a. s. aureus
b. s. pneumoniae
c. group D streptococci
d. beta hemolytic streptococci
22. The most common cause of Ludwig's angina is:
a. s. aureus
b. s. pneumoniae
c. group A streptococci
d. beta hemolytic streptococci
23. About 70% of acute cervical adenitis are due to:
a. viruses
b. s. pneumoniae
c. group A streptococci
d. beta hemolytic streptococci
24. The most common cause of death due to Ludwig's angina in children is:

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a. sepsis
b. acute renal failure
c. myocardial infarction
d. sudden airway obstruction
25. The most common cause of vaginal bleeding in children is:
a. malignancy
b. drug ingestion
c. accidental trauma
d. precocious puberty
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