Free MCCQE Mock Exam – Practice Online Confidently

A 38-year-old man is brought by his wife to the Emergency Department with fatigue, dizziness, and nauseaafter completing a hiking tour on a hot, humid day. His wife became worried after he had collapsed. He hasbeen sweating heavily and vomited twice on the drive in. His medical history is unremarkable, and he takesno medications. His vital signs on arrival are as follows:Blood pressure85/57 mm HgHeart rate120/minRespiratory rate18/minTemperature40.1 °COxygen saturation95%, room air—On physical examination, the patient's skin is dry, flushed, and warm to the touch. He has a diffuseerythematous papular rash. Findings of a thorough physical examination are otherwise unremarkable. Anelectrocardiogram shows sinus tachycardia. Which one of the following is the best next step?

An 83-year-old woman presents to your office with a 2-day history of confusion. Her past medical history is significant for lung cancer, and she is being treated with radiation. On physical examination, she is euvolemic. Her blood work reveals a serum sodium of 118 mmol/L (135–140) as compared with 134 mmol/L (8 days ago). Which one of the following will be most helpful in establishing the cause of her laboratory abnormality?

A 43-year-old man comes to your office for the first time. He has not seen a doctor in over 5 years and has no known past medical history. On examination, his blood pressure is 120/70 mm Hg, and the remainder of his examination is normal. As part of the initial visit, you order some screening blood work that reveals a fasting blood glucose of 6.3 mmol/L (3.3–5.8) and a hemoglobin A1c of 6.1% (4–6). Which one of the following is the best next step?

An 80-year-old woman presents to your office with weight loss and generalized weakness. Her husband calls you after the appointment and asks that his wife not be told if she is diagnosed with cancer as hearing this will likely "kill her." Investigations subsequently show that she has metastatic lung cancer. Which one of the following is the best next step?

There are many expenses which are considered part of providing care to patients. Under Canadian legislation, which one of the following is an acceptable means of covering these costs?