Free MCCQE Mock Exam – Practice Online Confidently

A 55-year-old woman presents with a 6-month history of poor memory and impaired concentration. She has bipolar I disorder that has been treated with lithium carbonate for 4 years. She has gained a lot of weight since starting lithium. Physical examination findings are otherwise normal. She is concerned about her memory issues, but there are no other perception, mood, or cognition abnormalities. Which one of the following tests is most likely to have abnormal findings?

A 34-year-old woman, gravida 3, para 2, aborta 0, presents at 38 weeks' gestation. She is in early labor with ruptured membranes. Her previous pregnancy was complicated by fever during labor. Which one of the following would increase the risk of fever recurrence?

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?

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?

A 59-year-old woman comes to the office because her 48-year-old sister was recently diagnosed with cervical cancer. Your patient thinks her mother may have also had cervical cancer. A Papanicolaou (Pap) test performed 16 months ago had normal results, as did all previous Pap tests. Which one of the following is the best next step?