Free Medical Council of Canada MCCQE Exam Questions

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?

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 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?

A 70-year-old woman had a total abdominal hysterectomy with bilateral salpingo-oophorectomy 2 days ago. On examination today, her vital signs are as follows: She has been immobile since her operation. She is fatigued but is tolerating a full diet. Which one of the following is the most likely cause of this patient's fever? 

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?