최신 MCCQE Part 1 MCCQE 무료샘플문제:

1. A 14-year-old girl, accompanied by her mother, presents to your office with a 3-month history of feeling
"dizzy." After you take an initial history, which one of the following is the most appropriate next step?

A) Interview the girl without the mother present
B) Do a bedside glucometer reading
C) Perform a detailed cardiac and neurological examination
D) Order a urine pregnancy test
E) Obtain growth parameters and vital signs

2. A 37-year-old man presents with chronic back, neck, and shoulder pain following a workplace injury 4 years ago. He has a history of alcohol misuse and PTSD related to the incident. Current medications (acetaminophen, naproxen, amitriptyline, gabapentin) provide inadequate pain relief. He requests oxycodone after self-trialing it with temporary benefit. After history and physical assessment, which one of the following is the best next step?

A) Prescribing a low-dose, long-acting opioid and reassessing in 1 week for effectiveness.
B) Prescribing a short course of a short-acting opioid to be used only as needed.
C) Ordering repeat imaging of the spine and shoulder to confirm the diagnosis.
D) Prescribing cannabis.
E) Referring the patient to substance use and mental health support services.

3. A 34-year-old man with trisomy 21 is brought to the Emergency Department because of a painful, red great toe. He is accompanied by an older woman who begins giving you the history as you enter the room. The patient is sitting on the examination table with the foot exposed, but he does not speak. Which one of the following is the best next step?

A) Establish the relationship between the woman and the patient and direct questions to the patient.
B) Examine the uncovered foot immediately to provide comfort to the patient sooner.
C) Allow the woman to continue with the history to expedite the patient encounter.
D) Have a nurse attend with you in case the patient needs restraint.
E) Ask the woman to provide legal documentation of her responsibility for the patient.

4. A 58-year-old woman presents to your office with heavy vaginal bleeding. She has a history of type 2 diabetes and hypertension. Some active bleeding is visible on speculum examination. Ultrasound reveals an endometrial thickness of 12 mm. Endometrial biopsy shows complex hyperplasia with atypia. Which one of the following is the best next step?

A) Arrange endometrial ablation
B) Prescribe topical progesterone
C) Obtain consent for dilatation and curettage
D) Organize hysteroscopy
E) Refer for hysterectomy and bilateral salpingo-oophorectomy

5. A 21-year-old man presents to the Emergency Department with a 6-month history of unusual behavior. He believes that he has been specially chosen to found a new religion. He says he has seen visions of angels in his bedroom. He appears disheveled and malodorous. On further inspection, you note that he drinks 2 liters daily.
Which one of the following is the most appropriate initial management?

A) Cognitive behavior therapy
B) Carbamazepine
C) Risperidone
D) Electroconvulsive therapy
E) Valproic acid

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