MCCQE Common Clinical Patterns & Answers 2026 |
Latest Update | Graded A+
1. If a patient presents with a vascularized lesion on their forearm that
developed after a minor cut, what condition might this indicate?
Basal cell carcinoma
Seborrheic keratosis
Pyogenic granuloma
Keloid
2. A 10-year-old patient presents with vomiting, confusion, and a rash after
recovering from a viral infection. What condition should be suspected based
on these symptoms?
Reye's syndrome
Chickenpox
Appendicitis
Diabetes mellitus
3. Di George syndrome is a genetic disorder that results in the failure of thymus
formation during development, and thus in immune deficiency. A doctor
examines the blood of a patient with Di George syndrome. What is she most
likely to find?
A normal complement of both B-cells and T-cells
A deficiency of T-cells, with a relative abundance of B-cells
Excess production of both T-cells and B-cells
Deficiency of both T-cells and B-cells
, A deficiency of B-cells, with a relative abundance of T-cells
4. IUGR is usually associated with...
Inadequate maternal nutrition
Maternal HTN
A, C, & D only
Higher risk of perinatal mortality
5. Flumazenil is best described by which of the following?
an antagonist drug used in the treatment of barbiturate overdose
an agonist drug used in the treatment of barbiturate overdose
an agonist drug used in the treatment of benodiazepine overdose
an antagonist drug used in the treatment of benzodiazepine
overdose
6. A patient with rheumatoid arthritis tells the nurse that the physician told him
he has Felty syndrome and asks the nurse what it means. Which of the
following conditions does the nurse include in her description of this
syndrome?
Symmetric polyarticular joint swelling, joint redness, joint tenderness
Vasculitis, pericarditis, pneumonitis
Enlarged spleen, neutropenia, anemia
Low grade fever, weight loss, anorexia
7. In a scenario where a patient has been found unresponsive with shallow
breathing after suspected opioid use, what would be the immediate action to
take?
, Perform CPR without any medication.
Provide oxygen therapy to the patient.
Wait for the patient to regain consciousness.
Administer naloxone to reverse the opioid effects.
8. Describe how long bone disease can impact a patient's quality of life.
Long bone disease only affects the skin and has no impact on mobility.
Long bone disease can lead to chronic pain and physical limitations
due to deformities or fractures.
Long bone disease primarily affects the nervous system.
Long bone disease is a temporary condition that resolves without
treatment.
9. Which clinical feature is NOT included in Hemolytic Uremic Syndrome?
Thrombocytopenia
Renal injury
Central nervous system symptoms
Heart failure
10. What are the three components of Beck's Triad?
Hypertension, normal JVP, and clear heart sounds
Hypotension, decreased JVP, and loud heart sounds
Hypotension, elevated JVP, and muffled heart sounds
Normal blood pressure, elevated JVP, and muffled heart sounds
, 11. Flesh colored dome shaped nodules with a central keratin-filled plug
imparting a crater-like topography.
Marjolin's ulcer
Actinic keratosis
Keratoacanthoma
Verrucous carcinoma
Gorlin syndrome
12. What is one of the symptoms associated with Quinsy Triad?
Trismus
Fever
Rash
Nausea
13. Which tumors are primarily linked to MEN 1 syndrome?
Lung tumors, liver tumors, and neuroblastomas
Breast tumors, colon tumors, and melanoma
Adrenal tumors, thyroid tumors, and insulinomas
Pituitary tumors, hyperparathyroidism, and gastrinomas
14. Which of the following is a common symptom experienced during heroin
withdrawal?
Nausea
Increased appetite
Drowsiness
Latest Update | Graded A+
1. If a patient presents with a vascularized lesion on their forearm that
developed after a minor cut, what condition might this indicate?
Basal cell carcinoma
Seborrheic keratosis
Pyogenic granuloma
Keloid
2. A 10-year-old patient presents with vomiting, confusion, and a rash after
recovering from a viral infection. What condition should be suspected based
on these symptoms?
Reye's syndrome
Chickenpox
Appendicitis
Diabetes mellitus
3. Di George syndrome is a genetic disorder that results in the failure of thymus
formation during development, and thus in immune deficiency. A doctor
examines the blood of a patient with Di George syndrome. What is she most
likely to find?
A normal complement of both B-cells and T-cells
A deficiency of T-cells, with a relative abundance of B-cells
Excess production of both T-cells and B-cells
Deficiency of both T-cells and B-cells
, A deficiency of B-cells, with a relative abundance of T-cells
4. IUGR is usually associated with...
Inadequate maternal nutrition
Maternal HTN
A, C, & D only
Higher risk of perinatal mortality
5. Flumazenil is best described by which of the following?
an antagonist drug used in the treatment of barbiturate overdose
an agonist drug used in the treatment of barbiturate overdose
an agonist drug used in the treatment of benodiazepine overdose
an antagonist drug used in the treatment of benzodiazepine
overdose
6. A patient with rheumatoid arthritis tells the nurse that the physician told him
he has Felty syndrome and asks the nurse what it means. Which of the
following conditions does the nurse include in her description of this
syndrome?
Symmetric polyarticular joint swelling, joint redness, joint tenderness
Vasculitis, pericarditis, pneumonitis
Enlarged spleen, neutropenia, anemia
Low grade fever, weight loss, anorexia
7. In a scenario where a patient has been found unresponsive with shallow
breathing after suspected opioid use, what would be the immediate action to
take?
, Perform CPR without any medication.
Provide oxygen therapy to the patient.
Wait for the patient to regain consciousness.
Administer naloxone to reverse the opioid effects.
8. Describe how long bone disease can impact a patient's quality of life.
Long bone disease only affects the skin and has no impact on mobility.
Long bone disease can lead to chronic pain and physical limitations
due to deformities or fractures.
Long bone disease primarily affects the nervous system.
Long bone disease is a temporary condition that resolves without
treatment.
9. Which clinical feature is NOT included in Hemolytic Uremic Syndrome?
Thrombocytopenia
Renal injury
Central nervous system symptoms
Heart failure
10. What are the three components of Beck's Triad?
Hypertension, normal JVP, and clear heart sounds
Hypotension, decreased JVP, and loud heart sounds
Hypotension, elevated JVP, and muffled heart sounds
Normal blood pressure, elevated JVP, and muffled heart sounds
, 11. Flesh colored dome shaped nodules with a central keratin-filled plug
imparting a crater-like topography.
Marjolin's ulcer
Actinic keratosis
Keratoacanthoma
Verrucous carcinoma
Gorlin syndrome
12. What is one of the symptoms associated with Quinsy Triad?
Trismus
Fever
Rash
Nausea
13. Which tumors are primarily linked to MEN 1 syndrome?
Lung tumors, liver tumors, and neuroblastomas
Breast tumors, colon tumors, and melanoma
Adrenal tumors, thyroid tumors, and insulinomas
Pituitary tumors, hyperparathyroidism, and gastrinomas
14. Which of the following is a common symptom experienced during heroin
withdrawal?
Nausea
Increased appetite
Drowsiness
