MCCQE I EXAM STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH CORRECT
DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. Pt is competent and agrees to a procedure but his proxy refuses, what do you
do ? - ANSWER ✔ Do procedure, PT is competent and overrides the proxy
2. CPSS (Canadian perinatal surveillance system) - ANSWER ✔ Abuse
during preggy results in poor fetal and maternal outcome
Violence was measured on the basis of the conflicts tactics scale
low birth weight and early birth
3. Pt O/D on opiates, what should you set up before discharge? - ANSWER
✔ Next day meeting with her own PCP
4. MCC hearing loss in children? - ANSWER ✔ Bacterial meningitis
5. Lady with HTN on CCB, what side effect can she have? - ANSWER ✔
Galactorrhea....PRL
6. Referral to an audiologist in child when: - ANSWER ✔ No babbling sound
by 12
no rxn to sound by 3 months
no resposne to smiles or interactions by 6 months
no single words by 16 months
no two word phrases by 24 months
speech hard for strangers to understand
no following of directions by 4-5 years
7. In terms of breast masses, what would you think of a coarse popcorn type
calcification - ANSWER ✔ Not malignant, most likely fibroadenoma
,8. What are scary calcifications to see? - ANSWER ✔ Microcalcifications
less than 0.5 mm in size
fine or branching
9. Wing scapula after mastectomy - ANSWER ✔ LTN
10.Tamoxifen effect on osteoporosis? Side effects? - ANSWER ✔ In breast
it's an antagonist of ER, elsewhere it is an agonist of ER:
osteoprotective
Increases risk of DVT, endometrial carcinoma, hot flushes
increased risk of CATARACTS
Why is acetohydroxamic acid useful in preventing proteus mirabilis
reinfection? - ANSWER ✔ Inhibits urease production and penetrates the cell
wall
(combine with dicloxacillin or levofloxacin)
11.Treatment for struvite renal calculi? - ANSWER ✔ Percutaneous
nephrolithotomy
12.What is the pentad of full blown TTP (thrombotic thrombocytopenic
purpura)? - ANSWER ✔ Thrombocytopenic purpura
Hemolytic anemia (schistocytes)
neurologic abnormalities
fever
renal impairement (hemoglobinuria and proteinuria)
13.Treatment for TTP? - ANSWER ✔ FFP and plasmapheresis
14.What improves first in TTP in response to successful treatment with plasma
exchange? - ANSWER ✔ Neurological symptoms (usually within 3 days)
15.immunodeficiency manisfests at 6 months, lack of germinal center in nodes,
sinopulmonary and ear infection, low IgG, no palpables lymph nodes, uncle
died of similar disease, Dx? - ANSWER ✔ Bruton's agammaglobulinemia
(X-linked) BTK...
,16.Eczematous lesions, thrombocytopenia, immune deficiency, bloody diarrhea
(secondary to lack of PLT), prolonged bleeding from circumcision? -
ANSWER ✔ Wiskott Aldrich Syndrome (WAS)
17.Treatment for Bruton's agammaglobulinemia? - ANSWER ✔ IVIG for
LIFE q 3-4 weeks
Fun fact: they are immune to EBV because lack of B cells...
18.Maximum doses of common anesthetic agents: - ANSWER ✔ • Lidocaine
5 mg/kg
• Lidocaine + EPI 7 mg/kg
• Bupivacaine 2 mg/kg
• Bupivacaine + EPI 3 mg/kg
19.Suture Material
Absorbable: surgical or chromic gut, polyglactin (Vicryl), polyglycolic acid
(Dexon) - ANSWER ✔ Nonabsorbable: silk and monofilament
synthetic alternatives such
as nylon (Ethilon) or polypropylene (Prolene)
20.Anatomic Location
and Suture Size - ANSWER ✔ Scalp 4-0
Face 5-0 to 6-0
Hands, feet 5-0
Trunk, back 3-0 to 4-0
Arms, legs 4-0 to 5-0
21.RX AFTERWOUND CLOSURE
Consider immunization against:
1. Td
2. Rabies (see Bites, Animal/Insects)
3. Prophylactic Abx for: - ANSWER ✔ • Deep puncture wounds of the hands
or feet
• Delay in irrigation and debridement
• Heavily contaminated wounds and those contaminated with pus,
saliva, or vaginal secretions
• Immunocompromised host or presence of prosthetic joints
• High-risk animal bites and all cat bites
, 22.Suture Closure
23.Techniques - ANSWER ✔ 1. Simple interrupted
24.2. Continuous
4. Horizontal mattress
5. Vertical mattress
6. Deep dermal
25.Prognosis of incomplete Spinal Cord Injury: - ANSWER ✔ Central cord >
Brown-Sequard > anterior cord
26.acoustic neuroma - ANSWER ✔ benign tumor on the auditory nerve (8th
cranial nerve) that causes vertigo, tinnitus, and hearing loss
27.classic triad for meniere disease - ANSWER ✔ episodic:
vertigo
tinnits
hearing loss
28.treatment for menieres disease - ANSWER ✔ Diuretics (HCTZ,
acetazolamide) and low salt diet; should decrease the endolymphtic pressure
and ablate symptoms
29.when is a hair pull test usually positive - ANSWER ✔ telogen effluvium
30.what is trichoscopy - ANSWER ✔ Trichoscopy is a noninvasive method of
examining hair and scalp which is performed with the use of a
dermatoscope. This traditionally consists of a magnifier, a non-polarised
light source, a transparent plate, and a liquid medium between the instrument
and the skin.
31.what test can you order to diagnose androgenic allopecia in females -
ANSWER ✔ dehydroepiandrosterone
32.what is the drug of choice for symptomatic mitral valve prolapse -
ANSWER ✔ propanolol
33.what are the characteristics of PCOS - ANSWER ✔ Persistent anovulation,
obesity, hirsutism, infertility
ACCURATE QUESTIONS WITH CORRECT
DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. Pt is competent and agrees to a procedure but his proxy refuses, what do you
do ? - ANSWER ✔ Do procedure, PT is competent and overrides the proxy
2. CPSS (Canadian perinatal surveillance system) - ANSWER ✔ Abuse
during preggy results in poor fetal and maternal outcome
Violence was measured on the basis of the conflicts tactics scale
low birth weight and early birth
3. Pt O/D on opiates, what should you set up before discharge? - ANSWER
✔ Next day meeting with her own PCP
4. MCC hearing loss in children? - ANSWER ✔ Bacterial meningitis
5. Lady with HTN on CCB, what side effect can she have? - ANSWER ✔
Galactorrhea....PRL
6. Referral to an audiologist in child when: - ANSWER ✔ No babbling sound
by 12
no rxn to sound by 3 months
no resposne to smiles or interactions by 6 months
no single words by 16 months
no two word phrases by 24 months
speech hard for strangers to understand
no following of directions by 4-5 years
7. In terms of breast masses, what would you think of a coarse popcorn type
calcification - ANSWER ✔ Not malignant, most likely fibroadenoma
,8. What are scary calcifications to see? - ANSWER ✔ Microcalcifications
less than 0.5 mm in size
fine or branching
9. Wing scapula after mastectomy - ANSWER ✔ LTN
10.Tamoxifen effect on osteoporosis? Side effects? - ANSWER ✔ In breast
it's an antagonist of ER, elsewhere it is an agonist of ER:
osteoprotective
Increases risk of DVT, endometrial carcinoma, hot flushes
increased risk of CATARACTS
Why is acetohydroxamic acid useful in preventing proteus mirabilis
reinfection? - ANSWER ✔ Inhibits urease production and penetrates the cell
wall
(combine with dicloxacillin or levofloxacin)
11.Treatment for struvite renal calculi? - ANSWER ✔ Percutaneous
nephrolithotomy
12.What is the pentad of full blown TTP (thrombotic thrombocytopenic
purpura)? - ANSWER ✔ Thrombocytopenic purpura
Hemolytic anemia (schistocytes)
neurologic abnormalities
fever
renal impairement (hemoglobinuria and proteinuria)
13.Treatment for TTP? - ANSWER ✔ FFP and plasmapheresis
14.What improves first in TTP in response to successful treatment with plasma
exchange? - ANSWER ✔ Neurological symptoms (usually within 3 days)
15.immunodeficiency manisfests at 6 months, lack of germinal center in nodes,
sinopulmonary and ear infection, low IgG, no palpables lymph nodes, uncle
died of similar disease, Dx? - ANSWER ✔ Bruton's agammaglobulinemia
(X-linked) BTK...
,16.Eczematous lesions, thrombocytopenia, immune deficiency, bloody diarrhea
(secondary to lack of PLT), prolonged bleeding from circumcision? -
ANSWER ✔ Wiskott Aldrich Syndrome (WAS)
17.Treatment for Bruton's agammaglobulinemia? - ANSWER ✔ IVIG for
LIFE q 3-4 weeks
Fun fact: they are immune to EBV because lack of B cells...
18.Maximum doses of common anesthetic agents: - ANSWER ✔ • Lidocaine
5 mg/kg
• Lidocaine + EPI 7 mg/kg
• Bupivacaine 2 mg/kg
• Bupivacaine + EPI 3 mg/kg
19.Suture Material
Absorbable: surgical or chromic gut, polyglactin (Vicryl), polyglycolic acid
(Dexon) - ANSWER ✔ Nonabsorbable: silk and monofilament
synthetic alternatives such
as nylon (Ethilon) or polypropylene (Prolene)
20.Anatomic Location
and Suture Size - ANSWER ✔ Scalp 4-0
Face 5-0 to 6-0
Hands, feet 5-0
Trunk, back 3-0 to 4-0
Arms, legs 4-0 to 5-0
21.RX AFTERWOUND CLOSURE
Consider immunization against:
1. Td
2. Rabies (see Bites, Animal/Insects)
3. Prophylactic Abx for: - ANSWER ✔ • Deep puncture wounds of the hands
or feet
• Delay in irrigation and debridement
• Heavily contaminated wounds and those contaminated with pus,
saliva, or vaginal secretions
• Immunocompromised host or presence of prosthetic joints
• High-risk animal bites and all cat bites
, 22.Suture Closure
23.Techniques - ANSWER ✔ 1. Simple interrupted
24.2. Continuous
4. Horizontal mattress
5. Vertical mattress
6. Deep dermal
25.Prognosis of incomplete Spinal Cord Injury: - ANSWER ✔ Central cord >
Brown-Sequard > anterior cord
26.acoustic neuroma - ANSWER ✔ benign tumor on the auditory nerve (8th
cranial nerve) that causes vertigo, tinnitus, and hearing loss
27.classic triad for meniere disease - ANSWER ✔ episodic:
vertigo
tinnits
hearing loss
28.treatment for menieres disease - ANSWER ✔ Diuretics (HCTZ,
acetazolamide) and low salt diet; should decrease the endolymphtic pressure
and ablate symptoms
29.when is a hair pull test usually positive - ANSWER ✔ telogen effluvium
30.what is trichoscopy - ANSWER ✔ Trichoscopy is a noninvasive method of
examining hair and scalp which is performed with the use of a
dermatoscope. This traditionally consists of a magnifier, a non-polarised
light source, a transparent plate, and a liquid medium between the instrument
and the skin.
31.what test can you order to diagnose androgenic allopecia in females -
ANSWER ✔ dehydroepiandrosterone
32.what is the drug of choice for symptomatic mitral valve prolapse -
ANSWER ✔ propanolol
33.what are the characteristics of PCOS - ANSWER ✔ Persistent anovulation,
obesity, hirsutism, infertility
