MCCQE1 UPDATED ACTUAL Exam
Questions and CORRECT Answers
Beta-blockers - CORRECT ANSWER - Block β-adrenergic receptors → ↓ HR, ↓ BP
ACE inhibitors - CORRECT ANSWER - Block conversion of Ang I → Ang II →
vasodilation
ARBs - CORRECT ANSWER - Block Ang II receptor directly
Vasodilation (arteries) - CORRECT ANSWER - Amlodipine, nifedipine
CCBs (dihydropyridine) - CORRECT ANSWER - ↓ HR, ↓ AV nodal conduction
CCBs (non-dihydropyridine) - CORRECT ANSWER - Diltiazem, verapamil
Statins - CORRECT ANSWER - Inhibit HMG-CoA reductase → ↓ cholesterol
PPIs - CORRECT ANSWER - Irreversible H+/K+ ATPase inhibitor
Anticoagulants - CORRECT ANSWER - Prevent clot formation
ACE inhibitors - CORRECT ANSWER - Cough, angioedema, hyperkalemia
Statins - CORRECT ANSWER - Myopathy, ↑ LFTs
, Aminoglycosides - CORRECT ANSWER - Nephrotoxicity, ototoxicity
Lithium - CORRECT ANSWER - Hypothyroidism, nephrogenic diabetes insipidus,
tremor
Amiodarone - CORRECT ANSWER - Thyroid dysfunction, pulmonary fibrosis, liver
toxicity
Digoxin - CORRECT ANSWER - Visual disturbances (yellow halos), arrhythmias
Methotrexate - CORRECT ANSWER - Myelosuppression, hepatotoxicity, pulmonary
toxicity
Cisplatin - CORRECT ANSWER - Nephrotoxicity, ototoxicity
CAP outpatient - CORRECT ANSWER - Amoxicillin ± azithromycin
CAP inpatient - CORRECT ANSWER - Ceftriaxone + azithromycin
Meningitis (adult) - CORRECT ANSWER - Ceftriaxone + vancomycin ± ampicillin
UTI uncomplicated - CORRECT ANSWER - Nitrofurantoin or TMP-SMX
Sepsis - CORRECT ANSWER - Piperacillin-tazobactam + vancomycin
Vancomycin - CORRECT ANSWER - Red man syndrome, nephrotoxicity
Aminoglycosides (gentamicin) - CORRECT ANSWER - Nephrotoxicity, ototoxicity