最新的 MCCQE Part 1 MCCQE 免費考試真題:

1. A 32-year-old woman, gravida 1, para 0, aborta 1, and her partner present to the office for follow-up regarding a spontaneous abortion that occurred 6 weeks ago. On history, the patient smokes tobacco cigarettes occasionally. On examination, she is healthy and has a BMI of 25. Ultrasonography findings reveal an empty uterus with a 2-cm subserosal fibroid. The couple is planning another pregnancy and would like information on how to increase her chances of carrying a pregnancy to full term. Which one of the following is the best advice?

A) The patient and her partner should abstain from sexual intercourse in the first trimester.
B) The patient should defer conception for 6 months.
C) The patient should take 5 mg of folic acid daily.
D) The patient should stop smoking.
E) The patient should undergo excision of her fibroid.

2. A 55-year-old man with alcohol use disorder presents with a 2-day history of confusion. On examination, you note a sixth nerve palsy and a horizontal nystagmus. Which one of the following is the most likely diagnosis?

A) Wernicke encephalopathy
B) Cerebellar hemorrhage
C) Cerebellar degeneration
D) Hepatic encephalopathy
E) Subdural hematoma

3. A 4-year-old girl is brought to the family practice by her father. The child has a 2-week history of low-grade fever, fatigue, and sore throat. She has also developed several small, round, mildly tender lumps bilaterally in her neck. She was previously well. Which one of the following is most likely to be found on abdominal examination?

A) Shifting dullness
B) Palpable spleen
C) Abdominal bruit
D) Generalized tenderness
E) Renal mass

4. A 2.5-year-old boy is brought to the Emergency Department after he consumed a button-shaped battery. Chest and abdomen radiographies are performed. Which one of the following locations mandates urgent removal of the battery?

A) Stomach
B) Ileum
C) Jejunum
D) Duodenum
E) Esophagus

5. A 31-year-old woman, gravida 4, para 3, aborta 0, presents at 8 weeks' gestation with scant vaginal bleeding and no abdominal pain. Her heart rate is 90/min and blood pressure is 100/70 mm Hg. A speculum examination reveals a closed cervix. The beta-human chorionic gonadotropin level is 300,000 IU/L. Which one of the following is the most likely diagnosis?

A) Molar pregnancy.
B) Incomplete abortion.
C) Threatened abortion.
D) Implantation bleeding.
E) Tubal pregnancy.

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