Free Medical Council of Canada MCCQE Practice Exams Questions 2026  - TheExamsLabs

A 25-year-old woman presents to the Emergency Department with a 4-hour history of severe left flank pain.Her vital signs are as follows:Heart rate: 94/minBlood pressure: 130/80 mm HgTemperature: 37.3 °CA non-contrast computed tomography shows a 6 mm stone in the distal left ureter with mild associatedhydronephrosis. In addition to appropriate analgesia, which one of the following is the best next step?

A patient's mother comes to you with a prospective cohort study linking autism to the measles, mumps and rubella vaccine. After reviewing the study carefully, you question the results because of problems with the study design and execution. Which one of the following sources of error would be most important in the study design or execution? 

A 37-year-old man comes to the office for follow-up of his opioid use disorder. He receives opioid agonist treatment, including some take-home doses. At this follow-up visit, he reports some nonprescription opioid use since his last visit. Which one of the following is the best next step?

A 59-year-old woman comes to the office because her 48-year-old sister was recently diagnosed with cervical cancer. Your patient thinks her mother may have also had cervical cancer. A Papanicolaou (Pap) test performed 16 months ago had normal results, as did all previous Pap tests. Which one of the following is the best next step?

A 38-year-old woman presents with diffuse nodularity in the outer upper quadrant of her right breast. There is no obvious dominant mass, nipple discharge, or skin dimpling. There are no palpable lymph nodes. Which one of the following is the most likely diagnosis?