MCCQE Part 1 · Women's, Children's and Mental Health

Obstetrics, Paediatrics and Psychiatry

36 practice questions, each with the answer and an explanation.

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Random questions from this topic, one at a time. You see the answer and the explanation straight after each one.

All 36 questions

  1. A pregnant woman at 34 weeks has a blood pressure of 170/112, headache and hyperreflexia. Which drug prevents seizures?
  2. A woman has lower abdominal pain, a positive pregnancy test and an empty uterus on ultrasound at a hCG of 3000. What is the most likely diagnosis?
  3. After delivery, a woman has heavy bleeding and a soft, boggy uterus. What is the first action?
  4. An Rh-negative mother with an Rh-positive baby has a negative antibody screen. Which prevents sensitization?
  5. Which test is usually offered for gestational diabetes at 24 to 28 weeks?
  6. A 33-week pregnant woman has painless bright red vaginal bleeding. What should be avoided before ultrasound?
  7. A woman at 36 weeks has sudden painful bleeding, a rigid uterus and fetal distress. What is the likely diagnosis?
  8. Which supplement is recommended before conception to reduce neural tube defects?
  9. A 25-year-old had unprotected sex 4 days ago. Which is the most effective emergency contraception?
  10. A woman has missed periods for four months. What is the first investigation?
  11. A 52-year-old woman has disabling hot flushes and no contraindication. What is the most effective treatment?
  12. A full-term newborn is jaundiced at 18 hours of age. What does this suggest?
  13. A 3-week-old infant has a temperature of 38.4 C and is feeding well. What is appropriate?
  14. A 2-year-old has a barking cough, stridor and a hoarse voice. What is the treatment?
  15. A drooling child sits leaning forward, with a muffled voice and fever. What is the priority?
  16. A 6-month-old has colicky pain with drawing up the legs and currant jelly stool. What is the treatment?
  17. A 5-week-old boy has projectile non-bilious vomiting and a palpable olive-shaped mass. What metabolic abnormality is expected?
  18. A 4-year-old has had fever for 6 days with conjunctivitis, cracked lips, a rash and swollen hands. What is the treatment?
  19. By which approximate age do most children walk independently?
  20. A 9-month-old who cannot walk has a spiral femur fracture and the parent's story is inconsistent. What is the right course?
  21. A healthy 18-month-old has a 2-minute generalized seizure with a fever of 39.5 C, and is now alert. What is the approach?
  22. A 20 kg child is nil by mouth and needs maintenance fluid. By the 4-2-1 rule, what hourly rate is correct?
  23. A woman's last menstrual period began on 10 March 2026 with regular 28-day cycles. By Naegele's rule, what is her due date?
  24. A woman receiving magnesium for preeclampsia has absent patellar reflexes and a respiratory rate of 8. What is the next action?
  25. A 9-year-old is hyperactive and inattentive at home and school for over a year. What is part of first-line treatment?
  26. A woman with moderate depression is starting treatment. What is a reasonable first-line choice?
  27. A man in an acute manic episode needs treatment. Which is suitable?
  28. A patient says life is not worth living. What is the best approach to assessing risk?
  29. A severely underweight patient with anorexia nervosa begins nutritional rehabilitation. Which electrolyte fall is the main danger?
  30. An elderly patient is suddenly confused, fluctuating, with a urinary tract infection. What is the likely diagnosis?
  31. A patient on lithium starts an NSAID and an ACE inhibitor and develops tremor and vomiting. What is the cause?
  32. A woman has repeated sudden attacks of palpitations, fear of dying and fear of further attacks. What is first-line therapy?
  33. A patient with opioid use disorder asks for treatment. Which is evidence-based?
  34. Which tool is used to screen for postpartum depression?
  35. A 10 kg toddler is assessed as 10 percent dehydrated from gastroenteritis. What is the estimated fluid deficit?
  36. At 30 weeks, a woman on magnesium with controlled blood pressure has platelets of 60, AST 400 and right upper quadrant pain (HELLP). What is the plan?

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