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Medical Council of Canada MCCQE

MCCQE

Exam Code: MCCQE

Exam Name: MCCQE Part 1 Exam

Updated: Aug 16, 2026

Q & A: 357 Questions and Answers

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About Medical Council of Canada MCCQE Exam

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Medical Council of Canada MCCQE Exam Syllabus Topics:

SectionObjectives
Dimensions of Care- Health Promotion and Illness Prevention
  • 1. Screening and periodic health exams
  • 2. Risk factor reduction
  • 3. Disease prevention measures
  • 4. Health maintenance
  • 5. Patient education
- Chronic Care
  • 1. Long-term care
  • 2. Rehabilitation
  • 3. Chronic disease management
- Psychosocial Aspects
  • 1. Psychosocial determinants of health
  • 2. Patient communication
  • 3. Mental health and behavioral sciences
- Acute Care
  • 1. Management of acute medical conditions
  • 2. Acute presentations and stabilization
  • 3. Emergency and critical care
Physician Activities- Communication
  • 1. Breaking bad news
  • 2. Physician-patient communication
  • 3. Team communication
  • 4. Informed consent
- Management
  • 1. Follow-up planning
  • 2. Pharmacological and non-pharmacological treatment
  • 3. Therapeutic interventions
- Assessment
  • 1. Physical examination
  • 2. History taking
  • 3. Investigations and diagnostic reasoning
- Professionalism
  • 1. Self-awareness and reflection
  • 2. Physician health for sustainable practice
  • 3. Lifelong learning
  • 4. Leadership and scholarly habits
  • 5. Ethics and legal duties

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 34-year-old man with trisomy 21 is brought to the Emergency Department because of a painful, red great toe. He is accompanied by an older woman who begins giving you the history as you enter the room. The patient is sitting on the examination table with the foot exposed, but he does not speak. Which one of the following is the best next step?

A) Ask the woman to provide legal documentation of her responsibility for the patient.
B) Allow the woman to continue with the history to expedite the patient encounter.
C) Examine the uncovered foot immediately to provide comfort to the patient sooner.
D) Have a nurse attend with you in case the patient needs restraint.
E) Establish the relationship between the woman and the patient and direct questions to the patient.


2. One of your patients presents to your clinic for a consultation regarding their recurrent hemoptysis. On review of their chart, you realize that although you had ordered chest radiography 2 months ago, the result cannot be found in the chart. You call the radiology department and are relieved to find that the chest radiography was done and that it did not reveal any pathology. After informing the patient of this lapse in reporting, which one of the following is the best next step?

A) Reassure the patient that this is a rare occurrence in your clinic.
B) Send a letter of complaint to the radiology department for not sending a report.
C) Remind the patient that they are responsible for calling for outstanding test results.
D) Review your clinic ' s filing procedures and make any needed improvements.


3. A 28-year-old woman presents to the office in great distress because she has no money for groceries or rent.
She is a single mother of a 7-year-old girl. She has a history of gambling disorder. She has felt unable to cope for the last 3 months and has started gambling again. Today, she is crying, and she shares that her boyfriend became violent with her yesterday. Which one of the following is the highest priority for assessment?

A) Investigate the patient ' s need for financial assistance.
B) Evaluate for depression.
C) Define the extent of the patient ' s gambling disorder.
D) Determine the risk of violence to the patient and her child.
E) Screen for recreational drug and alcohol use.


4. A 28-year-old woman, gravida 1, para 0, aborta 0, presents to your clinic for a prenatal visit. Her pregnancy is at 20 weeks' gestation. Her ultrasonogram shows a normal fetus and a low-lying placenta. Which one of the following is the best next step?

A) Repeat ultrasonography at 32 weeks' gestation.
B) Tell the patient that she will need a cesarean delivery.
C) Suggest acupuncture to help with placental migration.
D) Advise the patient not to work for the remainder of the pregnancy.
E) Explain to the patient that she is at high risk for bleeding.


5. A 33-year-old primigravid woman presents to the office with gestational hypertension. Her pregnancy is at 37 weeks' gestation. The ultrasound findings are as follows:
Head circumference: 5th percentile
Biparietal diameter: 10th percentile
Abdominal circumference: 5th percentile
Femur length: 25th percentile
Amniotic fluid volume: 5.0 cm
Umbilical Doppler: Reversed end-diastolic flow
Which one of the following is the best next step?

A) Biometry in 2 weeks.
B) Biophysical profile in 1 week.
C) Induction of labour on the due date.
D) Immediate delivery.
E) Twice-weekly nonstress tests.


Solutions:

Question # 1
Answer: E
Question # 2
Answer: D
Question # 3
Answer: D
Question # 4
Answer: A
Question # 5
Answer: D

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