Medical Council of Canada MCCQE : MCCQE Part 1 Exam

  • Exam Code: MCCQE
  • Exam Name: MCCQE Part 1 Exam
  • Updated: Sep 26, 2026
  • Q & A: 357 Questions and Answers

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Medical Council of Canada MCCQE Exam Syllabus Topics:

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

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question #1

A 7-year-old boy is brought to your clinic with a 2-day history of being mildly unwell with malaise and decreased appetite but no fever. This morning, it was discovered that he had oral lesions as shown in the attached image. His mother wonders how she can prevent this from spreading to his younger siblings.
Which one of the following is the best advice?

  • A. Avoid direct contact with oral secretions.
  • B. Provide prophylactic antiviral agents for the siblings.
  • C. No prevention is required as this condition is not contagious.
  • D. Immunize the younger siblings with varicella vaccine.
  • E. Treat the 7-year-old with antibiotics.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #2

A 70-year-old hypertensive woman with a history of congestive heart failure (CHF) secondary to left ventricular dysfunction presents to your office with a persistent dry hacking cough. She claims it began when she was started on ramipril. Which one of the following medications would be most appropriate to replace ramipril, to ensure that the risk of morbidity associated with CHF remains low?

  • A. Nitrates
  • B. Cox-2 inhibitor
  • C. Calcium channel blocker
  • D. Angiotensin II receptor blocker
  • E. Alpha-blocker
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #3

You receive a note from a pharmacist about your 82-year-old patient who is taking oxycodone extended- release 20 mg 3 times daily for spinal stenosis. The pharmacist suggests that you consider tapering the medication. Your patient has been taking his current dosage for 1 year. When you saw him a month ago, he was functioning well with no adverse effects from the medication. Which one of the following is the best next step?

  • A. Refer the patient for physiotherapy and acupuncture.
  • B. Refer the patient to a pain specialist to help you decide on the best management.
  • C. Reassess the patient.
  • D. Prescribe a lower dosage of oxycodone.
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #4

A 24-year-old nulligravid woman presents to the office with an absence of menstruation since discontinuing her oral contraceptives 8 months ago. She previously had a regular menstrual cycle when taking oral contraceptives for the past 10 years but stopped because of headaches, which have only gotten worse since.
She also noticed mild breast discharge for the past several months. Which one of the following examination findings is most likely?

  • A. Presence of severe hirsutism
  • B. Nodular breast irregularities
  • C. Abnormal visual field testing results
  • D. Low BMI
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #5

A 20-year-old woman from a remote northern community presents to the office with a 2-week history of malaise and a 2-day history of disabling pain in her left elbow. She had a sore throat 4 weeks ago. She also notes that she has had 2 weeks of pain and swelling in her right knee, followed by pain and swelling in her left elbow. On examination, you note 0.5-cm to 1-cm nodules just above both her elbows. You find no active joint swelling. An electrocardiogram shows a prolonged PR interval. Which one of the following is the most appropriate investigation?

  • A. Pharyngeal culture.
  • B. Echocardiography.
  • C. Rheumatoid factor.
  • D. Antistreptolysin O titre.
  • E. Excisional biopsy of nodules.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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