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Medical Council of Canada MCCQE : MCCQE Part 1 Exam

Exam Code: MCCQE

Exam Name: MCCQE Part 1 Exam

Updated: Aug 12, 2026

Q & A: 357 Questions and Answers

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Medical Council of Canada MCCQE Exam Syllabus Topics:

SectionWeightObjectives
Dimensions of Care50%- Health Promotion and Illness Prevention
- Acute Care
- Chronic Care
- Assessment and Diagnosis
Physician Activities50%- Professional Behaviours
- Communication
- Management
- Psychosocial Aspects

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 37-year-old man presents with chronic back, neck, and shoulder pain following a workplace injury 4 years ago. He has a history of alcohol misuse and PTSD related to the incident. Current medications (acetaminophen, naproxen, amitriptyline, gabapentin) provide inadequate pain relief. He requests oxycodone after self-trialing it with temporary benefit. After history and physical assessment, which one of the following is the best next step?

A) Prescribing cannabis.
B) Ordering repeat imaging of the spine and shoulder to confirm the diagnosis.
C) Referring the patient to substance use and mental health support services.
D) Prescribing a short course of a short-acting opioid to be used only as needed.
E) Prescribing a low-dose, long-acting opioid and reassessing in 1 week for effectiveness.


2. An 88-year-old man is admitted to hospital with an upper gastrointestinal bleed. He is confused on admission, but his sensorium clears with resuscitation and stabilization. The patient lives in his own home with assistance from his children. Work-up shows metastatic gastric carcinoma for which no curative treatment can be offered. The family insists that the patient not be told the diagnosis because they fear he will have a "mental breakdown." Which one of the following is the best next step?

A) Consult palliative care.
B) Be direct and tell the patient the diagnosis.
C) Accept the family's request and do not tell the patient the diagnosis.
D) Ask the patient if he wants to know the diagnosis.


3. A 35-year-old patient presents to your clinic for assessment of a chronic rash. With the patient's consent, you take a photo of the rash and upload it to their electronic medical record. You explain that you would like to consult with a specialist. That evening, you post a description of the rash to your online physicians' group, being careful to anonymize the details. You get a direct message from a physician who says they have extra training in dermatology and they ask you for a photo of the rash. Which one of the following is the best next step?

A) Explain to the physician why you cannot share any photos.
B) Text the anonymized photo directly to the physician.
C) Call the patient and ask permission to send the photo.
D) Verify the clinic contact details for the physician and send the photo via secure portal.


4. A 47-year-old man presents to the office with a 1-month history of passing blood in his stool 2 to 3 times per week. He is otherwise healthy and denies any systemic symptoms. Other than a small lateral skin tag on digital rectal examination, the physical examination findings are unremarkable. Which one of the following is the best next step?

A) Fecal immunochemical test (FIT)
B) Carcinoembryonic antigen
C) Computed tomographic colonography
D) Colonoscopy
E) Rigid sigmoidoscopy


5. A 72-year-old woman is brought to the Emergency Department by her daughter because of significant functional decline and progressive shortness of breath. She has widespread metastatic breast cancer and recently stopped chemotherapy due to progression and intolerance. She has been bedridden for 4 weeks. On examination:
BP: 100/70 mm Hg with pulsus paradoxus of 20 mm Hg
HR: 99/min
Temp: 36.5°C
SpO#: 94% room air
JVP: elevated
Heart sounds: muffled
Chest X-ray: large globular heart
Labs:
Hemoglobin: 90 g/L
Sodium: 118 mmol/L
Creatinine: 94 µmol/L
Which one of the following is the best next step?

A) Discussion on goals of care
B) Pericardiocentesis
C) Blood transfusion
D) Consult with the Intensive Care Unit
E) Normal saline infusion


Solutions:

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

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