Medical Council of Canada MCCQE : MCCQE Part 1 Exam

MCCQE real exams

Exam Code: MCCQE

Exam Name: MCCQE Part 1 Exam

Updated: Sep 15, 2026

Q & A: 357 Questions and Answers

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Medical Council of Canada MCCQE Exam Syllabus Topics:

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

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question #1

A 32-year-old primigravid woman is receiving magnesium sulfate for tocolysis. Her pregnancy is at 26 weeks
' gestation. You suspect magnesium sulfate toxicity. Which one of the following is the first sign of magnesium sulfate toxicity?

  • A. Tachypnea
  • B. Absent patellar reflexes
  • C. Hypotension
  • D. Oliguria
  • E. Tachycardia
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #2

A 28-year-old nulligravid woman presents to your clinic with grey-green vaginal discharge that has a "fishy- type odour." Microscopy reveals superficial squamous cells with blurred borders caused by adherent bacteria.
The patient's symptoms abate after therapy with vaginal metronidazole. Which one of the following is the most likely cause of this clinical presentation?

  • A. Trichomonas vaginalis.
  • B. Human papillomavirus.
  • C. Neisseria gonorrhoeae.
  • D. Gardnerella vaginalis.
  • E. Chlamydia trachomatis.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #3

A 56-year-old woman comes to your office because she has not been herself since her husband died in a car crash 6 weeks ago. She has no prior psychiatric history. Her son is concerned because she cries frequently, has a poor appetite, rarely leaves home and is distraught. Her sadness fluctuates and increases when she thinks of her husband. She often thinks about death, and she wishes she could join her deceased husband. Which one of the following is the best next step?

  • A. Offer reassurance.
  • B. Refer to a social worker.
  • C. Arrange for family systems therapy.
  • D. Admit to day hospital.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #4

A 12-year-old girl is brought to your clinic by her parents 6 weeks after experiencing a minimally displaced buckle fracture of her distal radius. It was immobilized in a cast for 3 weeks. On examination, she supports her forearm with the opposite hand. She is unwilling to move her elbow, wrist, and fingers. The findings of her neurovascular examination are normal, and the soft tissue is supple. A repeat radiograph shows bony union. Which one of the following is the most likely diagnosis?

  • A. Complex regional pain syndrome.
  • B. Unwillingness to return to school.
  • C. Median nerve compression.
  • D. Unrecognized scaphoid fracture.
  • E. Ischemic contracture of forearm.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #5

A 52-year-old man presents to the Emergency Department with a history of back, neck, and shoulder pain sustained from a workplace incident 4 years ago. He is under observation by a multidisciplinary pain clinic, and his next appointment is not for another 4 weeks. He does not report any recent change in his symptoms.
His medications are as follows:
Acetaminophen
1000 mg orally 4 times daily
Naproxen
500 mg orally twice daily
Amitriptyline
25 mg orally at bedtime
Acetaminophen 1000 mg orally four times daily
Naproxen 500 mg orally twice daily
Amitriptyline 25 mg orally at bedtime
The patient has not taken his medications for several weeks because he thinks they are not working. He requests a prescription for oxycodone because he tried some that a friend sold him, and it worked very well.
After completing an assessment and providing counseling, which one of the following is the best next step?

  • A. Offer to prescribe cannabis.
  • B. Obtain a urine toxicology screen.
  • C. Prescribe a short course of tramadol.
  • D. Provide a naloxone kit.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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