Medical Council of Canada MCCQE : MCCQE Part 1 Exam

MCCQE real exams

Exam Code: MCCQE

Exam Name: MCCQE Part 1 Exam

Updated: Nov 11, 2026

Q & A: 357 Questions and Answers

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Medical Council of Canada MCCQE Exam Syllabus Topics:

SectionObjectives
Topic 1: Physician Roles (CanMEDS Framework)- Leader (Manager)
  • 1. Healthcare system navigation
    • 2. Resource stewardship
      - Health Advocate
      • 1. Population health principles
        • 2. Prevention and health promotion
          - Communicator
          • 1. Patient-centered communication
            • 2. Informed consent and shared decision-making
              - Professional
              • 1. Ethics and professional responsibility
                • 2. Patient safety and legal considerations
                  - Scholar
                  • 1. Evidence-based medicine
                    • 2. Continuous learning and clinical research interpretation
                      - Medical Expert
                      • 1. Diagnostic reasoning and management planning
                        • 2. Clinical knowledge across core specialties (internal medicine, surgery, pediatrics, OB/GYN, psychiatry)
                          - Collaborator
                          • 1. Interprofessional teamwork
                            • 2. Referral and consultation processes

                              Medical Council of Canada MCCQE Part 1 Sample Questions:

                              Question #1

                              A 24-year-old woman presents with rapidly increasing lower leg pain. Less than 24 hours ago, she fell off her bicycle and had some minor abrasions. On examination, she is in severe pain and appears anxious. Local examination of her leg reveals mild discoloration with marked tenderness but no swelling in her calf. Which one of the following is the most likely diagnosis?

                              • A. Deep vein thrombosis
                              • B. Baker ' s cyst
                              • C. Necrotizing fasciitis
                              • D. Plantaris rupture
                              • E. Cellulitis
                              Reveal Solution  Discussion  0

                              Correct Answer: C  🗳️

                              Explanation: Only visible for Prep4pass members. You can sign-up / login (it's free).

                              Question #2

                              A 38-year-old man is brought by his wife to the Emergency Department with fatigue, dizziness, and nausea after completing a hiking tour on a hot, humid day. His wife became worried after he had collapsed. He has been sweating heavily and vomited twice on the drive in. His medical history is unremarkable, and he takes no medications. His vital signs on arrival are as follows:
                              Blood pressure
                              85/57 mm Hg
                              Heart rate
                              120/min
                              Respiratory rate
                              18/min
                              Temperature
                              40.1 °C
                              Oxygen saturation
                              95%, room air
                              -
                              On physical examination, the patient ' s skin is dry, flushed, and warm to the touch. He has a diffuse erythematous papular rash. Findings of a thorough physical examination are otherwise unremarkable. An electrocardiogram shows sinus tachycardia. Which one of the following is the best next step?

                              • A. Serum thyrotropin (thyroid-stimulating hormone)
                              • B. Serum C-reactive protein test
                              • C. Computed tomography of the head
                              • D. Serum creatine kinase test
                              • E. Blood cultures
                              Reveal Solution  Discussion  0

                              Correct Answer: D  🗳️

                              Explanation: Only visible for Prep4pass members. You can sign-up / login (it's free).

                              Question #3

                              A 67-year-old woman presents with headaches, muscle weakness, pain in her shoulders and hips, weight loss, and depression. While also arranging appropriate investigations to confirm a diagnosis, which one of the following is the most important objective of treatment?

                              • A. Prevent headaches from worsening.
                              • B. Alleviate the depression.
                              • C. Prevent blindness.
                              • D. Improve the shoulder and hip pain.
                              • E. Prevent jaw claudication.
                              Reveal Solution  Discussion  0

                              Correct Answer: C  🗳️

                              Explanation: Only visible for Prep4pass members. You can sign-up / login (it's free).

                              Question #4

                              A 64-year-old man presents with a 3-month history of gradually increasing neck pain and stiffness. The pain radiates into his upper back, and he is having difficulty driving because of limitation of neck rotation secondary to pain. Physical examination shows restricted neck motion in all directions and neck muscle spasms. There is no abnormality on neurologic examination. A radiograph shows narrowing of all of the cervical disc spaces with prominent osteophytes. Which one of the following is the most appropriate next step?

                              • A. Magnetic resonance imaging of the neck.
                              • B. No further investigation.
                              • C. Electromyography of upper limbs.
                              • D. Computed tomography of neck.
                              • E. Lumbar puncture.
                              Reveal Solution  Discussion  0

                              Correct Answer: B  🗳️

                              Explanation: Only visible for Prep4pass members. You can sign-up / login (it's free).

                              Question #5

                              A 45-year-old woman presents to your clinic for follow-up regarding her asthma. She is planning to attend a cultural event that includes ceremonial burning of tobacco. Which one of the following is the best next step?

                              • A. Counsel the patient on the health effects of tobacco.
                              • B. Update the chart to indicate that the patient smokes.
                              • C. Ask if tobacco smoke triggers the patient's asthma.
                              • D. Advise the patient to avoid tobacco exposure.
                              Reveal Solution  Discussion  0

                              Correct Answer: C  🗳️

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