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Medical Council of Canada MCCQE

MCCQE

Exam Code: MCCQE

Exam Name: MCCQE Part 1 Exam

Updated: Jul 30, 2026

Q & A: 357 Questions and Answers

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Medical Council of Canada MCCQE Exam Syllabus Topics:

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

Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 44-year-old woman presents to the office to discuss contraception. During the gynecologic examination, you notice an anterior cystocele to the hymenal ring. The woman denies any bulge symptoms but does report dribbling of urine, especially when she coughs or jogs.
Which one of the following is the best next step?

A) Vaginal hysterectomy
B) Pelvic-floor physiotherapy
C) Urology consultation
D) Topical estrogen
E) No impact sports


2. You are a physician working at a university campus health centre. Staff at the centre are thinking about initiating a campus-wide education campaign on stimulant medication use and misuse. From a physician ' s perspective, which one of the following is the key message to include in this campaign?

A) Adverse effects and health risks associated with stimulant medication use.
B) Prevalence of stimulant medication use by students on university campuses.
C) Improvement of study habits through educational initiatives.
D) Legal perspectives regarding nonprescription stimulant medication use.
E) Ethical perspectives regarding nonprescription stimulant medication use.


3. A 72-year-old man has had 4 episodes of weakness in her right arm and leg lasting 10 to 15 minutes each.
During 1 episode, she had difficulty speaking and had blurring of the vision in the left eye. Which one of the following is the most likely diagnosis?

A) Epilepsy.
B) Thrombosis of the left middle cerebral artery.
C) Left intracerebral hemorrhage.
D) Occlusive disease of the left vertebrobasilar system.
E) Occlusive disease of the left internal carotid artery.


4. The developers of a urinary protein dipstick test have indicated that they have reduced the problem of false positive results by changing the test so that it becomes positive at a higher concentration of protein. Which one of the following statements best describes how this screening test will be affected?

A) Both sensitivity and specificity will improve.
B) The accuracy of the test will be reduced.
C) The validity of the test will be reduced.
D) The positive predictive value will remain the same.
E) There will be more false negatives.


5. A 26-year-old man presents with pain, numbness, and weakness in his right upper extremity. He works as a computer programmer, and his BMI is 32. Symptoms have worsened since he started spending more time on the keyboard. He reports that his right hand feels clumsier while he is typing. Physical examination reveals mild weakness in the intrinsic muscles of that hand, with a positive Tinel sign at the ulnar nerve. Which one of the following is the best next step?

A) Elbow extension brace for use during sleep.
B) Physiotherapy.
C) Nerve conduction studies to localize the level of the lesion.
D) Wrist splint to test for carpal tunnel.
E) Magnetic resonance imaging of the cervical spine.


Solutions:

Question # 1
Answer: B
Question # 2
Answer: A
Question # 3
Answer: E
Question # 4
Answer: E
Question # 5
Answer: C

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