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Updated: Sep 17, 2026

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Medical Council of Canada MCCQE Exam Overview:

Certification Vendor:Medical Council of Canada
Exam Name:Medical Council of Canada Qualifying Examination Part I
Exam Number:MCCQE Part I
Available Languages:French, English
Exam Format:Multiple Choice Questions (MCQ), Clinical Decision-Making (CDM) cases (computer-based)
Exam Price:CAD 1,305 (subject to change)
Certificate Validity Period:No fixed validity period; used as part of LMCC licensure requirements
Passing Score:Pass/Fail (standard-setting evaluation)
Related Certifications:Licentiate of the Medical Council of Canada (LMCC) requirements
MCCQE Part II (historical; discontinued)
Exam Duration:270 minutes
Real Exam Qty:Approximately 210 MCQ + ~38 CDM cases (may vary by session)
Recommended Training:UWorld Medical Question Bank
PhysiciansApply Learning Resources
Medical Council of Canada Official Resources
Exam Registration:Medical Council of Canada MCCQE Part I Information
PhysiciansApply Portal Registration
Sample Questions:Medical Council of Canada MCCQE Sample Questions
Exam Way:Computer-based exam delivered at designated testing centers (and/or approved remote delivery depending on current MCC policies)
Pre Condition:Graduation from a recognized medical school and eligibility through a PhysiciansApply account
Official Syllabus URL:https://mcc.ca/examinations/mccqe-part-i/

Medical Council of Canada MCCQE Exam Syllabus Topics:

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

                              Medical Council of Canada MCCQE Part 1 Sample Questions:

                              Question #1

                              A 70-year-old man presents with severe, postprandial, mid-abdominal pain which has become more severe over the past 6 to 9 months. It is associated with nausea but has not caused him to vomit or changed his bowel habits. He has lost 14 kg over the last 6 months. Abdominal and rectal examination is normal. Upper gastrointestinal series is unremarkable. Which one of the following is the most likely diagnosis?

                              • A. Mesenteric adenitis
                              • B. Cholelithiasis
                              • C. Carcinoma of colon
                              • D. Peptic ulcer disease
                              • E. Mesenteric ischemia
                              Reveal Solution  Discussion  0

                              Correct Answer: E  🗳️

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                              Question #2

                              A 31-year-old woman, gravida 1, para 0, presents to Labour and Delivery with regular contractions at approximately 24 weeks' gestation. As you review her prenatal records, which one of the following is the most reliable way of establishing gestational age?

                              • A. Symphysis fundal height.
                              • B. Mid 2nd trimester ultrasound.
                              • C. Crown-rump length at 8-12 weeks.
                              • D. Serial ultrasound in 3rd trimester.
                              • E. Last menstrual period.
                              Reveal Solution  Discussion  0

                              Correct Answer: C  🗳️

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                              Question #3

                              A 3-year-old boy is brought to the office because he is not using his right arm after a fall from a swing.
                              Radiographs reveal a new fracture and old healing fractures. The parents deny any previous injuries. In addition to providing care for the fracture, which one of the following is the best next step?

                              • A. Investigate the patient to rule out metabolic or endocrine disorders.
                              • B. Advise the parents to better supervise the patient.
                              • C. Monitor the patient for future injuries.
                              • D. Notify child protection services.
                              • E. Refer the family to the social work department.
                              Reveal Solution  Discussion  0

                              Correct Answer: D  🗳️

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                              Question #4

                              A 4-year-old boy is brought by his parents to your walk-in clinic with a 3-week history of fatigue, bruising, and intermittent fever. He was previously healthy. Physical examination reveals hepatosplenomegaly and petechiae. His complete blood count shows the following:
                              Platelet count, blood: 15.0 × 10#/L (206.4-443.3)
                              White blood cell (WBC) count, blood: 1.0 × 10#/L (4.7-13.5)
                              Hemoglobin (Hgb), blood: 70 g/L (105-135)
                              Which one of the following is the most likely diagnosis?

                              • A. Immune thrombocytopenia.
                              • B. Viral illness.
                              • C. Bacterial sepsis.
                              • D. Iron deficiency anemia.
                              • E. Acute lymphoblastic leukemia.
                              Reveal Solution  Discussion  0

                              Correct Answer: E  🗳️

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                              Question #5

                              Which one of the following bodies decides whether a physician is permitted to practise medicine in a province or territory?

                              • A. The provincial or territorial Ministry of Health
                              • B. The provincial or territorial medical association
                              • C. The provincial or territorial medical licensing authority
                              • D. The College of Family Physicians of Canada or the Royal College of Physicians and Surgeons of Canada
                              • E. The board of the hospital or health region where the physician wants to practise
                              Reveal Solution  Discussion  0

                              Correct Answer: C  🗳️

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