Medical Council of Canada MCCQE : MCCQE Part 1 Exam

  • Exam Code: MCCQE
  • Exam Name: MCCQE Part 1 Exam
  • Updated: Sep 17, 2026     Q & A: 357 Questions and Answers

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Medical Council of Canada MCCQE Exam Syllabus Topics:

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

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question #1

A 29-year-old concert pianist with severe chronic kidney disease presents with a 6-month history of loss of appetite and pruritus. Although the issue of initiating dialysis has been discussed with him and his questions answered, he has declined dialysis thus far. You understand his concerns that it will interfere with his concert tour and recording schedule. Which one of the following is the best next step?

  • A. Provide him access to his medical records and full chart.
  • B. Offer to arrange for him to meet patients in the peritoneal dialysis clinic.
  • C. Warn him of the consequences of refusing dialysis.
  • D. Explore employment alternatives that would better accommodate the dialysis schedule.
  • E. Explain to him you will see him again when he decides to start dialysis.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #2

A patient ' s mother comes to you with a prospective cohort study linking autism to the measles, mumps and rubella vaccine. After reviewing the study carefully, you question the results because of problems with the study design and execution. Which one of the following sources of error would be most important in the study design or execution?

  • A. Not accounting for all potential confounders during recruitment
  • B. Recruitment of study families at an autism seminar
  • C. Vaccine company sponsorship of study
  • D. Parental recall of vaccine administration
  • E. Reporting standard error with point estimates of difference
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #3

A 62-year-old woman is taken to the operating room for an elective laparoscopic cholecystectomy. Induction of anesthesia triggers a severe hypertensive crisis that ultimately resolves after administration of a 5 mg bolus of phentolamine.
Which one of the following is most consistent with this presentation?

  • A. Low urinary metanephrines
  • B. Elevated plasma catecholamines
  • C. Increased thyrotropin (thyroid-stimulating hormone) level
  • D. Low renal vein renin
  • E. High plasma cortisol
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #4

A 12-year-old boy is brought by his mother to your clinic with a history of attention-deficit/hyperactivity disorder. His mother reports that he has been taking immediate-release methylphenidate for 2 years. Although the medication was initially effective, it no longer seems to work. The teachers say he is disorganized and fidgety, verbally interrupts class, and does not complete his work. His mother tells you that he does listen at home. Which one of the following is the most important next step in management?

  • A. Add risperidone and see the patient in 2 weeks.
  • B. Complete rating scales and increase methylphenidate.
  • C. Increase the methylphenidate and see the patient in 2 weeks.
  • D. Order an electroencephalogram.
  • E. Switch the methylphenidate to atomoxetine and see the patient in 2 weeks.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #5

You perform a literature search of journal articles on the effectiveness of a new antihypertensive for first-line treatment of people aged 35 to 50. You find reports of 4 good quality studies. Three of them show that statistically, the new drug is significantly more effective than the standard treatment, and one shows no difference. Before you conclude that the new antihypertensive is more effective in this group of patients, which one of the following concepts must be given consideration?

  • A. The power of the studies
  • B. Random error
  • C. Information bias
  • D. Publication bias
  • E. Systematic error
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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