Medical Council of Canada MCCQE Exam Questions : MCCQE Part 1 Exam

Exam Code: MCCQE
Exam Name: MCCQE Part 1 Exam
Updated: Sep 26, 2026
Q&As: 357 Questions and Answers

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Medical Council of Canada MCCQE Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Dimensions of Care	50%	- Health Promotion and Illness Prevention - Chronic Care - Acute Care - Assessment and Diagnosis
Topic 2: Physician Activities	50%	- Psychosocial Aspects - Communication - Professional Behaviours - Management

Medical Council of Canada MCCQE Part 1 Sample Questions:

Question #1

A 94-year-old woman with severe dementia is referred for vaginal bleeding and a persistent foul odour from the vagina. She lives in a long-term care facility. She has been using a ring pessary for the past 15 years. Her current pessary has not been replaced in 2 years. On examination, there is moderate vaginal atrophy. After removing the pessary, which one of the following is the best next step?

A. Perform a vaginal biopsy.
B. Prescribe vaginal metronidazole gel.
C. Wash the pessary and recommend a daily saline douche.
D. Arrange for a hysteroscopy and endometrial biopsy.
E. Start vaginal estrogen.

Reveal Solution Discussion 0

Correct Answer: E 🗳️

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Question #2

You are caring for a 78-year-old man admitted to hospital for heart failure. On your rounds, he asks why he is not getting better. He has a history of heart failure, hypertension, and type 2 diabetes. He has an implantable cardioverter-defibrillator. This is his fourth admission in the past 6 months for acute decompensation of his heart failure. Between hospital admissions, he reports worsening shortness of breath and a progressive decline in function. Which one of the following is the next best step?

A. Explain the end-stage nature of the patient ' s illness
B. Advise the patient to have his defibrillator deactivated
C. Reassure the patient that his condition will improve with proper medication adherence

Reveal Solution Discussion 0

Correct Answer: A 🗳️

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Question #3

A 78-year-old man presents to the office with urinary hesitancy, straining to void his bladder, and a sensation of incomplete bladder emptying. On history, he has a BMI of 36 and type 2 diabetes. Which one of the following medications would most likely help the patient's symptoms?

A. Empagliflozin.
B. Nitrofurantoin.
C. Fesoterodine.
D. Hydrochlorothiazide.
E. Tamsulosin.

Reveal Solution Discussion 0

Correct Answer: E 🗳️

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Question #4

You are counselling the wife of a 75-year-old man admitted under your care after a fall. The patient is confused, disoriented, barely sleeps at night and has complex visual hallucinations of animals running through his room. Given his state, which one of the following is the best advice for the wife?

A. She should avoid giving him information since he is unable to understand
B. She should confront him with the fact that what he sees and feels is not real
C. She should tell him that she will not come back to visit him if he remains aggressive
D. She should not take it personally if he says hurtful things
E. She should visit him as little as possible since this can lead to heightened agitation

Reveal Solution Discussion 0

Correct Answer: D 🗳️

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Question #5

A previously well 2-year-old girl is brought to the Emergency Department with difficulty breathing that has been gradually worsening over the last 24 hours. Her parents say she has a sore throat. On examination, you note that she appears ill. She has stridor and is in moderate respiratory distress, drooling and emitting a muffled voice. Vital signs are as follows: respiratory rate 34/min, heart rate 160/min, temperature 40.2°C.

Which one of the following is the most likely diagnosis?