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Medical Council of Canada MCCQE : MCCQE Part 1 Exam

MCCQE real exams

Exam Code: MCCQE

Exam Name: MCCQE Part 1 Exam

Updated: Jun 23, 2026

Q & A: 357 Questions and Answers

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About Medical Council of Canada MCCQE Exam

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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. A 76-year-old man is brought to the emergency department in an unresponsive state. He has a history of chronic kidney disease with a baseline serum creatinine level of 300 µmol/L (49-93) and a history of dilated cardiomyopathy with an ejection fraction of 30%. On assessment, he has no pulse or blood pressure. Cardiac monitor demonstrates a wide complex tachycardia. Which one of the following recently started medications is the most likely cause of this arrhythmia?

A) Spironolactone
B) Diltiazem
C) Clopidogrel
D) Metoprolol
E) Hydrochlorothiazide


2. A 1-month-old boy is brought to your clinic after being born with asymmetric intrauterine growth restriction (third percentile at birth). He was born at 36 weeks' gestation. He has been breastfeeding well and continues to grow around the third percentile. Which one of the following would be the best next step?

A) Early introduction of solid foods.
B) Caloric-fortified feeding.
C) High-dose vitamin D supplementation.
D) Switch to a hydrolyzed formula.


3. A 60-year-old woman presents with a 7-day history of bloody diarrhea and diffuse mild abdominal tenderness. Stool tests (culture, ova/parasites) are negative. Which one of the following is the best next step?

A) Prescribe tapered-dose steroids.
B) Prescribe broad-spectrum antibiotics.
C) Order a diagnostic colonoscopy.
D) Recommend a trial of loperamide.
E) Recommend symptomatic observation.


4. A 39-year-old woman comes to the office for a periodic health examination. She reports that her father had a recent diagnosis of breast cancer (at age 62 years) and that a paternal aunt had ovarian cancer in her early 40s.
The results of mammography are normal. Which one of the following is the most appropriate recommendation for this patient?

A) Genetic screening.
B) Random fine-needle sampling of the breasts.
C) Bilateral mastectomy.
D) Prophylactic tamoxifen therapy.
E) Annual mammography starting at age 50 years.


5. A 24-year-old man presents to your clinic with a 6-month history of fatigue. On examination, he is pale. His BMI is 16, and his blood pressure is 92/58 mm Hg. Initial laboratory work shows the following:
Creatinine: 64 µmol/L (49-93)
Potassium: 3.0 mmol/L (3.5-5.1)
Sodium: 138 mmol/L (136-146)
TSH: 2.40 mIU/L (0.34-5.60)
CBC: Normal
Which one of the following is the best next step?

A) Consult gastroenterology
B) Refer the patient to the emergency department
C) Ask permission to discuss the patient's weight
D) Advise increased caloric intake


Solutions:

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

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