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Medical Council of Canada MCCQE Part 1 : MCCQE

MCCQE

Exam Code: MCCQE

Exam Name: MCCQE Part 1 Exam

Updated: Jul 06, 2026

Q & A: 357 Questions and Answers

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Medical Council of Canada MCCQE Part 1 Sample Questions:

1. An 85-year-old woman who is your patient has advanced metastatic lung cancer. You are visiting her at her home for palliative care. She has previously indicated to you and her family that she hoped to die at home and that comfort is her priority. She is now weak to get out of bed and has had no oral intake for 2 days. She is confused most of the time, with brief lucid episodes. Despite attentive symptom management, her family reports that she is suffering and asks that you increase her medications to expedite her death. Which one of the following is the best next step?

A) Add midazolam to ensure the patient is completely sedated.
B) Acknowledge the family ' s distress and offer support.
C) Contact the regional medical assistance in dying (MAID) team to assist in the family ' s request.
D) Obtain written consent from the family to expedite the patient ' s death.


2. You are a family physician caring for a healthy 60-year-old woman. Which one of the following preventative interventions is most useful?

A) Fasting blood glucose every year.
B) Mammography every 2 years.
C) Cervical cytology every year.
D) Fasting lipid profile every year.
E) Bone densitometry every 2 years.


3. A 78-year-old man, who is accompanied by his eldest son, presents for follow-up of his chronic kidney disease and neurocognitive disorder due to vascular disease. He is married and has 4 children. His creatinine clearance has slowly deteriorated over the last few years and has reached the stage where you are considering starting renal replacement therapy. After your discussion, it is clear that the patient, his son, and his wife want to start dialysis. Based on your assessment, it is clear that he does not understand the information you have relayed to him. You inform the patient that you believe he is incapable of making this decision and he agrees.
His son would prefer not to start dialysis as he is concerned about the impact this would have on his father's quality of life. Which one of the following is the best next step?

A) Follow the son's wishes to decline dialysis.
B) Advise the patient against starting dialysis.
C) Schedule a follow-up visit with his wife and 4 children to review this decision.
D) Determine if the patient has a substitute decision-maker.
E) Call the patient's wife as she is, by law, his substitute decision-maker.


4. A 36-year-old woman, gravida 1, para 0, aborta 0, presents to the Labour and Delivery unit of a primary care hospital. She is at 40 weeks' gestation. She is having contractions and leaking fluid. She is fearful and does not want to deliver vaginally. Which one of the following is the best next step?

A) Ask a colleague for a second opinion.
B) Offer to organize a cesarean delivery.
C) Suggest intravenous analgesia.
D) Explain that a cesarean delivery is not an option.
E) Explore her concerns and explain pain management options.


5. You are following an otherwise healthy 3-month-old girl whose severe bilateral sensorineural deafness was diagnosed after early identification through a universal newborn hearing screening program. She has reached the developmental milestones for her age and has no features of an underlying syndrome. There is no family history of hearing loss. The parents request information on the speech and language prognosis for their daughter. Which one of the following is the most appropriate response?

A) Sign language and a school for the hearing impaired will be needed.
B) The prognosis is unpredictable and not well known.
C) Long-term literacy is likely to be limited to a grade 4 level.
D) Most children with this condition learn to hear and speak fluently with appropriate early intervention.
E) Significant limitation in expressive and receptive speech should be expected.


Solutions:

Question # 1
Answer: B
Question # 2
Answer: B
Question # 3
Answer: D
Question # 4
Answer: E
Question # 5
Answer: D

Related Certifications
MCCQE Part 1
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