Medical Council of Canada

Multiple-Choice Questions

Multiple-Choice Questions

The Multiple-Choice Questions (MCQ) component of the MCCQE Part I consists of 210 questions, of which 35 are pilot questions that do not count towards your total score. While the pilot questions are not scored, they are not identified as pilots in the exam. We encourage you to do as well as you can on every question. Each MCQ has a stem and five options, of which only one is correct. You can select only one answer. The maximum time allotted for this component is four hours.

As of the April-June 2021 session of the MCCQE Part I, the number of response options for the Multiple-Choice Questions (MCQs) of the MCCQE Part I will change. At present, candidates have five response options to choose from for every question. As of the April-June session, candidates will have a different number of options to choose from, for each question. The options will range from three to five. The list of options will include one best answer and two to four incorrect options, known as distractors.

All of the MCQ questions are presented in a single block. You may navigate freely between all MCQ. You can flag questions and return to those questions at any point during the MCQ portion of the exam. Certain test items will have pictorial material, such as photographs, diagrams, x rays, electrocardiograms, and graphic or tabulated material. If relevant to a question, you will be presented with the normal lab values directly in the question.

To select an option, click on the text of that option. You can change your answer by simply clicking on a different option. There is no penalty for incorrect answers, so you should always answer a question, even when you are unsure.

You are only required to submit the MCQ portion of the exam once, when you have completed the MCQ component and are ready to submit, or when your allotted time expires. Once you have submitted your exam, you may not go back to change your answers.

MCQ example

An otherwise healthy 36-year old man presents to your office with a 4-week history of a generalized, intensely pruritic papular rash. On examination, he has excoriated papules and vesicles on wrists, sides of fingers, arms, and buttocks. No other abnormalities are noted. His 9-year-old son also has had itching on fingers and wrists. Which one of the following is the most likely diagnosis?

  • Neurodermatitis
  • Impetigo
  • Pityriasis rosea
  • Shingles
  • Scabies