Medical Council of Canada

Preparation resources

Preparation resources

The following resources will help you prepare for the Medical Council of Canada Qualifying Examination (MCCQE) Part I.

Sample questions and instructional videos

This material gives you an opportunity to review sample questions and get a sense of how the computer-based testing interface works. 28 Multiple-Choice Questions (MCQ) and 6 Clinical Decision Making (CDM) cases are available to help you prepare for the MCCQE Part I. The correct answers for the sample questions are provided, and any answers that you submit will not be scored.

Coming soon: The MCC is developing MCQ and CDM instructional videos for you to become familiar with the exam interface and functionality.

Testing your knowledge with practice tests

The MCQ Practice Test is now available within our new Practice Test Portal.

Practice tests offer you the opportunity to test your level of preparedness for the new MCCQE Part I. These tests are designed to help you familiarize yourself with the types of questions you could encounter related to the new Blueprint as well as the online delivery platform of the MCCQE Part I. Practice test content is created by physicians and experts who have experience with the MCC’s content development process.

Stay tuned – We’ll also be launching the Clinical Decision-Making Practice Test in the fall.

For more information on these new resources, visit Test your knowledge.

Clinical Decision Making tips

This video features Tanya Rivard, Senior Test Development Officer & Special Projects at the Medical Council of Canada, who shares tips that will help you understand and prepare for this component of the MCCQE Part I. Time management, question instructions, scoring and scenario details are themes explored in this video.

Please note that the graphical elements in the video are not representative of the examination.

Write-in questions – what counts as one answer

The MCCQE Part I CDM component includes questions where you will need to provide written answers. To offer extra guidance, the following examples depict what counts as “one” answer:

  • Electrolytes including Na, K, Cl, CO3 (does not include glucose)
  • CBC and differential
  • Liver enzymes (includes AST, ALT, GGT, ALP, bilirubin)
  • LFT (bilirubin, INR, albumin)
  • Cardiac enzymes (includes CK, TNI, TNT)
  • Urinalysis (Urine R&M)
  • Urine Culture & Sensitivity
  • INR, PTT
  • Lipids (includes LDL, HDL, total cholesterol, TG)
  • Type & cross match
  • FSH/LH
  • Thyroid function (TSH only)
  • Immunoglobulins
  • Lumbar fluid analysis
  • Gonorrhea/chlamydia
  • Renal function (includes creatinine, eGFR, BUN/Urea)

Frequently asked questions

If you have questions about the MCCQE Part I – for example, at which point you can apply for the exam, or whether you should take a review course – we encourage you to review our MCCQE Part I frequently asked questions.

Transition to DSM-5

In May 2013, the American Psychiatric Association published the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The MCC has worked with its test committees to review the classification changes in DSM-5 and update the language in its exam content from the previous edition, DSM-IV-TR.

As of 2017, any questions that use the DSM-5 wording on the MCCQE Part I will no longer include equivalent language from the DSM-IV-TR. You will be required to answer with DSM-5 terminology as of 2017 to receive full marks.

Objectives for the Qualifying Examination

When creating MCCQE Part I questions, the MCC’s test committees are guided by the Objectives for the Qualifying Examination, a document that outlines what candidates must know for any MCC examination. For this reason, the Objectives may be useful in your MCCQE Part I preparation. We recommend you go through each clinical presentation and carefully read the related objectives. If you feel your knowledge or skill for any given objective is weak, this could indicate that you need further study in that area.

Reference materials

The MCC has compiled a list of reference books and online reference materials that may be helpful in preparing for the examination.