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Ultimate Guide to the MCCQE – Latest Oct 30, 2026 Edition Available Now

2026 Updated Verified Pass MCCQE Exam – Real Questions and Answers

Medical Council of Canada MCCQE Exam Syllabus Topics:

Section Objectives
Topic 1: Physician Roles (CanMEDS Framework) – Communicator

  • 1. Patient-centered communication
    • 2. Informed consent and shared decision-making

      – Scholar

      • 1. Evidence-based medicine
        • 2. Continuous learning and clinical research interpretation

          – Collaborator

          • 1. Referral and consultation processes
            • 2. Interprofessional teamwork

              – Professional

              • 1. Ethics and professional responsibility
                • 2. Patient safety and legal considerations

                  – Medical Expert

                  • 1. Diagnostic reasoning and management planning
                    • 2. Clinical knowledge across core specialties (internal medicine, surgery, pediatrics, OB/GYN, psychiatry)

                      – Health Advocate

                      • 1. Prevention and health promotion
                        • 2. Population health principles

                          – Leader (Manager)

                          • 1. Healthcare system navigation
                            • 2. Resource stewardship

                               

                              NEW QUESTION 130
                              You are the emergency physician on duty in a rural hospital when heavy rains in the community cause a large landslide. There are multiple casualties expected to arrive in the emergency department. Your colleague has heard about the incident and arrives to help. Which one of the following is the best next step?

                               
                               
                               
                               

                              NEW QUESTION 131
                              A 45-year-old man presents to the office and reports difficulty understanding conversations that happen in a noisy environment. Ear examination findings are normal. You request audiography, from which results show bilateral high-frequency sensorineural hearing loss with a notch at 4000 Hz. Which one of the following is the most likely cause of this patient’s hearing loss?

                               
                               
                               
                               
                               

                              NEW QUESTION 132
                              A 9-year-old girl is brought to the Emergency Department because she has generalized urticaria, abdominal cramping, and postural dizziness 30 minutes after eating at a friend’s birthday party. Which one of the following is the most appropriate route of administration for epinephrine?

                               
                               
                               
                               
                               

                              NEW QUESTION 133
                              A 60-year-old postmenopausal woman presents with 2 culture-proven uncomplicated urinary tract infections in the last 5 months. She finds them quite distressing and would like to prevent recurrence. Which one of the following is the best next step?

                               
                               
                               
                               
                               

                              NEW QUESTION 134
                              A 31-year-old woman, gravida 1, para 0, presents to Labour and Delivery with regular contractions at approximately 24 weeks’ gestation. As you review her prenatal records, which one of the following is the most reliable way of establishing gestational age?

                               
                               
                               
                               
                               

                              NEW QUESTION 135
                              A 27-year-old man with a bowel obstruction secondary to a terminal ileum stricture has been on various medications since he was diagnosed with Crohn disease 8 years ago. You recommend a bowel resection, but he refuses this option because he is fearful of short bowel syndrome. He states that the only surgical procedure he will undergo is a bypass of the diseased segment so that the affected bowel will heal. You know that this is the wrong operation. Which one of the following is the best next step?

                               
                               
                               
                               
                               

                              NEW QUESTION 136
                              You are being consulted for a 79-year-old man who is about to undergo a total hip arthroplasty. His orthopedic surgeon is aware of the diagnosis of Alzheimer disease and would like your suggestions to help avoid acute postsurgical delirium. To that end, which one of the following is the most effective strategy?

                               
                               
                               
                               
                               

                              NEW QUESTION 137
                              A 68-year-old man presents with a 3-day history of multiple tender joints. On examination, he has a temperature of 38.2°C and swelling and redness of his left large toe. Which one of the following is the most likely diagnosis?

                               
                               
                               
                               
                               

                              NEW QUESTION 138
                              A 3.5-year-old girl has developed a stutter in the last 3 months. She repeats whole words several times before finishing a sentence. Her paternal uncle had a severe stuttering issue as a child. She has reached the developmental milestones for her age. Her new sibling was born 4 months ago. Which one of the following is the best next step?

                               
                               
                               
                               
                               

                              NEW QUESTION 139
                              An infrastructure engineer in an AI factory has successfully replaced a power supply unit on an NVIDIA DGX H100. After installation, both the IN and OUT LEDs on the new power supply illuminate solid green.
                              Which NVSM CLI command should the engineer use to quickly verify the overall system status and ensure it is operating as expected?

                               
                               
                               
                               

                              NEW QUESTION 140
                              A 16-year-old girl is brought to the Emergency Department with a 12-hour history of worsening right lower quadrant abdominal pain and nausea. She is in no distress and vital signs are normal. Her abdomen is soft but locally tender in the right iliac fossa, and bowel sounds are active. White blood cell count is 7.6 × 10#/L (4-
                              10), C-reactive protein is 2.3 mg/L ( < 10) and serum beta human chorionic gonadotropin is undetectable.
                              Ultrasound reveals a small amount of fluid in the pelvis, and the appendix is not clearly apparent. Which one of the following is the best next management step?

                               
                               
                               
                               
                               

                              NEW QUESTION 141
                              A 16-month-old boy is brought to your office because of red, itchy and crusted patches on his cheeks and chin. Physical examination also reveals similar patches in the flexor creases of both arms. The groin and axillae regions are clear. Which one of the following is most likely to contribute to this condition?

                               
                               
                               
                               
                               

                              NEW QUESTION 142
                              A 30-year-old man comes to the office and asks you to write him a note for his employer that recommends a stress leave. He says he feels entitled to a rest. He comes across as irritable and impulsive. He appears to show little regard for the law and admits to recently embezzling $5,000 from his employer. He justifies his actions and shows no remorse. He has a history of attention-deficit/hyperactivity disorder as a child. Which one of the following is the most likely diagnosis?

                               
                               
                               
                               
                               

                              NEW QUESTION 143
                              A 17-year-old boy presents to your clinic with a 6-month history of recurrent headaches. The headaches are excruciating, and he describes them as a stabbing pain, usually around his right eye. They occur several times daily for 2 to 3 weeks and recur every few months. The headaches are associated with tearing from his right eye and tend to get worse when he is overtired. Which one of the following is the most likely diagnosis?

                               
                               
                               
                               
                               

                              NEW QUESTION 144
                              A leaf switch shows ” FW Version Mismatch ” alerts for transceivers after cluster expansion. Which tool validates transceiver firmware against expected versions?

                               
                               
                               
                               

                              NEW QUESTION 145
                              A 31-year-old nulligravid woman presents to your office after 5 months of attempting to get pregnant without success. Her menses are regular, and she is otherwise healthy. Her husband is healthy and has never fathered any children before. Which one of the following is the best next step?

                               
                               
                               
                               
                               

                              NEW QUESTION 146
                              A 27-year-old woman presents with an enlarged thyroid. She had not noticed it herself until her mother brought it to her attention. She is asymptomatic from an endocrine perspective, and her serum thyroid- stimulating hormone (TSH) is normal.
                              Which one of the following is the most appropriate next step?

                               
                               
                               
                               
                               

                              NEW QUESTION 147
                              A 72-year-old man reports that his wife says he has hearing trouble. Examination reveals that air conduction on the right side is less than on the left side and greater than bone conduction bilaterally. He hears a tuning fork placed on the top of his head better with his left ear. Which one of the following is the most appropriate next step in management?

                               
                               
                               
                               
                               

                              NEW QUESTION 148
                              A mumps outbreak is occurring in your community, with higher attack rates among post-secondary students.
                              Which one of the following is the most effective intervention?

                               
                               
                               
                               
                               

                              NEW QUESTION 149
                              A 47-year-old man has been training for a marathon. After a long run, he develops mild pain and swelling in his left knee. Examination shows a mild joint effusion and a soft tissue mass in the popliteal fossa. The knee radiograph is normal. Which one of the following is the best method of confirming the diagnosis?

                               
                               
                               
                               
                               

                              NEW QUESTION 150
                              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?

                               
                               
                               
                               
                               

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