If you’re preparing for the MCCQE Part I, here’s some good news straight from the source — the Medical Council of Canada (MCC) has officially released 55 free multiple-choice practice questions designed to simulate the real exam experience.
This isn’t another random “sample question” set floating around the internet. These are authentic MCC-style questions, built by the same committees and psychometric teams responsible for the real MCCQE1.
Let’s break down what this means, why it matters, and how to use these questions strategically in your MCCQE1 preparation.
What Are the New 55 Free MCCQE1 Questions?
In July 2025, the MCC quietly launched a new set of 55 free multiple-choice questions (MCQs) on its official website, mcc.ca.
These questions:
- Follow the exact format used on the MCCQE1 after the April 2025 update (that means MCQs only, no CDM section).
- Were developed using the same rigorous methodology as official exam questions.
- Include the correct answer, a detailed rationale, and references for further reading.
- Require no registration or payment — they’re completely free and publicly available.
Think of it as a small but valuable window into the MCC’s thinking process.
Why This Release Matters (Especially After April 2025 Changes)
The MCCQE1 changed significantly in April 2025, when the Clinical Decision-Making (CDM) section was removed, making it an MCQ-only exam divided into two sections.
Until now, students had very few official materials that reflected this new format — leaving most to rely on third-party question banks or outdated sample questions.
This new set of 55 official MCQs fills that gap. It’s the first authentic example of what the revised MCCQE1 looks and feels like under the updated system.
What You’ll Find Inside
The MCC hasn’t released topic weightings, but early users report that the questions cover a balanced range of clinical disciplines including:
- Internal Medicine
- Surgery
- Psychiatry
- Pediatrics
- Obstetrics & Gynecology
- Ethics and Professionalism
Each question includes a brief rationale explaining why the correct answer is correct — which makes this resource especially valuable for learning rather than just testing.
How to Use the 55 MCC Practice Questions Effectively
Here’s how to make the most out of this official resource:
1. Treat It as a Benchmark
Attempt all 55 questions under exam-like conditions. Don’t peek at the answers. Then calculate your score and analyze which systems or topics need more focus.
2. Compare Your Approach
The explanations reveal how MCC expects you to think — not just what you should know. Compare your reasoning style with theirs. That’s where real growth happens.
3. Map Every Question to an MCC Objective
Each MCCQE1 question ties back to the MCC Objectives — the blueprint of the entire exam. Use this opportunity to understand how those objectives come alive in question form.
4. Don’t Stop at 55
While this set is valuable, it’s limited. Use it as a springboard into larger question banks and structured courses — especially those that focus on Canadian-style clinical reasoning, like MedCognito’s MCCQE1 Prep Course.
What This Signals About MCCQE1 Preparation Going Forward
The release of these free questions hints at a broader MCC goal — greater transparency and accessibility.
It also signals that the new MCCQE1 format is here to stay: MCQs that assess reasoning, not just recall.
For candidates, that means success no longer depends on memorizing trivia but on thinking like a Canadian clinician.
Where to Access the Free MCC Practice Questions
You can access the full set of 55 questions directly on the official MCC website:
MCC Free MCCQE1 Practice Questions (Official)
No login. No fee. Just authentic MCC content.
Final Thoughts
The release of these 55 official MCC-style practice questions marks an important shift a rare glimpse behind the curtain of one of Canada’s most challenging medical licensing exams.
They may be just 55 questions, but if you study them strategically, they can teach you how the MCC frames its logic, priorities, and expectations.
For serious candidates, this is a gift and an opportunity to calibrate your preparation with confidence.
And if you want structured guidance, real clinical reasoning drills, and expert mentorship tailored to the updated 2025 format, MedCognito’s MCCQE1 Prep Course has you covered.
FAQs About the MCC’s 55 Free Practice Questions
1. Are these official MCCQE1 questions?
Yes. They were written and reviewed by the MCC’s own exam development committees using the same process as the actual exam questions.
2. Do they reflect the updated (post-April 2025) MCCQE1 format?
Exactly. The set contains only MCQs, matching the current structure of the MCCQE1.
3. How difficult are these sample questions compared to the real exam?
They’re a realistic representation moderate in difficulty but authentic in structure and reasoning.
4. Can I use them as my only practice material?
No. While they’re helpful, 55 questions aren’t enough to cover the full exam scope. Use them alongside comprehensive prep resources.
5. Where can I find more MCC-style questions?
The MCC sells official preparatory products, and MedCognito’s MCCQE1 course offers hundreds of clinically integrated, MCC-aligned questions designed for IMGs.
