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MCCQE practice tests from the MCC, and other ways to study

For the Medical Council of Canada Qualifying Examination (MCCQE), the Medical Council of Canada (MCC) makes its own MCCQE practice test material: a free set of 55 questions with answers and rationales, and preparatory exams written the same way as the real one, including a full-length form for $1. It also publishes the MCC Examination Objectives and a study guide. Toronto Notes and commercial question banks are sold separately, and the MCC says you don’t need any particular product.

  • 55Free practice questions from the MCC
  • $1Price of one full-length MCC practice exam
  • Six monthsAccess to each MCC preparatory product
Where to study

Updated October 2026 · Written from official sources, listed at the bottom of this page

The MCC’s own material and other study options

OptionPriceFree to useLinks
Official
MCC free MCCQE practice questionsOfficial sample questions (online and PDF)55 MCC-style questions the Medical Council of Canada says are designed to reflect the MCCQE. For personal study and non-commercial use only. The layout isn’t the exam’s own.
FreeAll 55 questions, with responses, rationales and references
MCC: Free practice questions ↗
MCC Preparatory Examination ($1 form)Official full-length practice exam230 multiple-choice questions, the same length as the MCCQE, with answers, rationales and references. Timed or self-paced, 6 months of access, and one attempt per form.
$1 per test formNo free version; the MCC says the $1 price isn’t time-limited
MCC: Preparatory products ↗
MCC Preparatory Examination (PE) and PE-LiteOfficial full-length and half-length practice examsThe PE has 230 questions; there are two PE-Lite forms of 115 questions each. No question repeats across the MCC’s four forms or its 55 free questions. Results are raw scores with no link to the MCCQE scale.
$400 for the PE; $250 a form for the PE-LiteNo free version
MCC: Preparatory products FAQs ↗
Study smarter: A study guide for the MCCQEOfficial study guide (PDF), published April 1, 2026Written by Dr. Filipe Nadir Caparica Santos with the MCC. It explains the blueprint and objectives, sorts the objectives into six disciplines and includes a sample plan of 180 study sessions.
No fee listedListed among the MCC’s free resources
MCC: Study smarter (PDF) ↗
MCC Examination ObjectivesOfficial exam objectives (web pages)What the MCCQE is written from, grouped by the seven CanMEDS roles. The MCC recommends reading the key and enabling objectives for each clinical presentation.
No fee listedRead online on mcc.ca
MCC: Examination Objectives ↗
MCC Canadian cultural resourcesCurated list of Canadian practice resourcesChosen by the MCC from Canadian sources and searchable by 20 topic tags, for parts of Canadian practice that internationally trained physicians may find hard to prepare for.
Free90+ freely available resources
MCC: Free resources ↗
Books
Toronto NotesMedical review book, print or eBookRevised every year by University of Toronto Faculty of Medicine students, staff and faculty. The U of T Bookstore calls it a review for the MCCQE. Bundles hold three volumes and the Clinical Handbook; eBooks are on Kortext, not PDF, and sales are final. It isn’t an MCC product.
$244.95 print bundle or $150.95 eBook bundle (2026-2027), U of T Bookstore pricesNo free version listed
U of T Bookstore: Toronto Notes ↗

Prices and ratings checked October 2026.

Free MCCQE practice questions from the MCC

The MCC’s free set has 55 MCC-style questions meant to reflect the MCCQE. You can answer them on its site or download a PDF with the questions, responses, rationales and references.

They’re for personal study and non-commercial use. The MCC also points out that the layout isn’t what you’ll see on exam day, and that some tables load as images that a network firewall can block.

MCC: Free practice questions ↗MCC: MCCQE practice questions and answers, 2026 (PDF) ↗

Which MCCQE practice test from the MCC should you buy?

ProductQuestionsPrice
Preparatory Examination, $1 form230$1
Preparatory Examination (PE)230$400
PE-Lite, two forms115 each$250 a form

The MCC says the $1 form and the $400 PE are the same apart from their questions, and the $1 price isn’t time-limited. So the $1 form gives you a full-length practice exam, and the PE and PE-Lite forms are for more unseen questions. No question repeats across these four forms or the 55 free questions, which gives you up to 745 questions in all.

Each form comes with correct answers, rationales and references, in timed or self-paced mode, for 6 months. You can take a form only once. Your result is a raw score, which the MCC says has no link to the MCCQE score scale, and test accommodations aren’t available on these products. The MCC’s fee page says it processes payments in Canadian dollars.

MCC: Preparatory products ↗MCC: Preparatory products FAQs ↗

Toronto Notes, question banks and other paid resources

The MCC doesn’t require you to use or buy any specific material. It publishes a list of reference books its test committees may use to check questions, such as Harrison’s Principles of Internal Medicine and Bates’ Guide to Physical Examination and History Taking.

Toronto Notes is written and revised every year by University of Toronto Faculty of Medicine students, staff and faculty, and its seller, the U of T Bookstore, calls it a review for the MCCQE. The bookstore lists the 2026‑2027 print bundle at $244.95 and the eBook bundle at $150.95. The eBooks are on the Kortext platform, not PDF files, and every sale is final.

The MCC says commercial question banks and courses aren’t endorsed by it, and that the people who write its exams don’t create them. Whatever you use, the MCC forbids sharing MCCQE content in any way, even from memory.

MCC: Reference materials ↗U of T Bookstore: Toronto Notes ↗MCC: Exam security ↗

A study path built on the MCC’s own material

  1. Read the MCC Examination Objectives for each role, and allow plenty of time for the medical expert role, as it has the largest number of objectives.
  2. Use the MCC’s study guide, Study smarter, to map each objective to the exam blueprint. Its sample plan has 180 study sessions spread evenly over six disciplines.
  3. Spend about a third of your time on multiple-choice questions, as that plan does, and two thirds on content.
  4. Use the 55 free questions to see the MCC’s question style, with the MCC’s list of normal lab values to hand.
  5. Sit a preparatory exam in timed mode to get used to the two 115-question sections and the exam’s tools, such as flagging and highlighting.

The MCC also suggests a study group, where each member presents patient problems they know well and the others question them on diagnosis and management.

MCC: Study smarter, a study guide for the MCCQE (PDF) ↗MCC: List of normal lab values ↗MCC Examination Objectives explained →
Sources: MCC · U of T Bookstore and 10 more. Checked October 2026.

Rules and fees can change, so check the official site before your test.

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