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Pass the MCCQE Exam
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The focused MCCQE Part 1 question bank for Canadian medical graduates and IMGs preparing for residency.

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MCCQE Part 1Cardiology
1:24

A 62-year-old patient presents with breathlessness and ankle oedema. ECG shows broad QRS with notched R waves in V5–V6. Echo reveals an LVEF of 30%. Most appropriate next step?

AOptimise loop diuretic and review in 6 weeks
BRefer for cardiac resynchronisation therapy (CRT)
CCoronary angiography with a view to revascularisation
DCardiac MRI to assess for fibrosis
Teaching Point
Meets ESC and CCS (Canadian Cardiovascular Society) criteria for CRT, LVEF ≤ 35%, NYHA II–IV symptoms, and QRS ≥ 130 ms with LBBB morphology. Optimising medical therapy alone is unlikely to be sufficient given the QRS prolongation indicates electrical dyssynchrony.
3,123+ SBA questions
Reviewed by qualified doctors
Continuously updated to current curricula
Any device, anywhere
Your exams

Built for your exam.
Nothing you don’t need.

One focused question bank, mapped to the blueprint and reviewed by qualified doctors. Pick your exam and start practising.

The pathway

From medical school to Canadian residency.

The path to the LMCC (Licentiate of the Medical Council of Canada) and a Canadian residency. For IMGs, all five steps. For Canadian Medical Graduates, you start at step 3. Passmed covers the exam at the centre of both pathways.

1
Verify your qualification (IMGs)
Confirm your medical school is on the World Directory of Medical Schools (WDOMS) with a Canada sponsor note. Submit your degree and final transcripts via PhysiciansApply.ca for source verification.
WDOMS + PhysiciansApply
2
Apply & book (12-month window)
Submit your MCCQE Part 1 application. CMGs may apply up to 15 months before graduation; eligibility opens 12 months prior. Book your test session via Prometric or remote proctoring.
PhysiciansApply & Prometric
3
Sit the MCCQE Part 1
Pass the 230-MCQ exam mapped to the MCC blueprint - CanMEDS roles, Dimensions of Care, and Physician Activities. 6.5-hour computer-based exam, pass score 226.
Passmed covers this
4
NAC OSCE (IMGs only)
International medical graduates also complete the National Assessment Collaboration Objective Structured Clinical Examination - assessing the clinical skills needed for Canadian residency.
For IMGs only
5
CaRMS match & LMCC
Apply to the Canadian Resident Matching Service (CaRMS) for residency. On completing residency and passing your specialty exams, you earn full independent licensure to practise medicine in Canada.
CaRMS + LMCC
Full details and the latest requirements: mcc.ca · physiciansapply.ca · carms.ca
How it works

3 steps to passing

No fluff, no bloat, just focused revision that actually gets you through your exams.

01,
Choose your exam

Select the MCCQE Part 1 you’re sitting. You get a question bank curated specifically for that exam, mapped to the current syllabus, with no generic filler.

02,
Start revising

Questions reviewed by qualified doctors. Detailed explanations that teach, not just tell. Flag, annotate, and build your own study notes as you go.

03,
Track & improve

Your dashboard tracks every session and surfaces exactly where you're weakest, so your time goes where it matters, not where it's comfortable.

Platform features

Built for how doctors actually study.

Focused question banks

Only the most relevant questions for each exam, reviewed by qualified doctors and updated continuously based on real exam-taker feedback after every sitting.

Personalised dashboard

Every session is tracked. Your dashboard surfaces your weakest topics, progress over time, and where to focus next, no guesswork required.

Explanations that teach

Not just "the answer is B." Every question includes a full teaching point rooted in current clinical guidelines and quality medical literature.

Timed & tutor modes

Switch between timed exam simulation and relaxed tutor mode. Practise the way that suits your stage of revision.

Flags & annotations

Flag questions, add your own notes, and build a personal study library as you work through each module, perfect for last-minute review.

Any device, anywhere

Fully mobile-optimised. Squeeze in questions between ward rounds, clinics, and lectures, whenever you have a spare moment.

FAQ

Got questions? We've got answers.

How do I subscribe to an exam module? +
Pick the exam module you want, click Sign Up Free, and create your account, no card required. Your 7-day trial gives full access to that bank. When you're ready to keep going, choose a paid plan from your account. You'll receive a confirmation email immediately after registration.
Can I access Passmed on multiple devices? +
Yes, Passmed works on any device with a browser. We ask that you don't share login credentials, as simultaneous access from multiple locations may flag your account.
How are questions kept current? +
Our question banks are continuously reviewed by qualified doctors, updated based on exam-taker feedback and the MCC objectives and current clinical guidelines. We only include content directly relevant to the current version of each exam.
Can I get a refund? +
Yes. We offer a 14-day money-back guarantee from your paid purchase date. You can request a refund from your account under Order History, provided you have answered fewer than 50 questions in total (across trial and paid) in the relevant exam bank. Refunds are processed to your original payment method within 10 business days.
Do questions come with full explanations? +
Every question includes the correct answer and a detailed explanation, a proper teaching point rooted in current clinical guidelines and quality medical literature, reviewed by qualified doctors. Not just a one-liner: a teaching point that explains why the right answer is right and the distractors are wrong.
How do you decide which topics to cover? +
We base our content on the MCC’s official examination objectives, so only directly relevant questions are included. Every question is categorised by subject so you can track performance across every topic.
Start today

The best time to start was yesterday. The second best is now.

Curriculum-mapped revision for the MCCQE Part 1, the national qualifying exam for Canadian licensure. Start your free trial today, no card required, no auto-renewal.

14-day money-back guarantee*· No auto-renewal · Pricing shown per exam
*T&Cs apply. Refund available within 14 days provided fewer than 50 questions answered.
Reviews

What doctors say about Passmed.

We're growing in Canada. These are verified reviews from doctors on our Passmed platform.

"Passmed helped me understand how topics would be asked during exams. After getting some wrong I was demotivated at first, but going through the answers made me understand concepts to a deeper degree. I then started taking tests almost every day. When my exam finally came, it was just like taking a Passmed test. I strongly recommend this platform."
S. Mthembu
Verified candidate · March 2026 · Passmed
"A really user-friendly interface that made studying for the exam a smooth process. The questions are well-pitched and the explanations actually teach you the underlying concepts."
R. van Aswegen
Verified candidate · March 2026 · Passmed
"Very helpful. It made studying more engaging and I found myself wanting to do more questions rather than dreading them. The interface is clean and the explanations are detailed without being overwhelming."
Kelsey N.
Verified candidate · February 2026 · Passmed
"I really enjoyed using it. It put things into focus and emphasised the topics that mattered for the exam."
Mpume D.
Verified candidate · February 2026 · Passmed
"When using Passmed you shouldn't just focus on the answer but understanding the concept. Go as far as reading about the other options in the MCQ and understanding them as well."
Sivu M.
Verified candidate · March 2026 · Passmed
"Good teaching tool to use. Helps teach exam-taking techniques and timing, both of which I needed to work on. The mock-exam mode was especially useful in the final weeks."
Sharifa S.
Verified candidate · February 2026 · Passmed