LMCC Practice Test

Achieving the Licentiate of the Medical Council of Canada (LMCC) is a crucial milestone for physicians aspiring to practice medicine in Canada. This certification signifies that a candidate has met the professional and educational standards required to deliver competent patient care. The LMCC qualification, granted by the Medical Council of Canada (MCC), is earned by passing the MCCQE (Medical Council of Canada Qualifying Examination) Parts I and II.

This guide provides essential insights into the LMCC exam, study strategies, and practice resources to help you achieve success.

LMCC Exam at a Glance

What changed for LMCC in 2026

• Oct 25, 2026: Delivery (MCCQE) changed to Prometric test centres (previously Computer-based at Prometric test centres (no remote proctoring)).^[1]
• Oct 25, 2026: Registration opens (MCCQE) changed to Scheduling opens 5 months before each session (previously Apply anytime; scheduling opens 5 months before each session).^[6]
• Oct 25, 2026: Late registration deadline (MCCQE) changed to Change/cancel up to 120 hours before; $35 or $75 CAD + HST (previously Reschedule/cancel up to 120 hours before; $35 or $75 CAD + HST).^[6]
• Oct 25, 2026: Retake policy (MCCQE) changed to Max 4 attempts; 1-year wait after the 3rd (previously Max 4 attempts; 1-year wait before the 4th).^[4]
• Oct 25, 2026: Validity (MCCQE) changed to 12-month eligibility window (previously 12-month eligibility window (extendable once by 12 months)).^[4]
• Oct 25, 2026: Eligibility (LMCC) changed to MCCQE pass plus MCC requirements; digital LMCC number (previously Approved medical school graduate + MCCQE pass + source-verified credentials).^[5]

According to Medical Council of Canada, “The exam consists of 230 multiple-choice questions (MCQs) divided into two sections of 115 items.”^[1]

LMCC content outline and where to practise each area

The content areas below are copied from the official LMCC content outline published by Medical Council of Canada. The right-hand column shows which of our practice sets covers it.

Worked examples: how to reason through LMCC questions

These are practice questions written for this site, not questions from the real exam. Each explanation shows why the right answer is right and why the others are wrong.

Example 1

Question: How can candidates confirm their eligibility for the MCCQE Part II?

1. Complete a minimum of two years of clinical practice.
2. Pass Part I and complete 12 months of postgraduate training.
3. Provide proof of employment in a medical setting.
4. Submit a letter of recommendation from their residency director.

Answer: B. Pass Part I and complete 12 months of postgraduate training.

Explanation:

Option B is right because eligibility for Part II rests on a stated pair of requirements: a pass on Part I and 12 months of postgraduate training. Both must be in place.

Option A is wrong because it names two years of clinical practice, which is not the defined requirement; a candidate could have long practice and still not meet the training criterion. Option C is wrong because proof of employment in a medical setting does not show accredited postgraduate training. Option D is wrong because a letter from a residency director is a reference, not an eligibility test.

The general rule: licensing eligibility is set by published criteria that can be checked, not by references or informal experience. When two options sound plausible, pick the one that matches a documented requirement, and always confirm the current wording on the official site.

Example 2

Question: A 35-year-old woman who is 32 weeks pregnant presents with acute dyspnea, pleuritic chest pain, and tachycardia after a 10-hour flight. CT pulmonary angiography confirms pulmonary embolism. What anticoagulant is preferred?

1. Warfarin (starting immediately)
2. Low-molecular-weight heparin (LMWH) such as enoxaparin
3. Rivaroxaban (a direct oral anticoagulant)
4. Unfractionated heparin by subcutaneous injection only

Answer: B. Low-molecular-weight heparin (LMWH) such as enoxaparin

Explanation:

Option B is right. Low-molecular-weight heparin such as enoxaparin does not cross the placenta, has predictable dosing, and is the usual choice for pulmonary embolism in pregnancy.

Option A is wrong because warfarin crosses the placenta and can harm the fetus, so it is avoided in pregnancy. Option C is wrong because direct oral anticoagulants such as rivaroxaban are not approved in pregnancy. Option D is wrong because unfractionated heparin has a role in some acute settings, but limiting it to subcutaneous injection only is not the preferred approach compared with LMWH.

The general rule: in pregnancy, ask first whether a drug reaches the fetus. Heparins stay on the maternal side; warfarin and oral anticoagulants do not, so they are generally not chosen.

Example 3

Question: What is the purpose of feedback provided with MCCQE results?

1. To determine eligibility for licensure.
2. To help candidates improve by identifying strengths and weaknesses.
3. To rank candidates for residency programs.
4. To decide eligibility for retaking the test.

Answer: B. To help candidates improve by identifying strengths and weaknesses.

Explanation:

Option B is right because the feedback that comes with MCCQE results is meant to be educational. It shows candidates how they performed across content areas, so they can see strengths and weaknesses and target their study, which matters most for anyone planning another attempt.

Option A is wrong because licensure eligibility depends on the result and the other requirements, not on the feedback itself. Option C is wrong because the feedback is not a ranking tool and is not used to order candidates for residency programs. Option D is wrong because retake eligibility is governed by the published attempt rules, not by what the feedback says.

The general rule: when a question asks about the purpose of a feedback report, think diagnostic and developmental. Be wary of options that turn feedback into a gatekeeping or ranking decision.

How to use these practice tests

Start with the official material. Read the MCC pages on the exam format, scheduling and results so you know the rules you are working within, and note the content areas: Acute, Chronic, Health Promotion and Illness Prevention, and Psychosocial Aspects.

Next, take a baseline run in the Start Practice Test set without looking anything up. Sort the questions you missed by content area, not by the order you saw them.

• For acute presentations, work through LMCC Emergency Medicine and LMCC Pharmacology Basics.
• For chronic care, use LMCC Treatment Planning.
• For prevention and safety, use LMCC Patient Safety Protocols.
• For psychosocial topics, use LMCC Patient Communication and LMCC Medical Ethics and Law.

After each set, write a short note on why every wrong option was wrong. Repeat the sets that exposed gaps, then return to the official sources to check anything you were unsure about. Because the exam is multiple choice, practise reading the stem carefully and eliminating options before choosing. Treat our questions as practice for reasoning, not as a preview of real items.

Key Takeaways

Free LMCC Practice Test Online

• The LMCC is an essential credential for practicing medicine in Canada and signifies competency in clinical knowledge and skills.
• The MCCQE exam evaluates a physician’s medical expertise, problem-solving abilities, and patient management skills.
• Structured preparation, including study schedules, focused practice, and high-quality resources, is crucial for success.
• Effective use of practice questions and clinical scenarios can boost your performance on the exam.

What is LMCC?

The Licentiate of the Medical Council of Canada (LMCC) is a credential granted to medical graduates who have successfully completed the Medical Council of Canada Qualifying Examination (MCCQE). It demonstrates that the physician possesses the knowledge, skills, and professional attitudes necessary to practice medicine in Canada.

Key Points About LMCC:

• Role in Licensing: While the LMCC is not a license to practice medicine, it is an essential step toward obtaining a full medical license in Canada.
• International Recognition: The LMCC is widely recognized, making it a valuable credential for physicians seeking opportunities both in Canada and internationally.
• Path to Licensure: Graduates must pass MCCQE Part I, and if required, MCCQE Part II, to receive the LMCC designation.

LMCC Exam

The Medical Council of Canada Qualifying Examination (MCCQE) is a two-part assessment designed to evaluate a candidate's medical knowledge, clinical skills, and decision-making abilities.

MCCQE Part I:

• A computer-based test consisting of multiple-choice questions (MCQs) and clinical decision-making (CDM) cases.
• Covers a wide range of medical disciplines, including internal medicine, pediatrics, surgery, and psychiatry.
• Focuses on medical knowledge, problem-solving, and patient management.

MCCQE Part II (when required):

• An Objective Structured Clinical Examination (OSCE) that assesses practical skills through patient-encounter simulations.
• Focuses on communication, history-taking, physical examination, and decision-making.

Eligibility for the LMCC Exam:

• Graduates of accredited medical schools in Canada or internationally recognized medical programs.
• Candidates must register with the Canadian Resident Matching Service (CaRMS) to begin their certification process.

How to Study for LMCC

Preparation for the LMCC exam requires a structured approach and thorough understanding of medical concepts. Here are essential strategies to help you study effectively:

Key Study Techniques:

• Understand the Exam Blueprint: Familiarize yourself with the MCCQE exam content, including the weightage of topics and question formats. Knowing what to expect will simplify your preparation.
• Create a Study Schedule: Develop a realistic timetable that balances your review of core topics and practice sessions. Dedicate specific days to high-priority subjects.
• Active Learning Strategies: Use flashcards, mind maps, and note summaries to reinforce key concepts. Active recall is an effective way to retain information.
• Practice Clinical Scenarios: For MCCQE Part II, focus on developing communication skills and clinical decision-making by practicing real-life patient scenarios with peers or mentors.

Time Management Tips:

• Break your study time into manageable blocks with scheduled breaks to maintain focus.
• Prioritize areas where you feel less confident while ensuring you revisit stronger topics periodically.

LMCC Study Guide

A comprehensive study guide tailored to the LMCC exam is indispensable for success. Here are recommended resources and strategies to guide your preparation:

Core Study Resources:

• MCC Objectives: Review the official MCC objectives, which outline the knowledge and skills tested in the exam. These objectives serve as the foundation for your preparation.
• Medical Textbooks: Trusted textbooks like Harrison’s Principles of Internal Medicine and Toronto Notes for Medical Students cover core medical concepts comprehensively.
• Online Platforms: Platforms like UWorld and CanadaQBank offer high-quality practice questions and explanations tailored to the MCCQE exam format.

Focused Learning Approaches:

• Systematic Review: Divide your study material into systems or specialties (e.g., cardiovascular, gastrointestinal) for a more organized review.
• Mock Exams: Use timed mock exams to familiarize yourself with the test environment and improve your ability to manage time effectively.
• Feedback-Oriented Learning: Review incorrect answers and seek feedback from mentors or colleagues to strengthen weak areas.

LMCC Practice Questions

Practicing questions that closely resemble the MCCQE format is critical to success. Practice questions not only help you apply your knowledge but also improve your ability to interpret complex clinical scenarios.

Benefits of Practice Questions:

• Familiarity with Exam Format: Understand the structure of MCQs and CDM cases.
• Critical Thinking Development: Enhance your ability to analyze clinical scenarios and choose the most appropriate management plan.
• Identification of Weak Areas: Pinpoint topics that require further review and reinforce your strengths.

Regular practice and review of questions will significantly enhance your readiness for the LMCC exam.

Sources & last verified

1. Medical Council of Canada — number of questions, delivery (official source). “The exam consists of 230 multiple-choice questions (MCQs) divided into two sections of 115 items.” Verified Oct 25, 2026.
2. Medical Council of Canada — passing score (official source). “Your total MCCQE score is reported on a scale from 300 to 600 with a pass score of 439.” Verified Oct 25, 2026.
3. Medical Council of Canada — exam fee (official source). “$1,500.00” Verified Oct 25, 2026 · source checked Oct 17, 2026.
4. Medical Council of Canada — retake policy, validity (official source). “You may take the MCCQE up to a maximum of 4 times.” Verified Oct 25, 2026.
5. Medical Council of Canada — eligibility (official source). “receives a digital LMCC number as official proof of registration.” Verified Oct 25, 2026.
6. Medical Council of Canada — score release, late registration deadline, registration opens (official source). “Results will be available 4 weeks after the last day of the January, August and October session.” Verified Oct 25, 2026.
7. Medical Council of Canada — other (official source). “acute” Verified Nov 1, 2026.

How we verify: editorial & fact-checking policy. Report an error: contact us.