100+ Free CFPC Exam (CCFP) Practice Questions

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2026 Statistics

Key Facts: CFPC Exam (CCFP) Exam

CCFP

Designation earned by passing the CFPC Certification Examination in Family Medicine

CFPC - Certification Examination in Family Medicine

2 components

Written case-based component plus the separate Simulated Office Oral (SOO)

CFPC - Certification Examination in Family Medicine

April 2026

Written cases begin converting from short-answer to multiple-choice and short-menu questions

CFPC - Examinations and certification

2027

All written exam cases use MCQ and short-menu questions

CFPC - Examinations and certification

~32 cases

Approximate number of case scenarios in the written component over about four hours

CFPC - Preparing for the Certification Examination in Family Medicine

CAD 4,369

2026 fee for residency-eligible candidates (CAD 5,826 practice-eligible)

CFPC - Fees for the Certification Examination in Family Medicine

Twice a year

Offered in spring and fall across Canada in both official languages

CFPC - Certification Examination in Family Medicine

100

Free original single-best-answer practice questions here

OpenExamPrep

The CFPC Certification Examination in Family Medicine is Canada's national family-medicine board exam, leading to the CCFP designation from the College of Family Physicians of Canada. The written component has about 32 case-based scenarios over roughly four hours (about eight minutes per case) and, starting April 2026, is converting from short-answer management problems to single-best-answer multiple-choice and short-menu questions, with full MCQ conversion by 2027. A separate Simulated Office Oral (SOO) component uses five 15-minute patient interviews. Passing standards are criterion-referenced and set per component per sitting. For 2026 the fee is CAD 4,369 (residency-eligible) or CAD 5,826 (practice-eligible). This 100-question bank provides original single-best-answer MCQ practice grounded in Canadian guidelines.

Sample CFPC Exam (CCFP) Practice Questions

Try these sample questions to test your CFPC Exam (CCFP) exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 58-year-old man with type 2 diabetes, no prior cardiovascular disease, presents for routine care. His blood pressure is 142/88 mmHg confirmed on repeat measurement. According to Hypertension Canada guidance, what is the most appropriate first-line antihypertensive consideration in a patient with diabetes?

A.An ACE inhibitor or ARB

B.A beta-blocker

C.An alpha-blocker

D.A loop diuretic

Explanation: In patients with diabetes, an ACE inhibitor or ARB is preferred first-line because these agents reduce cardiovascular events and offer renal protection, especially when albuminuria is present. They directly address the renin-angiotensin system that drives diabetic kidney and vascular disease.

2A 24-year-old woman requests starting a combined oral contraceptive. Which of the following findings is an absolute contraindication to a combined hormonal contraceptive?

A.Well-controlled hypothyroidism

B.Migraine with aura

C.A family history of breast cancer

D.Mild iron-deficiency anemia

Explanation: Migraine with aura is a contraindication to combined hormonal contraceptives because the added estrogen raises the risk of ischemic stroke. A progestin-only method or non-hormonal option is recommended instead.

3A 45-year-old presents with acute low back pain after lifting boxes. Which feature is a red flag that warrants urgent further investigation rather than conservative management?

A.Pain worse with movement and better with rest

B.New urinary retention and saddle anesthesia

C.Pain radiating to the buttock

D.Localized paraspinal muscle tenderness

Explanation: New urinary retention with saddle anesthesia suggests cauda equina syndrome, a surgical emergency requiring urgent MRI and decompression. Delayed recognition can cause permanent neurological deficits.

4According to the Canadian Task Force on Preventive Health Care, at what age does routine screening mammography for average-risk women generally begin under most provincial programs that have adopted shared decision-making?

A.Age 30

B.Age 40 to 49 with shared decision-making, with routine programs typically from 50

C.Age 65

D.Age 25

Explanation: For average-risk women, routine organized screening has traditionally begun at 50, while screening between 40 and 49 is offered through informed, shared decision-making that weighs benefits against harms such as false positives. The patient's values and risk should guide the timing within that range.

5A 30-year-old woman presents with a 6-week history of low mood, anhedonia, poor sleep, and difficulty concentrating that impairs her work. She denies suicidal ideation. What is the most appropriate first-line management for mild to moderate major depressive disorder?

A.Structured psychotherapy such as CBT and/or an SSRI

B.A benzodiazepine alone

C.Immediate referral for electroconvulsive therapy

D.An antipsychotic as monotherapy

Explanation: First-line treatment for mild to moderate major depressive disorder is evidence-based psychotherapy such as cognitive behavioural therapy and/or an SSRI, chosen with the patient. Both are effective, and the choice depends on availability, severity, and patient preference.

6A 6-month-old infant presents with fever and irritability. Which finding most strongly suggests a serious bacterial infection requiring urgent assessment rather than a self-limited viral illness?

A.Mild rhinorrhea and a wet cough

B.A non-blanching petechial rash with lethargy

C.Temperature of 38.2 C that responds to acetaminophen

D.Decreased appetite for one day with normal activity

Explanation: A non-blanching petechial rash with lethargy in a febrile infant raises concern for invasive meningococcal disease or sepsis and is a can't-miss emergency. Urgent assessment, blood cultures, and empiric antibiotics are required.

7A 68-year-old man with COPD presents with increased dyspnea, increased sputum volume, and purulent sputum. He is afebrile with mild wheeze and no consolidation. What is the most appropriate management of this COPD exacerbation?

A.Short-acting bronchodilators, a short course of oral corticosteroids, and consideration of antibiotics given purulent sputum

B.Long-term oral corticosteroids indefinitely

C.Antibiotics only, with no bronchodilator change

D.Reassurance and no change to therapy

Explanation: An acute COPD exacerbation is managed with intensified short-acting bronchodilators and a short course of systemic corticosteroids. Antibiotics are indicated when at least two cardinal symptoms are present, particularly increased sputum purulence, as in this case.

8A 55-year-old man presents with sudden severe central chest pressure radiating to the left arm, diaphoresis, and nausea for 30 minutes. What is the most appropriate immediate next step?

A.Arrange outpatient stress testing in one week

B.Obtain an ECG within 10 minutes and arrange urgent assessment

C.Prescribe a proton pump inhibitor for presumed reflux

D.Reassure and advise rest at home

Explanation: This presentation is a possible acute coronary syndrome, a can't-miss diagnosis. An ECG should be obtained within 10 minutes and the patient assessed urgently, with aspirin given and emergency transfer arranged. Time-sensitive reperfusion depends on rapid recognition.

9Following Choosing Wisely Canada recommendations, which of the following is generally considered low-value care that should be avoided?

A.Imaging for acute low back pain without red flags

B.Blood pressure measurement at routine visits

C.Offering smoking cessation counselling

D.Updating immunizations at periodic visits

Explanation: Choosing Wisely Canada advises against imaging for acute low back pain in the absence of red flags, because it rarely changes management and exposes patients to harm and cost. Conservative management and reassurance are preferred.

10A 72-year-old woman with frailty takes 11 medications. She reports dizziness and a recent fall. Which action best reflects appropriate management of polypharmacy in a frail older adult?

A.Add a medication to treat the dizziness

B.Review and deprescribe medications that may cause orthostasis or sedation

C.Increase doses to ensure full effect

D.Refer for surgical evaluation of the fall

Explanation: In a frail older adult with falls and polypharmacy, a structured medication review to deprescribe agents that cause orthostatic hypotension, sedation, or confusion is the priority. Reducing high-risk medications often improves symptoms and lowers fall risk.

About the CFPC Exam (CCFP) Exam

The Certification Examination in Family Medicine is the national board examination administered by the College of Family Physicians of Canada (CFPC) that leads to the CCFP designation. It assesses comprehensive Canadian family-medicine competence across the lifespan and is built around the CFPC priority topics, key features and the foundational 99 priority topics framework. The examination has two components: a computer-based written component of roughly 32 case-based scenarios and the Simulated Office Oral (SOO) component of five 15-minute simulated patient interviews. Starting in April 2026 the written component begins transitioning from short-answer management problems (SAMPs) to multiple-choice and short-menu questions, with up to 25 percent of cases in the new format in 2026 and full conversion to MCQ and short-menu questions in 2027. The exam is offered twice a year across Canada in both official languages.

Assessment

Two components: a computer-based written component of about 32 case-based scenarios (transitioning from short-answer to multiple-choice and short-menu questions in 2026-2027) and the separate Simulated Office Oral (SOO) component of five 15-minute simulated patient interviews.

Time Limit

The written component runs about four hours of testing (roughly four and a half hours total including a 15-minute orientation tutorial and a 15-minute break), about eight minutes per case scenario. The SOO component uses five 15-minute interviews.

Passing Score

Criterion-referenced. The minimum passing score is set separately for each component and each sitting and is approved by the CFPC Board of Examinations and Certification; there is no single fixed percentage.

Exam Fee

For 2026, CAD 4,369 for residency-eligible candidates and CAD 5,826 for practice-eligible candidates. (The College of Family Physicians of Canada (CFPC))

CFPC Exam (CCFP) Exam Content Outline

55%

Common presentations across the lifespan

Cardiovascular, respiratory, diabetes and endocrine, mental health, MSK and low back pain, dermatology, GI, neurology, infectious disease, pediatrics and geriatrics. Practice covers diagnosis, Canadian first-line management and follow-up across the CFPC priority topics and key features.

12%

Women's, men's and sexual health

Contraception, prenatal and pregnancy care, menstrual and menopausal concerns, breast and cervical issues, and male and sexual health presentations as managed in Canadian family practice.

18%

Preventive care and screening

Periodic health examination, Canadian Task Force on Preventive Health Care and Choosing Wisely Canada recommendations, immunization schedules, cancer screening intervals and counselling on modifiable risk factors.

15%

Red flags, can't-miss diagnoses and palliative care

Recognition of emergencies and serious diagnoses, appropriate Canadian prescribing and deprescribing, end-of-life and palliative care, and safe decision-making under diagnostic uncertainty.

How to Pass the CFPC Exam (CCFP) Exam

What You Need to Know

Passing score: Criterion-referenced. The minimum passing score is set separately for each component and each sitting and is approved by the CFPC Board of Examinations and Certification; there is no single fixed percentage.
Assessment: Two components: a computer-based written component of about 32 case-based scenarios (transitioning from short-answer to multiple-choice and short-menu questions in 2026-2027) and the separate Simulated Office Oral (SOO) component of five 15-minute simulated patient interviews.
Time limit: The written component runs about four hours of testing (roughly four and a half hours total including a 15-minute orientation tutorial and a 15-minute break), about eight minutes per case scenario. The SOO component uses five 15-minute interviews.
Exam fee: For 2026, CAD 4,369 for residency-eligible candidates and CAD 5,826 for practice-eligible candidates.

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

CFPC Exam (CCFP) Study Tips from Top Performers

1Organize study around the CFPC priority topics and key features rather than by textbook chapter, since the exam tests prioritized clinical actions for each topic.

2Practise Canadian-specific guidance: use the Canadian Task Force on Preventive Health Care for screening intervals and Choosing Wisely Canada for avoiding low-value testing.

3Drill can't-miss diagnoses and red flags for common presentations such as headache, low back pain, chest pain and the acutely unwell child, where a single missed feature changes management.

4Get comfortable with the new single-best-answer and short-menu format by timing yourself to about eight minutes per case, choosing the most appropriate next step rather than listing everything.

5Review Canadian prescribing choices and dosing for common conditions, including first-line antihypertensives, antibiotics, contraception and analgesia in renal and elderly patients.

6Practise across the full lifespan, from newborn and pediatric care to geriatric frailty and palliative care, because the exam samples broadly from family-practice presentations.

Frequently Asked Questions

Is the CFPC exam changing to multiple choice?

Yes. Starting April 2026 the written component begins converting from short-answer management problems (SAMPs) to multiple-choice and short-menu questions, with up to 25 percent of cases in the new format in 2026 and full conversion to MCQ and short-menu questions in 2027.

What are the two components of the CFPC exam?

A computer-based written component of about 32 case-based scenarios and a separate Simulated Office Oral (SOO) component of five 15-minute simulated patient interviews. The SOO component is scored separately and is not in scope for this MCQ practice bank.

How long is the written component?

The written component is about four hours of testing (roughly four and a half hours total including a 15-minute orientation tutorial and a 15-minute break), giving candidates about eight minutes per case scenario.

What is the passing score for the CFPC exam?

The exam is criterion-referenced. The minimum passing score is set separately for each component and each sitting and is approved by the CFPC Board of Examinations and Certification, so there is no single fixed percentage.

How much does the CFPC exam cost in 2026?

For 2026 the fee is CAD 4,369 for residency-eligible candidates and CAD 5,826 for practice-eligible candidates, as set by the CFPC.

Are these official CFPC practice questions?

No. These are original OpenExamPrep single-best-answer questions modelled on the exam's content and grounded in Canadian guidelines such as the CFPC priority topics, Choosing Wisely Canada and the Canadian Task Force on Preventive Health Care.