Medical Council of Canada · Therapeutics Decision-Making
PASS TDMQuestion Bank · 2026 Edition
The exam changed in 2026.
Most study material didn't.
1,278 original clinical decision questions — 822 multiple-choice and 456 select-from-the-list short answer questions, written by a physician specifically for the new Therapeutics Decision-Making examination — with a rationale for every option, a clinical pearl for every case and a verified source for every answer.
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- Questions
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- Clinical cases
- 26
- Specialties
- 20
- Free to try
Why it's different
Built around therapeutic decisions, not memorised facts
Written for the new format
Every question is a therapeutic decision: choose, adjust, monitor or stop. Not recall trivia, not pre-2026 recycled stems.
Rationale for every option
Each option carries its own explanation, so you learn why the distractors fail — the reasoning the examination actually tests.
Source-verified content
Questions cite the guideline or reference they were built from, with a verification date attached.
Blueprint coverage
Mapped to the MCC blueprint, topic by topic
Every core topic the Medical Council of Canada lists for the Therapeutics Decision-Making examination has dedicated questions — 1,278 in total, 822 multiple-choice and 456 select-from-the-list short answer questions across 29 specialty areas.
The engine
Everything you need to drill and review
Timed and tutor modes
Run blocks under exam conditions or with instant teaching after each answer.
Case-based sequences
Multi-question cases that evolve as the patient's course changes.
Progress tracking
Every question is tracked as unused, correct, incorrect or omitted.
Flags and notes
Flag anything for review and keep your own notes attached to each question.
Specialty filters
Build blocks by specialty, topic, difficulty or previous result.
Full test history
Every completed block is stored and reviewable, answer by answer.
Access
One bank. Choose your window.
Every plan unlocks all 1,278 questions and the full exam engine. Your history, notes and statistics remain on your account after a plan ends.
One-time payment for the chosen window — no auto-renewal. Secure checkout by Stripe.
Written by hand
Physician-written, source-verified
Every question, rationale and pearl in this bank was written and source-verified by hand — no generated filler, no recycled stems.
Start 20 free questionsMock examination
Full-length Self-Assessment, built to mirror the real MCC day
The closest possible rehearsal
Same timed-block structure as the real exam — a true mock, not another drill. Sit it once and you know exactly what exam day will feel like.
Exam-standard scoring
Scored the way the examination is: your result reflects the same case-based, selection-weighted logic — not a simple right-or-wrong tally.
Why it is accurate
Written by a physician from the same source-verified question pool, using the same clinical reasoning the exam tests. What you score here tracks what you can expect.
Realistic stamina & timing
Two timed blocks with a scheduled break train you to pace yourself across the full day, so fatigue never costs you marks.
A precise readiness signal
One performance line that shows where you stand against the pass benchmark — a clearer, more honest signal than drilling alone.
Review with your own answers
After it's done, walk through the cases question by question and see what your choices reveal — before every explanation unlocks.
Access is restricted: create an account and activate it with an activation code, and the self-assessment opens for you at no extra cost. When paid plans apply, it will be included in the plan.