Background and aims: As a step in structuring medical practices that exist in Indonesia as stated in Law No.29 of 2004 concerning Medical Practice, several committees form the Student Professional Competency Test Program for Doctors (UKMPPD). The form of questions for competency testing in UKMPPD and USMLE one of them uses Multiple Choice Question (MCQ) which is used because it is more practical and also saves time but can produce objective testing that can measure knowledge, understanding, application and analysis. Methods: this study used an observational analytic method with a case study approach. The study used secondary data consisting of the UKMPPD exam results for the period August 2015-November 2017 obtained from the server admin of UMY Doctor's Professional Study Program and the MCQ results from class of 2009, 2010, and 2011 obtained from the server admin of UMY Medical Undergraduate Study Program. Results: Students who did not graduate on the first / first taker occasion of UKMPPD had a tendency to get MCQ scores during the lecture period namely graduating 10 times / 43.5% from 23 blocks, getting borderline 5 times / 21.9% from 23 blocks, and getting failed / failed 8 times / 34.6% of 23 blocks. Conclusion: MCQ scores during the lecture / preclinical period can be a predictor for determining borderline student graduation at UKMPPD.