Internal Medicine MCQs with Answers for Prometric Exam
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- 2 days ago
It takes an ambitious dream and a lifelong struggle to become a doctor. Once you've achieved the feat, it's again an open doorway with numerous milestones to secure a stable profession. If one of your career choices is to leverage your medical acumen and make a living in the GCC countries, the Prometric exam is the way to go. Success in this test depends on a solid grasp of clinical concepts and effective problem-solving skills.
If you plan to take the Internal Medicine Prometric exam, this blog post can prove helpful. So, read on until the end:
Insight into the Prometric Examination for Internal Medicine
The Prometric exam is a standardised test for healthcare professionals to qualify for licensure. The test is conducted by Prometric under the guidance of respective medical councils and is applicable in the regions of:
- Saudi Arabia (SCFHS)
- Qatar (QCHP)
- Kuwait (KMLE)
- Bahrain
- Oman (OMSB) and
- UAE (DHA, MOH& DOH)
The scenario-based MCQ format of the tests assesses a candidate’s medical knowledge, diagnostic skills, and ability to make informed clinical decisions. The Prometric internal medicine exam covers various disciplines. Mastering these topics ensures a strong foundation:
- Cardiology
- Endocrinology
- Gastroenterology
- Infectious Diseases
- Nephrology
- Neurology
- Pulmonology
- Rheumatology
- Haematology & Oncology
Sample Internal Medicine MCQs with Answers
The Prometric exam for internal medicine must be completed within 2 to 3 hrs, and its passing score and questionnaire widely vary depending on the speciality and country. Therefore, approaching experts to strategise your preparation is necessary.
Below are a few MCQs with answers and their explanations so you can have a glimpse of how your exam can look like:
Question 1:
A 55-year-old male with a history of hypertension presents with chest pain radiating to the left arm. ECG shows ST-segment elevation. What is the most appropriate next step?
A) Administer aspirin and refer for stress testing
B) Perform immediate coronary angiography
C) Start beta-blockers and observe for 24 hours
D) Prescribe sublingual nitroglycerin and reassess
Answer: B) Perform immediate coronary angiography
Explanation: ST-segment elevation indicates acute myocardial infarction, requiring urgent intervention.
Question 2:
A 42-year-old female presents with weight gain, cold intolerance, and bradycardia. Blood tests reveal elevated TSH and low T3/T4. What is the most likely diagnosis?
A) Hyperthyroidism
B) Cushing’s syndrome
C) Hypothyroidism
D) Addison’s disease
Answer: C) Hypothyroidism
Explanation: High TSH and low T3/T4 levels confirm hypothyroidism, commonly caused by Hashimoto’s thyroiditis.
Question 3:
A patient with chronic liver disease develops confusion, asterixis, and elevated ammonia levels. What is the best initial treatment?
A) High-protein diet
B) Lactulose
C) Loop diuretics
D) Beta-blockers
Answer: B) Lactulose
Explanation: Hepatic encephalopathy results from ammonia accumulation. Lactulose helps eliminate ammonia through the gut.
Question 4:
A 60-year-old man with a history of smoking presents with a chronic cough, weight loss, and haemoptysis. A chest X-ray reveals a mass in the right lung. What is the next best step?
A) Start empirical antibiotics
B) Order a CT scan of the chest
C) Perform pulmonary function tests
D) Prescribe corticosteroids
Answer: B) Order a CT scan of the chest
Explanation: A lung mass in a smoker raises suspicion of lung cancer. A CT scan provides better imaging to guide further evaluation.
Question 5:
A 35-year-old male presents with sudden-onset severe headache, neck stiffness, and photophobia. His temperature is 39°C. What is the most appropriate next step?
A) Perform a lumbar puncture
B) Order a head CT scan
C) Start IV antibiotics immediately
D) Prescribe analgesics and observe
Answer: C) Start IV antibiotics immediately
Explanation: Symptoms suggest bacterial meningitis, a medical emergency requiring immediate antibiotic treatment before investigations.
Tips to Ace the Prometric Exam
Achieving a high score on your Prometric exam provides a strong foundation and a higher possibility of getting
your desired placement. Here are a few tips by the experts to prepare smart and score well:
- Strengthen the core concepts in internal medicine using textbooks like Harrison’s Principles of Internal Medicine and Davidson’s Principles and Practice of Medicine.
- Be consistent with practising at least 50–100 questions per day
- Prioritise cardiology, endocrinology, and infectious diseases, as they frequently appear in exams.
- Take full-length practice tests under timed conditions
- Review incorrect answers and understand the rationale behind the correct choices
- Reach out to subject matter experts for better guidance
Final Thoughts
Preparations for the Prometric exam can demand consistency and endurance. However, with the right guidance, you will be able to strategise and achieve success in the first attempt itself.
Looking for mentorship that eases your Prometric journey?
Reach out to our knowledgeable and experienced team at Prometric Exam Online. We are a group of doctors possessing more than 12 years of experience in assisting aspirants to secure desired marks in the Prometric exams. Our carefully curated online mock tests enable one to gauge their preparation and understand how to improve it.