Internal Medicine exam questions
3 exam-length papers covering every published domain for Internal Medicine.
DHA INT59213 papers · 474 Qs
What is riding on this exam
~AED 1,030
Exam fee, per attempt
Published by DHA. Paid again on every re-sit.
3
Attempts - in total
The cap is three across all UAE authorities, not three each.
60%
Pass mark
Pass or fail only. Your score is never released.
One failed attempt costs you the fee again, plus months of delay on your licence, your visa and your start date. This bank costs about a 4th of one exam fee.
Try two questions from this bank
Real questions from the bank - pick an answer to see the rationale and reference.
Q1Oncology and Palliative Care
A pathology report on a rectal cancer resection specimen is issued as 'ypT2N0M0'. What does the prefix 'y' signify in the TNM classification?
Choose an answer to see the rationale.
Q2Oncology and Palliative Care
A 58-year-old asymptomatic woman who smoked 30 pack-years and stopped 6 years ago asks about lung cancer screening. She has no significant comorbidity and would accept treatment if a cancer were found. Which is the most appropriate recommendation?
Choose an answer to see the rationale.
Not sure where you stand? Sit 25 of these questions free, timed at real exam pace, and see which domains you are weakest in.
Take the free mock exam →Liked those? The full bank has 474 questions at this standard - every one with a rationale and a reference.
Get the full bank - AED 289What's inside
- ✓3 full-length papers (~150 Q each)
- ✓474 questions, no overlap between papers
- ✓Four options, one unambiguous best answer
- ✓A full rationale on every question
- ✓A real guideline or textbook reference
- ✓Every sub-topic in the published blueprint
Exam route by authority
| Authority | Delivered by | Specialist title |
|---|---|---|
| DHA - Dubai | Prometric | Computer-based MCQ |
| DOH - Abu Dhabi | Pearson VUE | Computer-based MCQ |
| MOHAP - Northern Emirates | Prometric | Computer-based MCQ |
| SCFHS - Saudi Arabia | Prometric / Pearson | Computer-based MCQ |
| QCHP - Qatar | Prometric | Computer-based MCQ |
| NHRA - Bahrain | Prometric | Computer-based MCQ |
| OMSB - Oman | Prometric | MCQ then oral viva |
Assessment mode depends on your licence title as well as your profession. Confirm your own route on your Sheryan / TAMM eligibility notice.
What the Internal Medicine exam covers
The published blueprint for this exam breaks into 13 domains and 237 testable sub-topics. Our bank covers every one of them - here is the full map, so you can see exactly what you are expected to know.
Cardiovascular Medicine~10-12%18 topics
- Acute coronary syndromes: STEMI, NSTEMI, unstable angina - diagnosis, troponin interpretation, antiplatelet and anticoagulant selection, reperfusion timing
- Chronic stable angina and secondary prevention after myocardial infarction
- Heart failure with reduced ejection fraction: quadruple therapy (ARNI/ACEi, beta-blocker, MRA, SGLT2 inhibitor), device therapy indications
- Heart failure with preserved ejection fraction and acute decompensated heart failure management
- Atrial fibrillation and flutter: rate versus rhythm control, CHA2DS2-VASc and HAS-BLED, DOAC selection and dosing
- Supraventricular and ventricular tachyarrhythmias, bradyarrhythmias and pacing indications
- +12 more in the bank
Pulmonary and Respiratory Diseases~10-12%18 topics
- Asthma: severity classification, GINA stepwise therapy, acute exacerbation management, biologics for severe eosinophilic asthma
- COPD: GOLD grading, inhaler selection, exacerbation management, long-term oxygen and non-invasive ventilation criteria
- Community-acquired and hospital-acquired pneumonia: CURB-65, empiric antibiotics, atypical and aspiration pneumonia
- Pulmonary tuberculosis and latent TB: diagnosis, RIPE therapy, drug toxicity, MDR-TB, contact tracing and regional epidemiology
- Pulmonary embolism: Wells score, D-dimer strategy, CTPA, thrombolysis criteria, anticoagulation duration
- Interstitial lung disease: IPF, hypersensitivity pneumonitis, sarcoidosis, drug-induced and connective-tissue-disease-associated ILD
- +12 more in the bank
Gastroenterology and Hepatology~10%19 topics
- Upper and lower gastrointestinal bleeding: Glasgow-Blatchford and Rockall scores, resuscitation, endoscopic timing, PPI and octreotide use
- Peptic ulcer disease, Helicobacter pylori eradication regimens and NSAID gastropathy
- GORD, Barrett's oesophagus surveillance and eosinophilic oesophagitis
- Dysphagia: oropharyngeal versus oesophageal, achalasia, strictures, oesophageal motility disorders
- Inflammatory bowel disease: Crohn's disease and ulcerative colitis - diagnosis, severity scoring, biologics, extraintestinal manifestations, toxic megacolon
- Irritable bowel syndrome, coeliac disease and chronic diarrhoea workup
- +13 more in the bank
Infectious Diseases~9-11%18 topics
- Sepsis and septic shock: Sepsis-3 definitions, qSOFA, sepsis bundles, source control, early antibiotics and fluid resuscitation
- Antimicrobial stewardship: spectrum selection, de-escalation, duration, allergy delabelling, therapeutic drug monitoring (vancomycin, aminoglycosides)
- Multidrug-resistant organisms: MRSA, ESBL, carbapenem-resistant Enterobacterales, VRE, Acinetobacter
- HIV: diagnosis, staging, antiretroviral initiation, opportunistic infections and prophylaxis, immune reconstitution syndrome, PrEP and PEP
- Tuberculosis including extrapulmonary and miliary disease
- Fever of unknown origin: structured diagnostic approach
- +12 more in the bank
Endocrinology, Diabetes and Metabolism~9%18 topics
- Type 1 and type 2 diabetes mellitus: diagnostic criteria, HbA1c targets, oral agents, GLP-1 receptor agonists, SGLT2 inhibitors and insulin regimens
- Diabetic ketoacidosis and hyperosmolar hyperglycaemic state: fluid, insulin and potassium protocols
- Hypoglycaemia: causes, Whipple's triad, insulinoma and factitious hypoglycaemia
- Chronic diabetic complications: retinopathy, nephropathy, neuropathy, diabetic foot and cardiovascular risk reduction
- Thyrotoxicosis: Graves disease, toxic nodular goitre, thyroiditis, antithyroid drugs, radioiodine and thyroid storm
- Hypothyroidism, subclinical thyroid disease and myxoedema coma
- +12 more in the bank
Nephrology, Fluids and Electrolytes~8-9%18 topics
- Acute kidney injury: KDIGO staging, prerenal/intrinsic/postrenal differentiation, urinary indices and contrast-associated AKI
- Chronic kidney disease: staging, progression, complications and preparation for renal replacement therapy
- Indications for urgent dialysis and modality selection (haemodialysis, peritoneal dialysis, CRRT)
- Kidney transplantation: immunosuppression, rejection, infection risk and drug interactions
- Glomerular disease: nephritic versus nephrotic syndrome, minimal change, FSGS, membranous, IgA nephropathy, lupus nephritis, anti-GBM disease
- Rapidly progressive glomerulonephritis and ANCA-associated renal vasculitis
- +12 more in the bank
Rheumatology and Clinical Immunology~8-9%18 topics
- Rheumatoid arthritis: classification criteria, DMARDs, biologics, JAK inhibitors and extra-articular disease
- Systemic lupus erythematosus: diagnostic criteria, autoantibody profiles, organ involvement, flares and hydroxychloroquine
- Antiphospholipid syndrome: diagnosis, thrombosis and pregnancy management
- Spondyloarthropathies: ankylosing spondylitis, psoriatic arthritis, reactive arthritis and IBD-associated arthritis
- Crystal arthropathies: acute gout, chronic tophaceous gout, urate-lowering therapy and calcium pyrophosphate deposition
- Septic arthritis and infectious arthritis: joint aspiration, synovial fluid analysis and urgent management
- +12 more in the bank
Emergency and Critical Care Medicine~7%18 topics
- Advanced cardiac life support: shockable and non-shockable rhythms, post-resuscitation care and targeted temperature management
- Shock states: differentiation of hypovolaemic, cardiogenic, distributive and obstructive shock; vasopressor and inotrope selection
- Airway assessment, oxygen delivery, non-invasive ventilation and indications for intubation
- Mechanical ventilation basics: modes, lung-protective settings, weaning and ventilator-associated complications
- Haemodynamic monitoring, fluid responsiveness and choice of resuscitation fluid
- Approach to the unconscious patient and coma: GCS, brainstem examination and reversible causes
- +12 more in the bank
Haematology and Transfusion Medicine~6-8%19 topics
- Anaemia: microcytic, normocytic and macrocytic classification and diagnostic algorithm
- Iron deficiency anaemia: causes, oral versus intravenous iron and investigation for occult blood loss
- Vitamin B12 and folate deficiency, pernicious anaemia and subacute combined degeneration
- Haemolytic anaemias: autoimmune, G6PD deficiency, hereditary spherocytosis and microangiopathic haemolysis
- Sickle cell disease and thalassaemia: crisis management, chelation, transfusion strategy and regional carrier screening
- Anaemia of chronic disease, renal anaemia and erythropoiesis-stimulating agents
- +13 more in the bank
Neurology and Neuroscience~6-7%19 topics
- Acute ischaemic stroke: NIHSS, thrombolysis and thrombectomy windows, contraindications and stroke unit care
- Transient ischaemic attack, ABCD2 risk stratification and secondary stroke prevention
- Intracerebral and subarachnoid haemorrhage: presentation, blood pressure targets and urgent imaging
- Seizures and epilepsy: classification, first seizure workup, antiepileptic selection and driving/employment advice
- Status epilepticus: stepwise benzodiazepine, second-line and refractory management
- Headache: primary (migraine, tension, cluster) versus secondary; red flags, idiopathic intracranial hypertension and temporal arteritis
- +13 more in the bank
Oncology and Palliative Care~5%18 topics
- Principles of cancer staging, TNM, performance status and multidisciplinary team decision-making
- Cancer screening and prevention: breast, cervical, colorectal, prostate, lung and hepatocellular carcinoma
- Lung cancer: small cell versus non-small cell, molecular markers and treatment principles
- Breast cancer: presentation, receptor status, adjuvant therapy and endocrine therapy toxicity
- Gastrointestinal malignancies: colorectal, gastric, oesophageal, pancreatic and hepatocellular carcinoma
- Genitourinary malignancies: prostate, bladder, renal cell and testicular cancer
- +12 more in the bank
Patient Safety, Quality and Evidence-Based Practice~5%18 topics
- Patient safety culture, just culture and the systems approach to error (Swiss cheese model)
- Medication safety: high-alert medications, look-alike/sound-alike drugs, reconciliation at transitions of care
- Adverse drug reactions, drug-drug interactions, pharmacovigilance and reporting
- Incident reporting, near-miss reporting, root cause analysis and failure mode effects analysis
- Hospital-acquired conditions: infections, pressure ulcers, falls and VTE - prevention bundles
- Handover and communication tools (SBAR), read-back and structured discharge summaries
- +12 more in the bank
Professionalism, Ethics, Communication and Health Systems~5%18 topics
- Informed consent: capacity assessment, elements of valid consent, refusal of treatment and consent in emergencies
- Confidentiality and its limits: mandatory reporting, notifiable diseases, third-party risk and disclosure to family
- Breaking bad news: SPIKES protocol and culturally sensitive delivery in the GCC context
- End-of-life care: withholding versus withdrawing treatment, DNR orders, futility and local regulatory frameworks
- Truth-telling, family-centred decision-making and the role of relatives in GCC clinical culture
- Islamic medical ethics principles and their application (including brain death, organ donation, fasting during Ramadan and medication timing)
- +12 more in the bank
Before you book your exam
Internal Medicine licensing in the GCC
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Frequently asked questions
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