HKMLE Part II

According to MCHK's description of HKMLE Part II, what is the main purpose of the Proficiency Test in Medical English?

• ATo ensure that candidates' English is adequate for professional medical purposes
• BTo test advanced medical statistics and research design
• CTo assess spoken Cantonese communication with patients
• DTo replace the Part III Clinical Examination

What is the official time limit for HKMLE Part II?

• A2 hours
• B3 hours
• C3 hours 30 minutes
• DOne full day

The official Part II paper has a total of 40 marks. What is the published passing mark?

• A16
• B18
• C20
• D24

Which description best matches the official structure of HKMLE Part II?

• ATwo MCQ papers of 120 questions each
• BFour 10-mark written questions, including article-based true/false tasks and written resp…
• CFour bedside clinical stations in medicine, surgery, obstetrics and paediatrics
• DA viva voce examination in English and Cantonese

In the article-based true/false sections, what is the effect of an incorrect answer?

• ANo mark is awarded or deducted
• BOne mark is deducted
• CHalf a mark is deducted
• DThe whole question is voided

Which candidate strategy best follows the official negative-marking rule in Questions I and II?

• AAnswer every statement even when unsupported
• BLeave a statement blank if the passage gives no basis for deciding
• CMark all clinically plausible statements as true
• DUse personal clinical experience instead of the article

What must candidates bring to the Part II examination venue according to the official candidate notes?

• AHong Kong Identity Card or passport, invitation letter and a blue or black pen
• BA medical textbook, calculator and highlighter
• CA stethoscope, tendon hammer and measuring tape
• DA printed curriculum vitae and certificate of internship

Which statement about progression to HKMLE Part III is correct?

• ACandidates must pass Part I and Part II before applying for Part III
• BCandidates may sit Part III before receiving Part II results
• CPart II is optional if the candidate has worked in an English-speaking hospital
• DPart III automatically exempts a candidate from Part II

Which phrase is most appropriate in a formal note about the Part II paper?

• Aa test to check doctor English
• Ba written English paper for professional medical purposes
• Ca speaking test for bedside chit-chat
• Dan essay contest about health topics

Which is the clearest way to state the published Part II fee in an information sheet?

• APart II is free for eligible applicants.
• BThe Part II examination fee is HK$1,850, in addition to the application fee.
• CThe Part II fee is the same as the Part III fee.
• DCandidates pay only after passing Part III.

Which sentence uses the clinical verb 'presented' correctly?

• AThe patient presented the ward with fever.
• BThe patient presented with fever and productive cough.
• CThe fever presented the patient yesterday.
• DThe patient was presented by productive cough.

Which wording is safest in a discharge summary for a broad clinical audience?

• AThe patient had SOB on exertion.
• BThe patient had shortness of breath on exertion.
• CThe patient had S.O.B. when walking.
• DThe patient had breathing bad on walking.

A patient asks, 'What is hypertension?' Which explanation is most patient-friendly?

• AIt is persistently raised blood pressure, which can strain the heart and blood vessels.
• BIt is an idiopathic haemodynamic derangement with vascular sequelae.
• CIt is when your pressure is abnormal, but it is too technical to explain.
• DIt means your heart is definitely failing.

Choose the most grammatical sentence for a clinical history.

• AShe has diabetes since 2018.
• BShe has had diabetes since 2018.
• CShe is having diabetes since 2018.
• DShe had diabetes since 2018 and still has.

Which phrase is correct in standard clinical English?

• Aallergic of penicillin
• Ballergy about penicillin
• Callergic to penicillin
• Dallergic with penicillin

Read the passage: 'A clinic reviewed 120 adults with poorly controlled diabetes. Most had not attended dietetic counselling in the previous year. The authors recommended earlier referral to dietitians, but they did not claim that counselling alone would normalise glucose control.' Which statement is supported?

• AThe authors proved that dietetic counselling normalises glucose control.
• BThe clinic reviewed 120 adults with poorly controlled diabetes.
• CAll patients had attended dietetic counselling.
• DThe study was a randomized controlled trial.

Read the sentence: 'Patients were advised to return earlier if fever, increasing pain or shortness of breath developed.' What is the purpose of this sentence in a discharge note?

• ATo give safety-net advice
• BTo record a final diagnosis
• CTo document informed consent for surgery
• DTo prescribe an antibiotic

Which sentence is the best opening for a referral letter?

• APlease see this patient because I am worried.
• BI would be grateful if you could assess Mr Chan, a 62-year-old man with exertional chest…
• CThis patient has many problems and needs your opinion.
• DKindly do the needful for this case.

Which wording is most appropriate in a discharge summary after pneumonia?

• AThe patient was much better and went home.
• BThe patient improved clinically and was discharged with oral antibiotics and follow-up in…
• CThe patient was fixed and can leave.
• DThe patient is okay now, no need to worry.

Which phrase should usually be included when explaining a procedure for consent?

• AThere is nothing to discuss because this is routine.
• BThe benefits, common risks, alternatives and likely consequences of not proceeding
• COnly the hospital's administrative policy
• DA guarantee that the procedure will be successful

Which sentence best respects patient confidentiality in a corridor conversation?

• ALet's discuss the patient's HIV result here quickly.
• BI will discuss the result with you in a private area.
• CEveryone here is hospital staff, so details are fine.
• DI can show you the patient's record on my phone.

Which phrase best describes the qualities expected of medical records under MCHK professional guidance?

• ASystematic, true, adequate, clear and contemporaneous
• BBrief, informal, memorable and personal
• CPersuasive, emotional and defensive
• DSecret, inaccessible and never corrected

In Hong Kong eHealth language, which phrase best captures appropriate access to shared records?

• ACuriosity and convenience
• BPatient-under-care and need-to-know
• CAny doctor at any time
• DFamily request alone

Which patient advice about antibiotics is clearest and consistent with public-health messaging?

• AKeep leftover antibiotics for next time.
• BUse antibiotics only as prescribed and do not share leftovers.
• CDemand antibiotics whenever you have a cold.
• DStop antibiotics as soon as you feel slightly better, unless told otherwise.

Which sentence is grammatically correct?

• AI advised the patient to attend the clinic tomorrow.
• BI advised the patient attend the clinic tomorrow.
• CI advised to the patient attending tomorrow.
• DI advised the patient for attend tomorrow.

Which rewrite is most professional for 'The patient was non-compliant with tablets'?

• AThe patient refused to cooperate.
• BThe patient did not care about treatment.
• CThe patient reported difficulty taking the tablets regularly.
• DThe patient was bad at medicine.

Which date wording is least ambiguous in an English clinical form?

• A03/04/26
• B4/3/26
• C3 Apr 2026
• Dnext Friday

Which wording is most suitable for explaining an X-ray result to a patient?

• AYour film is NAD.
• BThe X-ray did not show a fracture.
• CRadiological evidence excludes all pathology.
• DYour bone picture is totally perfect forever.

Which sentence is most appropriate in a patient information leaflet?

• AYou must not ask any questions.
• BPlease ask the healthcare team if anything is unclear.
• CQuestions will delay the ward round.
• DOnly doctors are allowed to understand the plan.

Which phrase is best for a concise problem list?

• AA lot of sugar disease
• BType 2 diabetes mellitus
• CThe patient has blood sweet issue
• DDiabetes thing for years

Read the passage: 'During the winter surge, the clinic extended appointment slots for patients with respiratory symptoms. The change reduced waiting-room crowding but did not reduce the total number of consultations.' Which statement best reflects the passage?

• AThe clinic saw fewer consultations overall.
• BLonger slots reduced crowding but not total consultation volume.
• CThe intervention prevented all respiratory infections.
• DThe waiting room became more crowded.

A GP refers a 47-year-old woman with a new hard breast lump and axillary nodes. Which subject line is best?

• ABreast problem
• BUrgent breast clinic referral: new hard left breast lump with axillary lymphadenopathy
• CPlease see this lady soon
• DCancer case

Read the passage: 'The campaign advised the public not to share leftover antibiotics. It emphasized that antibiotics should be taken only when prescribed by a qualified healthcare professional.' Which patient statement is consistent with the passage?

• AI can take my brother's leftover antibiotics if my sore throat is severe.
• BI should not use antibiotics unless they have been prescribed for me.
• CAntibiotics are always needed for coughs and colds.
• DSharing antibiotics is acceptable if the symptoms are similar.

In the sentence 'Notwithstanding the normal chest X-ray, the patient was admitted because of persistent hypoxia,' what does 'notwithstanding' mean?

• ABecause of
• BDespite
• CAfter
• DIn addition to

Which referral sentence is most concise and clinically useful?

• APlease see this patient because he is complicated.
• BPlease assess Mr Lee for recurrent syncope with exertional onset and an abnormal ECG.
• CThis case is not simple and I need specialist help.
• DPlease arrange whatever investigation you think.

Which discharge instruction is clearest for a patient starting antibiotics?

• ATake as directed.
• BTake one capsule twice daily for five days, and seek medical advice if you develop rash,…
• CUse the medication properly and come back if bad.
• DConsume antibiotics until subjective improvement occurs.

Which sentence has correct parallel structure?

• AThe patient was advised to rest, drinking fluids and return if breathless.
• BThe patient was advised to rest, to drink fluids and to return if breathless.
• CThe patient was advised resting, fluids and to return if breathless.
• DThe patient was advised rest, drink and returning if breathless.

Which handover follows the SBAR order most closely?

• AI think he needs oxygen. He is 74 and had COPD. His saturation is 88%. Please review.
• BSituation: Mr Wong is breathless with oxygen saturation 88%. Background: he has COPD. Ass…
• CHe has COPD. Please review. His oxygen is low. I am worried.
• DThe patient is old, complicated and not well.

Which sentence uses a conditional instruction correctly?

• AIf the pain gets worse, return to the emergency department.
• BIf the pain will get worse, return to the emergency department.
• CIf the pain got worse tomorrow, return to emergency department.
• DIf the pain getting worse, you return emergency.

Which closing sentence is most appropriate in a GP-to-specialist referral letter?

• APlease see him immediately because I say so.
• BI would be grateful for your assessment and advice on further management.
• CYou must solve this problem for us.
• DPlease tell me what is wrong with him ASAP!!!

A patient is deciding whether to undergo colonoscopy. Which sentence best supports informed consent?

• AYou should sign because the doctor has recommended it.
• BI will explain why it is recommended, the common risks, alternatives and what may happen…
• CThe form is only for legal protection, so the details are not important.
• DThere are no risks because it is a common procedure.

A patient's employer phones asking for the diagnosis written on a sick leave certificate. Which response is most appropriate?

• AI can disclose it because the employer pays the salary.
• BI cannot disclose clinical details without the patient's consent or another proper legal…
• CI can disclose it if the employer sounds worried.
• DI should read out the whole medical record to avoid misunderstanding.

Choose the best tense sequence for a case summary.

• AHe was admitted yesterday and is currently stable.
• BHe is admitted yesterday and was currently stable.
• CHe admitted yesterday and currently stable.
• DHe has admitted yesterday and is currently stable.

Read the passage: 'The new reminder system improved attendance among patients aged 65 or above. However, it had little effect among younger adults, who already had high baseline attendance.' What does 'However' signal?

• AA contrast between older and younger patients' response
• BA cause of the reminder system
• CA definition of baseline attendance
• DA repeated example with the same result

In a clinic letter, what does 'prognosis' most nearly mean?

• AThe likely future course or outcome of an illness
• BThe patient's current medication list
• CThe immediate cause of an injury
• DThe hospital's billing category

A note says, 'CT brain was arranged to rule out intracranial bleeding.' What does 'rule out' mean here?

• AConfirm that bleeding is present
• BExclude bleeding as a possible diagnosis
• CTreat bleeding without imaging
• DIgnore bleeding because it is impossible

Which rewrite removes the ambiguity in this sentence: 'The patient told the nurse that she had chest pain after lunch'?

• AAfter lunch, the patient told the nurse that the patient had chest pain.
• BThe patient told the nurse after lunch that she had chest pain.
• CThe patient told the nurse that the nurse had chest pain after lunch.
• DThe patient told the nurse chest pain after lunch.