103+ Free Albania State Medical Exam (Provimi i Shtetit - Mjekësi) Practice Questions
Prepare for the Provimi i Shtetit për Profesionin e Rregulluar të Mjekut (Albanian Physician State Licensing Examination) exam with instant access — no signup required.
Loading practice questions...
Explore More Albania Medical and Healthcare State Licensing Exams
Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.
Key Facts: Albania State Medical Exam (Provimi i Shtetit - Mjekësi) Exam
Law No. 10171
Governing Law
Kuvendi i Shqipërisë - Law on Regulated Professions
QSHA & UMSH
Administering Body
Qendra e Shërbimeve Arsimore (Educational Services Center)
Not published (60 min)
Official Exam Length
QSHA Rregullore, Urdher nr. 365, date 28.12.2020
50% of points (grade 5)
Pass Threshold
QSHA - Informacion Lidhur me Provimin e Shtetit ne Profesionet e Rregulluara
10,000 ALL
First-Attempt Fee
Ministry of Education and Sports Tariffs
QSHA Center, Tirana
Testing Location
QSHA Official Testing Center Facility
UMSH Registration
Licensing Authority
Urdhri i Mjekëve të Shqipërisë (UMSH)
Mandatory national licensing exam for Albanian medical graduates, delivered by computer at QSHA in Tirana in one 60-minute round and passed with at least 50% of the paper's points, after which the graduate registers with UMSH. This English-language prep bank offers 103 clinical practice questions across the areas of the official orientation programme; it is a study adaptation, not an official translation or a format simulation.
Sample Albania State Medical Exam (Provimi i Shtetit - Mjekësi) Practice Questions
Try these sample questions to test your Albania State Medical Exam (Provimi i Shtetit - Mjekësi) exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 103+ question experience with AI tutoring.
1A 58-year-old male with a history of hypertension and hyperlipidemia presents to the emergency department with 90 minutes of severe, crushing substernal chest pain radiating to his left jaw and diaphoresis. An immediate 12-lead ECG demonstrates 3 mm ST-segment elevation in leads V1 through V4. The nearest percutaneous coronary intervention (PCI)-capable hospital is 25 minutes away. What is the most appropriate initial reperfusion strategy for this patient?
2A 64-year-old female with ischemic cardiomyopathy presents for routine follow-up. Transthoracic echocardiography reveals a left ventricular ejection fraction (LVEF) of 32%. Her current medications are lisinopril 20 mg daily, carvedilol 25 mg twice daily, and furosemide 40 mg daily. She remains in NYHA Class II functional status. Which medication addition represents the fourth pillar of guideline-directed medical therapy (GDMT) to reduce cardiovascular mortality in heart failure with reduced ejection fraction?
3A 72-year-old male with hypertension, type 2 diabetes mellitus, and a prior ischemic stroke is diagnosed with non-valvular atrial fibrillation. Physical examination reveals an irregularly irregular pulse at 88 beats/min. What is the most appropriate long-term management strategy to prevent thromboembolic stroke in this patient?
4A 45-year-old male with a history of intravenous drug use presents with high fever, night sweats, dyspnea, and painful erythematous nodules on the pads of his fingers (Osler nodes). A new holosystolic murmur is auscultated at the lower left sternal border that increases with inspiration. Which diagnostic finding fulfills a Major Duke Criterion for the diagnosis of infective endocarditis?
5A 68-year-old male presents to the clinic with fever, productive cough with rust-colored sputum, and pleuritic right-sided chest pain. Vital signs show BP 125/80 mmHg, HR 92 bpm, RR 22 breaths/min, and oxygen saturation 96% on room air. He is fully alert and oriented (Glasgow Coma Scale 15). Blood urea nitrogen (BUN) is 14 mg/dL (5.0 mmol/L). Chest X-ray reveals right lower lobe consolidation. Based on the CURB-65 score, what is the most appropriate management setting for this patient?
6A 66-year-old male with severe chronic obstructive pulmonary disease (COPD) presents to the emergency department with increased dyspnea, increased sputum volume, and sputum purulence (Anthonisen Type 1 exacerbation). Arterial blood gas on room air shows: pH 7.31, PaCO2 56 mmHg, PaO2 54 mmHg, and HCO3- 28 mEq/L. What is the most appropriate initial oxygenation and ventilatory management?
7A 24-year-old female with moderate persistent asthma reports using her short-acting beta-2 agonist (SABA) inhaler 4 to 5 times per week and waking up with wheezing twice a month. She is currently taking low-dose inhaled budesonide daily. According to GINA guidelines, what is the most appropriate next step in her pharmacotherapy?
8A 48-year-old woman who underwent total knee arthroplasty 10 days ago presents with sudden-onset pleuritic chest pain, dyspnea, and tachycardia (HR 115 bpm). Her blood pressure is 120/75 mmHg and RR is 24/min. Her modified Wells score for pulmonary embolism is calculated as 6.0 (high probability). What is the definitive diagnostic imaging modality of choice?
9A 42-year-old male is diagnosed with a duodenal ulcer, and a gastric mucosal biopsy is positive for Helicobacter pylori on rapid urease testing. He has no known drug allergies. What is the recommended first-line quadruple eradication therapy in regions with high clarithromycin resistance?
10A 40-year-old female presents with severe epigastric pain radiating to her back, nausea, and persistent vomiting following a heavy meal. Serum lipase is 1,450 U/L (reference < 60 U/L). Abdominal ultrasound demonstrates cholelithiasis without common bile duct dilation. What is the cornerstone of initial medical management during the first 24 hours of acute pancreatitis?
About the Albania State Medical Exam (Provimi i Shtetit - Mjekësi) Exam
The Albanian State Exam for the Regulated Profession of Physician (Provimi i Shtetit për Profesionin e Rregulluar të Mjekut) is the mandatory national licensing examination required for medical graduates to obtain full clinical practice licensure in the Republic of Albania. Regulated under Law No. 10171 ('Për profesionet e rregulluara në Republikën e Shqipërisë') and Law No. 123/2014 ('Për Urdhrin e Mjekëve në Republikën e Shqipërisë'), the exam is organized by the Educational Services Center (QSHA) in Tirana. QSHA's orientation programme for the physician profession (Programi i Provimit të Formimit për degën Mjekësi e Përgjithshme) lists eight areas without percentage weights: internal diseases (allergology, cardiology, gastro-hepatology, endocrinology, nephrology, pneumology, haematology, neurology, psychiatry, infectious and occupational diseases), surgery (general, urology, cardiac surgery and angiology, orthopaedics and traumatology, paediatric surgery, anaesthesia and intensive care), oncology, obstetrics and gynaecology, paediatrics, forensic medicine, pharmacology and clinical toxicology, and health organisation and management. Note: the official exam is administered in Albanian (Shqip); this practice bank is an English-language multiple-choice study adaptation, not an official translation of the exam and not a simulation of its format.
Assessment
One 60-minute computerised round at the QSHA examination centre in Tirana (Bulevardi Zhan D'Ark, Nr. 23). The system selects the items automatically and they are identical for every candidate in that session; marking is automatic and the result appears on screen at the end. Candidates report 30 minutes early with photo ID, mobile phones are prohibited, and a written appeal may be sent to QSHA within 10 days of the result.
Time Limit
60 minutes
Passing Score
At least 50% of the paper's total points (at least 50 of 100 points). Grades run from 4 (under 50 points) to 10 (95-100 points); grade 5 (50-54 points) is the minimum pass.
Exam Fee
10,000 ALL for the 1st attempt, 12,500 ALL (2nd), 15,000 ALL (3rd), 17,500 ALL (4th), 20,000 ALL (5th) and 25,000 ALL for the 6th or later attempt, per the QSHA payment invoices. The fee is prepaid and non-refundable. (Qendra e Shërbimeve Arsimore (QSHA) & Urdhri i Mjekëve të Shqipërisë (UMSH))
Albania State Medical Exam (Provimi i Shtetit - Mjekësi) Exam Content Outline
Internal Medicine & Subspecialties
Cardiovascular diseases (CAD, heart failure, arrhythmias, hypertension), respiratory pathology (pneumonia, COPD, asthma, PE), gastroenterology & hepatology (PUD, pancreatitis, cirrhosis, IBD), nephrology (AKI, CKD, glomerulonephritis), endocrinology (diabetes, thyroid disorders, DKA), and infectious diseases.
General Surgery & Surgical Specialties
Acute abdominal conditions (appendicitis, cholecystitis, bowel obstruction, perforation), ATLS trauma evaluation, abdominal wall hernias, colorectal pathology, urology (renal colic, acute retention, testicular torsion), and vascular emergencies.
Pediatrics & Neonatology
Neonatal adaptation and resuscitation, neonatal hyperbilirubinemia, respiratory distress syndrome, developmental milestones, pediatric respiratory infections, acute gastroenteritis, childhood exanthems, and pediatric emergency management.
Obstetrics & Gynecology
Routine antenatal care, hypertensive disorders of pregnancy, gestational diabetes, labor stages, postpartum hemorrhage, obstetric emergencies, gynecologic oncology screening, and reproductive endocrine disorders.
Psychiatry & Neurology
Acute cerebrovascular accidents (ischemic stroke, SAH), epilepsy and status epilepticus, neurodegenerative disorders, primary headache syndromes, mood disorders, psychotic disorders, and psychopharmacology.
Public Health, Family Medicine & Medical Deontology
Albanian healthcare legislation (Law No. 10171, Law No. 123/2014), UMSH Code of Medical Ethics, patient autonomy and informed consent, confidentiality, levels of prevention, epidemiology study designs, and diagnostic test metrics.
Oncology
Listed as its own area (C. Onkologjia) in the QSHA orientation programme: recognition of common solid tumours, principles of staging and treatment intent, and oncological emergencies such as febrile neutropenia.
Forensic Medicine
Listed as its own area (F. Mjekësia Ligjore) in the QSHA orientation programme: early postmortem changes and estimation of the postmortem interval, examination and documentation of injuries, and the physician's medicolegal duties.
Pharmacology & Clinical Toxicology
Listed as its own area (G. Farmakologji - Toksikologji Klinike) in the QSHA orientation programme: drug classes and adverse effects, recognition of common poisoning syndromes, and specific antidotes.
How to Pass the Albania State Medical Exam (Provimi i Shtetit - Mjekësi) Exam
What You Need to Know
- Passing score: At least 50% of the paper's total points (at least 50 of 100 points). Grades run from 4 (under 50 points) to 10 (95-100 points); grade 5 (50-54 points) is the minimum pass.
- Assessment: One 60-minute computerised round at the QSHA examination centre in Tirana (Bulevardi Zhan D'Ark, Nr. 23). The system selects the items automatically and they are identical for every candidate in that session; marking is automatic and the result appears on screen at the end. Candidates report 30 minutes early with photo ID, mobile phones are prohibited, and a written appeal may be sent to QSHA within 10 days of the result.
- Time limit: 60 minutes
- Exam fee: 10,000 ALL for the 1st attempt, 12,500 ALL (2nd), 15,000 ALL (3rd), 17,500 ALL (4th), 20,000 ALL (5th) and 25,000 ALL for the 6th or later attempt, per the QSHA payment invoices. The fee is prepaid and non-refundable.
Keys to Passing
- Work through all 103 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
Albania State Medical Exam (Provimi i Shtetit - Mjekësi) Study Tips from Top Performers
Frequently Asked Questions
What is the Albanian Physician State Exam (Provimi i Shtetit për Mjekun)?
It is the mandatory national licensing examination established under Law No. 10171 for all medical university graduates seeking to obtain their permanent clinical license (Licenca për Ushtrimin e Profesionit) and register with the Order of Physicians of Albania (Urdhri i Mjekëve të Shqipërisë - UMSH).
Who administers the examination and where does it take place?
The examination is administered by the Educational Services Center (Qendra e Shërbimeve Arsimore - QSHA) in coordination with UMSH and the Ministry of Health. It is conducted electronically at the computerized testing facilities of QSHA in Tirana.
What is the format and duration of the official exam?
The exam is delivered on a secure computer terminal at QSHA in Tirana and lasts 60 minutes. QSHA does not publish a fixed item count: the regulation approved by Order No. 365, dated 28.12.2020 requires the official question fund to hold at least 1,500 alternative-response items per profession or profile, requires every item to offer at least four alternatives with only one correct answer, and leaves the structure of each paper to the State Exam Commission. The system selects the items automatically, they are identical for every candidate in that session, they carry different point values, and marking is automatic with the result shown on screen.
What is the passing score and when are results released?
The exam is passed with at least 50% of the total points of the paper, that is at least 50 of 100 points. The published grading scale runs from 4 (under 50 points) through 5 (50-54), 6 (55-64), 7 (65-74), 8 (75-84), 9 (85-94) to 10 (95-100), so grade 5 is the minimum pass. The result appears on screen immediately and a written appeal may be sent to QSHA within 10 days of the result.
What are the eligibility requirements to sit for the exam?
Candidates must hold an integrated Master of Science diploma in General Medicine (6-year program / 360 ECTS) from an accredited university (or an equivalent nostrified foreign degree) and have successfully completed the mandatory post-graduate practical internship (praktika profesionale) certified by UMSH.
What is the examination fee schedule for the Albanian State Exam?
The initial examination fee is 10,000 ALL (Albanian Lek). For retakes, the fee escalates progressively: 12,500 ALL for the 2nd attempt, 15,000 ALL for the 3rd attempt, 17,500 ALL for the 4th attempt, and 20,000 ALL for the 5th attempt and beyond.
In what language is the official QSHA exam administered?
The official QSHA exam is administered exclusively in the Albanian language (Shqip). This OpenExamPrep question bank provides an English-language clinical adaptation designed to help candidates thoroughly master underlying medical concepts, diagnostic algorithms, and pharmacology.
What happens after passing the State Exam?
Upon passing, candidates receive an official State Exam Certificate from QSHA, which they submit to Urdhri i Mjekëve të Shqipërisë (UMSH) along with registration documents to obtain their definitive medical license (Licenca për Ushtrimin Individual të Profesionit).
Can I retake the examination if I do not achieve the passing score?
Yes. Candidates who fail may register for the next scheduled testing season announced by QSHA and UMSH upon paying the corresponding retake fee. There is no legal limit on the number of attempts permitted.