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Key Facts: Examen Integrado de Residencias — Kinesiología Exam

The Argentina Examen Integrado de Residencias in Kinesiología is a 100-question, 3-hour digital multiple-choice exam administered annually by the Ministerio de Salud de la Nación to rank candidates for hospital kinesiology residencies nationwide.

Sample Examen Integrado de Residencias — Kinesiología Practice Questions

Try these sample questions to test your Examen Integrado de Residencias — Kinesiología exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1In a mechanically ventilated patient with Acute Respiratory Distress Syndrome (ARDS / SDRA) receiving Volume-Controlled Ventilation (VCV), the plateau pressure (Pplat) is measured at 26 cmH2O and the set positive end-expiratory pressure (PEEP) is 10 cmH2O. What is the calculated driving pressure (presión de conducción / delta P), and does it meet current protective mechanical ventilation targets according to SATI guidelines?

A.16 cmH2O; it exceeds the recommended protective ventilation threshold of < 15 cmH2O

B.36 cmH2O; it exceeds the maximum safe peak pressure limit of 30 cmH2O

C.10 cmH2O; it meets the recommended protective threshold of < 12 cmH2O

D.26 cmH2O; it meets the protective threshold as long as plateau pressure is below 30 cmH2O

Explanation: Driving pressure (presión de conducción o delta P) is calculated as Plateau Pressure minus PEEP (Pplat - PEEP = 26 - 10 = 16 cmH2O). Consensus guidelines from the Sociedad Argentina de Terapia Intensiva (SATI) and Landmark ARDSNet/Amato trials demonstrate that keeping driving pressure strictly below 15 cmH2O (or < 14 cmH2O) significantly decreases ventilator-induced lung injury (VILI) and hospital mortality in ARDS.

2A 65-year-old intubated patient is ventilated in Volume-Controlled Ventilation (VCV) with a tidal volume (Vt) of 420 mL, PEEP of 8 cmH2O, peak inspiratory pressure (Ppeak) of 34 cmH2O, and plateau pressure (Pplat) of 22 cmH2O during an end-inspiratory pause. What is the patient's static respiratory compliance (Cstat)?

A.30 mL/cmH2O

B.16.1 mL/cmH2O

C.19.1 mL/cmH2O

D.52.5 mL/cmH2O

Explanation: Static compliance of the respiratory system is calculated as Cstat = Tidal Volume / (Plateau Pressure - PEEP). Here, Cstat = 420 mL / (22 cmH2O - 8 cmH2O) = 420 / 14 = 30 mL/cmH2O. This value reflects decreased respiratory system compliance typical of moderate restrictive pathology or parenchymal lung injury.

3During a routine ventilator check in the ICU, the kinesiologist observes an abrupt rise in Peak Inspiratory Pressure (Ppeak) from 25 to 38 cmH2O, while the Plateau Pressure (Pplat) remains unchanged at 18 cmH2O with a constant square inspiratory flow of 60 L/min (1 L/s). What is the primary pathophysiological cause of this change?

A.An acute increase in airway resistance (Raw), such as bronchospasm, endotracheal tube kinking, or secretion accumulation

B.A severe decrease in lung compliance, such as acute pneumothorax or worsening pulmonary edema

C.Development of dynamic hyperinflation with significant intrinsic PEEP (auto-PEEP)

D.Patient-ventilator asynchrony resulting in excessive tidal volume delivery

Explanation: Airway resistance is proportional to the difference between Peak Pressure and Plateau Pressure (Raw = [Ppeak - Pplat] / Flow). When Ppeak increases significantly while Pplat remains constant, the transairway pressure gradient widens, indicating a purely resistive problem such as endotracheal tube obstruction, kinking, retained secretions, or acute bronchospasm. Conversely, an increase in both Ppeak and Pplat with a constant difference indicates a change in compliance.

4Which graphical finding on mechanical ventilator waveforms specifically identifies dynamic hyperinflation and the presence of intrinsic PEEP (auto-PEEP)?

A.The expiratory flow waveform fails to return to zero baseline before the initiation of the next inspiration

B.The inspiratory pressure curve exhibits an upward concavity ('stress index' > 1)

C.The pressure-volume loop exhibits a clockwise rotation with an inflection notch on inspiration

D.The volume-time scalar shows a progressive step-like plateau during early inspiration

Explanation: On the flow-time scalar, auto-PEEP (intrinsic PEEP / dynamic hyperinflation) is identified when the expiratory flow curve does not reach the zero flow line prior to the start of the subsequent inspiratory phase, indicating that lung emptying is incomplete. Its magnitude can be quantified in a sedated patient by performing an end-expiratory occlusion maneuver (pausa tele-espiratoria).

5When analyzing a static Pressure-Volume (P-V) loop in a paralyzed patient with ARDS, the presence of a 'beak sign' (pico de pato) at the upper end of the curve indicates which clinical phenomenon?

A.Alveolar overdistension with a sharp decrease in compliance at high lung volumes

B.Alveolar derecruitment and cyclic atelectrauma at end-expiration

C.Major circuit leak where delivered volume exceeds returned expiratory volume

D.Severe expiratory airway collapse due to loss of radial traction

Explanation: The 'beak sign' or upward inflection flattening on a static Pressure-Volume loop occurs when increments in airway pressure produce negligible increases in volume at end-inspiration. This indicates that the upper inflection point (UIP) has been exceeded, causing tidal alveolar overdistension and predisposing the lung to volutrauma and barotrauma.

6A patient in the ICU on Pressure Support Ventilation (PSV) demonstrates frequent negative airway pressure deflections during the expiratory phase that fail to trigger a ventilator breath. What type of patient-ventilator asynchrony is occurring, and what is the most common underlying cause?

A.Ineffective triggering (esfuerzo ineficaz), commonly caused by dynamic hyperinflation (auto-PEEP) and respiratory muscle weakness

B.Double triggering (doble disparo), caused by an excessively long inspiratory time setting

C.Auto-triggering (autociclado), caused by cardiac oscillations or condensate in the tubing

D.Reverse triggering (disparo reverso), caused by neuromuscular blockade recovery

Explanation: Ineffective triggering (esfuerzo ineficaz o disparo fallido) occurs when the patient's inspiratory neuro-muscular effort fails to drop airway pressure or create enough flow to surpass the trigger sensitivity threshold. The most common cause in ICU patients is intrinsic PEEP (auto-PEEP), where the patient must first overcome the positive intrinsic end-expiratory pressure before generating negative triggering pressure, often compounded by respiratory muscle weakness.

7According to the Berlin Definition of Acute Respiratory Distress Syndrome (ARDS), how is 'Moderate ARDS' categorized based on the PaO2/FiO2 ratio (Kirby index)?

A.PaO2/FiO2 between 100 and 200 mmHg with PEEP >= 5 cmH2O

B.PaO2/FiO2 between 200 and 300 mmHg with PEEP >= 5 cmH2O

C.PaO2/FiO2 <= 100 mmHg with PEEP >= 5 cmH2O

D.PaO2/FiO2 between 300 and 400 mmHg regardless of PEEP level

Explanation: The Berlin Definition stratifies ARDS severity into three mutually exclusive categories under a minimum PEEP of 5 cmH2O: Mild (PaO2/FiO2 > 200 and <= 300 mmHg), Moderate (PaO2/FiO2 > 100 and <= 200 mmHg), and Severe (PaO2/FiO2 <= 100 mmHg).

8A male patient who is 175 cm tall is admitted to the ICU with severe ARDS. What is his Predicted Body Weight (PBW / peso predicho) using the standard ARDSNet formula, and what is the initial target tidal volume range for protective lung ventilation (4–6 mL/kg PBW)?

A.PBW = 70.5 kg; target tidal volume range = 280 to 420 mL

B.PBW = 85.0 kg; target tidal volume range = 510 to 680 mL

C.PBW = 60.0 kg; target tidal volume range = 240 to 360 mL

D.PBW = 77.5 kg; target tidal volume range = 465 to 620 mL

Explanation: For males, PBW (kg) = 50 + 0.91 * (Height in cm - 152.4). For a height of 175 cm: PBW = 50 + 0.91 * (175 - 152.4) = 50 + 0.91 * (22.6) = 50 + 20.57 = 70.57 kg (~70.5 kg). A protective lung ventilation strategy targeting 4 to 6 mL/kg of PBW yields a tidal volume range of 282 to 423 mL (~280 to 420 mL).

9Which of the following describes the evidence-based recommendation for Prone Positioning (decúbito prono) in patients with severe ARDS according to SATI and the PROSEVA trial?

A.Indicated when PaO2/FiO2 is < 150 mmHg (with PEEP >= 10 cmH2O and FiO2 >= 0.6) for sessions of at least 16 consecutive hours

B.Indicated only when PaO2/FiO2 is < 80 mmHg as a rescue maneuver for short sessions of 2 to 4 hours

C.Indicated in all mild ARDS cases (PaO2/FiO2 200–300 mmHg) for continuous cycles of 48 hours without interruption

D.Indicated strictly after 7 days of failed conventional mechanical ventilation in supine position

Explanation: According to the landmark PROSEVA trial and SATI consensus guidelines, prone positioning should be initiated early (within the first 24–48 hours) in patients with moderate-to-severe ARDS (PaO2/FiO2 < 150 mmHg with PEEP >= 10 cmH2O and FiO2 >= 0.60) and maintained for prolonged consecutive periods of at least 16 hours per day. Prone positioning promotes homogeneous distribution of transpulmonary pressure, recruits dorsal atelectatic regions, reduces ventilation-perfusion mismatch, and decreases mortality.

10In a mechanically ventilated patient in Volume-Controlled Ventilation with constant inspiratory flow, the airway pressure waveform shows an upward concavity with a Stress Index (SI) of 1.25. What is the physiological interpretation and recommended kinesiological action?

A.Alveolar overdistension at end-inspiration; tidal volume or PEEP should be decreased

B.Tidal recruitment and derecruitment during each breath; PEEP should be titrated upward

C.Normal linear compliance profile; current ventilator parameters should be maintained

D.Severe dynamic airway collapse; bronchodilator therapy is urgently indicated

Explanation: The Stress Index (SI) evaluates the shape of the airway pressure-time curve during constant flow VCV. A Stress Index > 1 (upward concavity) indicates that compliance decreases as lung volume increases during inspiration, signifying alveolar overdistension; the appropriate adjustment is to decrease tidal volume and/or PEEP. A Stress Index < 1 (downward concavity) indicates tidal recruitment, which calls for increased PEEP. A Stress Index = 1 indicates constant compliance throughout inspiration.

About the Examen Integrado de Residencias — Kinesiología Exam

The Examen Integrado de Residencias de la Salud — Kinesiología (formerly Examen Único de Kinesiología) is the official nationwide competitive entrance examination in Argentina for licensed kinesiologists and physical therapists (Licenciados en Kinesiología y Fisiatría / Kinesiólogos) seeking residency positions in public and private hospitals across national, provincial, and municipal jurisdictions, including the Autonomous City of Buenos Aires (CABA) and participating provinces. Administered under the authority of the Ministerio de Salud de la Nación (MSAL) pursuant to Resolución 555/2026 and related regulatory frameworks, the test assesses foundational and specialized clinical competencies across intensive care respiratory therapy, cardiopulmonary rehabilitation, trauma and orthopedic rehabilitation, neurorehabilitation, biomechanics, clinical pharmacology relevant to physical therapy, bioethics, and Argentine health law (such as Ley 24.317 and Ley 26.529). This comprehensive practice bank contains 100 research-grounded multiple-choice questions in English with original Argentine clinical terminology, providing rigorous preparation for aspiring health residents. Language note: the Examen Integrado is set and sat entirely in Spanish, against the official MSAL temario for Kinesiología. These practice questions are an English-language multiple-choice study adaptation built from that official scope — they are not an official translation, not published or endorsed by the Ministerio de Salud de la Nación, and not a simulation of the exam's Spanish-language testing environment. Official exam names, Argentine statute numbers and local clinical terms are kept in Spanish so you can match them to the real bibliography.

Assessment

A single 3-hour examination session containing 100 multiple-choice questions divided into respiratory kinesiology and critical care (30%), orthopedic and traumatological kinesiology (25%), neurological kinesiology (20%), cardiovascular kinesiology and cardiac rehabilitation (15%), and professional legislation, bioethics, and public health (10%).

Time Limit

3 hours (180 minutes)

Passing Score

Competitive merit ranking (Orden de Mérito); candidates are ranked based on their examination score (out of 100) added to their certified university undergraduate GPA (promedio histórico con aplazos).

Exam Fee

Completely free of charge ($0 ARS) through the national SISA portal under MSAL Resolución 555/2026. (Ministerio de Salud de la Nación (MSAL) / Comité de Adhesión al Examen Integrado (CAEI))

Examen Integrado de Residencias — Kinesiología Exam Content Outline

30%

Respiratory Kinesiology & Critical Care

Mechanical ventilation waveforms, driving pressure, static compliance, ARDS protective ventilation, prone positioning, non-invasive ventilation, weaning (RSBI), airway clearance techniques, tracheostomy decannulation protocols, and ABG interpretation.

25%

Traumatological & Orthopedic Kinesiology

Special orthopedic physical assessment tests, post-operative rehabilitation protocols (ACL, rotator cuff, THA, TKA, Achilles tendon), fracture repair biology, kinetic chain exercise prescription, and gait cycle biomechanics.

20%

Neurological Kinesiology & Neurorehabilitation

Stroke rehabilitation, spinal cord injury ASIA classification, neurofacilitation techniques (Bobath, Kabat PNF, Perfetti), spasticity grading (Modified Ashworth, Tardieu), neurodegenerative management (Parkinson's, MS, ALS), and balance assessment.

15%

Cardiovascular Kinesiology & Cardiac Rehabilitation

Phases I–III cardiac rehabilitation, exercise prescription using Karvonen formula and Borg RPE, MET calculations, hemodynamic exercise monitoring, and peripheral vascular disease rehabilitation.

10%

Ethics, Legislation & Public Health

Ley Nacional 24.317 de Ejercicio de la Kinesiología, Ley 26.529 Derechos del Paciente, bioethics in critical care and palliative kinesiology, workplace ergonomics, and interdisciplinary patient safety standards.

How to Pass the Examen Integrado de Residencias — Kinesiología Exam

What You Need to Know

Passing score: Competitive merit ranking (Orden de Mérito); candidates are ranked based on their examination score (out of 100) added to their certified university undergraduate GPA (promedio histórico con aplazos).
Assessment: A single 3-hour examination session containing 100 multiple-choice questions divided into respiratory kinesiology and critical care (30%), orthopedic and traumatological kinesiology (25%), neurological kinesiology (20%), cardiovascular kinesiology and cardiac rehabilitation (15%), and professional legislation, bioethics, and public health (10%).
Time limit: 3 hours (180 minutes)
Exam fee: Completely free of charge ($0 ARS) through the national SISA portal under MSAL Resolución 555/2026.

Keys to Passing

Work through all 100 available questions
Review every answer and explanation
Track weak areas and revisit them
Use our AI tutor for tough concepts

Examen Integrado de Residencias — Kinesiología Study Tips from Top Performers

1Master mechanical ventilation respiratory mechanics formulas: Static Compliance = Vt / (Plateau Pressure - PEEP), Airway Resistance = (Peak Pressure - Plateau Pressure) / Inspiratory Flow, and Driving Pressure = Plateau Pressure - PEEP (target < 15 cmH2O).

2Understand the Berlin definition of ARDS (PaO2/FiO2 ratio: mild 200–300, moderate 100–200, severe ≤ 100 with PEEP ≥ 5 cmH2O) and memorize the prone positioning criteria (PaO2/FiO2 < 150 for at least 16 consecutive hours).

3Review the Rapid Shallow Breathing Index (RSBI / Tobin Index = Respiratory Rate in bpm / Tidal Volume in Liters; values < 105 indicate high probability of successful spontaneous breathing trial and extubation).

4Memorize special orthopedic test maneuvers and what anatomical structures they stress: Lachman and Pivot-Shift for ACL; McMurray and Apley for menisci; Neer and Hawkins-Kennedy for subacromial impingement; Jobe (Empty Can) for supraspinatus; Speed and Yergason for the long head of the biceps.

5Understand the ASIA Impairment Scale for Spinal Cord Injury (A = Complete, B = Sensory Incomplete, C = Motor Incomplete with >50% key muscles < Grade 3, D = Motor Incomplete with ≥50% key muscles ≥ Grade 3, E = Normal).

6Calculate target heart rates using the Karvonen formula: Target HR = HRrest + [% Intensity × (HRmax - HRrest)], and remember that in patients taking beta-blockers, Borg RPE scale (11–14) is preferred over target HR formulas.

7Learn the legal scope of practice under Ley Nacional 24.317 (Kinesiology Practice Act) and patient autonomy and clinical record ownership rules under Ley 26.529.

Frequently Asked Questions

What is the Examen Integrado de Residencias in Kinesiología in Argentina?

It is the unified, national competitive examination coordinated by the Ministerio de Salud de la Nación (MSAL) alongside provincial and CABA health ministries. It allows graduate physical therapists (Licenciados en Kinesiología y Fisiatría) to compete for accredited residency training positions in national, provincial, and municipal hospital institutions.

How is the final ranking (Orden de Mérito) calculated?

The final merit score combines the candidate's multiple-choice examination score (maximum 100 points) and their certified university undergraduate Grade Point Average (promedio general de la carrera con aplazos, scaled to university certification standards), following official MSAL residency concurso weighting rules.

What is the structure and duration of the examination?

The examination consists of exactly 100 multiple-choice questions with 4 answer choices each (A, B, C, D) and a single correct answer. Candidates are allotted 3 continuous hours (180 minutes) to complete the test on authorized digital testing platforms.

Are there negative points for wrong answers on the Argentine residency exam?

No. Each correct question awards 1 point, and incorrect or blank answers receive 0 points without penalty. Candidates should always select an answer for all 100 questions.

What key guidelines and legal statutes are essential for the exam?

Key reference sources include SATI (Sociedad Argentina de Terapia Intensiva) mechanical ventilation and weaning guidelines, SAC (Sociedad Argentina de Cardiología) cardiac rehabilitation consensus, SAR (Sociedad Argentina de Rehabilitación) protocols, Ley Nacional 24.317 (Kinesiology Practice Act), Ley 26.529 (Patient Rights), Ley 26.657 (National Mental Health Law), and Berlin ARDS definitions.

Is this practice bank in Spanish like the real exam?

No. The Examen Integrado is administered in Spanish only. This bank is an English-language multiple-choice study adaptation derived from the official MSAL temario and bibliography, intended for candidates who prefer to revise the underlying clinical knowledge in English. It is not an official translation and does not reproduce official exam items; Argentine law numbers, programme names and clinical terminology are retained in Spanish so they map onto the real exam.