100+ Free Examen Integrado — Medicina Practice Questions
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Key Facts: Examen Integrado — Medicina Exam
100
Total Questions
MSAL Examen Integrado — temario oficial por disciplina
4h
Time Limit
MSAL Examen Integrado — cronograma y modalidad del examen
100 pts
Maximum Exam Score
Resolución MSAL 555/2026 (1 pt/correct answer)
5 pts
National Graduate Bonus
Resolución MSAL 555/2026 Article 4
28%
Internal Medicine Weight
MSAL Examen Integrado — temario oficial por disciplina
22%
Pediatrics Weight
MSAL Examen Integrado — temario oficial por disciplina
18%
Surgery Weight
MSAL Examen Integrado — temario oficial por disciplina
18%
Obstetrics & Gynecology Weight
MSAL Examen Integrado — temario oficial por disciplina
14%
Public Health & Bioethics Weight
MSAL Examen Integrado — temario oficial por disciplina
$0 ARS
Exam Fee
Ministerio de Salud de la Nación SISA
Argentina's Examen Integrado de Residencias — Medicina is the single high-stakes entrance exam for basic medical residency training positions across the Argentine public and private healthcare systems. Administered by CAEI/MSAL on digital tablets, it comprises 100 clinical MCQs across 5 core domains with a 4-hour time limit. Under Resolución 555/2026, ranking combines the exam score (out of 100), medical school GPA (promedio), and a 5-point weighting bonus for graduates of Argentine universities.
Sample Examen Integrado — Medicina Practice Questions
Try these sample questions to test your Examen Integrado — Medicina exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 58-year-old male arrives at a rural community hospital in Buenos Aires Province with severe retrosternal crushing chest pain of 2 hours duration, diaphoresis, and nausea. An immediate 12-lead ECG reveals 3 mm ST-segment elevation in leads V1 through V4. The local center lacks a cardiac catheterization laboratory, and the expected transfer time to the nearest percutaneous coronary intervention (PCI) center is 150 minutes. The patient has no contraindications to anticoagulation or thrombolysis. What is the MOST appropriate next reperfusion strategy?
2A 64-year-old male with ischemic cardiomyopathy and heart failure with reduced ejection fraction (LVEF 30%, NYHA Functional Class II) presents for follow-up. He is currently asymptomatic on enalapril 10 mg twice daily and bisoprolol 10 mg daily. His blood pressure is 118/72 mmHg, heart rate is 64 bpm, serum potassium is 4.3 mEq/L, and estimated GFR is 68 mL/min/1.73 m2. To reduce cardiovascular mortality and heart failure hospitalizations according to guideline-directed medical therapy (GDMT), which medication should be added next?
3A 72-year-old female with a history of essential hypertension and type 2 diabetes mellitus presents to the outpatient clinic for routine evaluation. A 12-lead ECG reveals irregularly irregular narrow-complex tachycardia without distinct P waves at a rate of 98 bpm, confirming newly diagnosed non-valvular atrial fibrillation. Echocardiogram shows mild left atrial enlargement with preserved LVEF (55%). She has no history of stroke, TIA, or bleeding. What is her CHA2DS2-VASc score, and what is the recommended stroke prevention strategy?
4A 34-year-old woman is evaluated for treatment-resistant hypertension. Despite adherence to a three-drug regimen including amlodipine 10 mg, valsartan 160 mg, and hydrochlorothiazide 25 mg daily, her office blood pressure remains 168/104 mmHg. Routine laboratory testing reveals serum potassium 2.9 mEq/L, sodium 144 mEq/L, and serum bicarbonate 31 mEq/L. She is not taking licorice or laxatives. What is the MOST appropriate initial screening test for the suspected secondary etiology?
5A 68-year-old male is brought to the emergency department in Rosario with a 3-day history of high fever, chills, pleuritic right-sided chest pain, and rust-colored sputum. On examination, he is disoriented to time and place. Vital signs: BP 94/58 mmHg, HR 108 bpm, RR 32 breaths/min, temperature 38.9 C, and SpO2 90% on room air. Chest examination reveals right lower lobe bronchial breath sounds and dullness to percussion. Serum urea is 56 mg/dL (BUN 26 mg/dL). Chest radiograph confirms right lower lobe consolidation. Based on the CURB-65 score and Argentine consensus guidelines for Community-Acquired Pneumonia (CAP), what is the appropriate management setting and initial empiric antibiotic regimen?
6A 67-year-old male with a 40 pack-year smoking history and severe Chronic Obstructive Pulmonary Disease (COPD, GOLD Stage 3) presents with worsening dyspnea, increased sputum volume, and purulent sputum production over the past 48 hours (Anthonisen Type 1 exacerbation). Physical examination shows tachypnea (RR 26/min), diffuse expiratory wheezing, and prolonged expiration. Arterial blood gas (ABG) on room air reveals: pH 7.31, PaCO2 54 mmHg, PaO2 56 mmHg, and HCO3 27 mEq/L. Which combination of interventions is the standard of care for this acute exacerbation?
7A 23-year-old female with a history of persistent asthma presents to the emergency room with acute shortness of breath and chest tightness after a viral upper respiratory infection. She has used her albuterol inhaler 6 times in the last 2 hours without significant relief. On examination, she is sitting upright, speaking in short phrases, RR 28/min, HR 112 bpm, SpO2 93% on ambient air, with diffuse bilateral expiratory wheezing. Peak expiratory flow (PEF) is 55% of predicted. According to international and Argentine asthma guidelines (GINA), what is the MOST appropriate initial pharmacologic therapy?
8A 54-year-old male undergoes diagnostic thoracentesis for a moderate right-sided pleural effusion. Simultaneous pleural fluid and serum laboratory analyses yield the following results: - Pleural fluid protein: 4.2 g/dL (Serum total protein: 6.5 g/dL; ratio = 0.65) - Pleural fluid LDH: 280 IU/L (Serum LDH: 320 IU/L; ratio = 0.88; upper limit of normal for serum LDH is 200 IU/L) - Pleural fluid glucose: 58 mg/dL According to Light's criteria, how is this pleural fluid categorized, and which etiology is MOST consistent with these findings?
9A 56-year-old male with decompensated alcoholic cirrhosis and large ascites is admitted to the hospital with low-grade fever (37.9 C), diffuse mild abdominal tenderness, and subtle worsening of confusion (Grade 1 hepatic encephalopathy). A diagnostic paracentesis is performed immediately. Peritoneal fluid analysis reveals a cloudy appearance with a total leukocyte count of 850/mm3 and 72% polymorphonuclear cells (absolute PMN count = 612/mm3). Which immediate therapeutic management plan is standard of care?
10A 52-year-old male with known hepatitis C-related cirrhosis presents to the shock trauma bay after vomiting 500 mL of bright red blood. On examination: BP 88/54 mmHg, HR 118 bpm, cold clammy extremities, and pallor. Resuscitation with packed red blood cells (targeting hemoglobin 7-8 g/dL) and isotonic crystalloids is initiated. Along with hemodynamic stabilization, what are the THREE essential pharmacological and endoscopic interventions required within the first 12 hours?
About the Examen Integrado — Medicina Exam
The Examen Integrado de Residencias de la Salud (Medicina) is Argentina's official nationwide unified examination for admission to medical residency programs in national, provincial, municipal, and participating private hospital institutions. Governed under Ministerio de Salud de la Nación Resolución 555/2026 and administered by the CAEI, it tests clinical competence across internal medicine, pediatrics, general surgery, obstetrics and gynecology, and public health and bioethics. Language note: the Examen Integrado is set and sat entirely in Spanish, against the official MSAL temario for Medicina. 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
Single 4-hour morning session with 100 clinical and conceptual questions administered digitally on synchronized tablets.
Time Limit
3 hours (180 minutes)
Passing Score
Ranked by competitive merit order (orden de mérito): 1 point per correct answer out of 100, with no penalty for wrong or blank answers; the exam score is combined with the candidate's certified undergraduate grade point average. Resolución 555/2026 sets no national minimum score — each participating concurso publishes its own cut-off and vacancy list.
Exam Fee
Free ($0 ARS) (Ministerio de Salud de la Nación / Comité de Adhesión al Examen Integrado (CAEI))
Examen Integrado — Medicina Exam Content Outline
Internal Medicine
Cardiology (ACS, STEMI/NSTEMI, heart failure, hypertension, arrhythmias), Pulmonology (CAP, COPD, asthma, pleural effusion), Gastroenterology & Hepatology (cirrhosis, ascites, GI bleeding, acute pancreatitis), Nephrology (AKI, CKD, hyperkalemia, metabolic acidosis), Endocrinology (DKA, HHS, type 2 diabetes, hypothyroidism, Addison's disease), Infectious Diseases (HIV/AIDS, tuberculosis, dengue, Chagas disease, infective endocarditis, sepsis), Neurology (ischemic/hemorrhagic stroke, meningitis, epilepsy), and Hematology (anemias, thrombocytopenia).
Pediatrics
Normal growth and psychomotor development milestones, breastfeeding and infant nutrition (SAP guidelines), acute bronchiolitis (etiology: RSV, supportive management), community-acquired pneumonia in children, acute gastroenteritis and dehydration (WHO/SAP oral rehydration plans A/B/C), exanthematous diseases (measles, rubella, erythema infectiosum, roseola, varicella), Calendario Nacional de Vacunación (BCG, Pentavalente, IPV, Neumococo conjugada, Triple Viral, Varicela, VPH, Menveo), pediatric emergencies, neonatal jaundice, and APGAR score.
General Surgery
Acute abdomen (acute appendicitis diagnosis and Alvarado score, acute cholecystitis, diverticulitis, acute bowel obstruction, hollow viscus perforation), trauma & ATLS principles (primary survey ABCDE, tension pneumothorax, massive hemothorax, hemorrhagic shock classification and resuscitation), thermal burns (rule of nines, Parkland formula), abdominal wall hernias (inguinal vs femoral), and surgical wound infections and asepsis.
Obstetrics & Gynecology
Prenatal care routine screening (Naegele's rule, 1st trimester labs), hypertensive disorders of pregnancy (gestational hypertension, preeclampsia with/without severe features, eclampsia, magnesium sulfate protocol), first-trimester bleeding (spontaneous abortion types, ectopic pregnancy, gestational trophoblastic disease), third-trimester bleeding (placenta previa, abruptio placentae), gestational diabetes screening (OGTT at 24-28 weeks), normal labor stages and postpartum hemorrhage prevention (active management of 3rd stage, oxytocin), cervical cancer screening (PAP and HPV testing guidelines in Argentina), abnormal uterine bleeding, and pelvic inflammatory disease.
Public Health & Bioethics
Primary Health Care (APS) and community epidemiology, epidemiological surveillance and mandatory notification (SIVE/SISA under Ley 15.465), Ley Nacional 26.529 (Derechos del Paciente, Historia Clínica y Consentimiento Informado), Ley 26.657 (Ley Nacional de Salud Mental), Ley 27.610 (Acceso a la Interrupción Voluntaria y Legal del Embarazo - IVE/ILE), bioethics principles (autonomy, beneficence, non-maleficence, justice), and professional confidentiality (secreto médico).
How to Pass the Examen Integrado — Medicina Exam
What You Need to Know
- Passing score: Ranked by competitive merit order (orden de mérito): 1 point per correct answer out of 100, with no penalty for wrong or blank answers; the exam score is combined with the candidate's certified undergraduate grade point average. Resolución 555/2026 sets no national minimum score — each participating concurso publishes its own cut-off and vacancy list.
- Assessment: Single 4-hour morning session with 100 clinical and conceptual questions administered digitally on synchronized tablets.
- Time limit: 3 hours (180 minutes)
- Exam fee: Free ($0 ARS)
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 — Medicina Study Tips from Top Performers
Frequently Asked Questions
What is the Examen Integrado de Residencias — Medicina?
The Examen Integrado is Argentina's unified national examination for medical residency training positions in national hospitals, provincial healthcare systems, municipal facilities, and participating private institutions. It is governed by the Ministerio de Salud de la Nación under the Comité de Adhesión al Examen Integrado (CAEI).
How is the exam structured and administered?
The exam consists of exactly 100 multiple-choice questions with four options each (one single best answer). Candidates have 3 hours (180 minutes) to complete the test. The examination is administered digitally on secure, synchronized electronic tablets at designated testing headquarters across Argentina.
How is the final merit score (orden de mérito) calculated under Resolución 555/2026?
For basic medical specialties, the final ranking score is composed of three components: the exam score (up to 100 points, 1 point per correct answer), the medical school academic grade point average (promedio general con aplazos), and an additional 5-point weighting incentive bonus for graduates of accredited Argentine universities.
What are the five core clinical blueprint domains?
The blueprint covers Internal Medicine (~28%), Pediatrics (~22%), General Surgery (~18%), Obstetrics and Gynecology (~18%), and Public Health & Bioethics (~14%), reflecting the comprehensive knowledge required for primary and hospital care practice in Argentina.
How much does it cost to register for the Argentine residency exam?
Registration for the national residency competition through the SISA portal is completely free ($0 ARS), reflecting Argentina's public, universal health residency system.
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.