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2026 Statistics

Key Facts: Examen Integrado Psicología Exam

100

Total MCQs

MSAL Resolución 555/2026

Exam Duration

MSAL Resolución 555/2026

1 pt

Per Correct Question

MSAL Examen Integrado — modalidad y puntaje

Free ($0)

Exam Fee

Ministerio de Salud de la Nación

Tablet

Delivery Format

Digital Examination Platform MSAL

26.657

National Mental Health Law

InfoLEG / Ministerio de Salud

The Argentina Examen Integrado de Residencias — Psicología is a free 100-question, 3-hour digital multiple-choice exam administered nationwide by the Ministerio de Salud de la Nación / CAEI. It ranks psychology graduates for hospital residency seats based on clinical psychopathology, psychoanalysis, Ley 26.657, community mental health, emergency interventions, and professional ethics.

Sample Examen Integrado Psicología Practice Questions

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

1A 28-year-old patient presents to the hospital outpatient clinic with sudden functional aphonia following an intense domestic argument in which she felt forbidden to express her anger. Organic and neurological examinations reveal no physiological lesions. In Freudian psychoanalytic theory, which metapsychological mechanism best explains this conversion symptom (*histeria de conversión*)?

A.Conversion of the repressed libidinal affect into somatic innervation through somatic compliance (*complacencia somática*)

B.Foreclosure of the primordial signifier into the Real with delusional reconstitution

C.Disavowal of castration accompanied by the construction of a fetishistic substitute object

D.Isolation of the ideational representative with complete emotional undoing (*anulación retroactiva*)

Explanation: In Freud's metapsychology of hysteria (e.g., Studies on Hysteria, 1895; Dora, 1905), conversion operates when the ideational representative of an unbearable conflict is repressed and its detached quantum of affect is transposed into physical/somatic innervation. This process requires somatic compliance (*complacencia somática*), wherein an organ or bodily function becomes the symbolic vehicle for expressing the repressed unconscious conflict.

2A 32-year-old accountant reports spending several hours each evening repeatedly turning light switches on and off three times and repeating a specific religious phrase in reverse to 'neutralize' sudden intrusive thoughts of harming his father. In Freudian psychoanalysis, which unconscious defense mechanism operates alongside isolation (*aislamiento*) in obsessional neurosis (*neurosis obsesiva*)?

A.Foreclosure (*Verwerfung*)

B.Undoing / Retroactive annulment (*Anulación retroactiva* / *Ungeschehenmachen*)

C.Disavowal (*Verleugnung*)

D.Projection into the external hallucinatory field

Explanation: Undoing or retroactive annulment (*anulación retroactiva* / *Ungeschehenmachen*) is a classic defense mechanism of obsessional neurosis described by Freud in Inhibitions, Symptoms and Anxiety (1926) and 'The Rat Man' (1909). The obsessional subject performs a second act designed to symbolically erase or cancel out the psychological reality of a previous act, thought, or forbidden drive impulse.

3In Sigmund Freud's analysis of 'Little Hans' (*El pequeño Hans*, 1909), a 5-year-old boy develops an intense phobia of horses after seeing a large horse fall in the street. What is the fundamental structural function of the phobic object (*objeto fobígeno*) in phobia (*histeria de angustia*)?

A.It represents a total psychotic fragmentation of the infantile ego

B.It serves as a perverted fetish that disavows the maternal anatomical lack

C.It binds free-floating anxiety to a substitutive external representation, organizing psychic space

D.It eliminates the Oedipus complex by destroying the paternal imago permanently

Explanation: In Freud's structural understanding of phobia (*histeria de angustia*), phobia is not an independent clinical entity but a protective psychic organization. The phobic object (*objeto fobígeno*) binds previously unanchored, free-floating castration anxiety to a concrete, avoidable external representation (horses), transforming an internal drive danger into an external perceptual hazard that can be mastered by avoidance.

4In 'Mourning and Melancholia' (*Duelo y melancolía*, 1917), Sigmund Freud compares the psychic work of normal mourning (*duelo*) with melancholia (*melancolía*). Which metapsychological feature fundamentally distinguishes melancholia from mourning?

A.In mourning, the loss is unconscious; in melancholia, the subject knows exactly what object has been lost

B.Melancholia never involves suicidal ideation or self-reproaches, whereas mourning always does

C.In melancholia, libido is immediately redirected onto new external objects without resistance

D.In mourning, the world has become poor and empty, whereas in melancholia, the ego itself has become impoverished and worthless

Explanation: Freud famously summarized: 'In mourning it is the world which has become poor and empty; in melancholia it is the ego itself' ('En el duelo, el mundo se ha hecho pobre y vacío; en la melancolía, es el yo mismo'). In melancholia, following an object loss, the free libido is withdrawn into the ego rather than displaced onto a new object, establishing a narcissistic identification where 'the shadow of the object fell upon the ego' (*la sombra del objeto cayó sobre el yo*), leading to relentless self-reproaches that are unconscious reproaches against the lost object.

5According to Jacques Lacan's 1949 paper 'The Mirror Stage as Formative of the I Function' (*El estadio del espejo como formador de la función del yo*), what is the psychological significance of an infant between 6 and 18 months recognizing its reflection in a mirror?

A.An experience of jubilation through which the infant identifies with a unified external image, constituting the ego (*moi*) in an alienating imaginary matrix

B.The immediate achievement of post-Oedipal genital maturity and moral autonomy

C.The definitive inscription of the Name-of-the-Father into the Symbolic register

D.The biological maturation of motor coordination that completely resolves bodily prematurity

Explanation: Lacan conceptualizes the Mirror Stage (6–18 months) as an ontological turning point where the human infant, despite physiological prematurity and motor discordance (the fragmented body / *corps morcelé*), perceives its reflection as an integrated, unified whole. The infant greets this image with jubilation, which constitutes the ego (*yo* / *moi*) through primary imaginary identification with an external counterpart (*semblant*), establishing the ego as fundamentally alienating and specular.

6In Jacques Lacan's topological model of the three registers—the Real, the Symbolic, and the Imaginary (RSI)—how is the 'Real' (*lo Real*) conceptualized in relation to language and subjectivity?

A.As the empirical, physical world accessible through objective sensory perception and scientific instruments

B.As that which resists symbolization absolutely, lying outside language as the impossible to say or represent

C.As the mental realm of visual fantasies, daydreams, and mirror identifications

D.As the universal cultural legal order structured around the linguistic signifier

Explanation: In Lacanian psychoanalysis, the Real (*lo Real*) is not objective empirical reality (*la realidad*). Rather, the Real is defined as that which strictly resists symbolization and representation ('lo que no cesa de no escribirse' / that which doesn't stop not being written), the impossible, the raw surplus of jouissance that language cannot capture.

7A 22-year-old male experiences his first acute psychotic break (*desencadenamiento*) shortly after his partner announces she is pregnant and he is called upon to become a father. According to Jacques Lacan's structural theory of psychosis ('On a Question Prior to Any Possible Treatment of Psychosis', 1958), what structural mechanism accounts for the triggering of psychosis?

A.Secondary repression (*represión secundaria*) of an incestuous drive representation

B.Disavowal (*desmentida*) of castration resulting in neurotic conversion symptoms

C.Foreclosure (*forclusión* / *Verwerfung*) of the Name-of-the-Father from the Symbolic, which produces a gaping hole when the subject is summoned to occupy the paternal position in the Real

D.Regression to the anal-sadistic stage of libidinal development due to marital conflict

Explanation: Lacan posits that psychosis is structurally defined by the foreclosure (*forclusión* / *Verwerfung*) of the Name-of-the-Father (*Nombre-del-Padre*). While the structure remains un-triggered (*no desencadenada*) as long as imaginary compensation holds, encountering a situation where the subject is summoned to act from the position of the father ('Un-padre' in the Real) exposes the symbolic void/hole, precipitating the psychotic collapse and delusional reconstitution (*lo forcluido en lo Simbólico retorna en lo Real*).

8In 'Drives and Their Fates' (*Pulsiones y sus destinos*, 1915), Sigmund Freud distinguishes the instinct (*Instinkt*) from the drive (*Trieb*) and describes four metapsychological components of the drive. Which component represents the constant motor factor or quantity of work demand exerted upon the psychic apparatus?

A.The Source (*Quelle* / *Fuente*)

B.The Aim (*Ziel* / *Meta*)

C.The Object (*Objekt* / *Objeto*)

D.The Pressure / Thrust (*Drang* / *Esfuerzo* / *Empuje*)

Explanation: Freud defines the Pressure or Thrust (*Drang* / *Esfuerzo* o *Empuje*) as the motor factor of the drive, the amount of force or measure of demand for work which it represents. By its very nature, the drive exerts a constant, uninterrupted pressure upon the psyche, distinguishing it from external physiological stimuli.

9In 'Beyond the Pleasure Principle' (*Más allá del principio de placer*, 1920), which clinical and behavioral observations led Sigmund Freud to formulate the concept of the Death Drive (*Todestrieb*) and the Compulsion to Repeat (*Wiederholungszwang*)?

A.Traumatic war neuroses with repetitive nightmares, the child's *Fort-Da* game, and the negative therapeutic reaction in psychoanalysis

B.The euphoric relief experienced by hysterical patients following hypnotic abreaction

C.The disappearance of somatic symptoms when patients engaged in free association

D.The exclusive regulation of psychic life by the constancy principle without exceptions

Explanation: In 1920, Freud observed phenomena that contradicted the absolute reign of the Pleasure Principle: soldiers suffering from traumatic war neuroses waking repeatedly from nightmares reproducing the traumatic scene, his grandson's symbolic *Fort-Da* game repeating maternal absence, and patients exhibiting negative therapeutic reactions (*reacción terapéutica negativa*). These compelled him to postulate a primary compulsion to repeat linked to the death drive (*pulsión de muerte*).

10In Jacques Lacan's psychoanalytic theory, how is the *objet petit a* (*objeto a*) primarily defined?

A.As a concrete physical item that satisfies biological hunger

B.As the lost object that functions as the cause of desire (*cause du désir*) and the leftover surplus of jouissance (*plus-de-jouir*)

C.As the imaginary narcissistic mirror reflection that constitutes the specular ego

D.As the universal signifier of the Law that organizes the Oedipal prohibition

Explanation: Lacan developed the *objet petit a* (*objeto a*) as his single original theoretical invention. It is not an empirical object of need, but the lost object (*l'objet perdu*), the structural void produced by the subject's entry into language that operates as the cause of desire (*causa del deseo*) and as a remnant/surplus of jouissance (*plus de goce* / *plus-de-jouir*).

About the Examen Integrado Psicología Exam

The Examen Integrado de Residencias de la Salud — Psicología is the official national competitive examination in Argentina governing access to postgraduate clinical residency training positions (Residencias de Salud Mental / Psicología Clínica) across national public hospitals, the Autonomous City of Buenos Aires (CABA), the Province of Buenos Aires (PBA), and adhering provincial healthcare jurisdictions. Regulated by the Ministerio de Salud de la Nación under the framework of Resolución MSAL 555/2026 and coordinated by the Comité de Adhesión al Examen Integrado (CAEI), the examination is administered nationwide in a secure digital format using tablets. The test evaluates 100 multiple-choice questions over four hours. The curriculum is deeply rooted in the Argentine mental health tradition, which integrates rigorous Freudian and Lacanian psychoanalytic clinical psychopathology with a strong human rights and community health model mandated by the National Mental Health Law Nº 26.657 (Ley Nacional de Salud Mental) and its Regulatory Decree 603/2013. Key domains include structural differential diagnosis (neurosis, psychosis, perversion, borderline states), metapsychology, child and adolescent development, primary healthcare (APS), territorial community devices (Hospitales de Día, Casas de Convivencia, Talleres Protegidos), interdisciplinary team dynamics, subjective emergencies in general hospital triage, suicide prevention protocols under Ley 27.130, harm reduction in problematic substance use under Ley 26.934 (Plan IACOP), and professional ethics under the FePRA Code and Ley 23.277. Scoring is based strictly on merit order (orden de mérito) with one point awarded per correct answer and zero penalty for incorrect answers. The resulting rank determines the candidate's priority when selecting residency seats in leading hospitals, community mental health centers (CAPS/CeSAC), and territorial networks. Language note: the Examen Integrado is set and sat entirely in Spanish, against the official MSAL temario for Psicología. 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 100-question multiple-choice digital examination covering Clinical Psychology & Psychopathology (30%), Community Mental Health & Primary Care (25%), National Mental Health Law & Human Rights (20%), Crisis Interventions & Problematic Substance Use (15%), and Ethics, Legislation & Professional Practice (10%).

Time Limit

3 hours (180 minutes)

Passing Score

Merit ranking (0–100 points, 1 point per correct answer; no negative marking; positions assigned in descending order of score)

Exam Fee

Free ($0 ARS) (Ministerio de Salud de la Nación / Comité de Adhesión al Examen Integrado (CAEI))

Examen Integrado Psicología Exam Content Outline

30%

Clinical Psychology & Psychopathology

Structural diagnosis (hysteria, obsessional neurosis, phobia, paranoia, schizophrenia, melancholy, perversion), Freud's metapsychology, Lacan's RSI and Name-of-the-Father, child/adolescent development, and clinical interviewing.

25%

Community Mental Health & Primary Care

Primary Health Care (APS) in mental health, territorial approaches, interdisciplinary teamwork, destigmatization, substitute community devices (Hospitales de Día, Casas de Convivencia, Talleres Protegidos), and psychosocial recovery.

20%

National Mental Health Law & Human Rights

Ley Nacional de Salud Mental Nº 26.657 and Decree 603/2013 (presumption of capacity, involuntary hospitalization criteria, 'riesgo cierto e inminente', interdisciplinary signatures, 48h judicial notification, Órgano de Revisión), Caracas Declaration, and the UN CDPD.

15%

Crisis Interventions & Problematic Substance Use

Subjective emergencies in general hospital guardias, suicide risk stratification and protocols (Ley 27.130), panic attacks, problematic substance use (Ley 26.934 / Plan IACOP), and harm reduction models.

10%

Ethics, Legislation & Professional Practice

Ley 23.277 (Professional Practice of Psychology), FePRA Code of Ethics, professional secrecy and exceptions (justa causa), Ley 26.529 (Patient Rights & Clinical Records), and Ley 26.061 (Child & Adolescent Protection).

How to Pass the Examen Integrado Psicología Exam

What You Need to Know

Passing score: Merit ranking (0–100 points, 1 point per correct answer; no negative marking; positions assigned in descending order of score)
Assessment: A 100-question multiple-choice digital examination covering Clinical Psychology & Psychopathology (30%), Community Mental Health & Primary Care (25%), National Mental Health Law & Human Rights (20%), Crisis Interventions & Problematic Substance Use (15%), and Ethics, Legislation & Professional Practice (10%).
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 Psicología Study Tips from Top Performers

1Master the exact statutory articles and timeframes of Ley 26.657: definition of mental health (Art. 3), presumption of capacity (Art. 5), interdisciplinary team leadership equivalence (Art. 13), involuntary hospitalization criteria of 'riesgo cierto e inminente' (Art. 20), mandatory signature by two professionals of different disciplines including a psychologist/psychiatrist (Art. 16), and the 48-hour judicial/Órgano de Revisión notification deadline.

2Understand the structural differences between neurosis (repression / Verdrängung), psychosis (foreclosure / Verwerfung of the Name-of-the-Father into the Real), and perversion (disavowal / Verleugnung of castration), linking clinical vignettes directly to mechanisms.

3Differentiate mourning (Duelo) from melancholia (Melancolía) in Freud (1917): in melancholia, the loss is unconscious, self-reproaches represent attacks on the internalized object, and the ego becomes impoverished.

4Anchor crisis interventions in the 'urgencia subjetiva' paradigm: de-escalation, subjective holding, opening a space for the word, and strict adherence to Ley 27.130 suicide prevention protocols.

5Familiarize yourself with substitute community devices (Hospitales de Día, Casas de Convivencia, Talleres Protegidos) and the Harm Reduction (Reducción de Daños) model under Ley 26.934 / Plan IACOP.

6Review the exceptions to professional secrecy under the FePRA Code of Ethics and Argentine Penal Code (justa causa: imminent grave harm to self/others, child abuse reporting under Ley 26.061, legitimate judicial order).

Frequently Asked Questions

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

It is the unified national multiple-choice examination organized by the Argentine National Ministry of Health (MSAL) and the CAEI under Resolución 555/2026 that ranks psychology graduates for admission to postgraduate clinical residency posts in national, CABA, provincial, and municipal public health systems.

How many questions are on the exam, and what is the time limit?

The examination contains exactly 100 multiple-choice questions (each with 4 options and a single best answer) administered over a continuous 3-hour (180-minute) testing session.

How is the exam scored and what is the passing threshold?

Each correct question awards 1 point (maximum 100 points). There is no negative marking for incorrect or blank answers. Rather than a fixed pass/fail threshold, candidates are ranked in an 'orden de mérito' (merit order), and available residency positions are awarded sequentially according to ranking.

What core legal frameworks are tested on the examination?

The exam heavily emphasizes Ley Nacional de Salud Mental Nº 26.657 and its Regulatory Decree 603/2013, Ley Nacional 23.277 de Ejercicio de la Psicología, Ley 26.529 de Derechos del Paciente e Historia Clínica, Ley 26.061 de Protección Integral de los Derechos de Niñas, Niños y Adolescentes, Ley 27.130 de Prevención del Suicidio, Ley 26.934 (Plan IACOP), and the FePRA National Code of Ethics.

Is there an examination or registration fee?

No. Registration and participation in the Examen Integrado are completely free of charge ($0 ARS), guaranteed by the Argentine public health system.

What theoretical approaches dominate the clinical psychopathology questions?

In line with the Argentine academic and hospital residency tradition, clinical psychopathology is grounded in Freudian metapsychology and Lacanian structural psychoanalysis (RSI registers, paternal metaphor, foreclosure, objet petit a), integrated with contemporary psychiatric nosology, developmental psychology, and community public health models.

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.