100+ Free Examen Único de Residencias Córdoba (Medicina) Practice Questions

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Key Facts: Examen Único de Residencias Córdoba (Medicina) Exam

100

Exam Questions

Ministerio de Salud de Córdoba — Examen Único

Options Per Question (One Correct)

Ministerio de Salud de Córdoba — Examen Único

Eligible Health Disciplines

Ministerio de Salud de Córdoba — Examen Único

Digital

Grilla Correction Method

Ministerio de Salud de Córdoba — Examen Único

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Exam Duration

Ministerio de Salud de Córdoba (no time limit published)

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Registration Fee

Ministerio de Salud de Córdoba (no arancel published)

The Examen Único de Residencias de Córdoba — Medicina is the single high-stakes entrance exam for medical residency training positions across Córdoba. Administered by the Ministerio de Salud de Córdoba, it comprises 100 MCQs across 5 domains with a 4-hour time limit. Ranking combines the 100-point written score with the undergraduate medical GPA (promedio) under provincial Resolución N° 555.

Sample Examen Único de Residencias Córdoba (Medicina) Practice Questions

Try these sample questions to test your Examen Único de Residencias Córdoba (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 man presents to the emergency department with 90 minutes of crushing substernal chest pain radiating to the left arm and diaphoresis. An ECG shows 3 mm ST-segment elevation in leads II, III, and aVF with reciprocal ST depression in leads I and aVL. The nearest primary percutaneous coronary intervention (PCI) facility is located 3 hours away. According to Argentine and international cardiology guidelines, what is the most appropriate immediate reperfusion strategy?

A.Immediate intravenous fibrinolytic therapy (e.g., tenecteplase or alteplase) within 10 minutes of diagnosis, followed by transfer to a PCI-capable center

B.Emergency interfacility transfer for primary percutaneous coronary intervention without administering fibrinolysis

C.Administration of high-dose intravenous unfractionated heparin and observation in the coronary care unit

D.Urgent coronary artery bypass graft (CABG) surgery consultation without medical reperfusion

Explanation: In acute STEMI (inferior infarction in this case), when primary PCI cannot be performed within 120 minutes from the time of STEMI diagnosis (here the transfer time alone is 3 hours), immediate intravenous fibrinolytic therapy is indicated within 10 minutes of diagnosis (door-to-needle time) in the absence of contraindications. Following fibrinolysis, the patient should be transferred to a PCI-capable hospital for routine coronary angiography (pharmaco-invasive strategy) within 2 to 24 hours, or immediate rescue PCI if reperfusion fails.

2A 64-year-old woman with ischemic cardiomyopathy and a left ventricular ejection fraction of 28% (NYHA Class II) is evaluated in the outpatient clinic. Her blood pressure is 125/78 mmHg, heart rate is 68 bpm, and serum creatinine is 1.0 mg/dL with potassium 4.2 mEq/L. She is currently taking enalapril 10 mg twice daily and carvedilol 25 mg twice daily. According to guideline-directed medical therapy (GDMT) for heart failure with reduced ejection fraction (HFrEF), which medication modification is most appropriate to reduce mortality?

A.Discontinue carvedilol and initiate verapamil for better rate and blood pressure control

B.Switch enalapril to sacubitril/valsartan (ARNI) after a 36-hour washout period, and add a mineralocorticoid receptor antagonist (spironolactone) and an SGLT2 inhibitor (dapagliflozin or empagliflozin)

C.Add digoxin and furosemide while keeping her current enalapril and carvedilol doses unchanged

D.Discontinue enalapril and replace it with amlodipine to optimize afterload reduction

Explanation: Four foundational drug classes (the 'four pillars' of GDMT) reduce all-cause mortality in HFrEF: ARNI (or ACEi/ARB), evidence-based beta-blockers (carvedilol, bisoprolol, metoprolol succinate), mineralocorticoid receptor antagonists (spironolactone/eplerenone), and SGLT2 inhibitors (dapagliflozin/empagliflozin). Switching from an ACE inhibitor to sacubitril/valsartan requires a 36-hour washout period to prevent angioedema. Adding spironolactone and an SGLT2 inhibitor provides substantial additive survival benefits.

3A 71-year-old woman with a history of hypertension and type 2 diabetes mellitus presents for routine evaluation. An ECG reveals asymptomatic atrial fibrillation with a ventricular response of 84 bpm. Her echocardiogram shows normal left ventricular function and a mildly enlarged left atrium. Her CHA2DS2-VASc score is calculated. What is the recommended strategy regarding stroke prevention?

A.Prescribe dual antiplatelet therapy with aspirin and clopidogrel

B.Prescribe aspirin 100 mg daily as monotherapy for antiplatelet stroke prophylaxis

C.Initiate oral anticoagulation with a direct oral anticoagulant (DOAC, e.g., apixaban, rivaroxaban, dabigatran) or a vitamin K antagonist

D.Withhold antithrombotic therapy because the atrial fibrillation is asymptomatic

Explanation: The patient's CHA2DS2-VASc score is 4 (Age 65-74: 1 point, Female: 1 point, Hypertension: 1 point, Diabetes: 1 point). In women with a CHA2DS2-VASc score >= 3 (or men >= 2), long-term oral anticoagulation is strongly recommended (Class I) to prevent thromboembolic stroke. Direct oral anticoagulants (DOACs) are preferred over vitamin K antagonists in non-valvular atrial fibrillation due to lower intracranial bleeding risk.

4A 52-year-old man presents to the emergency room with severe headache, blurred vision, and confusion. His blood pressure is 220/130 mmHg. Fundoscopic examination reveals bilateral flame-shaped retinal hemorrhages, soft exudates, and papilledema. Urinalysis reveals proteinuria and microscopic hematuria. What is the diagnosis and the target blood pressure reduction in the first hour?

A.White-coat hypertension; prescribe oral enalapril and discharge with outpatient follow-up in 24 hours

B.Hypertensive urgency; administer sublingual nifedipine immediately to normalize blood pressure to < 120/80 mmHg within 30 minutes

C.Hypertensive emergency; reduce systolic blood pressure to < 100 mmHg within the first 15 minutes using high-dose intravenous hydralazine

D.Hypertensive emergency (malignant hypertension); reduce mean arterial pressure (MAP) by no more than 20% to 25% within the first hour using intravenous antihypertensive therapy

Explanation: This patient has a hypertensive emergency (specifically malignant/accelerated hypertension with hypertensive encephalopathy and Grade IV retinopathy) evidenced by severe BP elevation with acute target-organ damage (central nervous system, retina, and kidneys). The standard management goal is to reduce mean arterial pressure (MAP) by 20% to 25% over the first hour using titratable intravenous agents (e.g., labetalol, nitroprusside) to prevent cerebral, coronary, and renal hypoperfusion caused by shifted autoregulatory thresholds.

5A 45-year-old man with a history of bicuspid aortic valve presents with a 3-week history of low-grade fever, night sweats, fatigue, and weight loss. On examination, a new 3/6 diastolic murmur is audible at the left sternal border, and subungual splinter hemorrhages are noted. Three separate sets of blood cultures obtained over 24 hours grow Streptococcus gallolyticus (formerly S. bovis). In addition to echocardiography and tailored antibiotic therapy, which diagnostic evaluation is mandatory?

A.Complete colonoscopy to evaluate for colorectal adenoma or carcinoma

B.Diagnostic lumbar puncture to rule out cryptococcal meningitis

C.Urgent bone marrow biopsy to assess for acute myeloid leukemia

D.Endoscopic retrograde cholangiopancreatography (ERCP) for biliary tract evaluation

Explanation: Streptococcus gallolyticus (Streptococcus bovis biotype I) endocarditis has a well-established association with gastrointestinal pathology, particularly colorectal adenocarcinoma and advanced adenomatous polyps (present in up to 50–60% of patients). Therefore, complete colonoscopy is mandatory in all patients diagnosed with S. gallolyticus bacteremia or infective endocarditis, even in the absence of GI symptoms.

6A 68-year-old man presents with a 3-day history of productive cough with rust-colored sputum, right pleuritic chest pain, and fever of 38.8 °C. On examination, he is alert and oriented (Glasgow 15/15), blood pressure is 105/65 mmHg, respiratory rate is 32 breaths/min, and heart rate is 104 bpm. Auscultation reveals bronchial breath sounds and crackles over the right lower lobe. Laboratory tests show BUN of 28 mg/dL (urea 60 mg/dL). What is his CURB-65 score, and what is the recommended management setting?

A.CURB-65 score = 1; outpatient oral antibiotic treatment

B.CURB-65 score = 3 (Urea > 7 mmol/L [BUN > 19 mg/dL], Respiratory rate >= 30, Age >= 65); hospital admission (general medical ward or consideration of intensive monitoring)

C.CURB-65 score = 0; safe for home discharge with symptomatic care only

D.CURB-65 score = 5; immediate endotracheal intubation and transfer to surgical theater

Explanation: CURB-65 awards 1 point each for: Confusion (0), Urea > 7 mmol/L / BUN > 19 mg/dL (1), Respiratory rate >= 30/min (1), Blood pressure < 90/60 mmHg (0), and Age >= 65 years (1). This patient scores 3 points (Urea, Respiratory rate, Age), which indicates severe community-acquired pneumonia with high 30-day mortality (14-22%), mandating inpatient hospital admission and close monitoring.

7A 66-year-old man with severe COPD (GOLD Stage 3) presents with worsening dyspnea, increased sputum volume, and sputum purulence (Anthonisen Type 1 exacerbation). Physical examination shows tachypnea at 28 breaths/min, use of accessory muscles, and bilateral expiratory wheezing. Arterial blood gas on room air reveals pH 7.31, PaCO2 56 mmHg, PaO2 54 mmHg, and HCO3- 28 mEq/L. Which intervention has been shown to reduce mortality and the need for endotracheal intubation in this clinical scenario?

A.High-flow 100% oxygen via non-rebreather mask to achieve an SaO2 of 99-100%

B.Immediate invasive mechanical ventilation via endotracheal intubation as initial first-line therapy

C.Non-invasive positive pressure ventilation (NIV / BiPAP) along with bronchodilators, systemic corticosteroids, and antibiotics

D.Intravenous aminophylline infusion as monotherapy without ventilatory support

Explanation: In acute COPD exacerbations with acute respiratory acidosis (pH 7.25-7.35 and PaCO2 > 45 mmHg) and persistent dyspnea despite initial medical therapy, non-invasive ventilation (NIV, typically BiPAP) is the first-line ventilatory support. NIV improves gas exchange, unloads respiratory muscles, reduces the rate of endotracheal intubation by >60%, and significantly decreases hospital mortality and length of stay.

8A 42-year-old woman presents with acute onset of shortness of breath and right-sided pleuritic chest pain 10 days after an open reduction and internal fixation of a tibial fracture. On examination, she is tachypneic at 26 breaths/min, heart rate is 112 bpm, blood pressure is 120/75 mmHg, and pulse oximetry is 91% on room air. Her right calf is swollen and tender. Her calculated Wells score is 7.5 (high probability). What is the next most appropriate diagnostic step?

A.Initiate systemic thrombolysis with intravenous alteplase immediately

B.Order a high-sensitivity D-dimer assay and withhold anticoagulation until results return

C.Perform a 12-lead ECG and discharge if no S1Q3T3 pattern is observed

D.Computed tomography pulmonary angiography (CTPA) and immediate initiation of anticoagulation (e.g., LMWH) while awaiting imaging

Explanation: When clinical probability of pulmonary embolism (PE) is high (Wells score > 6 or simplified Wells >= 4), D-dimer testing should be bypassed because a normal D-dimer cannot safely exclude PE in high-risk patients. CT pulmonary angiography (CTPA) is the imaging modality of choice. Therapeutic anticoagulation (e.g., low-molecular-weight heparin or direct oral anticoagulant) should be initiated immediately while awaiting diagnostic imaging unless contraindicated.

9Diagnostic thoracentesis in a 54-year-old man with a unilateral left pleural effusion yields cloudy fluid with the following values: Pleural fluid protein: 4.2 g/dL (Serum protein: 6.8 g/dL); Pleural fluid LDH: 240 U/L (Serum LDH: 300 U/L; upper limit of normal serum LDH is 200 U/L). According to Light's criteria, how is this pleural effusion categorized?

A.Exudative pleural effusion, because the pleural fluid protein-to-serum protein ratio is > 0.5 (4.2/6.8 = 0.62) and pleural LDH exceeds 2/3 the upper limit of normal serum LDH (240 > 133 U/L)

B.Transudative pleural effusion, because the absolute pleural fluid LDH is under 500 U/L

C.Chylothorax, solely because the fluid appears cloudy

D.Transudative pleural effusion secondary to congestive heart failure

Explanation: Light's criteria classify a pleural effusion as an exudate if at least one of the following is met: 1) Pleural fluid protein / Serum protein ratio > 0.5; 2) Pleural fluid LDH / Serum LDH ratio > 0.6; 3) Pleural fluid LDH > 2/3 the upper limit of normal for serum LDH. Here, the protein ratio is 0.62 (> 0.5), the LDH ratio is 0.80 (> 0.6), and pleural LDH is 240 U/L (> 133 U/L). Meeting all three criteria confirms an exudative effusion (e.g., parapneumonic, malignancy, tuberculosis).

10A 50-year-old man with alcohol-related cirrhosis presents with large-volume hematemesis, melena, and lightheadedness. On examination, blood pressure is 85/50 mmHg, heart rate is 118 bpm, and spider angiomas are present on his chest. What are the essential initial therapeutic steps prior to emergency upper endoscopy?

A.Aggressive crystalloid and blood resuscitation to achieve a hemoglobin of > 12 g/dL and blood pressure of 140/90 mmHg

B.Resuscitation with two large-bore IV lines using isotonic crystalloids, restrictive blood transfusion targeting hemoglobin 7-8 g/dL, IV vasoactive drugs (octreotide/terlipressin), and prophylactic IV ceftriaxone

C.Oral beta-blocker administration (propranolol) and immediate surgical portosystemic shunt

D.Insertion of a Sengstaken-Blakemore tube before establishing IV access or fluid resuscitation

Explanation: Initial management of acute variceal bleeding in cirrhosis includes: hemodynamic stabilization with isotonic crystalloids; restrictive packed red blood cell transfusion targeting Hb 7–8 g/dL (liberal transfusion increases portal pressure and rebleeding mortality); early initiation of vasoactive drugs (octreotide, somatostatin, or terlipressin) to lower portal pressure; and prophylactic antibiotics (IV ceftriaxone 1 g/day for 7 days) to reduce bacterial infections and mortality. Esophagogastroduodenoscopy (EGD) is performed within 12 hours once stabilized.

About the Examen Único de Residencias Córdoba (Medicina) Exam

The Examen Único de Residencias en Salud de la Provincia de Córdoba — Medicina is the official unified competitive entrance examination for admission into postgraduate medical residency training programs across provincial public hospitals, municipal centers, and accredited private healthcare institutions in Córdoba, Argentina. Governed by the Ministerio de Salud de Córdoba under provincial Resolución Ministerial N° 555, it tests clinical competence across internal medicine, pediatrics, general surgery, obstetrics and gynecology, and public health / patient safety. Language note: the Examen Único is set and sat entirely in Spanish against the official Córdoba temario. 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 Córdoba, 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

One unified written multiple-choice paper of 100 four-option questions, set with the particular content of each eligible discipline (Bioquímica, Enfermería, Farmacia, Ingeniería, Kinesiología, Medicina, Nutrición, Odontología, Psicología, Psicomotricidad, Psicopedagogía and Trabajo Social) and corrected digitally from the answer grilla. This bank is scoped to the MEDICINA paper only. The Ministerio publishes an orientative bibliography and a patient-safety reading list rather than a percentage blueprint, and does not publish an exam duration.

Time Limit

Not published

Passing Score

No published minimum mark; candidates are ranked on a competitive orden de mérito for the becas offered under the Reglamento de Residencias en Salud (Resolución provincial N° 555).

Exam Fee

Not published by the Ministerio de Salud de Córdoba (Ministerio de Salud de la Provincia de Córdoba — Dirección General de Capacitación y Formación en Salud)

Examen Único de Residencias Córdoba (Medicina) Exam Content Outline

28 Qs

Internal Medicine (Clínica Médica)

Cardiology (ACS, heart failure GDMT, atrial fibrillation anticoagulation), Pulmonology (CAP, COPD, asthma, pulmonary embolism), Gastroenterology (GI bleeding, pancreatitis, cirrhosis and SBP), Nephrology (AKI KDIGO staging, hyperkalemia, hyponatremia), Endocrinology (DKA, HHS, diabetes management, thyroid disorders, adrenal insufficiency), Infectious Diseases (Dengue warning signs, Chagas disease, bacterial meningitis, HIV opportunistic infections, sepsis bundle), and Neurology.

22 Qs

Pediatrics & Child Development (Pediatría y Desarrollo Infantil)

Neonatology (APGAR score, neonatal jaundice, neonatal resuscitation), infant growth and developmental milestones, acute bronchiolitis management (SAP guidelines), croup, pediatric pneumonia, acute diarrhea dehydration plans (WHO/SAP), Hemolytic Uremic Syndrome (SUH prevention and management), pediatric exanthems, and the Argentine National Immunization Schedule.

18 Qs

General Surgery & Emergency Care (Cirugía General y Urgencias)

Acute abdomen diagnosis, acute appendicitis clinical signs and staging, biliary disease (acute cholecystitis, acute cholangitis Charcot triad and ERCP indications), intestinal obstruction, inguinal/femoral hernias, polytrauma primary survey (ATLS), tension pneumothorax decompression, traumatic brain injury (epidural vs subdural hematoma), burn resuscitation (Parkland formula), and acute arterial ischemia.

18 Qs

Obstetrics & Gynecology (Tocoginecología)

Prenatal care protocols, hypertensive disorders of pregnancy (preeclampsia severe features, magnesium sulfate protocol), gestational diabetes diagnostic criteria, third-trimester antepartum hemorrhage (placenta previa vs abruption), labor stages and active management of third stage (AMTSL), postpartum hemorrhage (4 Ts), cervical cancer screening (PAP/HPV), contraception, and pelvic inflammatory disease.

14 Qs

Public Health, Patient Safety & Health Legislation (Salud Pública)

Argentine Patient Rights Law (Ley 26.529: autonomy, medical records, informed consent), National Mental Health Law (Ley 26.657: involuntary admissions criteria), Abortion Law (Ley 27.610 IVE/ILE: 14-week limit, 10-day timeframe), Provincial Health System (Ley 9.847), Provincial Residency Regulations (Resolución N° 555), and Córdoba patient safety guidelines (WHO surgical checklist, high-alert medication safety, hand hygiene, and incident reporting).

How to Pass the Examen Único de Residencias Córdoba (Medicina) Exam

What You Need to Know

Passing score: No published minimum mark; candidates are ranked on a competitive orden de mérito for the becas offered under the Reglamento de Residencias en Salud (Resolución provincial N° 555).
Assessment: One unified written multiple-choice paper of 100 four-option questions, set with the particular content of each eligible discipline (Bioquímica, Enfermería, Farmacia, Ingeniería, Kinesiología, Medicina, Nutrición, Odontología, Psicología, Psicomotricidad, Psicopedagogía and Trabajo Social) and corrected digitally from the answer grilla. This bank is scoped to the MEDICINA paper only. The Ministerio publishes an orientative bibliography and a patient-safety reading list rather than a percentage blueprint, and does not publish an exam duration.
Time limit: Not published
Exam fee: Not published by the Ministerio de Salud de Córdoba

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Examen Único de Residencias Córdoba (Medicina) Study Tips from Top Performers

1Focus on Argentine-specific clinical guidelines, especially from the Sociedad Argentina de Pediatría (SAP) and Sociedad Argentina de Cardiología (SAC).

2Thoroughly master national health statutes: Ley 26.529 (Derechos del Paciente), Ley 26.657 (Salud Mental), and Ley 27.610 (IVE/ILE), focusing on legal timeframes, informed consent, and patient autonomy.

3Review the provincial health regulations: Ley Provincial N° 9.847 and the Reglamento de Residencias (Resolución Ministerial N° 555 de Córdoba).

4Study the Córdoba Patient Safety bibliography: memorize the three phases of the WHO Surgical Safety Checklist (Sign In, Time Out, Sign Out), high-alert electrolyte safety, and the 5 Moments of Hand Hygiene.

5Memorize the Argentine National Immunization Schedule (Calendario Nacional de Vacunación) and local epidemiological priorities such as Dengue fever warning signs and Hemolytic Uremic Syndrome (SUH).

Frequently Asked Questions

What is the Examen Único de Residencias en Salud de Córdoba?

It is the unified written examination for medical school graduates seeking residency training positions in public and private health institutions across the Province of Córdoba, Argentina, administered by the Ministerio de Salud de Córdoba.

What is the format, question count, and duration of the exam?

The Ministerio de Salud de Córdoba describes the Examen Único as a unified written paper of exactly 100 multiple-choice questions with four options each, only one of which is correct, recorded on a purpose-designed grilla and corrected digitally. No exam duration is published; check the convocatoria for the sitting you are entered for.

How is the merit ranking (orden de mérito) calculated?

Selection is based on a combined merit ranking calculated from the 100-question written examination score (1 point per correct answer) and the candidate's undergraduate medical GPA (promedio general), regulated by provincial Resolución Ministerial N° 555.

What subject areas does this bank cover, and are official weightings published?

Córdoba publishes an orientative bibliography (Bibliografía orientativa examen único), a patient-safety reading list, and Ley 26.529 — but no percentage weighting for the Medicina paper. This bank covers internal medicine, pediatrics, general surgery and emergencies, obstetrics and gynecology, and public health with patient safety and health legislation; the question counts shown are this bank's own distribution.

How much does it cost to register for the Córdoba residency contest?

Registration runs through Ciudadano Digital (CiDi) at residencias.cba.gov.ar. The Ministerio de Salud de Córdoba publishes no arancel or examination fee for the Examen Único; confirm the current requirements on the official page before registering.

Is this practice bank in Spanish like the real exam?

No. The official exam is administered in Spanish. This 100-question question bank is an English-language study adaptation designed for international review and concept mastery, preserving specific Argentine legal statutes, clinical protocols, and local health terms in Spanish.