100+ Free ACRRM MCQ Practice Questions
Pass your ACRRM MCQ Assessment (FACRRM Fellowship) exam on the first try — instant access, no signup required.
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Key Facts: ACRRM MCQ Exam
125 questions
Single-best-answer multiple-choice questions on the ACRRM MCQ Assessment
ACRRM - Rural Generalist Assessment
3 hours
Time allowed to complete the 125-question MCQ
ACRRM - MCQ and StAMPS Instruction
Single best answer
Each item has a case stem, a lead-in question and four options
ACRRM - Rural Generalist Assessment
Computer-based
MCQ delivered on computer through ACRRM's Risr/Assess system
ACRRM - MCQ and StAMPS Instruction
Modified Angoff
Standard-setting method used to set the pass mark each sitting
ACRRM - Public MCQ assessment reports
No negative marking
Incorrect answers are not penalised on the MCQ
ACRRM - MCQ and StAMPS Instruction
8 domains
Rural Generalist Curriculum domains of rural and remote practice
ACRRM - Rural Generalist Curriculum
100
Free original practice questions in this bank
OpenExamPrep
The ACRRM MCQ Assessment is a summative written exam on the FACRRM Fellowship pathway, set by the Australian College of Rural and Remote Medicine. It uses 125 single-best-answer multiple-choice questions delivered over 3 hours on computer via the Risr/Assess system, with each item presenting a clinical case stem, a lead-in question and four options. There is no negative marking, and the cut score is set for each sitting using the Modified Angoff method, so the pass mark varies with question difficulty. The assessment covers the whole breadth of rural and remote practice, including emergencies, chronic disease, women's health, paediatrics, mental health and Indigenous health. This 100-question bank provides original single-best-answer practice modelled on that format and curriculum.
Sample ACRRM MCQ Practice Questions
Try these sample questions to test your ACRRM MCQ 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 a rural emergency department with 40 minutes of central crushing chest pain radiating to the left arm. His ECG shows 2 mm ST elevation in leads II, III and aVF. The nearest catheter laboratory is a 4-hour flight away. What is the most appropriate immediate reperfusion strategy?
2A 3-year-old child presents at 2 am with a barking cough, inspiratory stridor at rest and mild chest wall recession. He is alert, pink and able to speak. What is the most appropriate first-line treatment?
3A 24-year-old woman is brought to a remote clinic after a bee sting with rapidly developing facial swelling, widespread urticaria, wheeze and a blood pressure of 80/50 mmHg. What is the most appropriate immediate treatment?
4A 55-year-old Aboriginal man with type 2 diabetes has an HbA1c of 9.2% despite maximal metformin. He has an eGFR of 70 mL/min/1.73m2 and established cardiovascular disease. Which add-on agent best addresses both glycaemic control and his cardiovascular risk?
5A 30-year-old woman at 34 weeks gestation presents with a blood pressure of 165/110 mmHg, headache and 3+ proteinuria. What is the most appropriate first-line antihypertensive to give acutely while arranging transfer?
6A 19-year-old man presents to a rural clinic saying he feels hopeless and has thought about ending his life. He has a specific plan and access to firearms on the family property. What is the most appropriate immediate management priority?
7A 6-month-old infant presents in winter with 3 days of coryza, now with a wheeze, fine crackles, mild work of breathing and oxygen saturation of 94% in air. He is feeding at about 70% of normal. What is the most appropriate management?
8A 45-year-old woman from a remote community presents with fever, painful migrating large-joint arthritis and a new early diastolic murmur. She had a sore throat several weeks ago. Which condition must be excluded as a priority in this population?
9A 70-year-old man presents with sudden left-sided weakness and facial droop that began 90 minutes ago. A CT brain shows no haemorrhage. He has no contraindications to thrombolysis. The nearest stroke unit is reached by a 3-hour road transfer. What is the most appropriate next step?
10A 28-year-old woman requests contraception. She is a migraine sufferer with aura and smokes 10 cigarettes a day. Which contraceptive method is contraindicated?
About the ACRRM MCQ Exam
The ACRRM Multiple Choice Question (MCQ) Assessment is a summative written examination on the pathway to Fellowship of the Australian College of Rural and Remote Medicine (FACRRM). It tests core generalist applied knowledge, recall and reasoning across all areas of rural and remote practice, and is usually attempted in the second half of core generalist training. The assessment consists of 125 single-best-answer multiple-choice questions delivered over 3 hours on computer through ACRRM's Risr/Assess assessment management system. Each item is typically a clinical case stem with a brief targeted lead-in question and four options, from which the candidate selects the single best option; case stems may include images. There is no negative marking, and the pass mark is set for each sitting using the Modified Angoff method so it varies with the difficulty of the question set. The MCQ assesses the breadth of the Rural Generalist Curriculum, including emergency and acute care, undifferentiated presentations, chronic disease, women's health and obstetrics, paediatrics, mental health, and Aboriginal and Torres Strait Islander health.
Assessment
125 single-best-answer multiple-choice questions, each typically a clinical case stem with a brief lead-in and four options. Stems may include text and images. The assessment samples core generalist knowledge across all areas of rural and remote practice.
Time Limit
3 hours (180 minutes) for 125 questions, delivered on computer through ACRRM's Risr/Assess assessment management system at approved venues.
Passing Score
No fixed percentage pass mark. The cut score is set for each sitting using the Modified Angoff standard-setting method, so the pass mark varies with question difficulty. There is no negative marking for incorrect answers.
Exam Fee
ACRRM sets MCQ enrolment fees annually and publishes them on its assessment dates, enrolments and fees page; the fee is subject to change each year. Confirm the current fee with ACRRM before enrolling. (Australian College of Rural and Remote Medicine (ACRRM))
ACRRM MCQ Exam Content Outline
Undifferentiated presentations and primary care
Diagnosis and safe management of common and undifferentiated presentations in general practice, including history, examination, rational investigation, red flags and follow-up planning in a rural context.
Emergency and acute care
Recognition and initial management of medical and surgical emergencies, including resuscitation, trauma, sepsis, acute coronary syndrome, stroke, anaphylaxis, asthma and toxicology, often before retrieval or transfer.
Chronic disease management
Long-term, guideline-based management of diabetes, hypertension, cardiovascular disease, COPD, asthma, chronic kidney disease, heart failure and multimorbidity in primary care.
Women's health and obstetrics
Antenatal and intrapartum care, postpartum haemorrhage, pre-eclampsia, contraception, cervical screening, and common menstrual, menopausal and gynaecological presentations.
Paediatrics and child health
Assessment of the febrile and unwell child, croup, bronchiolitis, dehydration, growth and development, immunisation and common acute and chronic paediatric conditions.
Mental health
Assessment and management of depression, anxiety, psychosis, suicide and self-harm risk, substance use and acute behavioural disturbance, including the Mental Health Act in rural settings.
Aboriginal and Torres Strait Islander health
Culturally safe care, chronic disease burden, acute rheumatic fever and rheumatic heart disease, health checks, and social and structural determinants of health in Indigenous communities.
Procedural, pharmacology and population health
Rural procedural context, safe prescribing and pharmacology, drug interactions and adverse effects, preventive care, screening, immunisation, and population and public health.
How to Pass the ACRRM MCQ Exam
What You Need to Know
- Passing score: No fixed percentage pass mark. The cut score is set for each sitting using the Modified Angoff standard-setting method, so the pass mark varies with question difficulty. There is no negative marking for incorrect answers.
- Assessment: 125 single-best-answer multiple-choice questions, each typically a clinical case stem with a brief lead-in and four options. Stems may include text and images. The assessment samples core generalist knowledge across all areas of rural and remote practice.
- Time limit: 3 hours (180 minutes) for 125 questions, delivered on computer through ACRRM's Risr/Assess assessment management system at approved venues.
- Exam fee: ACRRM sets MCQ enrolment fees annually and publishes them on its assessment dates, enrolments and fees page; the fee is subject to change each year. Confirm the current fee with ACRRM before enrolling.
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
ACRRM MCQ Study Tips from Top Performers
Frequently Asked Questions
How many questions are on the ACRRM MCQ and how long is it?
The ACRRM MCQ has 125 single-best-answer multiple-choice questions delivered over 3 hours (180 minutes) on computer through ACRRM's Risr/Assess assessment management system.
What format are the ACRRM MCQ questions?
Each item is typically a clinical case stem with a brief lead-in question and four options, from which you choose the single best answer. Stems may include text and images, and there is no negative marking.
How is the ACRRM MCQ pass mark set?
There is no fixed percentage pass mark. The cut score is set for each sitting using the Modified Angoff standard-setting method, so it varies depending on the difficulty of that question set.
When in training is the MCQ taken?
The MCQ is a summative assessment usually undertaken in the second half of core generalist training, as part of the pathway to Fellowship of ACRRM (FACRRM).
What does the ACRRM MCQ cover?
It tests core generalist applied knowledge across all areas of rural and remote practice, including emergencies, undifferentiated presentations, chronic disease, women's health and obstetrics, paediatrics, mental health and Aboriginal and Torres Strait Islander health.
Are these official ACRRM practice questions?
No. These are original OpenExamPrep questions modelled on the MCQ format and the Rural Generalist Curriculum. ACRRM publishes official public MCQ assessment reports and handbooks separately.