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100+ Free BSMMU Residency Phase-A Practice Questions

Pass your BSMMU MD/MS Residency Phase-A Admission Test (Bangladesh) exam on the first try — instant access, no signup required.

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Key Facts: BSMMU Residency Phase-A Exam

200

Total Questions

BSMMU / BMU

3 hours

Exam Duration

BSMMU / BMU

7,000 BDT

Application Fee

BSMMU 2026

MBBS

Required Degree

BMDC / BSMMU

~10-15%

Matching Rate

SpecialtySeatCapacity

The BSMMU Residency Phase-A Admission Test has 200 questions (180 MCQs, 20 SBAs) with a 3-hour time limit and costs 7,000 BDT. It is the gatekeeper for postgraduate medical residency training in Bangladesh, covering Anatomy, Physiology, Pathology, Microbiology, Pharmacology, and faculty-based clinical scenarios. Matching is highly competitive.

Sample BSMMU Residency Phase-A Practice Questions

Try these sample questions to test your BSMMU Residency Phase-A exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A patient presents with weakness in turning their head to the opposite side and shrugging their shoulder. An injury to which of the following nerves is most likely?
A.Vagus nerve (CN X)
B.Accessory nerve (CN XI)
C.Glossopharyngeal nerve (CN IX)
D.Hypoglossal nerve (CN XII)
Explanation: The accessory nerve (CN XI) innervates the sternocleidomastoid and trapezius muscles. Sternocleidomastoid tilts and rotates the head to the opposite side, while trapezius elevates (shrugs) the shoulder. Injury to CN XI results in weakness in performing these actions.
2An occlusion of the middle cerebral artery is most likely to result in sensory and motor deficits in which area of the body?
A.Lower limb and perineum
B.Face and upper limb
C.Isolated contralateral foot and toes
D.Ipsilateral neck and trunk
Explanation: The middle cerebral artery (MCA) supplies the lateral aspect of the cerebral hemispheres. According to the motor and sensory homunculus, the lateral cortex represents the face and upper limb. Therefore, MCA occlusion causes contralateral motor and sensory deficits primarily affecting the face and upper limb, sparing the lower limb (which is supplied by the anterior cerebral artery).
3A patient with liver cirrhosis presents with severe hematemesis. Esophageal varices are diagnosed. These varices represent a portal-systemic anastomosis between which of the following vessels?
A.Left gastric vein and azygos vein
B.Superior rectal vein and middle rectal vein
C.Paraumbilical veins and superficial epigastric veins
D.Splenic vein and renal vein
Explanation: Esophageal varices occur at the portal-systemic anastomosis of the lower esophagus, where the left gastric vein (portal tributary) anastomoses with the esophageal branches of the azygos vein (systemic tributary). In portal hypertension, blood is shunted into systemic veins, leading to variceal dilation and rupture risk.
4Which of the following structures forms the anterior boundary of the carotid triangle of the neck?
A.Anterior belly of the digastric muscle
B.Superior belly of the omohyoid muscle
C.Sternocleidomastoid muscle
D.Posterior belly of the digastric muscle
Explanation: The carotid triangle is bounded anteroinferiorly by the superior belly of the omohyoid muscle, superiorly by the posterior belly of the digastric muscle, and posteriorly by the anterior border of the sternocleidomastoid muscle.
5Which of the following structures is located within the posterior mediastinum?
A.Ascending aorta
B.Thymus gland
C.Thoracic duct
D.Phrenic nerve
Explanation: The posterior mediastinum contains the thoracic duct, descending (thoracic) aorta, azygos and hemiazygos veins, esophagus, and sympathetic trunks. The ascending aorta is in the middle mediastinum, the thymus is in the anterior/superior mediastinum, and the phrenic nerve runs through the middle mediastinum.
6Which of the following adult structures is derived from neural crest cells?
A.Adenohypophysis (anterior pituitary)
B.Adrenal medulla
C.Adrenal cortex
D.Thyroid follicular cells
Explanation: The adrenal medulla (chromaffin cells) is derived from neural crest cells. The adrenal cortex is derived from mesoderm, the anterior pituitary (adenohypophysis) from Rathke's pouch (oral ectoderm), and thyroid follicular cells from endoderm of the pharyngeal floor.
7A developmental defect in the first pharyngeal arch is most likely to affect the normal anatomy of which of the following structures?
A.Stapes bone
B.Malleus and incus bones
C.Muscles of facial expression
D.Stylopharyngeus muscle
Explanation: The first pharyngeal (mandibular) arch gives rise to the malleus and incus bones, muscles of mastication, anterior belly of the digastric, mylohyoid, tensor tympani, and tensor veli palatini (all innervated by CN V). The second arch gives rise to the stapes and muscles of facial expression (CN VII). The third arch gives rise to the stylopharyngeus muscle (CN IX).
8Histologically, the epithelial lining of the trachea is classified as which of the following types?
A.Simple columnar epithelium
B.Pseudostratified ciliated columnar epithelium
C.Stratified squamous non-keratinized epithelium
D.Transitional epithelium
Explanation: The respiratory epithelium lining the trachea is pseudostratified ciliated columnar epithelium with goblet cells. It serves to warm, humidify, and filter incoming air, using the mucociliary escalator to clear debris.
9Within the spleen, where are T lymphocytes predominantly located?
A.Marginal zone of the red pulp
B.Periarteriolar lymphoid sheaths (PALS) of the white pulp
C.Splenic cords of Billroth
D.Germinal centers of splenic follicles
Explanation: T lymphocytes are predominantly located in the periarteriolar lymphoid sheaths (PALS) of the splenic white pulp, surrounding the central arteries. B lymphocytes are found in the lymphoid follicles (germinal centers) of the white pulp.
10A patient presents with sensory loss over the medial one and a half fingers and weakness in adducting the thumb. These findings point to a lesion in which nerve?
A.Median nerve
B.Radial nerve
C.Ulnar nerve
D.Musculocutaneous nerve
Explanation: The ulnar nerve supplies sensory innervation to the medial one and a half fingers (little finger and medial half of ring finger). It also supplies the adductor pollicis muscle (which adducts the thumb) and most intrinsic hand muscles. Ulnar nerve injury leads to a classic 'claw hand' deformity.

About the BSMMU Residency Phase-A Exam

The BSMMU MD/MS Residency Phase-A Admission Test is the primary entrance examination for medical residency training in Bangladesh. Administered annually by BSMMU, it selects candidates for prestigious postgraduate residency positions across various clinical and basic science specialties. The test evaluates candidates on core basic medical sciences (Anatomy, Physiology, Biochemistry, Pathology, Microbiology, and Pharmacology) as well as faculty-based clinical foundations.

Assessment

200 questions (180 MCQs with 5 True/False stems each and 20 Single Best Answer items)

Time Limit

3 hours

Passing Score

Competitive merit-based cutoff

Exam Fee

7,000 BDT (Bangabandhu Sheikh Mujib Medical University (BSMMU) / Bangladesh Medical University (BMU))

BSMMU Residency Phase-A Exam Content Outline

35%

Anatomy

Gross anatomy of abdomen, thorax, head/neck, limbs, neuroanatomy, embryology, and histology.

20%

Physiology

Cardiovascular, respiratory, renal, endocrine, blood/hematology, and gastrointestinal physiology.

15%

Pathology

Cell injury, necrosis/apoptosis, acute/chronic inflammation, tissue repair, neoplasia, and general hematopathology.

10%

Microbiology

General bacteriology, virology, immunology (MHC, complement, hypersensitivity), parasitology, and mycology.

10%

Biochemistry

Carbohydrate, lipid, and protein metabolism, molecular biology (replication, transcription), vitamins, and acid-base buffers.

5%

Pharmacology

Pharmacokinetics, pharmacodynamics, ANS drugs, chemotherapeutic agents, and essential drug side effects.

5%

Clinical Foundation

Basic assessment of emergency presentations, fluid/electrolyte management, shock types, and clinical symptomatology.

How to Pass the BSMMU Residency Phase-A Exam

What You Need to Know

  • Passing score: Competitive merit-based cutoff
  • Assessment: 200 questions (180 MCQs with 5 True/False stems each and 20 Single Best Answer items)
  • Time limit: 3 hours
  • Exam fee: 7,000 BDT

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

BSMMU Residency Phase-A Study Tips from Top Performers

1Prioritize Gross Anatomy (especially blood supply, nerves, and relations in abdomen and head/neck) and Neuroanatomy.
2Master Physiology with a focus on renal clearance, respiratory volumes, and cardiovascular pressure changes.
3Focus on General Pathology, especially inflammation mediators, cell death pathways, and hallmarks of neoplasia.
4Understand Microbiology with a focus on Gram-positive/negative classification, bacterial toxins, hepatitis viruses, and malaria life cycles.
5Learn key biochemical cycles (glycolysis, Krebs, electron transport chain) and details of vitamins B12, folate, and D.
6In Pharmacology, focus on ANS receptors, mechanisms of action of major drug classes, and key chemotherapeutic toxicities.
7Practice clinical scenarios involving emergency trauma, shock management, and acid-base balance interpretation.

Frequently Asked Questions

What is the BSMMU Residency Phase-A Admission Test?

It is the highly competitive national entrance examination for admission into MD/MS residency programs in Bangladesh, administered by Bangabandhu Sheikh Mujib Medical University (BSMMU) / Bangladesh Medical University (BMU). It determines admission to Phase-A (first 2-3 years) of residency training.

What is the structure and duration of the exam?

The exam consists of 200 questions to be completed in 3 hours (180 minutes). Historically, the paper includes 180 multiple-choice questions (each with 5 True/False stems) and 20 Single Best Answer (SBA) questions.

What are the core subjects tested?

The core basic science subjects are Anatomy, Physiology, Biochemistry, Pathology, Microbiology, and Pharmacology. In addition, faculty-based clinical scenarios (clinical foundation) are included.

How much is the application fee?

The application fee is 7,000 BDT, which is non-refundable and paid during online application submission.

Who is eligible to apply?

Candidates must hold an MBBS or equivalent degree recognized by BMDC, have completed their 1-year rotatory internship, and have a valid permanent or temporary BMDC registration.