100+ Free FCPS Part-1 Practice Questions

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2026 Statistics

Key Facts: FCPS Part-1 Exam

25%

Average Pass Rate

BCPS Historical Data

70%

Passing Score (Clinical)

210/300 marks

150

Total Questions

75 MTF + 75 SBA

4 hours

Exam Duration

Single-paper format

Tk 11,000

Exam Fee

New Candidates

Twice/Yr

Exam Frequency

January and July

The BCPS FCPS Part-1 exam is the gatekeeper for postgraduate medical residency and fellowship training in Bangladesh. Transitioned in 2024 to a consolidated 4-hour paper with 150 questions (75 Multiple True-False and 75 Single Best Answer), it requires a 70% score for clinical subjects. Earning this fellowship entry requires mastering the basic medical sciences—anatomy, physiology, pathology, pharmacology, and microbiology.

Sample FCPS Part-1 Practice Questions

Try these sample questions to test your FCPS Part-1 exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1During a thoracic surgical procedure, which of the following structures is found immediately posterior to the internal intercostal muscle in the costal groove?

A.Intercostal vein

B.Intercostal artery

C.Intercostal nerve

D.Collateral branches of the intercostal nerve

Explanation: The neurovascular bundle in the costal groove runs in the plane between the internal intercostal and innermost intercostal muscles. The vertical order from superior to inferior is vein, artery, nerve (VAN). Therefore, the intercostal vein is the most superior and lies closest to the upper border of the costal groove, immediately posterior to the internal intercostal muscle.

2A patient presents with dyspnea due to a tumor occupying the posterior mediastinum. Which of the following structures would most likely be compressed by this mass?

A.Ascending aorta

B.Thymus

C.Descending thoracic aorta

D.Phrenic nerve

Explanation: The posterior mediastinum contains the descending thoracic aorta, esophagus, thoracic duct, azygos and hemiazygos veins, and autonomic nerves (vagus nerves, splanchnic nerves, and sympathetic trunk). The ascending aorta is in the middle mediastinum, the thymus is in the anterior/superior mediastinum, and the phrenic nerve runs in the middle mediastinum along the pericardium.

3In a patient with codominant coronary circulation, which arteries give rise to the posterior interventricular (posterior descending) artery?

A.Right coronary artery only

B.Left circumflex artery only

C.Both right coronary and left circumflex arteries

D.Both right coronary and left anterior descending arteries

Explanation: Coronary dominance is determined by which coronary artery gives rise to the posterior interventricular (posterior descending) artery (PDA). In right dominance (85%), the PDA arises from the right coronary artery (RCA). In left dominance (8%), it arises from the left circumflex (LCx) artery. In codominance (7%), branches from both the RCA and LCx meet and supply the posterior interventricular groove.

4A bedridden patient aspirates a foreign body while lying in the supine position. Into which bronchopulmonary segment is this object most likely to enter?

A.Apical segment of the right upper lobe

B.Posterior segment of the right upper lobe

C.Superior segment of the right lower lobe

D.Anterior basal segment of the right lower lobe

Explanation: In a supine patient, aspirated material most commonly enters the superior (apical) segment of the right lower lobe. This is because the superior segmental bronchus of the lower lobe arises from the posterior aspect of the lobar bronchus and runs directly backwards, making it the most dependent pathway. If the patient is upright, aspiration usually goes to the posterior basal segment of the right lower lobe.

5Which of the following structures passes through the diaphragm at the level of the T10 vertebra?

A.Inferior vena cava

B.Aorta

C.Vagus nerves

D.Thoracic duct

Explanation: The three major openings of the diaphragm are: 1. Vena caval opening at T8 (passes Inferior Vena Cava and branches of the right phrenic nerve). 2. Esophageal hiatus at T10 (passes Esophagus, anterior and posterior Vagus nerves, and esophageal branches of the left gastric vessels). 3. Aortic hiatus at T12 (passes Aorta, Thoracic duct, and Azygos vein).

6During an open repair of an indirect inguinal hernia, a surgeon identifies the borders of the inguinal canal. Which structure forms the floor (inferior boundary) of the canal?

A.Aponeurosis of the external oblique muscle

B.Transversalis fascia

C.Inguinal ligament

D.Conjoint tendon

Explanation: The boundaries of the inguinal canal are: 1. Anterior wall: aponeurosis of the external oblique (reinforced laterally by the internal oblique). 2. Posterior wall: transversalis fascia (reinforced medially by the conjoint tendon). 3. Roof: arching fibers of the internal oblique and transversus abdominis. 4. Floor: inguinal ligament (reinforced medially by the lacunar ligament).

7A patient with a ruptured appendix develops an intraperitoneal abscess while lying supine. In which peritoneal space is fluid most likely to accumulate?

A.Rectovesical pouch

B.Hepatorenal pouch (of Morison)

C.Left subphrenic space

D.Lesser sac (omental bursa)

Explanation: The hepatorenal recess (Morison's pouch) is a deep peritoneal space located between the liver and the right kidney. In a supine patient, this pouch is the lowest, most dependent part of the upper peritoneal cavity. Consequently, pathological fluids (blood, bile, pus, ascites) originating from the upper abdomen or right iliac fossa (e.g., appendicitis) frequently pool here.

8A surgeon performing a partial gastrectomy needs to ligate the left gastric artery. This vessel arises directly from which of the following parent arteries?

A.Splenic artery

B.Celiac trunk

C.Common hepatic artery

D.Superior mesenteric artery

Explanation: The celiac trunk is a major branch of the abdominal aorta arising at the level of the T12/L1 vertebra. It immediately divides into three branches: the left gastric artery, the splenic artery, and the common hepatic artery. These vessels supply the stomach, spleen, pancreas, liver, gallbladder, and upper duodenum (foregut structures).

9A patient with cirrhosis of the liver presents with severe hematemesis. Bleeding is most likely from dilated anastomotic channels at the lower end of the esophagus, which connect which of the following veins?

A.Left gastric vein and azygos vein

B.Superior rectal vein and middle/inferior rectal veins

C.Paraumbilical veins and superficial epigastric veins

D.Colic veins and retroperitoneal renal veins

Explanation: Esophageal varices occur at the portosystemic anastomosis in the lower end of the esophagus. Portal circulation is represented by the esophageal branches of the left gastric vein, while the systemic circulation is represented by the esophageal branches of the azygos vein. Increased portal pressure causes backflow and dilation of these anastomosing channels, leading to life-threatening hemorrhage.

10During a cholecystectomy, the surgeon must identify the structures in the hepatoduodenal ligament. Which of the following describes the correct anatomical relationship of these structures from anterior to posterior?

A.Bile duct (right) and hepatic artery (left) are anterior; portal vein is posterior

B.Portal vein (right) and bile duct (left) are anterior; hepatic artery is posterior

C.Hepatic artery (right) and portal vein (left) are anterior; bile duct is posterior

D.Portal vein and hepatic artery are anterior; bile duct is posterior

Explanation: Within the free edge of the lesser omentum (hepatoduodenal ligament), the spatial orientation is highly consistent: 1. Anterior-right: Bile duct. 2. Anterior-left: Hepatic artery proper. 3. Posterior: Portal vein. This relationship is critical during surgery (such as Pringle's maneuver) to prevent accidental ligation of the portal vein or hepatic artery.

About the FCPS Part-1 Exam

The Fellowship of the College of Physicians and Surgeons (FCPS) Part-1 is the prestigious first-stage postgraduate medical entrance examination in Bangladesh, testing core basic medical sciences and clinical applications.

Questions

150 scored questions

Time Limit

4 hours

Passing Score

70%

Exam Fee

Tk 11,000 (Bangladesh College of Physicians and Surgeons (BCPS))

FCPS Part-1 Exam Content Outline

30%

Anatomy

Gross anatomy of regional parts, histology, neuroanatomy, and embryology relevant to clinical practice.

30%

Physiology

Systemic and cellular physiology including cardiovascular, respiratory, renal, GI, and endocrine systems.

15%

Pathology

General pathology (cell injury, inflammation, neoplasia), systemic pathology, genetics, and basic immunology.

10%

Pharmacology

General pharmacokinetics, pharmacodynamics, ANS drugs, cardiovascular agents, and antimicrobials.

10%

Microbiology

General and systemic bacteriology, virology, parasitology, mycology, and basic clinical immunology.

Biochemistry & Clinical Foundation

Enzymology, metabolism, acid-base balance, biostatistics, study design, and basic medical ethics.

How to Pass the FCPS Part-1 Exam

What You Need to Know

Passing score: 70%
Exam length: 150 questions
Time limit: 4 hours
Exam fee: Tk 11,000

Keys to Passing

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

FCPS Part-1 Study Tips from Top Performers

1Focus on Anatomy (especially Head & Neck, Neuroanatomy, and Embryology) as it carries massive weight in Paper I.

2Master systemic physiology (cardiovascular, respiratory, renal) which is heavily tested in SBAs.

3Pay special attention to general pathology and bacteriology/virology clinical vignettes.

4Practice answering single best answers under time pressure (1.6 minutes per question).

5Thoroughly review standard textbooks like Snell's Anatomy, Ganong's Physiology, and Robbins Pathology.

Frequently Asked Questions

What is the format of the FCPS Part-1 exam in Bangladesh?

Since January 2024, the FCPS Part-1 exam has been consolidated into a single day, 4-hour paper consisting of 150 questions. The questions are split equally between 75 Multiple True-False (MTF) and 75 Single Best Answer (SBA) questions, totaling 300 marks.

What is the passing mark for the BCPS FCPS Part-1 exam?

The passing mark is 70% (210 out of 300 marks) for clinical subjects, and 60% (180 out of 300 marks) for basic science subjects.

How much is the FCPS Part-1 exam fee?

For new candidates, the fee is Tk 11,000 (which includes Tk 1,000 registration fee and Tk 10,000 exam fee). For reseat or old candidates, the exam fee is Tk 10,000.

What are the eligibility requirements for FCPS Part-1?

Candidates must hold an MBBS or BDS degree from a BM&DC-recognized institution, have completed one year of compulsory internship training, and possess a permanent BM&DC registration certificate.

How often is the FCPS Part-1 exam held?

The Bangladesh College of Physicians and Surgeons (BCPS) conducts the FCPS Part-1 examinations twice a year, typically in January and July.

100+ Free FCPS Part-1 Practice Questions

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