PracticeVideosBlogFlashcardsEspañol
All Practice Exams

100+ Free BHPC Registration Exam Practice Questions

Prepare for the Botswana Health Professions Council Registration Examination exam with instant access — no signup required.

✓ No registration✓ No credit card✓ No hidden fees✓ Start practicing immediately
100+ Questions
100% Free

Loading practice questions...

2026 Statistics

Key Facts: BHPC Registration Exam Exam

Cap 61:02

Botswana Health Professions Act governing BHPC medical registration and practice

Section 10

Provision of Cap 61:02 that empowers BHPC to require a Council examination for registration

P30

BHPC application fee, paid after the examination, per the official registration form

IELTS 7

Overall English score BHPC requires from applicants trained in non-English-speaking countries

Prepare for the Botswana Health Professions Council (BHPC) registration examination with 100 free practice questions covering Botswana clinical protocols, HIV/TB management, maternal-child health, and medical jurisprudence. BHPC publishes no official outline, and the real assessment is a written test plus an oral interview — these MCQs are a study aid, not a format simulation.

Sample BHPC Registration Exam Practice Questions

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

1According to the Botswana National HIV & AIDS Treatment Guidelines, which antiretroviral therapy (ART) regimen is recommended as the preferred first-line treatment for treatment-naive adults and adolescents?
A.Tenofovir disoproxil fumarate (TDF) + Lamivudine (3TC) + Dolutegravir (DTG)
B.Zidovudine (AZT) + Lamivudine (3TC) + Efavirenz (EFV)
C.Abacavir (ABC) + Lamivudine (3TC) + Lopinavir/ritonavir (LPV/r)
D.Tenofovir disoproxil fumarate (TDF) + Emtricitabine (FTC) + Atazanavir/ritonavir (ATV/r)
Explanation: Botswana's national HIV treatment guidelines recommend the fixed-dose combination of Tenofovir (TDF) + Lamivudine (3TC) + Dolutegravir (DTG) as the preferred first-line regimen for all treatment-naive adults and adolescents. Dolutegravir offers superior viral suppression rates, a high genetic barrier to resistance, and fewer metabolic adverse effects compared to older NNRTI-based regimens.
2An adult patient with HIV initiates first-line DTG-based ART at a district clinic in Botswana. What is the standard schedule for routine viral load monitoring after starting treatment?
A.At 3 months, 6 months, and then every 12 months if virologically suppressed
B.At 1 month, 3 months, and then every 6 months indefinitely
C.Annually starting after 12 months of continuous therapy
D.Every 6 months regardless of viral suppression status
Explanation: Under Botswana clinical guidelines, viral load monitoring is scheduled at 3 months and 6 months after ART initiation. If the patient achieves viral suppression (<400 copies/mL), routine viral load testing is performed annually (every 12 months) to confirm sustained suppression and treatment efficacy.
3Which finding meets the criteria for virological failure in an adult receiving first-line ART according to Botswana national guidelines?
A.Two consecutive viral load measurements > 1,000 copies/mL taken 3 months apart despite enhanced adherence support
B.A single viral load measurement > 400 copies/mL at 6 months after starting therapy
C.A decrease in CD4 count by 25 cells/uL in the presence of an undetectable viral load
D.Transient viral blip of 550 copies/mL returning to < 50 copies/mL on repeat testing
Explanation: Virological failure is formally defined as two consecutive plasma viral load measurements > 1,000 copies/mL conducted approximately 3 months apart, accompanied by enhanced adherence counselling between tests. This distinguishes true treatment failure from transient viral blips or minor adherence lapses.
4In Botswana, which indication mandates the initiation of Co-trimoxazole (Bactrim) preventive therapy in an HIV-positive adult?
A.CD4 cell count < 350 cells/uL or WHO Clinical Stage 3 or 4 disease
B.All patients with confirmed HIV infection regardless of CD4 count or clinical stage
C.Only patients with a documented history of Pneumocystis jirovecii pneumonia (PJP)
D.Patients with detectable viral load (> 1,000 copies/mL) irrespective of CD4 count
Explanation: In Botswana, Co-trimoxazole preventive therapy (CPT) is indicated for adults living with HIV who have a CD4 count < 350 cells/uL or who present with WHO Clinical Stage 3 or 4 conditions. CPT provides critical prophylaxis against Pneumocystis jirovecii pneumonia, toxoplasmosis, malaria, and severe bacterial infections.
5Which regimen is recommended as an approved option for Tuberculosis Preventive Therapy (TPT) in eligible people living with HIV in Botswana once active TB is excluded?
A.3HP: Once-weekly high-dose Isoniazid plus Rifapentine for 12 weeks (3 months)
B.Daily Rifampicin monotherapy for 9 months
C.Daily Ethambutol plus Pyrazinamide for 6 months
D.Once-monthly Streptomycin injections for 6 months
Explanation: Botswana recommends 3HP (once-weekly Isoniazid plus Rifapentine for 3 months / 12 doses) or 6H (daily Isoniazid for 6 months with pyridoxine) for TPT in people living with HIV after active TB disease has been systematically ruled out. 3HP provides superior completion rates due to its shorter duration.
6What is the primary rapid diagnostic investigation recommended by the Botswana Ministry of Health for initial evaluation of presumptive pulmonary tuberculosis in health facilities?
A.GeneXpert MTB/RIF assay on sputum
B.Sputum Ziehl-Neelsen (ZN) smear microscopy only
C.Solid Lowenstein-Jensen (LJ) culture
D.Tuberculin Skin Test (Mantoux)
Explanation: GeneXpert MTB/RIF is the frontline rapid molecular test in Botswana for diagnosing pulmonary tuberculosis. It provides simultaneous detection of Mycobacterium tuberculosis complex and rifampicin resistance within two hours, markedly improving early diagnosis in both HIV-positive and HIV-negative individuals.
7What is the standard first-line treatment regimen and duration for drug-susceptible pulmonary tuberculosis in adult patients in Botswana?
A.2 months of HRZE (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol) followed by 4 months of HR (Isoniazid, Rifampicin)
B.6 months of continuous HRZE (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol)
C.2 months of HR (Isoniazid, Rifampicin) followed by 4 months of Ethambutol monotherapy
D.3 months of HRZ followed by 6 months of Rifampicin
Explanation: The standard 6-month regimen for new drug-susceptible pulmonary TB consists of an intensive phase of 2 months of HRZE (Isoniazid, Rifampicin, Pyrazinamide, Ethambutol) followed by a continuation phase of 4 months of HR (Isoniazid and Rifampicin), supplemented with Pyridoxine (Vitamin B6) to prevent neuropathy.
8A 32-year-old treatment-naive HIV-positive patient is diagnosed with acute Cryptococcal Meningitis in Gaborone. When should antiretroviral therapy (ART) be initiated in relation to antifungal treatment?
A.Defer ART for 4 to 6 weeks following the initiation of antifungal induction therapy
B.Start ART immediately on day 1 alongside intravenous Amphotericin B
C.Start ART within 72 hours of receiving the first dose of Fluconazole
D.Defer ART for at least 6 months until the patient completes maintenance Fluconazole
Explanation: In cryptococcal meningitis, early initiation of ART (within the first 2-4 weeks) is associated with severe central nervous system Immune Reconstitution Inflammatory Syndrome (IRIS) and increased intracranial pressure, leading to higher mortality. Guidelines recommend deferring ART until 4-6 weeks after starting effective antifungal induction therapy.
9A 28-year-old safari guide presents to a clinic in Maun with fever, chills, headache, and a positive rapid diagnostic test (RDT) for Plasmodium falciparum without signs of severe disease. What is the first-line antimalarial therapy in Botswana?
A.Artemether-Lumefantrine (AL / Coartem) orally with a fat-containing meal
B.Oral Chloroquine 25 mg base/kg over 3 days
C.Oral Quinine sulphate plus Doxycycline for 7 days
D.Intravenous Artesunate monotherapy for 5 days
Explanation: Artemether-Lumefantrine (Coartem) is the official first-line artemisinin-based combination therapy (ACT) for uncomplicated P. falciparum malaria in Botswana. It should be taken with a fatty meal or milk to enhance the oral bioavailability of lumefantrine.
10A 45-year-old traveler is admitted to Nyangabgwe Hospital with severe falciparum malaria complicated by impaired consciousness (cerebral malaria) and acute renal failure. What is the standard drug of choice and dosing schedule for initial management?
A.Intravenous Artesunate at 0, 12, and 24 hours, then once daily until oral therapy can be tolerated
B.Intravenous Quinine infusion with a loading dose over 4 hours every 8 hours
C.Intramuscular Artemether once daily for 7 days without oral switch
D.Intravenous Ciprofloxacin plus oral Doxycycline
Explanation: Intravenous Artesunate is the drug of choice for severe malaria in adults and children in Botswana. The dosing schedule is 2.4 mg/kg IV at 0, 12, and 24 hours, followed by once daily until the patient can tolerate a complete 3-day course of oral Artemether-Lumefantrine. IV artesunate demonstrates significantly lower mortality than IV quinine.

About the BHPC Registration Exam Exam

The BHPC Council examination is the statutory assessment the Botswana Health Professions Council may require of an applicant for registration under section 10 of the Botswana Health Professions Act (Cap 61:02) — in practice, chiefly practitioners who qualified outside Botswana. It is conducted as a written test and an oral interview before Council-appointed examiners and must establish professional knowledge and skill, knowledge of the laws of Botswana relating to practice, and proficiency in an official language. BHPC publishes no syllabus, item count, duration, or pass mark.

Assessment

Applicants submit their documents, a professional board assesses the file, and successful candidates are then invited to a written test and/or an oral interview before Council-appointed examiners; a licence is issued on passing. Section 10(1) of Cap 61:02 states what the examination must establish: (a) a standard of professional knowledge and skill not lower than that required for practice in Botswana, (b) sufficient knowledge of the laws of Botswana relating to practice, and (c) proficiency in at least one of the official languages of Botswana. No syllabus, weighting, or duration is published, so the five areas below describe this free study bank's coverage, derived from that statutory scope and Botswana's national clinical guidelines.

Time Limit

Not published by BHPC

Passing Score

Not published — a candidate must pass to the satisfaction of the Council, which then entitles them to full registration (Cap 61:02, s.10(3))

Exam Fee

Application fee of P30, paid after the examination (official BHPC registration form). Examination fees are prescribed by regulations under Cap 61:02 s.10(2) and an annual fee is payable to stay on the register (s.9(9)); neither is published as a public schedule. (Botswana Health Professions Council (BHPC))

BHPC Registration Exam Exam Content Outline

25%

Internal Medicine & Infectious Diseases

HIV/AIDS diagnosis and DTG-based ART regimens, tuberculosis and MDR-TB protocols, malaria management, cardiovascular diseases, endocrine disorders, and tropical medicine in Botswana.

20%

Obstetrics & Gynaecology

Antenatal care protocols, labour progression and partograph monitoring, PMTCT guidelines, obstetric emergencies (preeclampsia, eclampsia, postpartum haemorrhage), and reproductive health.

20%

Paediatrics & Child Health

Integrated Management of Childhood Illness (IMCI) Botswana guidelines, Expanded Programme on Immunisation (EPI), neonatal resuscitation, severe acute malnutrition, and paediatric emergencies.

20%

General Surgery, Trauma & Emergency Care

Acute abdominal conditions, advanced trauma life support principles, burn resuscitation, wound care, surgical sepsis, and perioperative management.

15%

Botswana Health Systems, Jurisprudence & Medical Ethics

Botswana Health Professions Act (Cap 61:02), Public Health Act, National Essential Medicines List, patient confidentiality, medical negligence, informed consent, and referral pathways.

How to Pass the BHPC Registration Exam Exam

What You Need to Know

  • Passing score: Not published — a candidate must pass to the satisfaction of the Council, which then entitles them to full registration (Cap 61:02, s.10(3))
  • Assessment: Applicants submit their documents, a professional board assesses the file, and successful candidates are then invited to a written test and/or an oral interview before Council-appointed examiners; a licence is issued on passing. Section 10(1) of Cap 61:02 states what the examination must establish: (a) a standard of professional knowledge and skill not lower than that required for practice in Botswana, (b) sufficient knowledge of the laws of Botswana relating to practice, and (c) proficiency in at least one of the official languages of Botswana. No syllabus, weighting, or duration is published, so the five areas below describe this free study bank's coverage, derived from that statutory scope and Botswana's national clinical guidelines.
  • Time limit: Not published by BHPC
  • Exam fee: Application fee of P30, paid after the examination (official BHPC registration form). Examination fees are prescribed by regulations under Cap 61:02 s.10(2) and an annual fee is payable to stay on the register (s.9(9)); neither is published as a public schedule.

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

BHPC Registration Exam Study Tips from Top Performers

1Master the Botswana National HIV & AIDS Treatment Guidelines, particularly Dolutegravir (DTG)-based first-line regimens and viral load monitoring intervals.
2Review the Botswana IMCI booklet and EPI vaccination schedule, paying close attention to age-specific respiratory rates and danger signs.
3Thoroughly study obstetric emergency algorithms including the management of postpartum haemorrhage (Oxytocin, Ergometrine, Misoprostol) and eclampsia (Magnesium Sulphate protocols).
4Familiarize yourself with the Botswana Health Professions Act (Cap 61:02), ethical codes of conduct, and the national referral hospital network (e.g. Princess Marina Hospital, Nyangabgwe Hospital).

Frequently Asked Questions

Who must sit the BHPC Council examination?

Section 10 of the Health Professions Act (Cap 61:02) lets the Council require any applicant for registration to sit an examination before examiners it appoints. In practice this is applied to practitioners who qualified outside Botswana: after the professional board assesses the application file, successful candidates are called to a written test and an interview before a licence is issued.

What does the BHPC examination cover?

BHPC publishes no syllabus. Section 10(1) of Cap 61:02 says the examination must establish professional knowledge and skill at the standard required for practice in Botswana, sufficient knowledge of the laws of Botswana relating to practice, and proficiency in at least one official language. Our bank therefore works from that statutory scope plus Botswana's national clinical guidelines: HIV and TB, PMTCT and obstetric emergencies, IMCI and EPI, trauma and emergency care, and Cap 61:02 jurisprudence.

What is the passing score and how long is the exam?

Neither is published. Cap 61:02 s.10(3) says only that a candidate who passes 'to the satisfaction of the Council' becomes entitled to full registration. Any specific pass mark, paper length, or item count you see quoted elsewhere is not sourced from BHPC. Confirm current arrangements with the Council.

Are these practice questions an official BHPC exam simulation?

No. The real assessment is a written test plus an oral interview, and BHPC releases no past papers or outline. These 100 questions are a free English-language multiple-choice study adaptation built from Botswana's national clinical protocols and the Health Professions Act — a study aid for the underlying knowledge, not a translation, a format simulation, or a substitute for the oral interview.