100+ Free CAMC Part 1 Exam Practice Questions

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Sample CAMC Part 1 Exam Practice Questions

Try these sample questions to test your CAMC Part 1 Exam 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 with crushing central chest pain radiating to the left arm for 40 minutes, with diaphoresis. ECG shows 2 mm ST-segment elevation in leads II, III and aVF. Which is the single most appropriate immediate reperfusion strategy if primary PCI cannot be delivered within 120 minutes?

A.Intravenous fibrinolysis with a fibrin-specific agent

B.Oral beta-blockade and observation

C.Elective coronary angiography in 48 hours

D.Intravenous unfractionated heparin alone

Explanation: This is an inferior ST-elevation myocardial infarction (STEMI). When primary PCI is not available within 120 minutes of first medical contact, fibrinolysis with a fibrin-specific agent (e.g., tenecteplase) should be given promptly, ideally within 30 minutes of arrival, to restore coronary perfusion.

2A 24-year-old woman with type 1 diabetes presents with vomiting, abdominal pain, deep rapid breathing and a capillary glucose of 28 mmol/L. Blood gas shows pH 7.18 and bicarbonate 10 mmol/L; urine ketones are strongly positive. What is the single most important first step in management?

A.Intravenous 0.9% sodium chloride fluid resuscitation

B.Intravenous bolus of long-acting insulin

C.Intravenous sodium bicarbonate

D.Oral rehydration with glucose solution

Explanation: In diabetic ketoacidosis the priority is intravenous isotonic fluid resuscitation to correct the profound volume depletion, restore perfusion and begin lowering glucose before a fixed-rate insulin infusion is started. Fluids alone reduce hyperglycaemia by improving renal perfusion.

3A 45-year-old man with a long history of alcohol use presents with haematemesis. After resuscitation, endoscopy confirms bleeding oesophageal varices. Which pharmacological agent should be started to reduce splanchnic blood flow?

A.Octreotide (somatostatin analogue)

B.Intravenous omeprazole

C.Intravenous metoclopramide

D.Oral propranolol started acutely

Explanation: Octreotide, a somatostatin analogue, reduces splanchnic and portal venous blood flow, lowering variceal bleeding pressure, and is given alongside endoscopic band ligation. Prophylactic antibiotics are also indicated in cirrhotic variceal bleeding.

4A 30-year-old woman presents with fatigue, weight gain, cold intolerance and constipation. TSH is elevated and free T4 is low. Anti-thyroid peroxidase antibodies are strongly positive. What is the most likely diagnosis?

A.Hashimoto thyroiditis

B.Graves disease

C.Subacute (de Quervain) thyroiditis

D.Toxic multinodular goitre

Explanation: The combination of primary hypothyroidism (high TSH, low free T4) with positive anti-thyroid peroxidase antibodies is characteristic of Hashimoto (chronic autoimmune) thyroiditis, the commonest cause of hypothyroidism in iodine-replete areas.

5A 65-year-old smoker presents with progressive breathlessness and a chronic productive cough. Spirometry shows an FEV1/FVC ratio of 0.55 that does not normalise after bronchodilator. What is the diagnosis?

A.Chronic obstructive pulmonary disease

B.Asthma

C.Idiopathic pulmonary fibrosis

D.Left ventricular failure

Explanation: A post-bronchodilator FEV1/FVC ratio below 0.70 that is not fully reversible, in a smoker with chronic productive cough and dyspnoea, confirms COPD. Persistent airflow obstruction distinguishes it from asthma.

6A 70-year-old man presents with sudden right-sided weakness and slurred speech for 90 minutes. CT brain shows no haemorrhage. Blood glucose and blood pressure are within thrombolysis limits. What is the single most appropriate treatment?

A.Intravenous thrombolysis with alteplase

B.Immediate aspirin 300 mg and discharge

C.Therapeutic anticoagulation with warfarin

D.Intravenous mannitol

Explanation: Within the 4.5-hour window, after excluding haemorrhage on CT and meeting eligibility criteria, intravenous thrombolysis with alteplase is indicated for acute ischaemic stroke to improve functional outcome. Mechanical thrombectomy may also apply for large-vessel occlusion.

7A 35-year-old woman from the Caribbean presents with a malar rash, arthralgia, oral ulcers and proteinuria. ANA is positive and anti-double-stranded DNA antibodies are elevated. What is the most likely diagnosis?

A.Systemic lupus erythematosus

B.Rheumatoid arthritis

C.Systemic sclerosis

D.Dermatomyositis

Explanation: Malar rash, photosensitive features, arthralgia, oral ulcers and renal involvement with positive ANA and anti-dsDNA antibodies are diagnostic of systemic lupus erythematosus. Anti-dsDNA is specific and correlates with disease activity, particularly lupus nephritis.

8A patient presents with fever, headache and severe retro-orbital pain, myalgia and a positive tourniquet test during the rainy season in the Caribbean. Platelet count is falling and haematocrit rising. Which is the most important warning sign of progression to severe disease in dengue?

A.Plasma leakage indicated by rising haematocrit with falling platelets

B.Mild headache

C.Transient maculopapular rash

D.Low-grade fever on day 1

Explanation: In dengue, a rising haematocrit with a rapidly falling platelet count signals plasma leakage and impending dengue haemorrhagic fever or shock, requiring close monitoring and careful fluid management. This is a key warning sign in this endemic Caribbean illness.

9A 28-year-old man of Afro-Caribbean descent with known sickle cell disease presents with severe bone pain, fever and pleuritic chest pain. Chest X-ray shows a new pulmonary infiltrate and oxygen saturation is 88%. What is the most likely diagnosis?

A.Acute chest syndrome

B.Community-acquired pneumonia alone

C.Pulmonary embolism only

D.Acute pericarditis

Explanation: Acute chest syndrome in sickle cell disease is defined by a new pulmonary infiltrate with fever and respiratory symptoms. It is a leading cause of death and requires oxygen, analgesia, antibiotics, and often exchange transfusion. It is highly relevant in Caribbean populations.

10A 50-year-old man with type 2 diabetes has a blood pressure of 150/95 mmHg confirmed on repeated readings and a urine albumin-to-creatinine ratio that is elevated. Which class of antihypertensive is the preferred first-line agent?

A.ACE inhibitor (e.g., enalapril)

B.Thiazide diuretic alone

C.Non-dihydropyridine calcium channel blocker as monotherapy

D.Alpha-blocker (e.g., doxazosin)

Explanation: In a diabetic patient with hypertension and albuminuria, an ACE inhibitor (or ARB) is preferred because it reduces intraglomerular pressure and slows progression of diabetic nephropathy in addition to lowering blood pressure.

About the CAMC Part 1 Exam Exam

The CAMC Regional Medical Registration Examination Part 1 is the online multiple-choice component of the assessment used by Caribbean medical councils to register internationally and locally qualified doctors. Set at or above University of the West Indies (UWI) MBBS final-year level, it tests internal medicine and therapeutics, general surgery including trauma and emergency care, obstetrics and gynaecology, paediatric medicine, psychiatry, and community and public health, with an emphasis on diagnosis, investigation, management and clinical reasoning.

Assessment

Part 1 of the CAMC examination is an online single-best-answer multiple-choice test covering the major clinical disciplines. Candidates must pass Part 1 before attempting the Part 2 OSCE-style clinical examination.

Time Limit

Confirm the current online sitting duration with the CAMC Secretariat.

Passing Score

50%

Exam Fee

US$800 for the full examination, or US$500 for Part 1 if taken separately (non-refundable) (Caribbean Association of Medical Councils (CAMC), Kingston, Jamaica)

CAMC Part 1 Exam Exam Content Outline

30%

Internal Medicine (including Therapeutics)

Cardiology, respiratory, endocrine, gastroenterology, neurology, nephrology, haematology, infectious disease and clinical therapeutics.

20%

General Surgery (including trauma and emergency)

Acute abdomen, hepatobiliary and GI surgery, urology, trauma, ATLS resuscitation, haemorrhage control and surgical emergencies.

18%

Obstetrics and Gynaecology

Pregnancy and labour complications, obstetric haemorrhage, ectopic and molar pregnancy, contraception and gynaecological disease.

17%

Paediatric Medicine

Neonatal care, childhood infection, respiratory and gastrointestinal illness, immunisation, nutrition and paediatric surgical conditions.

Psychiatry

Mood and psychotic disorders, anxiety and stress disorders, substance misuse, risk assessment and psychotropic drug reactions.

Community / Public Health and Preventive Medicine

Epidemiology, screening, outbreak investigation, prevention levels, notifiable diseases and the regional NCD burden.

How to Pass the CAMC Part 1 Exam Exam

What You Need to Know

Passing score: 50%
Assessment: Part 1 of the CAMC examination is an online single-best-answer multiple-choice test covering the major clinical disciplines. Candidates must pass Part 1 before attempting the Part 2 OSCE-style clinical examination.
Time limit: Confirm the current online sitting duration with the CAMC Secretariat.
Exam fee: US$800 for the full examination, or US$500 for Part 1 if taken separately (non-refundable)

Keys to Passing

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

CAMC Part 1 Exam Study Tips from Top Performers

1Focus on diagnosis, investigation and management reasoning rather than rote facts, since the CAMC examination is pitched at final-year MBBS clinical decision-making level.

2Prioritise high-weight internal medicine and general surgery topics, including emergency and resuscitation scenarios such as ATLS, sepsis and cardiac arrest management.

3Revise conditions with particular Caribbean relevance, including sickle cell disease, dengue, HIV/tuberculosis and the regional non-communicable disease burden of diabetes, hypertension and cancer.

Frequently Asked Questions

Who administers the CAMC Part 1 examination and how is it structured?

The Caribbean Association of Medical Councils (CAMC), based in Kingston, Jamaica, administers the examination. Part 1 is an online single-best-answer multiple-choice test of clinical knowledge that must be passed before sitting the Part 2 OSCE-style clinical examination.

What is the passing mark for the CAMC examination?

The CAMC examination pass mark is 50%. Candidates must be successful in Part 1 before they are allowed to attempt Part 2, and results are typically available about a week after the examination.

How much does the CAMC examination cost?

The full examination fee is US$800. If the two parts are taken separately, Part 1 costs US$500 and Part 2 costs US$500. Fees are non-refundable, and an administrative cost applies for deferral or absence from a sitting.

Which subjects are tested in CAMC Part 1?

Part 1 covers internal medicine (including therapeutics), general surgery (including trauma, emergency and resuscitation), obstetrics and gynaecology, paediatric medicine, psychiatry, and community and public health, at or above UWI MBBS final-year level.