100+ Free EUNACOM Sección Práctica Practice Questions
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Key Facts: EUNACOM Sección Práctica Exam
4 Stages
Etapas (Medicina, Pediatría, Obstetricia-ginecología, Cirugía)
Normativa EUNACOM art. 3.1 y 7.2
ECOE only
Exam Format Since 1 Jan 2026
Normativa EUNACOM art. 7.3
4/4 Pass
Passing Requirement
Normativa EUNACOM art. 3.5 y 7.8
$720.000 CLP
Fee for the Compulsory 4-Stage First Registration
Costos de inscripción al EUNACOM, vigentes desde el 1 de julio de 2025
$155.000 CLP
Homologation Fee
eunacom.cl — Inscripción y homologación del EUNACOM-SP
2 Years
Validity of the Theoretical Pass and of Each Passed Stage
Normativa EUNACOM art. 3.2.2 y 8.9
3 Months
Maximum Span From First to Last Stage
Normativa EUNACOM art. 8.11
45 Days
ASOFAMECH Deadline to Propose Dates and School
Normativa EUNACOM art. 8.6
7 Days
Deadline to Inform Each Stage Result
Normativa EUNACOM art. 8.8
Ley 20.261
Statutory Law
Biblioteca del Congreso Nacional de Chile (BCN)
Chile's EUNACOM Sección Práctica is the clinical ECOE examination administered by ASOFAMECH's member schools under Ley 20.261, in four independent stages — Medicina Interna, Pediatría, Obstetricia-ginecología and Cirugía — all four of which must be passed and simultaneously valid. Candidates need a theoretical pass no older than two years, must register for all four stages the first time at $720.000 CLP, and must complete the whole sequence within three months of starting. ASOFAMECH publishes no station count, per-station timing, stage weighting or numeric cut score.
Sample EUNACOM Sección Práctica Practice Questions
Try these sample questions to test your EUNACOM Sección Práctica 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 male arrives at the emergency department triage complaining of retrosternal chest tightness radiating to the left shoulder for 45 minutes. In an OSCE clinical evaluation station for acute chest pain triage, what is the mandatory immediate sequence of actions to perform within the first 10 minutes of patient arrival?
2In an OSCE simulation of Acute Cardiogenic Pulmonary Edema, a 66-year-old patient with ischemic cardiomyopathy presents in severe respiratory distress, sitting upright, diaphoretic, with bilateral pulmonary crackles up to the mid-zones, blood pressure 185/105 mmHg, heart rate 110 bpm, and SpO2 84% on room air. Which initial therapeutic combination should you execute immediately?
3During a clinical simulation station on syncope, a 22-year-old female presents after a brief loss of consciousness while having blood drawn while standing. She describes a clear prodrome of warmth, lightheadedness, nausea, tunneling of vision, and pallor before slumping to the ground, with immediate spontaneous return of full consciousness within 15 seconds of assuming a recumbent position. Physical exam, orthostatic vitals, and 12-lead ECG are completely normal. What is the diagnosis and appropriate management?
4In an OSCE emergency station, a 60-year-old male presents with blood pressure of 210/120 mmHg. He is alert, oriented, and completely asymptomatic with no headache, chest pain, dyspnea, visual changes, or focal neurological deficits. Fundoscopic exam, ECG, and serum creatinine are normal. How should you classify this clinical state and manage blood pressure?
5You are evaluated on your initial bedside management of Septic Shock in a simulated 70-year-old male with urosepsis. His BP is 78/48 mmHg (MAP 58 mmHg), HR 122 bpm, RR 26 bpm, and blood lactate is 4.4 mmol/L. According to the Surviving Sepsis Campaign guidelines, which actions must be demonstrated within the 1-Hour Sepsis Bundle?
6During a clinical scenario of Diabetic Ketoacidosis (DKA) management, a 21-year-old female with Type 1 Diabetes is admitted with glucose 480 mg/dL, arterial pH 7.15, HCO3- 10 mEq/L, and serum potassium 4.8 mEq/L. You initiate isotonic saline fluid resuscitation and continuous regular insulin at 0.1 U/kg/h. Four hours later, her capillary glucose drops to 220 mg/dL while her anion gap remains elevated at 18 mEq/L. What is the correct next step in IV fluid and insulin management?
7In an emergency simulation station, a 64-year-old dialysis patient presents with severe muscle weakness. Serum potassium is 7.6 mEq/L. The cardiac monitor shows widened QRS complexes merging into a sine-wave pattern. What is the immediate first-line medication you must order and administer stat?
8A 25-year-old female presents to the emergency room with a severe acute asthma attack. She is sitting forward (tripod position), speaking in single words, with a respiratory rate of 34 bpm, heart rate of 128 bpm, pulsus paradoxus of 18 mmHg, and peak expiratory flow (PEF) of 38% predicted. What is the immediate first-line medical therapy to execute in this station?
9During a simulated ICU clinical station, you evaluate a 68-year-old male with severe COPD exacerbation. Arterial blood gases on 28% Venturi mask show: pH 7.28, PaCO2 68 mmHg, PaO2 55 mmHg, and HCO3- 31 mEq/L. He is tachypneic at 28 bpm with accessory muscle use, but is alert and able to protect his airway without vomiting. What is the evidence-based ventilatory support modality of choice?
10In an Upper GI Bleeding clinical management station, a 52-year-old male with suspected bleeding peptic ulcer disease is resuscitated with IV crystalloids and started on high-dose IV omeprazole. Urgent upper endoscopy reveals a 1.5 cm duodenal bulb ulcer with an actively spurting arterial vessel (Forrest Ia). What is the standard endoscopic dual-therapy hemostatic intervention to demonstrate?
About the EUNACOM Sección Práctica Exam
The EUNACOM Sección Práctica (EUNACOM-SP) is the clinical half of Chile's national medical examination under Ley 20.261. Its stated objective is to determine whether the candidate holds the basic clinical competencies needed to see patients as a general practitioner in the Chilean health system. ASOFAMECH delegates delivery to its accredited member schools, which run four stages — Medicina Interna, Pediatría, Obstetricia-ginecología and Cirugía. Format and assessment disclosure: this is a performance examination, not a written one. Under the Normativa in force since 1 January 2026 every stage is delivered as an Examen Clínico Objetivo Estandarizado (ECOE), sat strictly in person, and results are reported only as approved or failed. This practice bank is an English-language multiple-choice study adaptation: it can teach the clinical reasoning, safety rules, sequencing and interpretation the stations reward, but it cannot simulate an ECOE and cannot certify a practical skill. The real examination is conducted in Spanish; Chilean statutes, drug regimens and programme names are kept in Spanish so they match the official sources.
Assessment
Four stages, sat strictly in person and never simultaneously, in the order set by the examining school. ASOFAMECH assigns the school; the candidate cannot request one. Since 1 January 2026 every stage is delivered in ECOE format. The clinical situations and procedures assessed are those in the Perfil de Conocimientos, and examiners may additionally assess communication, dignity and confidentiality, hygiene and safety, and patients' rights. The candidate is told the result of each stage within seven days, and no more than three months may pass between the first and last stage.
Time Limit
not-published — ASOFAMECH publishes no station count or per-station timing for the ECOE
Passing Score
All four stages must be passed and simultaneously valid (Normativa art. 3.5 and 7.8); each stage is reported only as approved or failed, and no numeric cut score is published
Exam Fee
$720.000 CLP (ASOFAMECH (Asociación de Facultades de Medicina de Chile) on behalf of MINSAL under Ley 20.261)
EUNACOM Sección Práctica Exam Content Outline
Etapa Medicina Interna
Adult inpatient and outpatient clinical evaluation, acute chest pain triage and ECG interpretation, acute heart failure and pulmonary edema stabilization, severe asthma/COPD exacerbation, acute kidney injury and electrolyte disturbance, hypertensive urgency vs emergency, sepsis resuscitation bundle, diabetic ketoacidosis management, and structured medical communication.
Etapa Cirugía
Acute surgical abdomen clinical decision-making (acute appendicitis, acute cholecystitis, bowel obstruction, perforated ulcer), ATLS primary survey (Airway, Breathing, Circulation, Disability, Exposure), tension pneumothorax needle decompression and chest tube placement safety, hemorrhagic shock resuscitation, wound debridement and suture technique, thermal burn surface calculation and fluid formulas, and post-operative complication management.
Etapa Pediatría
Pediatric emergency triage using the Pediatric Assessment Triangle (PAT), acute respiratory distress scoring (Tal score for bronchiolitis, Wood-Downes score for asthma), acute gastroenteritis and WHO dehydration plans (Plan A oral, Plan B oral rehydration solution, Plan C IV fluid boluses), neonatal resuscitation algorithm (NRP), fever without a source in infants, febrile seizure evaluation, and developmental milestone assessment.
Etapa Obstetricia-ginecología
Obstetric triage and partogram monitoring, active management of the third stage of labor (AMTSL with oxytocin), postpartum hemorrhage stepwise management (uterine massage, uterotonics, balloon tamponade), emergency preeclampsia stabilization (Zuspan magnesium sulfate regimen and labetalol/nifedipine), vaginal speculum examination and cervical swab technique, and emergency contraception counseling.
How to Pass the EUNACOM Sección Práctica Exam
What You Need to Know
- Passing score: All four stages must be passed and simultaneously valid (Normativa art. 3.5 and 7.8); each stage is reported only as approved or failed, and no numeric cut score is published
- Assessment: Four stages, sat strictly in person and never simultaneously, in the order set by the examining school. ASOFAMECH assigns the school; the candidate cannot request one. Since 1 January 2026 every stage is delivered in ECOE format. The clinical situations and procedures assessed are those in the Perfil de Conocimientos, and examiners may additionally assess communication, dignity and confidentiality, hygiene and safety, and patients' rights. The candidate is told the result of each stage within seven days, and no more than three months may pass between the first and last stage.
- Time limit: not-published — ASOFAMECH publishes no station count or per-station timing for the ECOE
- Exam fee: $720.000 CLP
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
EUNACOM Sección Práctica Study Tips from Top Performers
Frequently Asked Questions
What is the EUNACOM Sección Práctica (EUNACOM-SP)?
The EUNACOM-SP is the practical clinical half of Chile's national medical examination. Its objective is to establish whether the candidate has the basic clinical competencies to see patients as a general practitioner in the Chilean health system. It consists of four stages — Medicina Interna, Pediatría, Obstetricia-ginecología and Cirugía — each delivered as an Examen Clínico Objetivo Estandarizado (ECOE) at an accredited ASOFAMECH member school.
Who must take the EUNACOM Sección Práctica?
Doctors who cannot homologate it. Graduates and title-holders of accredited Chilean medical schools have it homologated automatically when they pass the theoretical section, without applying. Doctors qualified in a country with a bilateral degree-recognition treaty — Argentina, Brazil, Colombia, Ecuador, Spain, the United Kingdom and Uruguay — and those who completed revalidation or recognition at the Universidad de Chile may apply for homologation, which is not automatic and costs $155.000 CLP. Everyone else sits all four stages.
What are the eligibility requirements for taking the practical exam?
A pass in the EUNACOM Sección Teórica that is still valid — theoretical results last two years from the sitting date. Once registered, ASOFAMECH has 45 days to propose dates and an examining school; the candidate then has three working days to accept or reject them, may reject one proposal only, and a second rejection cancels the registration.
How is the practical exam scored and passed?
Each stage is assessed against the ECOE minimum standards and reported only as approved or failed — ASOFAMECH publishes no numeric cut score and no weighting between stages. All four must be passed and simultaneously valid. A passed stage stays valid for two years. Failing one stage does not stop the candidate sitting the remaining ones, but on re-registration every failed stage plus any expired passed stage must be enrolled again, and if the theoretical result had been extended to finish the process, that extension is cancelled and the theoretical section must be passed again.
How much does the practical exam cost?
The first registration must cover all four stages and costs $720.000 CLP. On re-registration, two or three stages cost $655.000 CLP and a single stage $470.000 CLP. Homologating the section instead of sitting it costs $155.000 CLP. These fees have been in force since 1 July 2025 and are reviewed annually.
How does this practice bank adapt a practical ECOE examination?
It does not simulate one, and passing it certifies nothing. The official assessment is an in-person clinical performance examination, so this bank instead uses case vignettes to rehearse the knowledge an ECOE station rewards: the diagnostic decision, the correct sequence, the safety rule, the interpretation of a finding, and the communication choice. Skills that only exist in performance — actually examining a patient, handling instruments, running a real consultation — cannot be practised here.
How long do I have to complete all four stages?
Three months. Normativa art. 8.11 caps the time between the start of the first stage and the end of the last at three months. Separately, the examining school must report each stage result within seven days and send the final record to ASOFAMECH within 10 working days of the last stage.