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100+ Free Atestace Všeobecné praktické lékařství Practice Questions

Prepare for the Atestační zkouška v oboru Všeobecné praktické lékařství (Czech Specialty Examination in General Practice) exam with instant access — no signup required.

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2026 Statistics

Key Facts: Atestace Všeobecné praktické lékařství Exam

Zákon č. 95/2004 Sb.

Primary Governing Legislation for Medical Specialization

Sbírka zákonů České republiky

Vyhláška č. 282/2019 Sb.

Attestation Ordinance Defining Examination Regulations & Board Rules

Ministerstvo zdravotnictví ČR

3 Members

Minimum Number of Committee Members on Examination Board

Vyhláška č. 282/2019 Sb. § 5

500 CZK

Statutory Examination Base Fee

Nařízení vlády č. 324/2018 Sb.

3,500 / 5,000 CZK

Statutory Examination Fees for 1st Retake and 2nd Retake

Nařízení vlády č. 324/2018 Sb.

3 Years

Postgraduate Specialty Training Duration (24m Hospital + 12m GP)

Věstník MZ ČR Vzdělávací program VPL

SVL ČLS JEP

Official Primary Care Society Establishing Diagnostic & Therapeutic Guidelines

Společnost všeobecného lékařství ČLS JEP

eNeschopenka

Electronic Work Incapacity Administration System under Zákon č. 187/2006 Sb.

Česká správa sociálního zabezpečení (ČSSZ)

The current VPL atestace is a three-question oral specialist examination before an appointed committee. This 100-question English MCQ bank independently adapts the published curriculum and clinical guidance for study; it is not the official assessment format.

Sample Atestace Všeobecné praktické lékařství Practice Questions

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

1A 40-year-old asymptomatic man registers with a new general practitioner in Brno and asks about his entitlement to routine preventive health check-ups under Czech public health insurance. According to Vyhláška č. 70/2012 Sb. (o preventivních prohlídkách), what is the statutory frequency of general preventive check-ups for adults and which laboratory investigations are specifically mandated at age 40?
A.Every 2 years; mandatory laboratory testing includes a complete fasting lipid panel (total cholesterol, HDL, LDL, triglycerides), fasting plasma glucose, and a baseline resting 12-lead ECG.
B.Annually; mandatory testing includes an abdominal ultrasound, chest X-ray, fasting plasma glucose, and complete blood count.
C.Every 3 years; mandatory testing is limited to an office urine dipstick analysis and serum creatinine without any blood lipid or glucose testing.
D.Every 5 years; mandatory testing includes fasting plasma glucose and total cholesterol only if the patient has a first-degree family history of premature cardiovascular disease.
Explanation: Under Czech public health regulation Vyhláška č. 70/2012 Sb., general preventive examinations (všeobecná preventivní prohlídka) are covered every 2 years (once every 24 months). At age 40, statutory mandatory investigations include laboratory testing of fasting blood glucose, a full fasting lipid profile (total cholesterol, HDL, LDL, triglycerides, which is assessed at age 18, 30, 40, 50, and 60), and a resting 12-lead ECG (which is recorded at age 40 and then every 4 years).
2A 52-year-old woman attends her biennial preventive check-up. She has no personal or family history of colorectal neoplasia or inflammatory bowel disease and is asymptomatic. Under the Czech National Colorectal Cancer Screening Program in effect in 2026, what screening protocol is offered to average-risk adults aged 45–74?
A.Mandatory screening colonoscopy starting at age 40, repeated every 3 years regardless of histological findings.
B.Quantitative fecal immunochemical testing (FIT) every 2 years or primary screening colonoscopy every 10 years.
C.Biennial guaiac fecal occult blood testing (gFOBT) starting at age 60, with colonoscopy performed only if two consecutive tests are positive.
D.Serum carcinoembryonic antigen (CEA) and CA 19-9 measurement annually starting at age 50 without any stool testing.
Explanation: From 2026, the Czech organized program offers average-risk adults aged 45–74 either quantitative FIT every 2 years or primary screening colonoscopy every 10 years. A positive FIT is followed by diagnostic colonoscopy. The former annual-FIT age band beginning at 50 is outdated.
3A 46-year-old woman visits her general practitioner for a preventive check-up and inquires about breast cancer screening covered by Czech public health insurance. What is the official statutory guideline regarding organized screening mammography in the Czech Republic?
A.Screening breast ultrasound is the primary statutory modality every 2 years, with mammography reserved only for women over age 70.
B.Screening mammography is covered annually for women between ages 40 and 65, after which screening ceases.
C.Screening mammography is fully covered every 2 years for all women starting at age 45 without an upper age limit.
D.Mammography is covered only from age 50 to 69, requiring co-payment for any woman screened under age 50 or over age 70.
Explanation: In the Czech Republic, organized screening mammography (screeningová mamografie) is fully reimbursed by public health insurance every 2 years for all asymptomatic women beginning at age 45. There is no statutory upper age limit (women over 70 remain eligible every 2 years as long as life expectancy warrants screening).
4A 60-year-old man visits his GP. He has a 30 pack-year smoking history and continues to smoke 1 pack daily. He has no chronic cough, hemoptysis, or weight loss. Which national pilot screening program established in the Czech Republic is this patient eligible for, and what is the primary diagnostic imaging modality?
A.National Smoking Cessation Registry; serial induced sputum cytology combined with bronchoscopy every 2 years.
B.National Respiratory Health Survey; standard posteroanterior and lateral chest radiography every 6 months.
C.National Chronic Bronchitis Audit; annual contrast-enhanced high-resolution computed tomography (HRCT) of the chest.
D.National Pilot Program for Early Lung Cancer Detection (Program časného záchytu karcinomu plic); low-dose computed tomography (LDCT) of the chest.
Explanation: The Czech National Pilot Program for Early Lung Cancer Detection, coordinated by general practitioners and pneumologists, targets current or former smokers aged 55 to 74 with a smoking history of at least 20 pack-years. Eligible asymptomatic individuals are referred by their GP for low-dose chest CT (LDCT) to detect early-stage resectable pulmonary nodules.
5A 56-year-old asymptomatic man attends his general practitioner in 2026 to discuss prostate health. The Czech Republic launched the nationwide Early Prostate Cancer Detection Program (Program časného záchytu karcinomu prostaty) in 2024. According to this standardized national algorithm, what is the eligible target population and initial screening approach?
A.Asymptomatic men aged 50 to 69 years; baseline serum total Prostate-Specific Antigen (PSA) testing with risk-stratified follow-up intervals or urology referral.
B.All men aged 40 to 80 years; routine annual digital rectal examination (DRE) alone without blood sampling.
C.Men aged 65 to 75 years; primary multiparametric MRI (mpMRI) of the prostate before any laboratory PSA determination.
D.Symptomatic men with lower urinary tract symptoms; free-to-total PSA ratio followed by immediate prostate biopsy in primary care.
Explanation: The Czech early prostate cancer screening program launched in January 2024 targets asymptomatic men aged 50 to 69 (or from age 40 in high-risk men with BRCA mutations or strong family history). The general practitioner orders serum total PSA: if PSA < 1.0 ug/L, retesting occurs in 4 years; if PSA 1.0–3.0 ug/L, retesting occurs in 2 years; if PSA > 3.0 ug/L, the patient is referred to an accredited urologist for multiparametric MRI (mpMRI) and risk assessment.
6During a routine preventive examination of a 32-year-old woman, the general practitioner asks about cervical cancer screening. How is cervical cancer screening organized in the Czech primary healthcare framework, and what is the GP's role?
A.Cervical cytology is routinely sampled directly by the general practitioner during every biennial preventive examination.
B.Cervical screening is performed annually by registered ambulatory gynecologists via oncological cervical cytology (with adjunct HPV-DNA testing at ages 35, 45, and 55); the GP verifies adherence and actively recommends attendance if the patient has not visited a gynecologist.
C.Cervical screening is only conducted every 5 years starting at age 40, using self-sampling vaginal swabs mailed to the regional hygienic station.
D.Screening for cervical cancer is discontinued once a woman receives the HPV vaccine series.
Explanation: In the Czech Republic, cervical cancer screening is carried out by community gynecologists through annual Pap smear cytology, enhanced by public health insurance-funded HPV-DNA testing at ages 35, 45, and 55. General practitioners do not routinely perform cervical cytology but verify during the biennial preventive examination whether the patient visits her gynecologist, actively counseling non-attenders to participate.
7A 58-year-old male smoker with treated hypertension (office BP 138/84 mmHg) attends his GP for cardiovascular risk assessment. His total cholesterol is 5.8 mmol/L and HDL is 1.1 mmol/L. He has no established diabetes, CKD, or clinical cardiovascular disease. According to the ESC Guidelines on Cardiovascular Disease Prevention adopted by the Czech Society of Cardiology and SVL ČLS JEP, which tool is recommended to estimate his 10-year fatal and non-fatal cardiovascular event risk, and what is the Czech Republic's risk classification?
A.SCORE2-OP algorithm; the Czech Republic is classified as a low cardiovascular risk country.
B.Framingham Risk Score; the Czech Republic is classified as a very low cardiovascular risk country.
C.SCORE2 algorithm; the Czech Republic is classified as a high cardiovascular risk country in the European risk charts.
D.Reynolds Risk Score; the Czech Republic is classified as an intermediate risk country based solely on hs-CRP levels.
Explanation: Under the updated European and Czech cardiovascular prevention guidelines, the SCORE2 model is used for apparently healthy individuals aged 40 to 69 to calculate 10-year risk of fatal and non-fatal cardiovascular events (myocardial infarction, stroke). Based on national age- and sex-standardized cardiovascular mortality data, the Czech Republic is categorized as a high cardiovascular risk region.
8A 65-year-old healthy man presents to his general practitioner for a routine check-up. The GP reviews the patient's vaccination record and notes that the last tetanus booster was administered 14 years ago at age 51. According to Czech immunization regulations (Vyhláška č. 537/2006 Sb. o očkování proti infekčním nemocem), what is the standard revaccination recommendation?
A.No vaccine is required because adulthood tetanus immunity lasts for 25 years after the age of 50.
B.Tetanus boosters are strictly contraindicated after age 60 due to high risk of Guillain-Barré syndrome.
C.Administer an immediate full primary series of three doses of monovalent tetanus vaccine spaced at 0, 1, and 6 months.
D.Administer a tetanus booster dose now; for adults older than 60, the recommended interval is 10 years.
Explanation: Czech public-health guidance recommends tetanus revaccination every 10–15 years in adulthood and every 10 years after age 60. This 65-year-old is 14 years from his last dose, so a booster is due. A combined reduced-antigen diphtheria–tetanus–pertussis vaccine may be used when clinically appropriate.
9A 54-year-old forestry worker living in South Bohemia asks his GP about vaccination against tick-borne encephalitis (klíšťová encefalitida - FSME). What is the standard vaccination schedule and the public health insurance reimbursement status in the Czech Republic?
A.Standard primary schedule consists of 3 doses (0, 1–3 months, and 5–12 months); since 2022, the vaccine and its administration are fully covered by public health insurance for all persons aged 50 and older.
B.A single lifetime oral dose is sufficient, and it is fully covered by insurance only for children under 5 years old.
C.Two doses given 10 years apart; the vaccine is strictly paid out-of-pocket with zero contribution from health insurance funds for any age group.
D.Four doses administered weekly; it is reimbursed only after documented serological confirmation of an active tick bite.
Explanation: Tick-borne encephalitis (TBE/FSME) primary immunization consists of three intramuscular doses (conventional schedule: day 0, 1–3 months, 5–12 months; first booster at 3 years, subsequent boosters every 3–5 years). In the Czech Republic, an amendment to Zákon č. 48/1997 Sb. enacted in 2022 introduced 100% public health insurance coverage of both the vaccine and its administration for all citizens aged 50 years and above.
10A 67-year-old woman with well-controlled asthma attends her GP surgery in Ostrava. She asks whether she should receive pneumococcal vaccination. What are the current Czech immunization recommendations and reimbursement rules regarding pneumococcal disease prevention in older adults?
A.Pneumococcal vaccine is reimbursed only for patients with anatomical asplenia; healthy seniors must pay entirely out-of-pocket.
B.Pneumococcal vaccination is legally covered by public health insurance for all adults aged 65 and older; contemporary recommendations favor 20-valent conjugate vaccine (PCV20) as a single dose or PCV15 followed by PPSV23.
C.Only the 23-valent polysaccharide vaccine (PPSV23) is approved in the Czech Republic, requiring annual booster revaccination.
D.Pneumococcal vaccination is strictly contraindicated in patients with chronic respiratory conditions such as asthma or COPD.
Explanation: Under Czech public health insurance law (Zákon č. 48/1997 Sb.), pneumococcal vaccination is fully covered for all individuals aged 65 years and older. Modern immunization guidelines (Czech Vaccinological Society and SVL) recommend either a single dose of 20-valent pneumococcal conjugate vaccine (PCV20) or PCV15 followed at least 1 year later by PPSV23 to provide broad and durable mucosal and invasive protection.

About the Atestace Všeobecné praktické lékařství Exam

The Atestační zkouška v oboru Všeobecné praktické lékařství is the final Czech specialist qualification in general practice under Zákon č. 95/2004 Sb. and Vyhláška č. 282/2019 Sb. The current specialty program specifies an oral examination before an at least 3-member committee with three expert questions from different medical fields, including differential and holistic assessment and organizational or legal issues; it does not specify a separate practical examination. This independent English-language MCQ bank is not an official translation or format simulation and does not substitute for oral preparation.

Questions

3 scored questions

Time Limit

No fixed total duration is published; candidates receive at least 30 minutes to prepare for the three-question oral examination.

Passing Score

Committee decision of 'prospěl' (passed) by majority or consensus under Vyhláška č. 282/2019 Sb.

Exam Fee

500 CZK first sitting; 3,500 CZK first retake; 5,000 CZK second retake under Nařízení vlády č. 324/2018 Sb. (Ministerstvo zdravotnictví České republiky (MZ ČR) / Lékařské fakulty / IPVZ / SVL ČLS JEP)

Atestace Všeobecné praktické lékařství Exam Content Outline

Not published

Primary Prevention, Screening & Cardiovascular Health

Covers statutory preventive check-ups (Vyhláška č. 70/2012 Sb.), national oncological screening programs (colorectal, breast, cervical, prostate PSA, lung low-dose CT), SCORE2 / SCORE2-OP cardiovascular risk calculation, adult vaccination schedules (tetanus, pertussis, pneumococcal, influenza, COVID-19, zoster, tick-borne encephalitis/FSME), lipid management targets (ESC/Czech Atherosclerosis Society), and lifestyle interventions in primary care.

Not published

Common Chronic Disease Management

Encompasses clinical management and guideline-directed medical therapy according to SVL ČLS JEP: arterial hypertension (office vs ABPM/HBPM diagnosis, single-pill combinations, resistant hypertension workup), type 2 diabetes mellitus (metformin, SGLT2 inhibitors, GLP-1 RAs, DPP-4 inhibitors, individual HbA1c targets, SÚKL prescribing criteria), COPD (spirometry criteria, LAMA, LABA, ICS blood eosinophil thresholds, inhaler technique), asthma, and chronic kidney disease (KDIGO staging, ACR monitoring, nephroprotection, and nephrology referral).

Not published

Acute Presentations & Red Flags in Primary Care

Focuses on the rapid triage, pre-hospital stabilization, and urgent hospital referral via Emergency Medical Services (ZZS 155): acute coronary syndromes (STEMI/NSTEMI), suspected pulmonary embolism (Wells score, age-adjusted D-dimer, PESI), acute stroke (FAST protocol, IVT/thrombectomy windows), acute heart failure, hypertensive emergencies vs urgencies, acute abdomen, sepsis-3 / qSOFA recognition, acute bacterial meningitis, acute visual loss, cauda equina syndrome, and severe anaphylaxis.

Not published

Geriatric Care, Palliative Medicine & Polypharmacy

Addresses the complex management of elderly and frail patients: comprehensive geriatric assessment, cognitive evaluation (MMSE, MoCA), delirium etiology (PINCHES ME) and non-pharmacological care, dementia management, polypharmacy rationalization using STOPP/START criteria, osteoporosis diagnosis (DXA, FRAX) and antiresorptive therapy, terminal palliative symptom control (WHO pain ladder, subcutaneous opioids, dyspnea, death rattle, delirium), and advance healthcare directives (dříve vyslovené přání).

Not published

Occupational Health, Certification & Primary Care Regulations

Assesses current Czech primary-care legal duties: occupational-health examinations, driving-fitness appraisal (including the age-70 starting point for non-professional periodic checks), firearms medical certification and reporting under Zákon č. 90/2024 Sb., eNeschopenka, confidentiality, and communicable-disease notification.

How to Pass the Atestace Všeobecné praktické lékařství Exam

What You Need to Know

  • Passing score: Committee decision of 'prospěl' (passed) by majority or consensus under Vyhláška č. 282/2019 Sb.
  • Exam length: 3 questions
  • Time limit: No fixed total duration is published; candidates receive at least 30 minutes to prepare for the three-question oral examination.
  • Exam fee: 500 CZK first sitting; 3,500 CZK first retake; 5,000 CZK second retake under Nařízení vlády č. 324/2018 Sb.

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

Atestace Všeobecné praktické lékařství Study Tips from Top Performers

1Master current Czech preventive-check and screening intervals, including the 2026 colorectal pathway of FIT every 2 years or screening colonoscopy every 10 years for average-risk adults aged 45–74; verify time-sensitive program details against current MZ ČR and NZIP guidance.
2Follow SVL ČLS JEP Single-Pill Combination (SPC) Guidelines: In arterial hypertension, initiate treatment with a two-drug SPC (ACEi or ARB plus CCB or indapamide) as first line in most patients; recognize when monotherapy is appropriate (frail elderly, low-risk grade 1 hypertension with SBP < 150 mmHg); remember that indapamide/chlorthalidone are preferred over hydrochlorothiazide.
3Understand SÚKL Reimbursement & Organ Protection in Diabetes: Know the glycemic threshold (HbA1c < 53 mmol/mol) and the pivotal role of SGLT2 inhibitors and GLP-1 RAs for diabetic patients with atherosclerotic cardiovascular disease, heart failure, or CKD regardless of baseline HbA1c, reflecting recent SÚKL primary care prescribing expansions.
4Internalize Occupational Health (PLS) Categories: Learn the exact differences between Work Categories 1, 2, 2-riziková, 3, and 4 under Zákon č. 258/2000 Sb. and Vyhláška č. 79/2013 Sb., as well as the 4 legal fitness conclusions (schopen, schopen s podmínkou, pozbyl dlouhodobě zdravotní způsobilost, neschopen).
5Learn current driving-fitness rules: in 2026 the first age-based examination for a non-professional driver is at 70, followed by intervals no longer than 2 years; distinguish these rules from occupational driver examinations.

Frequently Asked Questions

What is the Czech Atestace v oboru Všeobecné praktické lékařství?

It is the official postgraduate specialty board examination in the Czech Republic required to attain specialized competence (specializovaná způsobilost) as a General Practitioner (všeobecný praktický lékař - VPL). It is organized under Zákon č. 95/2004 Sb. and Vyhláška č. 282/2019 Sb. by the Ministry of Health (MZ ČR), accredited medical faculties, IPVZ, and the Society of General Practice (SVL ČLS JEP).

What is the structure of the official Czech VPL specialty board examination?

The current VPL educational program specifies a theoretical oral examination before an at least 3-member committee. The candidate answers three expert questions from different medical fields, including differential and holistic assessment and organizational or legal issues; the program does not list a separate practical examination.

What are the statutory fees for the Czech Atestace examination?

According to government decree Nařízení vlády č. 324/2018 Sb., the fee for the regular first attempt is 500 CZK (250 CZK for the practical part and 250 CZK for the theoretical part). For candidates retaking the examination, the fee is 3,500 CZK for the first retake and 5,000 CZK for the second retake.

What prerequisites are required to sit the Czech GP specialty board exam?

Candidates must hold a recognized MUDr. degree, complete the applicable current training pathway—normally the 30-month VPL basic trunk plus at least 6 months of specialty training—and document all required practice, courses, and program requirements before applying.

What Czech-specific regulatory topics are tested on the examination?

The curriculum includes preventive care, occupational-health examinations, current driving-fitness rules, firearms medical appraisal and reporting under Zákon č. 90/2024 Sb., eNeschopenka, confidentiality, medical-assessment procedures, and communicable-disease reporting. Time-sensitive legal details must be checked against current consolidated law.

Is this question bank an official publication of MZ ČR or IPVZ?

No. This question bank is an independent English-language MCQ study adaptation developed for OpenExamPrep. It is structured around the educational program published in Věstník MZ ČR and the clinical recommendations (Doporučené diagnostické a terapeutické postupy) of the Society of General Practice (SVL ČLS JEP) to provide high-yield revision for residents, trainees, and international medical graduates preparing for primary care certification in the Czech Republic.