Free Practice Questions for EHPLE Medicine
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Key Facts: EHPLE Medicine Exam
200 MCQs
Total questions on the national computer-based licensing examination
MoH HHrIPR-LEO National Examination Guidelines
Two blocks of 100
Total examination duration divided in a morning and an afternoon block of 100 questions each
MoH Implementation Guideline (blocks of <=120 questions, >=30-minute break)
Not published
Standard national examination registration fee
MoH registration portal (hple.moh.gov.et)
Modified Angoff
Standard-setting methodology used to establish the round cut score
HHrIPR-LEO Psychometric Assessment Framework
5 Domains
Core clinical departments evaluated on the medical doctor blueprint
EHPLE Doctor of Medicine Blueprint
Renewable
License status subject to regular periodic renewal and CPD credits
Ethiopian Health Professionals Licensure Regulations
The Ethiopian Health Professionals Licensing Examination (EHPLE) for Medicine is the mandatory national exam for MD graduates seeking licensure in Ethiopia. Administered by the Ministry of Health's HHrIPR-LEO, the computer-based exam runs as 200 four-option MCQs in a morning and an afternoon block of 100 questions each. The official blueprint weights Patient Care 81% (internal medicine 16%, surgery 14%, gynecology and obstetrics 14%, pediatrics 11%, emergency and critical care 10%), with Scholar, Leadership and Management, and Health Promotion each 5% and Professionalism 4%. This practice bank delivers 100 questions with detailed rationales.
Sample EHPLE Medicine Practice Questions
Try these sample questions to review concepts for the EHPLE Medicine exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 56-year-old male with a history of hypertension presents to the emergency department with severe, retrosternal crushing chest pain of 2 hours' duration radiating to his left shoulder and jaw. An electrocardiogram (ECG) reveals 3-mm ST-segment elevations in leads II, III, and aVF with reciprocal ST depression in leads I and aVL. The nearest primary percutaneous coronary intervention (PCI) facility is 4 hours away. Which of the following is the most appropriate reperfusion strategy according to Ethiopian Standard Treatment Guidelines?
2A 62-year-old female with long-standing ischemic cardiomyopathy presents with progressive exertional dyspnea, orthopnea requiring three pillows, and bilateral pedal edema. Vital signs show BP 138/86 mmHg, heart rate 82 bpm, and oxygen saturation 94% on room air. Physical examination reveals an elevated jugular venous pressure (JVP), bibasilar lung crackles, and an S3 gallop. Which medication is contraindicated during this acute decompensated state?
3A 34-year-old male with a history of rheumatic mitral stenosis presents with acute-onset palpitations, shortness of breath, and lightheadedness. Blood pressure is 82/50 mmHg, heart rate is 168 bpm and irregularly irregular, and respiratory rate is 28 breaths/min. ECG demonstrates atrial fibrillation with a rapid ventricular response. What is the immediate treatment of choice?
4A 28-year-old male with a history of intravenous drug use presents with high-grade fever, chills, fatigue, and pleuritic chest pain for two weeks. On physical examination, a new 3/6 holosystolic murmur is heard best at the lower left sternal border that increases with inspiration. Chest radiography reveals multiple bilateral cavitary pulmonary nodules. Which pathogen is the most likely cause of this patient's condition?
5A 48-year-old man presents to the clinic with severe headache and blurred vision. His blood pressure is 220/130 mmHg. Funduscopic examination demonstrates bilateral papilledema and flame-shaped retinal hemorrhages. Serum creatinine is 2.4 mg/dL (baseline was 1.0 mg/dL 3 months ago). Which of the following defines this clinical presentation and its immediate management target?
6A 68-year-old male with a history of severe COPD presents with acute exacerbation. Room air oxygen saturation is 84%, arterial blood gas shows pH 7.31, PaCO2 58 mmHg, and PaO2 52 mmHg. Along with bronchodilators and systemic steroids, which oxygen delivery target is recommended?
7A 24-year-old female presents with acute severe asthma exacerbation, unable to complete sentences, respiratory rate 34 breaths/min, pulse 124 bpm, and PEFR 40%. What is the immediate first-line medical intervention?
8A 32-year-old woman on oral contraceptives presents with sudden pleuritic chest pain, dyspnea, tachycardia, and hemoptysis after long travel. What is the most appropriate initial imaging test to confirm pulmonary embolism in this hemodynamically stable patient?
9A 65-year-old cirrhotic male presents with massive upper gastrointestinal bleeding and hemorrhagic shock from suspected esophageal varices. Following fluid resuscitation, which pharmacological agent should be initiated immediately before endoscopy?
10A 42-year-old female presents with acute gallstone pancreatitis and elevated lipase. What is the cornerstone of early supportive therapy within the first 24 hours?
About the EHPLE Medicine Exam
The Ethiopian Health Professionals Licensing Examination (EHPLE) for Doctor of Medicine (MD) is the mandatory national standard-setting examination required for medical graduates to practice medicine in Ethiopia. Administered by the Health and Health-related Institutions and Professionals Regulatory Lead Executive Office (HHrIPR-LEO) under the Federal Ministry of Health, the examination evaluates whether candidates possess the essential clinical knowledge, clinical reasoning, decision-making skills, and ethical grounding needed for safe entry-level practice. Passing the examination is mandatory for graduates of all public and private medical faculties in Ethiopia as well as internationally trained Ethiopian physicians seeking registration.
Exam sponsor: Federal Ministry of Health (MoH) — Health and Health-related Institutions and Professionals Regulatory Lead Executive Office (HHrIPR-LEO). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Assessment
The MoH Implementation Guideline allots roughly 1.25 minutes per question and caps a single block at 120 questions / 2 hours 30 minutes, followed by a break of at least 30 minutes before the second block. A 200-item sitting is therefore delivered as a morning and an afternoon block of 100 questions each.
Time Limit
Two 100-question blocks with a break of at least 30 minutes
Passing Score
Set each round by an expert panel using the Modified-Angoff method (no fixed percentage)
Exam / Certification Fees
Not published by MoH as a fixed public tariff. A registration fee is paid through the official portal (hple.moh.gov.et); candidates who miss a sitting without an accepted reason pay the registration fee plus a 50% penalty (MoH Exam Administration Manual). Confirm the current amount on the registration announcement.
Exam sponsor websiteFees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Patient Care
Internal medicine (16%), surgery (14%), gynecology and obstetrics (14%), pediatrics and child health (11%), emergency and critical care (10%), dermatology (4%), psychiatry and mental health (3.5%), ear, nose and throat (3%), ophthalmology (3%), and dentistry (2.5%).
Scholar
Research literacy, evidence-based medicine, teaching, and continuing professional development.
Leadership and Management
Clinical team leadership, health system management, and resource stewardship.
Health Promotion and Disease Prevention
Community diagnosis and community-based preventive and promotive interventions.
Professionalism
Ethical principles, medico-legal practice, communication, collaboration, and standards of professional conduct.
Preparing for the EHPLE Medicine Exam
What You Need to Know
- Passing score: Set each round by an expert panel using the Modified-Angoff method (no fixed percentage)
- Assessment: The MoH Implementation Guideline allots roughly 1.25 minutes per question and caps a single block at 120 questions / 2 hours 30 minutes, followed by a break of at least 30 minutes before the second block. A 200-item sitting is therefore delivered as a morning and an afternoon block of 100 questions each.
- Time limit: Two 100-question blocks with a break of at least 30 minutes
- Exam / certification fees: Not published by MoH as a fixed public tariff. A registration fee is paid through the official portal (hple.moh.gov.et); candidates who miss a sitting without an accepted reason pay the registration fee plus a 50% penalty (MoH Exam Administration Manual). Confirm the current amount on the registration announcement. Official sources
Using Our Practice Resources
- Work through all 100 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
Frequently Asked Questions
What is the Ethiopian Health Professionals Licensing Examination (EHPLE) for Medicine?
The EHPLE for Medicine is the mandatory national qualifying examination administered by the Health and Health-related Institutions and Professionals Regulatory Lead Executive Office (HHrIPR-LEO) under the Ethiopian Federal Ministry of Health (MoH) to assess clinical competency before granting an independent medical practice license.
Who is required to sit for the EHPLE Medicine exam?
All graduating medical doctors (MD) from accredited Ethiopian public and private universities, as well as foreign-trained physicians wishing to obtain a medical license to practice in Ethiopia, are required to register for and pass the examination.
What is the examination structure, question count, and time allowance?
The examination consists of 200 computer-based multiple-choice questions (MCQs) administered on designated testing centers in a morning and an afternoon block of 100 questions each on the same test day, providing a total examination time of Two 100-question blocks.
How is the passing score determined for each examination round?
The passing score is determined through a criterion-referenced Modified Angoff standard-setting methodology conducted by a panel of expert medical educators and clinicians convened by MOH-HHrIPR-LEO, rather than a predetermined fixed percentage.
What is the official registration fee and portal for the examination?
Candidates register online through the official Health Professionals Licensure Examination portal at https://hple.moh.gov.et/, and the standard national examination fee is a registration fee announced by the Ministry of Health for each round.
Are these practice questions an official EHPLE paper?
No. The EHPLE is set and delivered only by the Federal Ministry of Health; these questions are an independent study aid written against the official Information Booklet blueprint and Ethiopian national clinical guidelines. The official examination is delivered in English as computer-based, four-option, single-best-answer MCQs, so the item format here matches the real assessment, but this bank is not an official past paper, a released item pool, or a simulation of the live testing environment. Always confirm registration dates, fees, and exam-day rules on moh.gov.et/ehple and hple.moh.gov.et.