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100+ Free HKMLE Part III Practice Questions

Prepare for the Licensing Examination of the Medical Council of Hong Kong Part III - Clinical Examination exam with instant access — no signup required.

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2026 Statistics

Key Facts: HKMLE Part III Exam

4

Official Clinical Disciplines

MCHK General Information and Part III Clinical Examination page

72

Published Part III Seat Capacity

MCHK Part III Clinical Examination page and 2026 guidance notes

HK$3,540

All-Disciplines Part III Fee

LEIP Application, Dates, and Fees page

HK$1,380

Single-Discipline Re-sit Fee

LEIP Application, Dates, and Fees page

3

Spoken Language Options

MCHK Part III Clinical Examination page

Performance-based

Question Count

MCHK Part III format materials describe clinical cases and stations, not a fixed MCQ count

HKMLE Part III is a performance-based clinical examination administered by MCHK for eligible candidates who have passed Part I and Part II. It covers Medicine, Surgery including Orthopaedics, Obstetrics & Gynaecology, and Paediatrics through long cases, short cases, and OSCE stations. MCHK publishes fees and format details, but not a single public MCQ count or numeric Part III passing score, so this metadata remains pending for full logistics verification.

Sample HKMLE Part III Practice Questions

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

1In a medicine long-case station, a 62-year-old man presents with exertional chest tightness. Which opening question best establishes the symptom chronology without leading the patient?
A.When did the chest discomfort first start, and how has it changed since then?
B.Is the pain crushing and brought on by exertion?
C.You have angina, correct?
D.Do you want an ECG before we talk?
Explanation: An open chronological question lets the patient describe onset, progression, triggers, and associated symptoms before the candidate narrows the history. In clinical stations this shows structure and patient-centred communication while still allowing rapid risk assessment.
2A patient with sudden right-sided weakness and expressive aphasia arrives within 90 minutes of onset. What is the safest immediate priority?
A.Check capillary glucose and arrange urgent non-contrast CT brain
B.Give aspirin before imaging
C.Send the patient home if symptoms are improving
D.Delay assessment until a family member confirms the history
Explanation: Suspected acute stroke requires rapid exclusion of mimics such as hypoglycaemia and urgent brain imaging to distinguish ischaemic stroke from haemorrhage. Early recognition, time of onset, contraindications, and escalation to the stroke team are core clinical reasoning steps.
3During examination of a patient with suspected chronic liver disease, which finding most directly supports portal hypertension?
A.Caput medusae with ascites
B.Tender hepatomegaly alone
C.Right iliac fossa tenderness
D.Isolated clubbing
Explanation: Ascites with dilated abdominal wall veins suggests portal hypertension and collateral venous flow. Tender hepatomegaly and clubbing may occur in liver or systemic disease, but they are less specific for portal hypertension.
4A 58-year-old woman with fever, productive cough, respiratory rate 32/min, and oxygen saturation 88 percent on air is assessed in an acute ward. What is the best first management step?
A.Give oxygen, assess sepsis risk, obtain cultures if appropriate, and start timely antibiotics
B.Arrange outpatient sputum culture and review in 1 week
C.Start oral antihistamine and discharge
D.Wait for chest radiograph before giving oxygen
Explanation: Hypoxaemia and tachypnoea in suspected pneumonia are danger signs. Initial management should stabilize airway and breathing, assess sepsis, investigate without delaying treatment, and escalate care if the patient is deteriorating.
5In a thyroid short-case station, which sign most strongly suggests Graves disease rather than simple multinodular goitre?
A.Lid lag with diffuse goitre and fine tremor
B.A solitary hard nodule fixed to surrounding tissue
C.A normal pulse with a smooth non-tender goitre
D.Tender thyroid after an upper respiratory infection
Explanation: Lid lag, tremor, tachycardia, and a diffuse goitre fit thyrotoxicosis, with Graves disease especially suggested by eye signs. The station answer should integrate the general examination with the neck findings rather than describing the neck alone.
6A diabetic patient has a plantar ulcer with surrounding cellulitis. Which examination element is most important to include before proposing management?
A.Peripheral pulses, capillary refill, neuropathy testing, and probe-to-bone assessment
B.Only the ulcer diameter
C.Only the patient's preferred dressing brand
D.Only inspection of the other foot
Explanation: Diabetic foot assessment must identify infection severity, vascular supply, neuropathy, depth, and possible osteomyelitis. These findings determine urgency, need for imaging, antibiotics, vascular or orthopaedic input, offloading, and glycaemic optimization.
7A patient with acute severe asthma is unable to complete sentences and has widespread wheeze. What should be done first?
A.Give high-flow oxygen and inhaled bronchodilator treatment while assessing severity
B.Ask the patient to perform peak flow before treatment
C.Give an oral antibiotic as the first intervention
D.Reassure and review after observation only
Explanation: Life-threatening asthma can deteriorate quickly. Oxygen, inhaled short-acting bronchodilator treatment, systemic steroid, monitoring, and early escalation are prioritized; peak flow is useful only if it does not delay treatment.
8In a cardiovascular examination station, a collapsing pulse and early diastolic murmur at the left sternal edge most strongly suggest which valve lesion?
A.Aortic regurgitation
B.Mitral stenosis
C.Pulmonary stenosis
D.Tricuspid regurgitation
Explanation: Aortic regurgitation classically produces a bounding or collapsing pulse and an early diastolic decrescendo murmur. In a station, candidates should also look for wide pulse pressure, displaced apex, and signs of heart failure.
9A man presents with a painful irreducible groin swelling, vomiting, and abdominal distension. What is the most appropriate next step?
A.Treat as possible strangulated or obstructed hernia and arrange urgent surgical assessment
B.Reassure him that all groin hernias can wait for clinic repair
C.Attempt repeated forceful reduction until the lump disappears
D.Prescribe laxatives and discharge
Explanation: Pain, irreducibility, vomiting, and distension suggest incarceration with obstruction or strangulation. The safe station response is resuscitation, analgesia, nil by mouth, urgent senior surgical review, and preparation for imaging or operation as appropriate.
10A 23-year-old has migratory periumbilical pain to the right iliac fossa, fever, and localized guarding. Which diagnosis is most likely?
A.Acute appendicitis
B.Uncomplicated gastroenteritis
C.Renal colic
D.Peptic ulcer disease
Explanation: Migration of pain to the right iliac fossa with fever and localized peritonism is typical of acute appendicitis. The station focus is recognizing surgical abdomen, assessing pregnancy possibility in females, giving analgesia, and escalating for imaging or surgery.

About the HKMLE Part III Exam

HKMLE Part III is the Medical Council of Hong Kong Licensing Examination Clinical Examination. It tests whether candidates who have already passed Part I and Part II can apply professional knowledge to clinical problems in Medicine, Surgery including Orthopaedic Surgery, Obstetrics & Gynaecology, and Paediatrics. Official MCHK materials describe a mixture of long cases, short cases, and OSCE stations in Hong Kong hospital venues, with candidates able to answer in English, Cantonese, or Putonghua as selected on the application form.

Assessment

Medicine long and short cases; Surgery OSCE with 8 six-minute stations; Obstetrics & Gynaecology OSCE with 10 nine-minute stations; Paediatrics long case plus four 10-minute short cases.

Time Limit

Varies by discipline: Medicine 40-minute preparation plus 20-minute long-case questioning and 40 minutes of short cases; Surgery 8 six-minute OSCE stations; Obstetrics & Gynaecology 10 nine-minute OSCE stations with one-minute breaks; Paediatrics 20-minute long case, 10-minute discussion, and four 10-minute short cases.

Passing Score

Not publicly published as a single numeric score; MCHK states that performance at different parts or stations is considered independently and that a good pass in one part cannot compensate failure in another. Verify current pass/fail criteria with MCHK.

Exam Fee

HK$3,540 for all disciplines; HK$1,380 for a single discipline re-sit; application fee HK$1,590. Fees are subject to prevailing rates on date of payment. (Medical Council of Hong Kong (MCHK), Licentiate Committee)

HKMLE Part III Exam Content Outline

Official discipline; no percentage published

Medicine

Long case and short-case clinical assessment of history taking, physical signs, investigations, diagnosis, and management. Official examples include abdomen, cardiovascular, respiratory, neurology, and general medicine findings.

Official discipline; no percentage published

Surgery including Orthopaedic Surgery

OSCE stations assessing surgical history, communication, investigations, management, procedural skills, orthopaedic imaging, and clinical cases such as head and neck, breast, vascular, abdomen, hernia, lumps and bumps, and orthopaedics.

Official discipline; no percentage published

Obstetrics and Gynaecology

OSCE stations using interactive and non-interactive tasks. Probe objects may include charts, instruments, photographs, pathology specimens, or short patient descriptions, with possible clinical-skill stations.

Official discipline; no percentage published

Paediatrics

Long case with surrogate history and examiner discussion, plus virtual or simulated short cases covering cardiovascular, neurological, respiratory, and general examination.

Integrated station skills

Communication, Professionalism, and Safety

Patient-centred consultation structure, interpreter use, consent, chaperone practice, confidentiality, documentation, infection control, public-health notification, and safe escalation.

How to Pass the HKMLE Part III Exam

What You Need to Know

  • Passing score: Not publicly published as a single numeric score; MCHK states that performance at different parts or stations is considered independently and that a good pass in one part cannot compensate failure in another. Verify current pass/fail criteria with MCHK.
  • Assessment: Medicine long and short cases; Surgery OSCE with 8 six-minute stations; Obstetrics & Gynaecology OSCE with 10 nine-minute stations; Paediatrics long case plus four 10-minute short cases.
  • Time limit: Varies by discipline: Medicine 40-minute preparation plus 20-minute long-case questioning and 40 minutes of short cases; Surgery 8 six-minute OSCE stations; Obstetrics & Gynaecology 10 nine-minute OSCE stations with one-minute breaks; Paediatrics 20-minute long case, 10-minute discussion, and four 10-minute short cases.
  • Exam fee: HK$3,540 for all disciplines; HK$1,380 for a single discipline re-sit; application fee HK$1,590. Fees are subject to prevailing rates on date of payment.

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

HKMLE Part III Study Tips from Top Performers

1Practise medicine long cases with a timed structure: presenting complaint, chronology, systems review, risk factors, focused examination, problem list, differential diagnosis, investigations, and management.
2For surgery and orthopaedics, drill image interpretation, acute abdomen, breast and neck lumps, vascular emergencies, hernia complications, fracture neurovascular checks, and postoperative deterioration.
3For obstetrics and gynaecology, rehearse early pregnancy pain and bleeding, antenatal red flags, labour emergencies, postpartum haemorrhage, contraception counselling, pelvic infection, and gynaecological cancer red flags.
4For paediatrics, practise surrogate history, growth and development, fever, respiratory distress, dehydration, neonatal jaundice, safeguarding, immunisation counselling, and communicating with parents.
5Use Hong Kong context deliberately: MCHK professional conduct, CHP notifiable infection duties, Hong Kong Childhood Immunisation Programme facts, language choice, interpreter use, and local hospital escalation.
6In every station, state immediate safety actions first when the patient is unstable; then give investigations, diagnosis, definitive management, communication, and follow-up.
7Do not invent findings in short-case presentations. Say what you found, what it means, what you would check next, and what would change management.
8Practise concise examiner summaries: one sentence for diagnosis, one for supporting findings, one for differentials, and one for management priorities.

Frequently Asked Questions

Does HKMLE Part III exist?

Yes. MCHK official Licensing Examination information lists Part III as the Clinical Examination, testing application of professional knowledge to clinical problems in Medicine, Surgery including Orthopaedic Surgery, Obstetrics & Gynaecology, and Paediatrics.

Is Part III a multiple-choice exam?

No. Official MCHK materials describe Part III as a clinical examination using long cases, short cases, and OSCE stations. This practice bank uses selected-response questions to test decisions candidates make in those stations.

Who can apply for Part III?

Candidates must have passed Part I Examination in Professional Knowledge and Part II Proficiency Test in Medical English before applying to take Part III.

What language can candidates use?

MCHK states that candidates can answer in English, Cantonese, or Putonghua, with the choice made in the application form. Written signages and instructions are provided in English.

How much does Part III cost?

The published fee is HK$3,540 for all disciplines and HK$1,380 for a single discipline for eligible re-sit candidates, plus a HK$1,590 application fee. MCHK states fees are subject to prevailing rates on the date of payment.

What is the passing score?

MCHK does not publish a single numeric Part III passing score on the public format pages consulted. The official Part III note states that performance at different parts or stations is considered independently and that a good pass in one part cannot compensate failure in another; candidates should verify current criteria with MCHK.

Where is the clinical examination held?

MCHK states that clinical examinations are held in different hospitals in Hong Kong and that there may be variations in venue setting.

What happens after passing all parts?

After passing the Licensing Examination, candidates must complete a period of assessment in approved hospitals or institutions as determined by the Council before applying for registration under the relevant route.