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100+ Free HKMLE Part III Practice Questions
Licensing Examination of the Medical Council of Hong Kong Part III - Clinical Examination practice questions are available now; exam metadata is being verified.
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A patient with a suspected scaphoid fracture has snuffbox tenderness but initial X-ray is normal. What is the safest management?
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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 Practice Questions
Verified exam format metadata for Licensing Examination of the Medical Council of Hong Kong Part III - Clinical Examination is pending. The practice questions above remain available while official exam length, timing, passing score, fee, and administrator details are reviewed.