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Free Practice Questions for Medical Residency Independent Final Attestation (Kazakhstan)

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Key Facts: Medical Residency Independent Final Attestation (Kazakhstan) Exam

100 Questions

Stage 1 single-best-answer items, including 10% MCQ F-type clinical-case items

NCIE specification, General Medical Practice (7th year)

150 Minutes

Stage 1 testing time, taken without a break

NCIE internship assessment page (qazexam.kz)

50 Points

Stage 1 threshold; below it a candidate is not admitted to Stage 2

NCIE internship assessment page (qazexam.kz)

5 Cases / 90 Minutes

Stage 2 case testing on situational tasks, threshold 50 points

NCIE internship assessment page (qazexam.kz)

50 / 50

Equal weighting of grade point average and attestation result in the 2026 residency ranking

Ministry of Healthcare RK and ncvb.kz

12,000 KZT

Total graduate fee: 5,800 KZT knowledge assessment plus 6,200 KZT skills assessment

NCIE price list for graduates, effective 10 January 2026

3 Languages

Kazakh, Russian or English, chosen by the graduate

NCIE internship assessment page (qazexam.kz)

Residency admission in Kazakhstan is decided by an automated ranking that weights undergraduate GPA and the independent final attestation (ТҚА / НИА) equally. The attestation is run by the National Center for Independent Examination in two stages: 100 multiple-choice questions in 150 minutes with a 50-point threshold, then case testing on five situational tasks in 90 minutes with a 50-point threshold. This independent OpenExamPrep bank is an English-language multiple-choice study resource, not an official item release.

Sample Medical Residency Independent Final Attestation (Kazakhstan) Practice Questions

Try these sample questions to review concepts for the Medical Residency Independent Final Attestation (Kazakhstan) exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Under the Code of the Republic of Kazakhstan 'On Public Health and Healthcare System' No. 360-VI ЗРК, what is the legal requirement on patient consent before medical care is provided, and in which situations must that consent be drawn up on the approved form?
A.Medical care is provided after the informed consent of the patient has been obtained, and for invasive interventions the informed consent is drawn up on the form approved by the authorised body
B.Consent is legally implied as soon as the patient walks into a state polyclinic or hospital
C.The verbal agreement of a spouse or close relative is required in every case, irrespective of the patient's own capacity
D.The physician may carry out any procedure without explaining the diagnosis, the methods, the risks or the alternatives
Explanation: Article 134, paragraph 3 of the Code states that medical care is provided after the informed consent of the patient has been obtained, and that for invasive interventions the informed consent is drawn up on the form approved by the authorised body. Consent is meaningful only if the rights in Article 134, paragraph 1 have been honoured first: the patient is entitled to information on the diagnosis, prognosis, plan of treatment, possible risks and benefits, alternative methods and the consequences of refusal, in a form they can understand, and to an independent opinion and a consultation of doctors. Refusal of care is governed by Article 136 and must be explained, documented and signed; for minors and persons declared legally incapable, consent is given by their legal representatives.
2Under the legislation of the Republic of Kazakhstan, medical confidentiality (дәрігерлік құпия / врачебная тайна) protects information regarding a patient's medical consultations, diagnosis, and personal health data. In which of the following statutory situations is a medical professional legally permitted to disclose medical information WITHOUT the consent of the patient or their legal representative?
A.Upon formal inquiry from investigative bodies, prosecutors, or courts in connection with an ongoing investigation or judicial proceeding
B.Upon request by the patient's employer for human resource files
C.Upon informal telephone request by curious extended family members
D.For commercial marketing purposes by pharmaceutical sales representatives
Explanation: Under Article 273 of the Code of the Republic of Kazakhstan 'On Public Health and Healthcare System', personal medical data, the fact of seeking medical care, the state of health and the diagnosis constitute the secret of the medical worker and may not be disclosed by anyone who learned them in training or in the course of professional duties. Paragraph 4 lists the exhaustive situations in which disclosure without the person's consent is permitted, and among them is a request from bodies of inquiry and preliminary investigation, the prosecutor, the advocate or the court in connection with an investigation or judicial proceedings. The same paragraph also allows disclosure in order to examine and treat a person who cannot express their will when no legal representative is available, where there is a threat of spreading a disease dangerous to others, to inform the legal representative of a minor or a legally incapable person, and where there are grounds to believe that harm to health resulted from unlawful acts.
3In Kazakhstan, medical services are delivered through the guaranteed volume of free medical care (ГОБМП / тегін медициналық көмектің кепілдік берілген көлемі — ТМККК) and the system of compulsory social health insurance (ОСМС / міндетті әлеуметтік медициналық сақтандыру — МӘМС). Under Article 196 of the Code 'On Public Health and Healthcare System', which care is provided from budget funds to citizens of Kazakhstan, kandas, refugees, and foreigners and stateless persons permanently residing in the country, irrespective of insurance contributions?
A.Emergency medical care, primary health care, and specialised outpatient care that includes prevention and diagnosis of tuberculosis and HIV infection, care for socially significant diseases, and care for injuries, poisonings and other urgent conditions
B.Elective aesthetic plastic surgery and orthodontic treatment for working adults
C.Elective spa and sanatorium wellness packages chosen by the patient
D.Elective dental implants and cosmetic veneers
Explanation: Article 196, paragraph 1 of the Code grants the guaranteed volume of free medical care to citizens of Kazakhstan, kandas, refugees and permanently residing foreigners and stateless persons at the expense of budget funds, covering preventive, diagnostic and treatment services of proven effectiveness together with medicines. Paragraph 3 sets out what the guaranteed volume contains, beginning with emergency medical care and primary health care and including specialised outpatient care for the prevention and diagnosis of HIV infection and tuberculosis, for injuries, poisonings and other urgent conditions, and for socially significant diseases and chronic conditions subject to dynamic follow-up. Services outside this list are financed through compulsory social health insurance, through voluntary insurance, or on a paid basis, which is why the boundary between the two packages matters at every primary care consultation.
4An unidentified 40-year-old man is brought by ambulance to the resuscitation department after a fall from a height. He is in deep coma (Glasgow Coma Scale 4) and in haemorrhagic shock from massive intra-abdominal bleeding, and he needs an immediate life-saving laparotomy. He carries no documents, no relatives are present, and he cannot express his will. Under Article 137 of the Code of the Republic of Kazakhstan 'On Public Health and Healthcare System', how may medical care lawfully be provided without consent?
A.Care without consent is permitted for a person in a shock or comatose state who cannot express their will; the decision is taken by a consultation of doctors, or, where a consultation cannot be assembled in time, directly by the medical worker, who then notifies the officials of the medical organisation
B.Surgery is prohibited until a court order has been obtained, which must be sought within five working days
C.The hospital must wait for the police to find and bring a legal representative before any operation can begin
D.Only non-invasive conservative measures are permitted; surgical intervention is barred in the absence of consent
Explanation: Article 137, paragraph 1 of the Code permits medical care without the patient's consent for persons in a shock or comatose state that prevents them expressing their will, as well as for persons with diseases dangerous to others and for those with severe mental disorders. Paragraph 3 states that the decision is taken by a consultation of doctors, and where a consultation cannot be assembled, directly by the medical worker, who subsequently notifies the officials of the medical organisation; the decision and its grounds are documented in the medical record. Care without consent continues only until the grounds for it cease, under paragraph 4, and for minors and persons declared legally incapable consent is given by their legal representatives.
5A 31-year-old office worker attends her primary care clinic with acute bronchitis and needs a certificate of temporary incapacity for work. Under the Rules on the examination of temporary incapacity for work, approved by Order of the Minister of Health of the Republic of Kazakhstan No. ҚР ДСМ-198/2020, for how long may the treating doctor issue that certificate on their own authority in an acute illness, and what happens if a longer period is needed?
A.The doctor issues it single-handedly and at one time for three calendar days, up to a total of six calendar days; any extension beyond that is decided by the medical advisory commission (ВКК)
B.The doctor may issue up to thirty calendar days on their own authority, with no commission involved at any stage
C.Only the head of the medical organisation may sign a certificate of temporary incapacity, whatever its length
D.The certificate is issued by the employer's human-resources department on the basis of the doctor's verbal report
Explanation: Under the Rules approved by Order No. ҚР ДСМ-198/2020, in acute illness, exacerbation of a chronic disease or trauma the doctor issues the sheet or certificate of temporary incapacity single-handedly and at one time for three calendar days, with a total duration of no more than six calendar days. During a period of raised influenza or ARVI incidence, and on the order of the head of the medical organisation, a single issue of up to six calendar days is allowed. Any longer period is authorised by the medical advisory commission (ВКК), and the sheet is generated as an electronic document that is the basis for the temporary-incapacity social benefit.
6A 58-year-old man arrives at the emergency department with severe retrosternal squeezing chest pain radiating to his left shoulder lasting for 45 minutes, accompanied by diaphoresis and nausea. An immediate 12-lead electrocardiogram (ECG) is performed. Which ECG finding establishes the definitive diagnosis of ST-elevation myocardial infarction (STEMI) in leads V2 and V3 according to current international and Kazakhstan clinical cardiology protocols?
A.New ST-segment elevation at the J-point of at least 2.0 mm (0.2 mV) in men aged 40 years and older in leads V2-V3
B.ST-segment elevation of 0.5 mm in any single precordial lead accompanied by T-wave inversion
C.Horizontal ST-segment depression of at least 1.0 mm in leads V2 and V3
D.Transient ST-segment elevation of 0.5 mm lasting less than 10 minutes resolving spontaneously
Explanation: According to the Fourth Universal Definition of Myocardial Infarction and standard clinical protocols, diagnostic ST-segment elevation in leads V2-V3 requires >= 2.5 mm in men < 40 years, >= 2.0 mm in men >= 40 years, and >= 1.5 mm in women regardless of age, in at least two contiguous leads. In other leads, the threshold is >= 1.0 mm (0.1 mV).
7A 64-year-old woman with chronic ischemic heart failure reports that she feels comfortable when resting at home, but walking up a single flight of stairs or walking more than two blocks produces significant dyspnea, fatigue, and palpitations. According to the New York Heart Association (NYHA) functional classification, which class best describes her functional limitation?
A.NYHA Class I
B.NYHA Class II
C.NYHA Class III
D.NYHA Class IV
Explanation: NYHA Class II corresponds to slight limitation of physical activity where the patient is comfortable at rest, but ordinary physical activity (such as walking two blocks or climbing a flight of stairs) results in fatigue, palpitation, or dyspnea. NYHA Class III represents marked limitation of activity with symptoms during less than ordinary activity, and Class IV represents inability to carry out any physical activity without discomfort or symptoms at rest.
8A 70-year-old man presents to the clinic with fever, productive cough with rust-colored sputum, and right pleuritic chest pain. Chest radiography reveals right middle lobe consolidation. His vitals are: BP 85/55 mmHg, pulse 108 bpm, respiratory rate 32 breaths/min, and oxygen saturation 91% on room air. Laboratory tests reveal blood urea nitrogen (BUN) of 8.2 mmol/L. He is alert and oriented x 3. Based on the CURB-65 criteria, what is his risk score and recommended management setting?
A.Score 1: Outpatient ambulatory treatment with oral amoxicillin
B.Score 2: Outpatient therapy with close follow-up within 24 hours
C.Score 3: Urgent hospital admission with consideration for intensive respiratory monitoring
D.Score 5: Immediate endotracheal intubation and mechanical ventilation only
Explanation: The CURB-65 score assigns 1 point each for: Confusion (0), Urea > 7.0 mmol/L (1), Respiratory rate >= 30/min (1), Blood pressure < 90 mmHg systolic or <= 60 mmHg diastolic (1), and Age >= 65 years (1). Here, Urea is 8.2 (1), RR is 32 (1), BP is 85/55 (1), and Age is 70 (1), giving a score of 4 (>= 3). Any score >= 3 indicates severe community-acquired pneumonia requiring urgent hospital admission, often in an intensive care or high-dependency unit.
9A 52-year-old woman with a BMI of 31 kg/m² is diagnosed with type 2 diabetes mellitus with an HbA1c of 8.2%. Her serum creatinine is 74 µmol/L (estimated GFR 88 mL/min/1.73m²), and hepatic function tests are normal. According to standard clinical guidelines and diabetes protocols in Kazakhstan, which pharmacological agent is the first-line drug of choice alongside therapeutic lifestyle modifications?
A.Metformin
B.Glibenclamide
C.Insulin glargine
D.Acarbose
Explanation: Metformin is the universally recommended first-line oral antihyperglycemic agent for patients with newly diagnosed type 2 diabetes mellitus in the absence of contraindications (such as severe renal impairment with eGFR < 30 mL/min/1.73m² or acute metabolic acidosis). It enhances insulin sensitivity, reduces hepatic glucose production, carries minimal hypoglycemia risk, and is weight-neutral or promotes mild weight loss.
10A 44-year-old man undergoes esophagogastroduodenoscopy (EGD) for recurrent epigastric burning pain relieved by food. An active 1.2 cm duodenal ulcer is identified, and a rapid urease test on an antral biopsy is positive for Helicobacter pylori. He has no known drug allergies. Which therapeutic regimen represents the standard 14-day first-line triple eradication therapy?
A.Proton pump inhibitor (standard dose BID) + Amoxicillin 1000 mg BID + Clarithromycin 500 mg BID
B.Proton pump inhibitor daily + Metronidazole 250 mg daily + Ciprofloxacin 500 mg daily
C.H2-receptor antagonist daily + Levofloxacin 500 mg daily + Doxycycline 100 mg BID
D.Bismuth subsalicylate daily + Fluconazole 150 mg weekly + Amoxicillin 500 mg daily
Explanation: Standard first-line clarithromycin-based triple therapy for H. pylori consists of a proton pump inhibitor (e.g., omeprazole 20 mg or pantoprazole 40 mg BID) combined with amoxicillin 1000 mg BID and clarithromycin 500 mg BID taken for 14 days in regions where clarithromycin resistance is low or susceptibility is confirmed.

About the Medical Residency Independent Final Attestation (Kazakhstan) Exam

The independent final attestation (Тәуелсіз қорытынды аттестаттау — ТҚА in Kazakh, Независимая итоговая аттестация — НИА in Russian) is the assessment of professional preparedness that graduating medical interns in Kazakhstan sit at the end of their internship. It is conducted by the National Center for Independent Examination (Ұлттық тәуелсіз емтихан орталығы — ҰТЕО / НЦНЭ) under Article 223 of the Code 'On Public Health and Healthcare System' and Order of the Minister of Health No. ҚР ДСМ-249/2020, and it forms part of the final attestation that leads to the internship completion certificate and the healthcare specialist certificate. Stage 1 is a 100-question computer-based test in 150 minutes with a 50-point threshold; Stage 2 is case testing on five clinical situational tasks in 90 minutes, also with a 50-point threshold. The assessment is taken in Kazakh, Russian or English at the graduate's choice. From the 2026 admission campaign the result carries a second purpose: residency places are distributed on the residency.kz digital platform by an automated ranking in which the attestation result and the undergraduate grade point average count equally. This independent OpenExamPrep practice bank is an English-language multiple-choice study resource covering the sections and weights of the published specification for General Medical Practice; it is not an official NCIE item release and does not reproduce the Stage 2 case-testing environment.

Exam sponsor: Ministry of Healthcare of the Republic of Kazakhstan; assessment conducted by РОО «Национальный центр независимой экзаменации» (НЦНЭ / ҰТЕО), with applications through exam.ncie.kz. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

The assessment of professional preparedness of graduates forms part of the final attestation under Article 223 of the Code of the Republic of Kazakhstan 'On Public Health and Healthcare System' and is carried out under Order of the Minister of Health No. ҚР ДСМ-249/2020 by the National Center for Independent Examination, an organisation accredited by the authorised body. It has two stages. Stage 1, knowledge assessment, is computer-based testing of 100 single-best-answer items in 150 minutes without a break, scored one point per correct answer, with a threshold of 50 points; candidates who score below 50 are not admitted to Stage 2. Stage 2, skills assessment, is case testing using computer and simulation technologies for solving situational tasks: five clinical cases, each consisting of five sequential A-type items, in 90 minutes without a break, scored four points per correct answer and twenty points per fully correct case, with a threshold of 50 points, which is 50% of the total. Appeals against individual items must be lodged during the assessment itself. Candidates who do not reach the Stage 2 threshold may repeat the final attestation after six months on the decision of the Republican Appeal Commission. Successful graduates receive the internship completion certificate and become eligible for the healthcare specialist certificate. For the 2026 admission campaign the Ministry of Healthcare moved residency selection onto a single digital platform (residency.kz), where the competitive score is generated automatically from two equally weighted indicators: the grade point average across the whole period of study and the result of the independent final attestation.

Time Limit

150 minutes (Stage 1) and 90 minutes (Stage 2)

Passing Score

50 points out of 100 (50%) at each stage

Exam / Certification Fees

Under the NCIE price list effective 10 January 2026, graduates of technical and vocational, post-secondary, higher education, internship and residency programmes are charged 5,800 KZT for the Stage 1 knowledge assessment and 6,200 KZT for the Stage 2 skills assessment, 12,000 KZT in total. The assessment of graduates is paid for by the education or science organisation; a repeat assessment after a below-threshold result, or non-attendance without good reason, is paid by the graduate.

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

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.

5%

Documentation Management and Organization of GP Work at the PHC Level

Primary health care structure and regulation, the guaranteed volume of free medical care and compulsory social health insurance, dynamic follow-up, temporary and permanent disability assessment, prevention and screening programmes, and medical rehabilitation.

13%

Internal Diseases in General Medical Practice

Respiratory, cardiovascular, gastrointestinal, hepatological, endocrine, rheumatological, renal and haematological conditions as they present and are managed in general practice.

13%

Pediatric Diseases in General Medical Practice

IMCI danger signs, severe bacterial infection, malnutrition, rickets, anaemia, atopic dermatitis, respiratory infection, gastrointestinal, renal and endocrine disease in children.

6%

Surgical Diseases in General Medical Practice

Panaritium and soft-tissue infection, limb fractures, eye injuries and foreign bodies of the eye, ear, nose and pharynx, and acute urinary retention.

13%

Obstetrics and Gynecology in General Medical Practice

Physiological pregnancy and childbirth, early toxicosis, gestational hypertension, and the preeclampsia and eclampsia content that also forms a Stage 2 situational task.

7%

Infectious Diseases in General Medical Practice

Organisation of the infectious disease service of Kazakhstan, vaccine-preventable childhood infections, influenza and ARVI, salmonellosis, dysentery and streptococcal disease.

5%

Dermatovenereology in General Medical Practice

Staphylodermas, psoriasis, and the early diagnosis and outpatient management of syphilis and gonorrhoea.

6%

Neurology in General Medical Practice

Acute cerebrovascular accident and chronic cerebrovascular insufficiency: recognition, urgent referral and outpatient management.

6%

Phthisiology in General Medical Practice

Primary tuberculosis and the national diagnostic algorithm for suspected tuberculosis at primary care level, including BCG, directly observed treatment and fluorographic screening groups.

5%

Psychiatry and Addiction Medicine in General Medical Practice

Depression and dementia in general practice, with recognition of delirium and management of alcohol withdrawal.

6%

Oncology in General Medical Practice

National screening programmes for breast, cervical and colorectal cancer, and the early detection of lung and gastric cancer.

5%

Clinical Pharmacology in General Practice

Rational prescribing, rational antibiotic therapy, dose adjustment for organ function and clinically important drug interactions.

10%

Emergency Medical Care at the PHC Level

Shock, acute surgical conditions, acute cardiovascular, respiratory and metabolic emergencies, acute childhood infection, and obstetric emergencies at primary care level.

Preparing for the Medical Residency Independent Final Attestation (Kazakhstan) Exam

What You Need to Know

  • Passing score: 50 points out of 100 (50%) at each stage
  • Assessment: The assessment of professional preparedness of graduates forms part of the final attestation under Article 223 of the Code of the Republic of Kazakhstan 'On Public Health and Healthcare System' and is carried out under Order of the Minister of Health No. ҚР ДСМ-249/2020 by the National Center for Independent Examination, an organisation accredited by the authorised body. It has two stages. Stage 1, knowledge assessment, is computer-based testing of 100 single-best-answer items in 150 minutes without a break, scored one point per correct answer, with a threshold of 50 points; candidates who score below 50 are not admitted to Stage 2. Stage 2, skills assessment, is case testing using computer and simulation technologies for solving situational tasks: five clinical cases, each consisting of five sequential A-type items, in 90 minutes without a break, scored four points per correct answer and twenty points per fully correct case, with a threshold of 50 points, which is 50% of the total. Appeals against individual items must be lodged during the assessment itself. Candidates who do not reach the Stage 2 threshold may repeat the final attestation after six months on the decision of the Republican Appeal Commission. Successful graduates receive the internship completion certificate and become eligible for the healthcare specialist certificate. For the 2026 admission campaign the Ministry of Healthcare moved residency selection onto a single digital platform (residency.kz), where the competitive score is generated automatically from two equally weighted indicators: the grade point average across the whole period of study and the result of the independent final attestation.
  • Time limit: 150 minutes (Stage 1) and 90 minutes (Stage 2)
  • Exam / certification fees: Under the NCIE price list effective 10 January 2026, graduates of technical and vocational, post-secondary, higher education, internship and residency programmes are charged 5,800 KZT for the Stage 1 knowledge assessment and 6,200 KZT for the Stage 2 skills assessment, 12,000 KZT in total. The assessment of graduates is paid for by the education or science organisation; a repeat assessment after a below-threshold result, or non-attendance without good reason, is paid by the graduate. 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

Medical Residency Independent Final Attestation (Kazakhstan): Suggested Study Strategy

1Download the NCIE specification for your own speciality and year from qazexam.kz before you start revising: the section weights, the number of items per section and the split between A-type and F-type items are published, and the paper differs between the 6th and 7th years of the internship.
2Do not skip the non-clinical sections. Organisation of general practitioner work at the primary care level is 5% of the paper and covers the guaranteed volume of free medical care and compulsory social health insurance packages, dynamic follow-up, screening programmes, and temporary and permanent disability assessment — content that no international question bank will teach you.
3Know the Kazakhstan-specific legal points precisely: informed consent before medical care and the approved written form for invasive interventions (Article 134 of the Code 'On Public Health and Healthcare System'), the right to refuse care (Article 136), care without consent in shock or coma with the decision taken by a consultation of doctors (Article 137), and the exhaustive grounds for disclosing the secret of the medical worker (Article 273).
4Learn the national tuberculosis pathway: a cough lasting more than two weeks with weight loss, sweating, chest pain, haemoptysis, weakness or prolonged fever triggers sputum molecular-genetic testing plus microscopy in the primary care organisation under Order No. ҚР ДСМ-214/2020, negative rapid tests with worsening symptoms mean referral to a phthisiatrician, and BCG is given on days 2 to 4 of life.
5Memorise the national screening target groups and intervals under Order No. ҚР ДСМ-174/2020: breast cancer at even ages 40 to 76 every two years by mammography, cervical cancer at 30, 34, 38 and every four years thereafter to 74 by liquid-based cytology, and colorectal cancer at even ages 50 to 76 every two years by faecal occult blood testing followed by colonoscopy.
6Rehearse the five Stage 2 situational-task themes as algorithms rather than facts: shock of various types in adults and children, acute surgical conditions, acute cardiovascular, respiratory and metabolic emergencies including diabetic coma, acute childhood infection under IMCI, and preeclampsia and eclampsia — each is worth twenty of the hundred Stage 2 points.
7Practise pacing for the F-type items. They are 10% of Stage 1 and consist of three linked questions on one clinical case with no going back, so decide before the exam that you will read the whole vignette once, carefully, before answering the first of the three.

Frequently Asked Questions

What is the Independent Final Attestation (ТҚА / НИА) in Kazakhstan?

It is the assessment of professional preparedness that graduates of healthcare educational programmes sit at the end of their training. Under Article 223 of the Code 'On Public Health and Healthcare System' this assessment forms part of the final attestation, and a positive result gives the right to the education document and to the healthcare specialist certificate. It is conducted by the National Center for Independent Examination (Ұлттық тәуелсіз емтихан орталығы / НЦНЭ), an organisation accredited by the authorised body, rather than by the graduate's own university.

How is the 2026 residency competition conducted in Kazakhstan?

From the 2026 admission campaign the Ministry of Healthcare moved residency admission onto a single information system, the Digital Residency Platform (residency.kz). The competitive score is generated automatically from two equally weighted objective indicators: the grade point average across the whole period of study, and the result of the independent final attestation. State educational grants are then distributed by automated ranking within each residency programme, and from 2026 an applicant may apply simultaneously for four specialities at four education organisations.

What is the structure, timing and passing score of Stage 1?

Stage 1 is a knowledge assessment delivered as computer-based testing of 100 single-best-answer multiple-choice questions. Items are MCQ A-type, plus MCQ F-type items that make up 10% of the paper; each F-type item is three sequential A-type questions built on a single clinical case, and it is not possible to return to a previous question within an F-type item. The paper runs for 150 minutes without a break, one point is awarded per correct answer and none for a wrong one, and the threshold is 50 points. Candidates below 50 points are not admitted to Stage 2.

What is Stage 2 of the attestation?

Stage 2 is the skills assessment, conducted as case testing (кейс-тестинг) using computer and simulation technologies for solving situational tasks. It consists of five clinical cases, each made up of five sequential A-type items, completed in 90 minutes without a break. Four points are scored for each correct answer and twenty points for a fully correct case, and the threshold is 50 points, that is 50% of the total. Candidates who do not reach the threshold may repeat the final attestation after six months on the decision of the Republican Appeal Commission.

In what languages is the official assessment available?

The NCIE states that the assessment is conducted in the language chosen by the graduate — Kazakh, Russian or English — at NCIE branches and regional representative offices or at the education organisation. The published test specifications are issued in Kazakh and Russian for all internship specialities, and in English for General Medical Practice and Dentistry.

What are the official fees?

Under the NCIE price list effective 10 January 2026, graduates of technical and vocational, post-secondary, higher education, internship and residency programmes are charged 5,800 KZT for the Stage 1 knowledge assessment and 6,200 KZT for the Stage 2 skills assessment, 12,000 KZT in total. The assessment of graduates is paid for by the education or science organisation. A repeat assessment after a result below the threshold, or non-attendance without good reason, is paid by the graduate. The separate 5,600 KZT and 6,400 KZT tariffs published on the same site belong to the specialist certification pathway, not to graduate attestation.

How does this OpenExamPrep practice bank help candidates prepare?

This independent OpenExamPrep bank contains 100 English-language multiple-choice questions distributed across the thirteen sections and weights of the published NCIE specification for General Medical Practice in the final year of the internship, including the sections that generic clinical question banks omit — organisation of general practitioner work at primary care level, infectious disease, dermatovenereology, phthisiology, psychiatry and addiction medicine, oncology screening and clinical pharmacology. It is an independent study resource by OpenExamPrep, not an NCIE item release, and it does not reproduce the Stage 2 case-testing environment or the NCIE testing software.