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Key Facts: Lebanese University Faculty of Medical Sciences Entrance Examination — Second Year, General Medicine Exam

Year 2 Entry

Admission Level (Post-L1 Pre-Med)

LU Faculty of Medical Sciences Regulations

12/20 GPA

Minimum L1 University Prerequisite

Official LU FMS Admission Criteria

Total Coeff 9

Sum of 5 Paper Coefficients

Official Examination Schedule

16–17 Sept 2026

Examination Session Dates (2026–2027)

Lebanese University Official Decree

1,050,000 LBP

Total Fee (1M LBP + 50k Stamp)

Faculty Registration Office, Hadath

2 Languages

French & English Official Tracks

Lebanese University FMS Regulations

The Lebanese University Faculty of Medical Sciences Year 2 Medicine Concours is a highly selective competitive entrance exam for candidates who have finished Year 1 university sciences with GPA >= 12/20. Sat over two days across five papers (Natural Sciences, Physics, Chemistry, Mathematics, Foreign Language; total coef 9), admission is awarded by strict rank order. This 100-question bank is an English-language MCQ study adaptation by OpenExamPrep.

Sample Lebanese University Faculty of Medical Sciences Entrance Examination — Second Year, General Medicine Practice Questions

Try these sample questions to review concepts for the Lebanese University Faculty of Medical Sciences Entrance Examination — Second Year, General Medicine exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which statement correctly describes the operational stoichiometry and electrogenic nature of the human plasma membrane Na+/K+ ATPase?
A.It exports 3 Na+ ions and imports 2 K+ ions per hydrolyzed ATP molecule, generating a net outward positive current.
B.It imports 3 Na+ ions and exports 2 K+ ions per hydrolyzed ATP molecule, maintaining an electroneutral exchange.
C.It exports 2 Na+ ions and imports 3 K+ ions per hydrolyzed ATP molecule, generating a net inward positive current.
D.It translocates 1 Na+ for 1 K+ per ATP molecule, depending exclusively on passive proton counter-transport for electrogenicity.
Explanation: The Na+/K+ ATPase is a P-type ion translocating pump that couples the hydrolysis of one ATP molecule to the export of 3 Na+ ions and the import of 2 K+ ions against their electrochemical gradients. Because three positive charges leave the cell for every two that enter, the pump produces a net outward positive electrical current, making it inherently electrogenic and directly contributing a few millivolts to the negative resting membrane potential.
2How does cholesterol modulate mammalian plasma membrane fluidity across physiological and elevated temperature ranges?
A.It promotes spontaneous phase separation into pure gel states at 37°C by hydrolyzing unsaturated fatty acyl chains.
B.It acts as a bidirectional fluidity buffer, restricting phospholipid acyl chain mobility at elevated temperatures and preventing tight acyl packing at lower temperatures.
C.It exclusively increases membrane fluidity at all temperatures by introducing covalent cross-links between polar head groups.
D.It binds selectively to peripheral membrane proteins to destabilize integral transmembrane alpha-helices.
Explanation: Cholesterol intercalates between phospholipid molecules with its rigid steroid ring positioned alongside the proximal hydrocarbon chains and its hydroxyl group oriented toward the polar head groups. At physiological and high temperatures, its planar rigid structure hinders acyl chain rotation and lateral displacement, thereby reducing membrane fluidity and permeability; at low temperatures, it prevents fatty acid chains from packing into a crystalline crystalline gel phase, thus preserving membrane fluidity.
3The secondary active apical uptake of D-glucose across enterocytes via SGLT1 is thermodynamically driven by which direct driving force?
A.Direct covalent phosphorylation of glucose by hexokinase at the extracellular surface.
B.The exergonic cleavage of luminal GTP by an intrinsic apical GTPase domain.
C.The downhill electrochemical gradient of Na+ maintained by the basolateral Na+/K+ ATPase.
D.A counter-transport outward flux of intracellular potassium down its chemical gradient.
Explanation: SGLT1 is a secondary active symporter that couples the thermodynamically uphill transport of D-glucose against its chemical gradient to the energetically downhill entry of two Na+ ions. This downhill movement is powered by the steep inward electrochemical sodium gradient continuously established and sustained by basolateral primary active Na+/K+ ATPase pumps.
4In neuronal axonal transport, what defines the structural polarity and molecular motor specificity of fast vesicular transport?
A.Microtubules have minus ends directed toward the axon terminal, with dynein mediating anterograde delivery.
B.Actin filaments span the entire axon length, with myosin V acting as the sole long-distance retrograde motor.
C.Intermediate neurofilaments undergo constant treadmilling to pull synaptic vesicles toward the soma.
D.Microtubules have plus ends oriented toward the synapse, where kinesin-1 mediates anterograde transport and cytoplasmic dynein mediates retrograde transport.
Explanation: Axonal microtubules exhibit uniform unipolar orientation, with their dynamic plus ends directed toward the axon terminal (synaptic bouton) and their stable minus ends anchored near the centrosome in the cell body. Kinesin-1 motors utilize ATP hydrolysis to walk processively toward the plus end, driving anterograde transport of synaptic vesicle precursors and organelles, whereas cytoplasmic dynein (assisted by dynactin) walks toward the minus end, driving retrograde transport of endosomes and neurotrophic signals to the soma.
5During actin filament treadmilling at steady state in vitro, which biochemical condition is satisfied?
A.The free G-actin monomer concentration lies between the critical concentration of the plus (barbed) end and the minus (pointed) end.
B.ATP-G-actin binds with equal kinetic association constants to both ends while ADP-actin remains covalently bonded to cofilin.
C.The pointed end exhibits a lower critical concentration than the barbed end, driving net assembly at the minus end.
D.Hydrolysis of ATP occurs immediately prior to monomer incorporation at the barbed end.
Explanation: Actin treadmilling occurs when the concentration of free ATP-G-actin is intermediate between the critical concentrations of the two ends (Cc(barbed) < [G-actin] < Cc(pointed)). Under this condition, the barbed end experiences net subunit addition because the monomer concentration exceeds its low critical concentration, while the pointed end experiences net subunit dissociation because the monomer concentration is below its higher critical concentration.
6Which post-translational modification directly triggers the disassembly of the nuclear lamina during eukaryotic mitotic prophase?
A.Ubiquitination of lamin B by the anaphase-promoting complex targeting it for proteasomal degradation.
B.Phosphorylation of nuclear lamins A, B, and C by Cyclin B-CDK1 (MPF).
C.Acetylation of lysine residues in the lamin rod domain by p300/CBP acetyltransferases.
D.Dephosphorylation of lamin globular heads by protein phosphatase 1 (PP1).
Explanation: At the onset of mitosis, activated Cyclin B-CDK1 (mitosis-promoting factor) phosphorylates specific serine residues in the amino-terminal and carboxy-terminal non-alpha-helical domains of lamins A, B, and C. This introduction of negative charges disrupts the electrostatic interactions stabilizing lamin coiled-coil dimers and tetramers, causing depolymerization of the fibrous nuclear lamina meshwork into soluble dimers and vesicle-associated fragments, leading to nuclear envelope breakdown.
7At the eukaryotic G1/S restriction point, passage into DNA replication is governed primarily by which molecular cascade?
A.Dephosphorylation of the retinoblastoma protein (Rb) by calcineurin, which silences downstream E2F transcription factors.
B.Direct degradation of p53 by the proteasome in response to double-stranded DNA breaks.
C.Hyperphosphorylation of the retinoblastoma protein (pRb) by Cyclin D-CDK4/6 and Cyclin E-CDK2, releasing E2F transcription factors.
D.Binding of unphosphorylated pRb to the origin recognition complex to activate MCM2-7 helicase loading.
Explanation: In early G1, hypophosphorylated retinoblastoma protein (pRb) binds tightly to E2F transcription factors and recruits histone deacetylases, actively repressing genes required for DNA synthesis. Mitogenic signaling upregulates Cyclin D-CDK4/6 complexes, which initiate pRb phosphorylation; subsequent hyperphosphorylation by Cyclin E-CDK2 causes a conformational change that forces pRb to dissociate from E2F, allowing E2F to transcribe genes essential for S-phase entry, including DNA polymerase, thymidine kinase, and Cyclin A.
8What enzymatic switch controls the abrupt activation of the mitotic Cyclin B-CDK1 complex at the G2/M transition?
A.Permanent proteolytic cleavage of CDK1 by caspase-3.
B.Phosphorylation of Thr14 and Tyr15 on CDK1 by CAK (CDK-activating kinase).
C.Ubiquitin-mediated degradation of Cyclin B by the Skp1-Cullin-F-box (SCF) complex.
D.Dephosphorylation of inhibitory residues Thr14 and Tyr15 on CDK1 by the dual-specificity phosphatase Cdc25.
Explanation: During G2, Cyclin B accumulates and associates with CDK1, but the complex is held in an inactive state by Wee1 and Myt1 kinases, which phosphorylate inhibitory residues Thr14 and Tyr15 within the ATP-binding pocket. At the G2/M transition, the dual-specificity phosphatase Cdc25C removes these inhibitory phosphates, rapidly activating Cyclin B-CDK1. Active CDK1 then phosphorylates Cdc25 to activate it and Wee1 to inhibit it, creating a robust bistable positive feedback loop that drives the cell into mitosis.
9Which mechanism enforces the spindle assembly checkpoint (SAC) to prevent premature anaphase onset when unattached kinetochores are present?
A.Unattached kinetochores generate a diffusible Mad2-BubR1-Bub3-Cdc20 complex (mitotic checkpoint complex) that inhibits APC/C activity.
B.Unattached kinetochores directly activate separase to cleave cohesin complexes along chromosome arms.
C.Centromeric dynein motors dephosphorylate securin, preventing its association with the 26S proteasome.
D.Aurora B kinase phosphorylates tubulin dimers to immediately disassemble all astral microtubules.
Explanation: Unattached kinetochores recruit SAC proteins including Mad1, which catalyzes the conformational change of open Mad2 to closed Mad2. Closed Mad2 forms the mitotic checkpoint complex (MCC) together with BubR1, Bub3, and Cdc20. The MCC acts as a pseudo-substrate inhibitor of the anaphase-promoting complex/cyclosome (APC/C), preventing it from polyubiquitinating securin and Cyclin B until every single kinetochore has achieved stable bipolar attachment and tension under the mitotic spindle.
10In the intrinsic (mitochondrial) pathway of apoptosis, which molecular assembly constitutes the active apoptosome?
A.Fas ligand, Fas receptor, FADD adapter, and procaspase-8.
B.Cytochrome c, Apaf-1, dATP/ATP, and procaspase-9.
C.Bcl-2, Bax, Bad, and caspase-12.
D.Perforin, granzyme B, BID, and procaspase-3.
Explanation: Pro-apoptotic stimuli induce mitochondrial outer membrane permeabilization (MOMP) via Bax/Bak oligomers, releasing cytochrome c into the cytosol. Soluble cytochrome c binds to the WD40 repeats of apoptotic protease activating factor-1 (Apaf-1), inducing a dATP/ATP-dependent conformational change that oligomerizes Apaf-1 into a heptameric wheel-like complex known as the apoptosome. The caspase recruitment domains (CARD) of the apoptosome recruit and dimerize procaspase-9, activating it to cleave downstream executioner caspases-3 and -7.

About the Lebanese University Faculty of Medical Sciences Entrance Examination — Second Year, General Medicine Exam

The Lebanese University Faculty of Medical Sciences Entrance Examination — Second Year, General Medicine (Concours d'entrée en 2e année de Médecine Générale) is Lebanon's most prestigious and demanding public medical entrance competition. Held annually in mid-September (16–17 September 2026 for the 2026–2027 academic year), the concours regulates admission into the second year of medical school for candidates who have completed their first university year (L1 Sciences de la Vie / Pre-Med) at the Lebanese University Faculty of Science or an approved equivalent university program with a cumulative average of at least 12/20. The examination spans five subjects weighted by specific coefficients: Natural Sciences (coef 3, 2h), Physics (coef 2, 1h), Chemistry (coef 2, 1h), Mathematics (coef 1, 1h), and Foreign Language (French or English, coef 1, 1h), totalling a coefficient of 9. Unlike secondary-level baccalaureate tests, this examination tests advanced first-year university curricula including cell signaling, eukaryotic molecular genetics, organ histology, membrane biophysics, fluid hemodynamics, enzyme kinetics, organic synthesis mechanisms, and biostatistics. This 100-question practice bank is an independent English-language multiple-choice question (MCQ) study adaptation developed by OpenExamPrep to assist students in mastering core problem-solving techniques and quantitative reasoning required for success.

Exam sponsor: Lebanese University — Faculty of Medical Sciences (Faculté des Sciences Médicales / كلية العلوم الطبية), Rafic Hariri University Campus, Hadath, Lebanon. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

The competitive entrance examination for admission into Year 2 of General Medicine at the Lebanese University Faculty of Medical Sciences (Hadath campus) consists of five written papers administered over two consecutive days (16–17 September 2026). The examination evaluates the first-university-year science curriculum with an aggregate total coefficient of 9: Natural Sciences (Coefficient 3, 2 hours), Physics (Coefficient 2, 1 hour), Chemistry (Coefficient 2, 1 hour), Mathematics (Coefficient 1, 1 hour), and Foreign Language (Coefficient 1, 1 hour). Candidates are ranked strictly by weighted total score against the faculty's annual numerus clausus quota. Official papers are written in French or English. This 100-question practice set is an English-language MCQ study adaptation by OpenExamPrep.

Time Limit

Administered over two examination days (16–17 September 2026): Natural Sciences (2 hours), Physics (1 hour), Chemistry (1 hour), Mathematics (1 hour), and Foreign Language (1 hour). Total examination time: 6 hours.

Passing Score

Admission is strictly competitive: candidates are ranked on their coefficient-weighted composite mark across the five papers and admitted in descending order until the seats fixed for the year are filled. The faculty does not publish a qualifying average or an annual intake figure for the Year 2 concours.

Exam / Certification Fees

1,000,000 LBP participation fee plus a 50,000 LBP fiscal stamp (timbres fiscaux)

Exam sponsor website

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.

33.3% of official marks (Coef 3 / 9)

Natural Sciences & Cellular Biology (Coef 3)

Advanced cell biology (active transport, Na+/K+ ATPase energetics, microfilaments and microtubules, mitosis/meiosis checkpoints, GPCR and RTK signaling, second messengers cAMP/IP3/DAG/Ca2+), eukaryotic molecular genetics (replication origins, promoter clearance, mRNA splicing, translational regulation, epigenetic chromatin remodeling), histology (epithelial junctions, connective matrix, striated/smooth/cardiac muscle fibers, glial cells and neurons), and human systemic physiology (neuronal electrophysiology, cardiac cycle Wiggers diagrams, renal countercurrent multiplication, and hypothalamic-pituitary endocrine axes).

22.2% of official marks (Coef 2 / 9)

Physics & Biophysics (Coef 2)

Biological fluid dynamics (Poiseuille equation for laminar flow, viscous resistance, continuity equation, Reynolds turbulence number in arterial stenosis, Bernoulli principle), medical biophotonics and optics (compound microscopy resolution, thin lens refraction, refractive eye defects and dioptric corrections, Beer-Lambert spectrophotometry), bioenergetics (Gibbs free energy calculations, standard vs. cellular state, coupled reactions), and electrophysiology (Nernst equilibrium equation, Goldman-Hodgkin-Katz membrane voltage, cardiac dipole vector projection onto Einthoven leads).

22.2% of official marks (Coef 2 / 9)

Chemistry & Biochemistry (Coef 2)

Physiological aqueous equilibria and acid-base regulation (bicarbonate-carbonic acid buffer system, Henderson-Hasselbalch equation, respiratory vs. metabolic acidosis and alkalosis, anion gap calculations), enzyme kinetics (Michaelis-Menten steady-state, Lineweaver-Burk double reciprocal plots, competitive, non-competitive, and uncompetitive inhibition constants), organic reaction mechanisms (Cahn-Ingold-Prelog R/S stereochemistry, optical rotation, SN1 vs. SN2 nucleophilic substitutions, nucleophilic addition to carbonyls), and amino acid zwitterion equilibria, isoelectric points (pI), and peptide bond geometry.

11.1% of official marks (Coef 1 / 9)

Mathematics & Biostatistics (Coef 1)

Calculus and differential equations applied to pharmacokinetics (first-order drug elimination kinetics, half-life, steady-state plasma concentrations, volume of distribution, clearance, area under curve AUC), descriptive and inferential biostatistics (sample mean, standard deviation, standard error of the mean, Gaussian normal distribution, z-scores, confidence intervals, type I and type II errors), and diagnostic test metrics (sensitivity, specificity, positive predictive value PPV, negative predictive value NPV, positive likelihood ratio).

11.1% of official marks (Coef 1 / 9)

Foreign Language: Medical English / French (Coef 1)

Scientific discourse and biomedical terminology (Graeco-Latin etymology, prefixes, roots, suffixes), critical comprehension of biomedical research abstracts and clinical case summaries, precise scientific vocabulary, grammatical coherence, and syntax.

Preparing for the Lebanese University Faculty of Medical Sciences Entrance Examination — Second Year, General Medicine Exam

What You Need to Know

  • Passing score: Admission is strictly competitive: candidates are ranked on their coefficient-weighted composite mark across the five papers and admitted in descending order until the seats fixed for the year are filled. The faculty does not publish a qualifying average or an annual intake figure for the Year 2 concours.
  • Assessment: The competitive entrance examination for admission into Year 2 of General Medicine at the Lebanese University Faculty of Medical Sciences (Hadath campus) consists of five written papers administered over two consecutive days (16–17 September 2026). The examination evaluates the first-university-year science curriculum with an aggregate total coefficient of 9: Natural Sciences (Coefficient 3, 2 hours), Physics (Coefficient 2, 1 hour), Chemistry (Coefficient 2, 1 hour), Mathematics (Coefficient 1, 1 hour), and Foreign Language (Coefficient 1, 1 hour). Candidates are ranked strictly by weighted total score against the faculty's annual numerus clausus quota. Official papers are written in French or English. This 100-question practice set is an English-language MCQ study adaptation by OpenExamPrep.
  • Time limit: Administered over two examination days (16–17 September 2026): Natural Sciences (2 hours), Physics (1 hour), Chemistry (1 hour), Mathematics (1 hour), and Foreign Language (1 hour). Total examination time: 6 hours.
  • Exam / certification fees: 1,000,000 LBP participation fee plus a 50,000 LBP fiscal stamp (timbres fiscaux) Official sources

Using Our Practice Resources

  • Work through all 100 available questions
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Lebanese University Faculty of Medical Sciences Entrance Examination — Second Year, General Medicine: Suggested Study Strategy

1Prioritize Natural Sciences (Coefficient 3): Master cell signaling pathways (GPCR, RTK), molecular genetics mechanisms, renal/cardiovascular physiology, and histological tissue identifications.
2Work through quantitative biophysics derivations: Be fluent in Poiseuille flow resistance, Reynolds number calculations, Nernst-Goldman potentials, and Beer-Lambert spectrophotometric calculations under tight time constraints.
3Practice enzyme kinetics and acid-base blood gas interpretation: Memorize normal physiological blood parameters (pH 7.35–7.45, PaCO2 35–45 mmHg, HCO3- 22–26 mEq/L) and practice Michaelis-Menten kinetic derivations.
4Sharpen biostatistical calculations: Ensure immediate mastery of diagnostic test 2x2 contingency tables (sensitivity, specificity, positive and negative predictive values) and pharmacokinetic first-order half-life and clearance calculations.
5Simulate strict time management: With 1-hour papers in Physics, Chemistry, and Mathematics, practice high-velocity problem solving to build speed and prevent calculation errors.

Frequently Asked Questions

What is the Lebanese University Faculty of Medical Sciences Entrance Examination (Concours)?

The LU FMS Concours is the official competitive entrance examination organized by the Lebanese University Faculty of Medical Sciences (Faculté des Sciences Médicales, Hadath) to select candidates for admission into the second year of General Medicine (Deuxième Année de Médecine Générale). Because the first year is completed as a pre-medical scientific foundation (L1 Sciences de la Vie) at the Faculty of Science, the concours serves as the gatekeeper examination to enter medical clinical studies.

Who is eligible to sit for the Year 2 Medical Concours?

Eligibility is strictly restricted to candidates who have completed a full first university year (L1) at the Lebanese University Faculty of Science (or an officially recognized equivalent pre-medical university curriculum) with a cumulative grade point average of at least 12/20 (or equivalent academic standing). It is not open directly to secondary school Grade 12 graduates.

What are the five papers, coefficients, and durations of the concours?

The examination comprises five written papers sat over two days with a total coefficient of 9: (1) Natural Sciences (Biology/Histology/Physiology) — Coefficient 3, duration 2 hours; (2) Physics & Biophysics — Coefficient 2, duration 1 hour; (3) Chemistry & Biochemistry — Coefficient 2, duration 1 hour; (4) Mathematics & Biostatistics — Coefficient 1, duration 1 hour; and (5) Foreign Language (Medical English or French) — Coefficient 1, duration 1 hour.

In what languages is the official concours administered?

Official examination papers are provided in both French and English. Candidates may choose to answer in either language according to their academic background. This OpenExamPrep question bank is an English-language MCQ study adaptation designed for conceptual review, problem-solving mastery, and self-assessment.

Are the official examination questions multiple-choice (MCQs)?

No. The official Lebanese University medical concours consists of constructed-response written papers, requiring detailed derivations, experimental data analysis, biochemical reaction mechanisms, and written scientific reasoning. OpenExamPrep has adapted the official university-level curriculum into a high-yield multiple-choice format to provide accessible diagnostic testing with comprehensive rationale breakdowns.

What is the passing standard and how are students selected?

Selection is purely competitive. Candidates are ranked on their coefficient-weighted composite mark across Natural Sciences (coef 3), Physics (coef 2), Chemistry (coef 2), Mathematics (coef 1) and Foreign Language (coef 1), and seats are offered in descending rank order until the year's quota is filled. The faculty publishes the eligibility threshold - a cumulative GPA of at least 12/20 in the first year at the Faculty of Science - but not a pass mark or an intake number for the concours itself.

What is the registration fee for the entrance exam?

The official participation fee is 1,000,000 LBP, accompanied by a 50,000 LBP fiscal stamp (timbre fiscal) submitted with the application file during the official registration period at the Faculty of Medical Sciences in Hadath.