100+ Free SLMC ERPM Practice Questions

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Question 1

Score: 0/0

How is the maternal mortality ratio usually expressed?

Infant deaths per 1,000 live births

Maternal deaths per 100,000 live births

All female deaths per 100 hospital beds

Caesarean sections per 100 pregnancies only

to track

2026 Statistics

Key Facts: SLMC ERPM Exam

300

Part I written questions

Part II test stations

50%

Standard pass mark

200 min

Part II OSCE circuit

SLMC ERPM is a two-part route for overseas-qualified Sri Lankan medical graduates: a 300-question Part I written examination across seven official subject areas, followed by a 20-station Part II OSCE with 18 assessed stations. The standard pass mark is 50% per Part I paper and 50% for Part II OSCE.

Sample SLMC ERPM Practice Questions

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

1Who is the SLMC ERPM primarily designed for under the official route?

A.Sri Lankan citizens with approved overseas medical qualifications from SLMC-recognized medical schools

B.Local Sri Lankan medical graduates applying for internship allocation

C.Dental graduates applying for specialist orthodontic registration

D.Specialist physicians applying for consultant board certification

Explanation: SLMC describes ERPM as the route for Sri Lankan citizens with overseas medical qualifications recognized by the Council after SLMC degree approval.

2After passing ERPM, what registration step does SLMC say the candidate becomes eligible to apply for?

A.Direct specialist registration without internship

B.Registration as a pharmacist with the Sri Lanka Pharmacy Council

C.University admission to a local MBBS program

D.Provisional registration with the Sri Lanka Medical Council

Explanation: The official ERPM page links passing the examination to eligibility to apply for SLMC provisional registration, not automatic specialist status.

3Which statement best describes the current new-format ERPM structure for first-time candidates?

A.A research dissertation followed by university moderation

B.Only an internship portfolio review after degree approval

C.Part I theory followed by Part II applied clinical OSCE

D.A single viva voce examination with no written component

Explanation: The 2025 guidelines define the new format as Part I theory and Part II OSCE, with the older format being phased out.

4In ERPM Part I, what subjects are grouped in Paper 1?

A.Community Medicine and Pharmacology only

B.Medicine and Paediatrics

C.Surgery and Obstetrics & Gynaecology

D.Psychiatry and Forensic Medicine only

Explanation: The official Part I paper grouping lists Paper 1 as Medicine and Paediatrics.

5In ERPM Part I, what subjects are grouped in Paper 2?

A.Surgery and Obstetrics & Gynaecology

B.Medicine and Paediatrics

C.Community Medicine and Psychiatry

D.Forensic Medicine and Medical Ethics only

Explanation: The official Part I grouping lists Paper 2 as Surgery and Obstetrics & Gynaecology.

6In ERPM Part I, what subjects are grouped in Paper 3?

A.Anatomy, Physiology, and Biochemistry

B.Ophthalmology, ENT, and Dermatology

C.Prosthodontics, Orthodontics, and Oral Surgery

D.Psychiatry, Community Medicine, and Forensic Medicine

Explanation: Paper 3 covers Psychiatry, Community Medicine, and Forensic Medicine in the new ERPM Part I format.

7What written item formats should a candidate expect in each new-format ERPM Part I paper?

A.Extended research abstracts only

B.Practical laboratory bench tests only

C.True/false items and single-best-answer items

D.Essay-only questions and long-case oral stations

Explanation: SLMC guidelines describe true/false and SBA sessions for each Part I paper.

8How many written questions are in ERPM Part I if each of the three papers has 50 true/false and 50 SBA questions?

A.600 written questions

B.300 written questions

C.90 written questions

D.150 written questions

Explanation: Three papers multiplied by two 50-question sessions gives 300 written questions in Part I.

9A candidate scores 52%, 48%, and 51% in the three Part I papers, with no paper below 25%. What is the likely official consequence?

A.Referral in the paper below 50% rather than passing all Part I

B.Automatic pass because the average is above 50%

C.Failure of the whole Part I because every paper must be above 75%

D.Exemption from Part II OSCE

Explanation: ERPM Part I requires 50% or more in each paper; a mark below 50% but above 25% is treated as a referral in that paper.

10What is the current ERPM Part II format?

A.A 300-question computer-adaptive theory test

B.A written essay examination only

C.An unstructured bedside viva with no station timing

D.An applied clinical OSCE with 18 test stations and 2 rest stations

Explanation: SLMC describes Part II as a 20-station circuit with 18 test stations and 2 rest stations, 10 minutes each.

About the SLMC ERPM Exam

The ERPM is the Sri Lanka Medical Council examination for eligible Sri Lankan citizens with approved overseas medical qualifications who seek registration to practise medicine in Sri Lanka. Passing ERPM allows the candidate to apply for provisional registration.

Assessment

New-format ERPM has Part I theory and Part II applied clinical OSCE. Part I Paper 1 covers Medicine and Paediatrics, Paper 2 covers Surgery and Obstetrics & Gynaecology, and Paper 3 covers Psychiatry, Community Medicine and Forensic Medicine. Each paper has true/false and SBA sessions. Part II has 18 test OSCE stations and 2 rest stations.

Time Limit

Each Part I written session is listed as 120 minutes, with true/false and SBA sessions across the three papers. Part II OSCE is 200 minutes total, using 20 stations of 10 minutes each.

Passing Score

Part I requires 50% or more in each paper. A mark below 25% in any paper fails the entire Part I; a mark below 50% but above 25% is a referral in that paper. Part II OSCE pass mark is 50%.

Exam Fee

June 2026 Part I application: Paper 1 Rs. 10,000, Paper 2 Rs. 10,000, Paper 3 Rs. 15,000. A September-October 2025 Part II application lists the OSCE fee as Rs. 100,000; candidates should check current SLMC notices. (Sri Lanka Medical Council)

SLMC ERPM Exam Content Outline

Paper 1

Medicine and Paediatrics

Adult medical emergencies, dengue, leptospirosis, TB, DKA, asthma, stroke, toxicology, sepsis, paediatric dehydration, pneumonia, meningitis, neonatal jaundice, nutrition and safeguarding.

Paper 2

Surgery and Obstetrics & Gynaecology

Trauma, appendicitis, obstruction, cholangitis, urology, orthopaedic emergencies, burns, vascular emergencies, ectopic pregnancy, pre-eclampsia, postpartum haemorrhage, labour emergencies and gynaecological cancer red flags.

Paper 3

Psychiatry, Community Medicine and Forensic Medicine

Suicide risk, delirium, psychosis, alcohol withdrawal, perinatal psychiatry, screening and epidemiology, outbreak work, immunization, occupational health, ethics, medico-legal documentation and poisoning.

Part II

Applied Clinical OSCE

Focused history and examination, ABCDE emergencies, sepsis, postpartum haemorrhage, mental-state examination, SBAR handover, consent, prescribing safety, counselling and forensic communication.

How to Pass the SLMC ERPM Exam

What You Need to Know

Passing score: Part I requires 50% or more in each paper. A mark below 25% in any paper fails the entire Part I; a mark below 50% but above 25% is a referral in that paper. Part II OSCE pass mark is 50%.
Assessment: New-format ERPM has Part I theory and Part II applied clinical OSCE. Part I Paper 1 covers Medicine and Paediatrics, Paper 2 covers Surgery and Obstetrics & Gynaecology, and Paper 3 covers Psychiatry, Community Medicine and Forensic Medicine. Each paper has true/false and SBA sessions. Part II has 18 test OSCE stations and 2 rest stations.
Time limit: Each Part I written session is listed as 120 minutes, with true/false and SBA sessions across the three papers. Part II OSCE is 200 minutes total, using 20 stations of 10 minutes each.
Exam fee: June 2026 Part I application: Paper 1 Rs. 10,000, Paper 2 Rs. 10,000, Paper 3 Rs. 15,000. A September-October 2025 Part II application lists the OSCE fee as Rs. 100,000; candidates should check current SLMC notices.

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

SLMC ERPM Study Tips from Top Performers

1Build revision around the three official Part I papers, not around isolated specialties.

2Practise SBA-style emergency decisions in dengue, leptospirosis, sepsis, DKA, asthma, stroke, trauma, ectopic pregnancy, pre-eclampsia and postpartum haemorrhage.

3For true/false preparation, focus on precise clinical facts because the official format includes negative marking for wrong true/false responses.

4Use OSCE practice to rehearse introductions, consent, focused history, examination sequence, clinical reasoning aloud, emergency escalation and safe closure.

5Keep Sri Lanka-relevant public-health and forensic topics active: dengue control, pesticide poisoning, rabies exposure, outbreak line lists, medico-legal documentation and death certification.

Frequently Asked Questions

What does lk-slmc-exam cover?

It covers the official SLMC Examination to Register to Practise Medicine, usually known as ERPM, for eligible overseas-qualified Sri Lankan medical graduates.

How many written questions are in the current ERPM Part I?

The new-format Part I has 300 written questions: three papers, each with 50 true/false questions and 50 SBA questions.

What subjects are tested in ERPM Part I?

Paper 1 covers Medicine and Paediatrics; Paper 2 covers Surgery and Obstetrics & Gynaecology; Paper 3 covers Psychiatry, Community Medicine and Forensic Medicine.

What is the ERPM Part II format?

Part II is an applied clinical OSCE with 18 assessed test stations and 2 rest stations, 10 minutes per station.

What is the ERPM pass mark?

Part I requires at least 50% in each paper, with referral rules for scores between 25% and 50%. Part II OSCE pass mark is 50%.

Are official SLMC questions copied here?

No. These are original practice questions built from the public SLMC format, subject groupings and clinical scope.