Free Practice Questions for Morocco Medical Residency Exam

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Key Facts: Morocco Medical Residency Exam Exam

4 written papers

Written admissibility papers in Anatomy, Biology, Medical Pathology, and Surgical Pathology

Facultés de Médecine et de Pharmacie du Maroc official regulations

Jury-set threshold

The jury determines the minimum admissibility mark; no fixed national pass mark is stated

Arrêté conjoint n° 2116-95, Article 10

4 attempt limit

Maximum allowable lifetime sittings for any candidate under national training statutes

Arrêté conjoint n° 2116-95, Article 1

2 hours each

Each admissibility composition has at least four questions and lasts two hours

Arrêté conjoint n° 2116-95, Article 9

Written admission

Definitive admission is a two-hour written stage using urgency/specialty and case-management prompts

Arrêté conjoint n° 2116-95, Article 15

A free 100-question English MCQ practice bank for Morocco's Concours de Résidanat en Médecine. It covers medical pathology, surgical emergencies, clinical anatomy, and biological sciences for Moroccan medical residency preparation.

Sample Morocco Medical Residency Exam Practice Questions

Try these sample questions to review concepts for the Morocco Medical Residency Exam exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 58-year-old man presents to the emergency department with severe crushing retrosternal chest pain radiating to his left jaw that began 90 minutes ago. An electrocardiogram (ECG) reveals 3 mm ST-segment elevation in leads V1 through V4. What is the most immediate and decisive reperfusion strategy recommended if primary percutaneous coronary intervention (PCI) cannot be performed within 120 minutes of first medical contact?

A.Intravenous fibrinolytic therapy within 10 minutes of diagnosis

B.Immediate administration of high-dose unfractionated heparin alone

C.Urgent coronary artery bypass graft (CABG) surgery within 24 hours

D.Oral dual antiplatelet therapy with delayed outpatient angiographic evaluation

Explanation: In acute ST-segment elevation myocardial infarction (STEMI), when primary PCI cannot be accomplished within the recommended 120-minute window from diagnosis, intravenous fibrinolytic therapy is the first-line reperfusion therapy and should be administered within 10 minutes of STEMI diagnosis (door-to-needle time) in the absence of contraindications.

2A 65-year-old woman with a history of chronic heart failure with reduced ejection fraction (HFrEF, LVEF 30%) remains symptomatic (NYHA Class II) despite optimized doses of an ACE inhibitor, a beta-blocker, and a mineralocorticoid receptor antagonist. According to contemporary heart failure guidelines, which therapeutic modification provides a proven reduction in cardiovascular death and heart failure hospitalization?

A.Switching the ACE inhibitor to an angiotensin receptor-neprilysin inhibitor (ARNI, sacubitril/valsartan) and initiating an SGLT2 inhibitor

B.Adding oral digoxin as monotherapy while discontinuing the beta-blocker

C.Replacing the mineralocorticoid receptor antagonist with a calcium channel blocker

D.Initiating long-term oral corticosteroid maintenance therapy

Explanation: Current guideline-directed medical therapy for HFrEF establishes four foundational pillars: an ARNI (or ACEi/ARB), an evidence-based beta-blocker, an MRA, and an SGLT2 inhibitor (dapagliflozin or empagliflozin). In symptomatic patients on an ACE inhibitor, switching to sacubitril/valsartan and adding an SGLT2 inhibitor reduces both mortality and hospitalizations.

3A 42-year-old male with a history of bicuspid aortic valve presents with a 3-week history of remittent fever, malaise, night sweats, and a new diastolic murmur at the right upper sternal border. Blood cultures grow Streptococcus gallolyticus (formerly S. bovis). In addition to targeted antibiotic therapy, what diagnostic screening procedure is mandatory?

A.Total colonoscopy to screen for occult colorectal neoplasia

B.Endoscopic retrograde cholangiopancreatography (ERCP) for biliary cirrhosis

C.Cerebral digital subtraction angiography for arteriovenous malformations

D.Bone marrow aspiration to evaluate for aplastic anemia

Explanation: Bacteremia or infective endocarditis caused by Streptococcus gallolyticus (Streptococcus bovis biotype I) has a strong clinical association with underlying colorectal neoplasia (adenomas or carcinoma) and hepatobiliary disease. A complete colonoscopy is mandatory during the admission or immediate convalescence period.

4A 32-year-old woman with known severe persistent asthma presents with acute breathlessness, wheezing, and inability to complete full sentences. On physical examination, her respiratory rate is 32/min, pulse 124 bpm, oxygen saturation 91% on ambient air, and peak expiratory flow (PEF) is 45% of predicted. Which initial pharmacological intervention is most critical?

A.Frequent nebulized short-acting beta-2 agonists (salbutamol) combined with ipratropium bromide and early systemic corticosteroids

B.Subcutaneous low-molecular-weight heparin and long-acting oral beta-agonists

C.Intravenous aminophylline as first-line monotherapy without inhaled bronchodilators

D.Inhaled high-dose fluticasone dry-powder inhaler without bronchodilator therapy

Explanation: The cornerstone of management for acute severe asthma exacerbation is rapid bronchodilation using high-dose inhaled short-acting beta-2 agonists (salbutamol) delivered by nebulization or metered-dose inhaler with a spacer, supplemented with inhaled ipratropium bromide, alongside early administration of systemic corticosteroids (oral prednisolone or IV hydrocortisone/methylprednisolone) to reduce airway inflammation.

5A 54-year-old man who underwent total hip arthroplasty 10 days ago presents with sudden-onset pleuritic chest pain, dyspnea, and hemoptysis. His blood pressure is 85/50 mmHg, heart rate is 118 bpm, and arterial blood gas demonstrates hypoxemia and respiratory alkalosis. A computed tomography pulmonary angiography (CTPA) confirms saddle pulmonary embolism. What is the most appropriate definitive initial management?

A.Urgent surgical embolectomy or catheter-directed reperfusion after multidisciplinary assessment, with hemodynamic support

B.Therapeutic subcutaneous low-molecular-weight heparin with routine observation

C.Immediate insertion of an inferior vena cava filter without anticoagulation

D.Oral rivaroxaban loading dose without parenteral hemodynamic support

Explanation: This is high-risk pulmonary embolism with obstructive shock, so urgent reperfusion is required. Major surgery within the preceding 3 weeks is a major contraindication to systemic thrombolysis. With hip arthroplasty only 10 days earlier, an experienced pulmonary embolism team should pursue surgical embolectomy or catheter-directed reperfusion while providing hemodynamic support; the choice depends on local expertise and bleeding risk.

6A 68-year-old heavy smoker with a 15-year history of chronic obstructive pulmonary disease (COPD) presents with increased sputum volume, increased purulence, and worsening breathlessness (Anthonisen Type 1 exacerbation). Arterial blood gas on room air shows pH 7.33, PaCO2 56 mmHg, PaO2 54 mmHg, and HCO3- 29 mmol/L. In addition to controlled oxygen therapy and bronchodilators, which intervention is indicated?

A.Empirical antibiotic therapy and a short course of oral systemic corticosteroid

B.Immediate invasive mechanical ventilation with endotracheal intubation

C.High-flow 100% oxygen by non-rebreather mask to achieve an SpO2 of 99%

D.Long-term oral theophylline maintenance without antibiotic coverage

Explanation: In an Anthonisen Type 1 acute exacerbation of COPD (worsening dyspnea, increased sputum volume, and increased sputum purulence) with respiratory acidosis, treatment includes controlled oxygen targeting SpO2 88-92%, inhaled short-acting bronchodilators, a short course of systemic corticosteroids (e.g., prednisone 40 mg daily for 5 days), and empirical antibiotics targeting Haemophilus influenzae, Streptococcus pneumoniae, and Moraxella catarrhalis.

7A 52-year-old man with decompensated alcoholic cirrhosis presents with fever (38.6°C), generalized abdominal tenderness, and increasing confusion. Diagnostic paracentesis is performed. What finding in the ascitic fluid analysis confirms the diagnosis of spontaneous bacterial peritonitis (SBP)?

A.Ascitic fluid polymorphonuclear (PMN) neutrophil count >= 250 cells/mm3

B.Serum-ascites albumin gradient (SAAG) < 1.1 g/dL

C.Ascitic fluid total protein concentration > 3.5 g/dL

D.Presence of multiple Gram-positive cocci on initial direct Gram stain

Explanation: Spontaneous bacterial peritonitis (SBP) is diagnosed when the ascitic fluid absolute polymorphonuclear neutrophil (PMN) count is equal to or greater than 250 cells/mm3 (0.25 x 10^9/L), in the absence of an identifiable secondary intra-abdominal surgical source of infection. Empirical antibiotic therapy (e.g., intravenous third-generation cephalosporin) should be initiated immediately.

8A 48-year-old male with known cirrhosis presents with massive hematemesis and melena. Blood pressure is 80/50 mmHg, pulse 122 bpm. Along with restrictive blood transfusion (target hemoglobin 7-8 g/dL) and airway protection, which pharmacotherapy must be initiated immediately before emergency endoscopy?

A.Intravenous vasoactive agent (terlipressin or somatostatin/octreotide) plus prophylactic intravenous antibiotic (ceftriaxone)

B.High-dose oral non-selective beta-blocker (propranolol) via nasogastric tube

C.Intravenous tranexamic acid combined with oral misoprostol

D.Oral lactulose combined with high-dose intravenous loop diuretics

Explanation: In acute variceal bleeding, early administration of an intravenous vasoactive drug (terlipressin, somatostatin, or octreotide) reduces portal inflow and variceal pressure, significantly improving hemostasis. Concomitant prophylactic antibiotic therapy (IV ceftriaxone 1 g/day for up to 7 days) reduces bacterial infections, rebleeding rates, and overall mortality.

9A 28-year-old man presents with bloody diarrhea (6-8 bowel movements per day), abdominal cramping, and low-grade fever for 4 weeks. Flexible sigmoidoscopy shows continuous, diffuse erythema, friability, and superficial ulcerations extending from the anal verge proximally through the sigmoid colon. Biopsies confirm crypt architectural distortion and crypt abscesses limited to the mucosa. What is the most likely diagnosis?

A.Ulcerative colitis

B.Crohn's disease

C.Intestinal tuberculosis

D.Ischemic colitis

Explanation: Ulcerative colitis (rectocolite hémorragique / RCH) is characterized by continuous inflammation limited to the mucosa and submucosa, beginning uniformly at the rectum and extending proximally without skip lesions. Histopathology shows crypt architectural distortion, mucosal ulceration, and crypt abscesses.

10A 60-year-old female presents with bilateral leg edema, periorbital puffiness, and foamy urine. Laboratory investigations reveal serum albumin 21 g/L, 24-hour urine protein 6.8 g, serum total cholesterol 340 mg/dL, and normal serum creatinine. Renal biopsy with immunofluorescence shows granular subepithelial deposits of IgG and C3 along the capillary loops, with diffuse thickening of the glomerular basement membrane on light microscopy. What is the most likely diagnosis?

A.Membranous nephropathy (Glomérulonéphrite extra-membraneuse)

B.Minimal change disease (Néphrose lipoïdique)

C.Post-streptococcal acute glomerulonephritis

D.Alport syndrome

Explanation: Membranous nephropathy (GEM) is the leading cause of primary nephrotic syndrome in adults. It is characterized by diffuse uniform thickening of the glomerular basement membrane (GBM) on light microscopy without hypercellularity, subepithelial 'spikes', and granular deposits of IgG and C3 along the GBM, frequently associated with antibodies against the M-type phospholipase A2 receptor (anti-PLA2R).

About the Morocco Medical Residency Exam Exam

The Concours de Résidanat en Médecine is a faculty-organized Moroccan postgraduate competition for medical doctors seeking clinical, surgical, or biological specialization. The official assessment uses written compositions, including case-management prompts at definitive admission. This 100-question English MCQ bank is independent study practice, not an official translation or format simulation and not a substitute for written-response practice.

Exam sponsor: Facultés de Médecine et de Pharmacie du Maroc under the Ministère de la Santé et de la Protection Sociale and Ministère de l'Enseignement Supérieur. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Two written stages: admissibility combines the épreuve des titres (coefficient 2) with four equal-coefficient written compositions in Anatomy, Biology, Medical Pathology, and Surgical Pathology. Definitive admission uses medical and surgical urgency/specialty questions and conduite à tenir prompts, with coefficients depending on the specialty track.

Time Limit

Two hours for each admissibility composition; two hours total for the definitive-admission written stage

Passing Score

The jury sets the minimum admissibility mark; the governing regulation does not publish a fixed universal pass mark. Final admission is ranked using results from both stages.

Exam / Certification Fees

100 MAD dossier fee in the Rabat faculty's 2026 notice; verify the current organizing-faculty notice

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.

30%

Pathologie Médicale & Spécialités Cliniques

Cardiology, pulmonology, gastroenterology, nephrology, neurology, endocrinology, infectious diseases, pediatrics, rheumatology, and clinical hematology.

30%

Pathologie Chirurgicale & Urgences Médico-Chirurgicales

Acute abdomen, digestive surgery, orthopedics, urology, neurosurgery, obstetrics and gynecology, and critical care resuscitation.

20%

Anatomie Clinique & Chirurgicale

Thoracic, cardiovascular, abdominal, pelvic, craniofacial, neuroanatomical, and extremity musculoskeletal anatomy.

20%

Biologie Médicale & Fondamentale

Human physiology, clinical pharmacology, medical microbiology, immunology, clinical biochemistry, and anatomopathology.

Preparing for the Morocco Medical Residency Exam Exam

What You Need to Know

Passing score: The jury sets the minimum admissibility mark; the governing regulation does not publish a fixed universal pass mark. Final admission is ranked using results from both stages.
Assessment: Two written stages: admissibility combines the épreuve des titres (coefficient 2) with four equal-coefficient written compositions in Anatomy, Biology, Medical Pathology, and Surgical Pathology. Definitive admission uses medical and surgical urgency/specialty questions and conduite à tenir prompts, with coefficients depending on the specialty track.
Time limit: Two hours for each admissibility composition; two hours total for the definitive-admission written stage
Exam / certification fees: 100 MAD dossier fee in the Rabat faculty's 2026 notice; verify the current organizing-faculty notice 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

Morocco Medical Residency Exam: Suggested Study Strategy

1Master the core high-yield clinical pathologies: acute coronary syndromes, pulmonary embolism, diabetic ketoacidosis, cirrhosis complications, and acute stroke management.

2Prioritize surgical emergency protocols: differential diagnosis and surgical indications for acute appendicitis, bowel obstruction, acute pancreatitis, peritonitis, and hydatid cyst of the liver.

3Focus on Moroccan public health priorities: tuberculosis therapeutic regimens, acute rheumatic fever (RAA) prophylaxis, and viral hepatitis epidemiology.

4Review clinical anatomy through surgical approaches: inguinal canal anatomy, triangle of Calot, portal system anastomoses, and the brachial plexus.

5Solidify basic pharmacology and antimicrobial therapy: empirical antibiotic selection, beta-lactam mechanisms, aminoglycoside monitoring, and anticoagulation protocols.

Frequently Asked Questions

What is Morocco's Concours de Résidanat en Médecine?

It is the competitive postgraduate examination organized by Moroccan university faculties of medicine and pharmacy that ranks medical doctors for access to specialized medical training (résidanat) and specialty certification.

How is the Moroccan medical residency competition structured?

Admissibility combines an academic-record evaluation (coefficient 2) with four equal-coefficient written compositions: Anatomy, Biology, Medical Pathology, and Surgical Pathology. Admissible candidates then take written urgency/specialty and conduite à tenir questions for definitive admission.

What is the passing score and selection rule?

Arrêté conjoint n° 2116-95 does not publish a fixed universal pass mark. The jury sets the minimum admissibility mark, and definitive admission is determined by merit ranking across the written stages.

How many attempts are candidates allowed?

Under Moroccan regulations governing postgraduate medical training, a doctor of medicine may sit the residency entrance competition a maximum of four (4) times.

How does this practice bank differ from the official assessment?

The official notices and programs reviewed are published in French, but they do not separately state the permitted response language. The official assessment uses written compositions and case-management prompts. This bank uses English four-option MCQs as independent study practice, not as an official translation or format simulation.