Free Practice Questions for Mongolia Feldsher Licensing Exam

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Key Facts: Mongolia Feldsher Licensing Exam Exam

100 items

Computer-based items drawn randomly from the HDC bank

Health Development Center hr.hdc.gov.mn candidate guide

100 minutes

Time allocated for the computer-based licensing examination

Health Development Center hr.hdc.gov.mn candidate guide

70 points

Minimum passing score required to obtain a professional licence

Order A/295, Annex 1, §3.8

12,000 MNT

Examination sitting fee per candidate in 2026

Health Development Center 2026 registration notice

75% / 10% / 5% / 10%

Statutory weights: primary care, public health, law, and ethics

Order A/295, Annex 1, §3.4.4

3 credits

Annual CPD credits (багц цаг) required for licence renewal

Order A/295, Annex 1, §4.1

Mongolia's feldsher licensing examination is run by the Health Development Center on hr.hdc.gov.mn. HDC's candidate guide shows 100 randomly drawn items in 100 minutes; a score of 70 gives the right to a licence. Order A/295 weights the items 75% primary care, 10% public health, 5% law and 10% ethics. The exam is in Mongolian; this free bank is an independent English-language MCQ study adaptation.

Sample Mongolia Feldsher Licensing Exam Practice Questions

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

1A 45-year-old herder presents to a bag health post complaining of sudden central chest tightness radiating to the left jaw that began 30 minutes ago while tending livestock. Blood pressure is 130/80 mmHg, pulse is 88 bpm and regular. What is the feldsher's most immediate pharmacological intervention while arranging emergency transport to the soum hospital?

A.Administer oral aspirin 300 mg (chewed) and sublingual nitroglycerin 0.5 mg if systolic BP remains above 90 mmHg

B.Administer intramuscular morphine 10 mg immediately without establishing intravenous access

C.Give high-dose oral ibuprofen 800 mg with a warm beverage

D.Administer intravenous furosemide 40 mg bolus immediately

Explanation: In acute coronary syndrome (ACS) presenting at a primary health post, immediate first-line management includes chewing soluble aspirin (150-300 mg) to inhibit platelet aggregation and administering sublingual nitroglycerin (0.5 mg) for symptom relief, provided systolic blood pressure is not hypotensive. Immediate transfer to the soum or aimag hospital for electrocardiography and definitive care must be initiated.

2A feldsher at a remote soum health center is assessing a 3-year-old child with a 3-day history of acute watery diarrhea. The child is irritable, drinks water eagerly, skin pinch on the abdomen goes back slowly (in under 2 seconds), and the eyes appear sunken. According to IMCI guidelines, what degree of dehydration is present?

A.No dehydration

B.Some dehydration

C.Severe dehydration

D.Hypovolemic shock

Explanation: Under the WHO/UNICEF Integrated Management of Childhood Illness (IMCI) guidelines, which cover children aged 2 months up to 5 years, two or more of these signs (restless or irritable, sunken eyes, drinks eagerly or is thirsty, skin pinch goes back slowly) classify the child as having 'Some dehydration', treated with Plan B oral rehydration in the health facility.

3A shepherd in an endemic plague (тарваган тахал) focus presents to a bag feldsher with a sudden high fever of 39.8°C, chills, severe headache, and an acutely painful, tense, enlarged right femoral lymph node with overlying erythematous skin. The patient skinned a dead marmot 4 days ago. What is the suspected diagnosis and mandatory immediate action?

A.Cat scratch disease; prescribe oral azithromycin and advise rest at home

B.Staphylococcal lymphadenitis; lance and drain the fluctuant mass immediately in the bag post

C.Bubonic plague; immediately isolate the patient, notify soum and aimag health authorities, and initiate protective measures and streptomycin or doxycycline

D.Primary cutaneous anthrax; apply a topical antibiotic ointment and refer for routine outpatient follow-up

Explanation: An acute severe febrile illness with a painful, inflamed regional lymph node (bubo) after handling a marmot in an endemic area of Mongolia is highly suggestive of bubonic plague (Yersinia pestis). The feldsher must isolate the patient, wear personal protective equipment, notify the soum and aimag health authorities immediately, and start antibiotic therapy without delay.

4What is the recommended storage temperature range for the cold chain storage of routine vaccines (e.g., BCG, Hepatitis B, Pentavalent) at soum and bag health centers in Mongolia?

A.-20°C to -10°C

B.+10°C to +15°C

C.Room temperature (18°C to 22°C)

D.+2°C to +8°C

Explanation: WHO standards used in Mongolia's national immunization programme require refrigerated vaccines to be stored continuously between +2°C and +8°C. Freezing damages freeze-sensitive vaccines such as hepatitis B, pentavalent (DTP-HepB-Hib) and Td.

5A 30-year-old construction worker in a rural soum center falls from a roof, sustaining an open fracture of the right tibia with visible bone fragments and moderate active bleeding. What is the feldsher's priority sequence of first-aid management?

A.Control bleeding with sterile pressure dressing, cover exposed bone with sterile moist gauze, immobilize joint above and below with a splint, and arrange urgent transport

B.Attempt to reduce the bone fragments into the wound, apply a circular plaster cast, and discharge with oral analgesics

C.Wash the open wound thoroughly with concentrated hydrogen peroxide and push the bone ends back under the skin

D.Administer oral water and heavy food to sustain energy, then apply a tight arterial tourniquet for 4 hours

Explanation: Open fracture first-aid priorities are: control hemorrhage using sterile pressure, cover the exposed bone and wound with sterile dressings without attempting manual reduction (which introduces deep contamination and neurovascular injury), immobilize the limb incorporating the knee and ankle joints, provide parenteral analgesia, and arrange urgent hospital transfer.

6A bag feldsher is called to a ger where a 24-year-old multiparous woman is in rapid, active second-stage labor. The fetal head is crowning and delivery is imminent; transport to the soum hospital is impossible. What is the essential maneuver during delivery of the fetal head to prevent perineal tears?

A.Apply forceful fundal pressure (Kristeller maneuver) while pulling the fetal head downward

B.Support the perineum with one hand using a sterile pad while gently controlling head extension with the other hand

C.Perform an immediate deep midline episiotomy without local anesthesia as soon as the scalp is visible

D.Instruct the mother to hold her breath and bear down forcefully while the head crowns rapidly

Explanation: In an emergency normal delivery, perineal protection is achieved by supporting the perineum with one hand using a sterile swab to relieve tension, while the other hand applies gentle pressure on the fetal occiput to control delivery velocity and maintain flexion until the parietal eminences emerge, allowing gentle extension and preventing severe perineal laceration.

7A 52-year-old livestock herder presents with a 2-month history of fatigue, intermittent low-grade fever, night sweats, and severe bilateral sacroiliac and lumbar back pain. Physical examination reveals vertebral tenderness. He reports regularly drinking unboiled cow and goat milk and assisting ewes during lambing. What is the most likely diagnosis?

A.Osteoarthritis

B.Acute appendicitis

C.Brucellosis (бруцеллёз)

D.Systemic lupus erythematosus

Explanation: Brucellosis (Brucella melitensis/abortus) is a major endemic zoonosis in rural Mongolia transmitted through direct contact with livestock placenta/fluids and consumption of raw dairy products. The classic presentation includes undulant fever, sweats, arthralgias, and osteoarticular complications (sacroiliitis and spondylodiscitis).

8A 28-year-old woman at 34 weeks gestation visits the soum health center for routine antenatal care. Her blood pressure is 155/100 mmHg on two readings 4 hours apart, and a dipstick urinalysis shows 2+ proteinuria. She denies headache, visual disturbance, or epigastric pain. What is the correct classification and initial management?

A.Chronic hypertension; reassure and re-evaluate at 38 weeks gestation

B.Gestational diabetes; prescribe oral metformin and encourage high-carbohydrate meals

C.Urinary tract infection; prescribe oral amoxicillin and discharge without blood pressure follow-up

D.Preeclampsia without severe features; arrange urgent transfer to the soum/aimag hospital for maternal-fetal assessment and monitoring

Explanation: New-onset hypertension (systolic BP >= 140 mmHg or diastolic BP >= 90 mmHg) occurring after 20 weeks gestation accompanied by proteinuria (>= 1+ or 2+ on dipstick) defines preeclampsia. Even in the absence of severe features, preeclampsia requires prompt hospital referral for specialized maternal-fetal surveillance due to risks of eclampsia and placental abruption.

9A 3-year-old child with a 1-day history of runny nose and low-grade fever develops a barking cough, inspiratory stridor at rest, and marked chest indrawing. What is the feldsher's priority immediate treatment prior to emergency transfer?

A.Administer oral or nebulized dexamethasone / nebulized budesonide immediately and keep the child calm with the mother

B.Perform vigorous tongue depression and throat inspection with a wooden spatula

C.Administer oral diphenhydramine and send the child home for steam baths

D.Sedate the child with intramuscular diazepam to reduce anxiety

Explanation: Barking cough, stridor at rest, and retractions indicate severe croup (laryngotracheobronchitis). Standard treatment is oral or intramuscular dexamethasone (0.15-0.6 mg/kg) or nebulized corticosteroid (budesonide), with nebulized adrenaline if severe airway compromise is present. Minimizing agitation by keeping the child in the caregiver's arms is critical to avoid precipitating complete obstruction.

10A 38-year-old pasture herder is bitten on the hand by a wolf that acted abnormally aggressive in daylight. What is the mandatory immediate local wound care and post-exposure prophylaxis protocol?

A.Immediately cauterize the wound with silver nitrate and bandage tightly without washing

B.Thoroughly wash the wound with soap and running water for at least 15 minutes, apply antiseptic, avoid primary suturing, and arrange immediate rabies vaccine and immunoglobulin

C.Suture the wound immediately with deep silk sutures and prescribe a 3-day course of oral ampicillin alone

D.Administer tetanus toxoid only, as wild canids in Mongolia do not carry rabies virus

Explanation: Immediate copious flushing with soap and running water for 15 minutes physically eliminates the majority of rabies virus. Primary wound closure should be avoided to prevent inoculating viral particles deeper into neural tissues. Immediate administration of rabies post-exposure prophylaxis (rabies vaccine series plus rabies immunoglobulin for Category III exposures) is lifesaving.

About the Mongolia Feldsher Licensing Exam Exam

The Feldsher Licensing Examination is the Health Development Center test that feldshers (бага эмч) sit to obtain the medical practice (эмчлэх) licence in Mongolia, or to keep it when they have not completed their annual CPD credits. Under Minister of Health Order A/295 it covers primary-care practice, public health, health law and ethics. This free bank offers independent English-language MCQ practice on those topic areas.

Exam sponsor: Health Development Center (HDC / Эрүүл мэндийн хөгжлийн төв), Ministry of Health of Mongolia; licences are granted by decision of the Minister of Health. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

The licensing examination (мэргэжлийн үйл ажиллагаа эрхлэх зөвшөөрлийн шалгалт) is taken on the Health Development Center's hr.hdc.gov.mn system. Under Order A/295, Annex 1, §3.4.4, items for feldshers are 75% primary-care practice, 10% public health, 5% health-sector law and 10% medical-professional and medical ethics. Each candidate receives a random selection of items (§3.5); HDC's candidate guide shows 100 items in 100 minutes, and a score of 70 or more gives the right to a licence (§3.8). The official test is in Mongolian and uses five-option single-answer, multiple-answer and cause-and-effect items, which may include images, audio or video. This practice bank is an independent English-language MCQ study adaptation by OpenExamPrep, not an official translation or a simulation of the examination.

Time Limit

100 minutes

Passing Score

70 points or more (Order A/295, Annex 1, §3.8)

Exam / Certification Fees

12,000 MNT examination fee, plus 5,000 MNT stamp duty after passing

Exam sponsor website

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

Official sources

Law of Mongolia on Health (Эрүүл мэндийн тухай хууль), Article 25 on professional practice licences, as amended on 3 July 2026 · Source checked 2026-09-26
Minister of Health Order A/295 of 14 August 2023 approving the licensing procedures · Source checked 2026-09-26
Order A/295, Annex 1: procedure for the licensing examination, CPD credits and licence certificates · Source checked 2026-09-26
Order A/295, Annex 4: licence certificate models (the бага эмч certificate is an эмчлэх licence) · Source checked 2026-09-26
Health Development Center: professional practice licence page with the 2026 examination schedule · Source checked 2026-09-26
Health Development Center: 2026 licensing examination registration notice (fee, pass mark, stamp duty) · Source checked 2026-09-26
Health Development Center: licensing examination sample tests (жишиг сорил) · Source checked 2026-09-26
Health Development Center: examination page and hr.hdc.gov.mn candidate guide · Source checked 2026-09-26
Health Development Center: 2026 specialty and continuing training schedule, including courses for бага эмч · Source checked 2026-09-26

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.

75%

Primary-care practice

First-line diagnosis and triage, emergency first aid and trauma, maternal and child health, urgent delivery, immunization cold chain, communicable zoonoses and rational medicine use.

10%

Public health

Health promotion, community screening, hygiene and sanitation in rural ger and soum environments, and notifiable disease surveillance.

Health-sector law

Licensing under Articles 3.1.5 and 25 of the Law on Health, and examination and CPD rules in Minister of Health Order A/295.

10%

Medical-professional and medical ethics

Patient confidentiality, informed consent, duty of care in remote and rural settings, and professional collaboration with physicians and nurses.

Preparing for the Mongolia Feldsher Licensing Exam Exam

What You Need to Know

Passing score: 70 points or more (Order A/295, Annex 1, §3.8)
Assessment: The licensing examination (мэргэжлийн үйл ажиллагаа эрхлэх зөвшөөрлийн шалгалт) is taken on the Health Development Center's hr.hdc.gov.mn system. Under Order A/295, Annex 1, §3.4.4, items for feldshers are 75% primary-care practice, 10% public health, 5% health-sector law and 10% medical-professional and medical ethics. Each candidate receives a random selection of items (§3.5); HDC's candidate guide shows 100 items in 100 minutes, and a score of 70 or more gives the right to a licence (§3.8). The official test is in Mongolian and uses five-option single-answer, multiple-answer and cause-and-effect items, which may include images, audio or video. This practice bank is an independent English-language MCQ study adaptation by OpenExamPrep, not an official translation or a simulation of the examination.
Time limit: 100 minutes
Exam / certification fees: 12,000 MNT examination fee, plus 5,000 MNT stamp duty after passing Official sources

Using Our Practice Resources

Work through all 100 available questions
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Mongolia Feldsher Licensing Exam: Suggested Study Strategy

1Master rural emergency care: prioritize triage, hemorrhagic shock management, splinting, anaphylaxis protocol, and hypothermia resuscitation.

2Review maternal and child protocols: recognize obstetric danger signs, know the steps of urgent normal delivery in remote settings, and study IMCI guidelines for pediatric respiratory illness and diarrhea.

3Memorize endemic zoonoses and communicable disease protocols: understand early clinical signs and reporting for plague (тарваган тахал), anthrax (боом), brucellosis, and rabies.

4Understand vaccine cold chain and immunization schedules: maintain the +2°C to +8°C standard and know contraindications for national childhood vaccines.

5Learn the regulatory framework in Order A/295 and Health Law Article 25, focusing on CPD requirements (3 credits/year) and scope of practice limits.

Frequently Asked Questions

What is the Mongolia Feldsher Licensing Exam?

It is the statutory licensing examination for feldshers (бага эмч) administered by the Health Development Center under Article 25 of the Law on Health and Minister of Health Order A/295. Feldshers are physician assistants who provide essential primary care, emergency triage, and public health services at rural bag and soum health centers in Mongolia.

Who is required to take this examination?

Order A/295, Annex 1, §1.3 applies the examination to feldshers (бага эмч) who are already working and to those graduating from a medical college or university. In practice, HDC publishes its бага эмч sample tests only in the working-professionals section, and most candidates are licensed feldshers who have not completed their 3 annual CPD credits and must therefore sit the examination (§4.13).

How is the examination structured, timed and scored?

It is a computer-based examination on the hr.hdc.gov.mn system; HDC's candidate guide shows 100 randomly assigned items in 100 minutes. A score of 70 points or more is required (Order A/295, Annex 1, §3.8), and the score is displayed as soon as the test ends. In 2026 HDC holds the examination in person in quarterly sessions.

What content areas and weightings are tested?

Under Order A/295, Annex 1, §3.4.4, the feldsher examination is weighted: 75% primary-care profession (first aid, emergency delivery, child health, zoonoses, immunization, rational prescribing), 10% public health, 5% health-sector law, and 10% medical ethics.

How do candidates register and what fees are due?

Candidates register online at hr.hdc.gov.mn during quarterly registration windows announced by HDC and pay a 12,000 MNT examination fee. Upon scoring 70 or higher, the candidate must pay a 5,000 MNT state stamp duty within 10 working days to receive the licence certificate (Order A/295, Annex 1, §§3.10-3.11).

Is this practice bank an official test or translation?

No. The official HDC examination is administered in Mongolian. This bank provides independent English-language MCQ study practice created by OpenExamPrep and is not an official translation, HDC question repository, or exam simulation.