100+ Free Malaysia MMLE / EPR Practice Questions
Pass your Malaysia Examination for Provisional Registration (EPR / MMLE) exam on the first try — instant access, no signup required.
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Key Facts: Malaysia MMLE / EPR Exam
120 MCQs
Theory examination has 120 one-best-answer MCQs across two papers
MMC Guidelines for Examination for Provisional Registration
2 papers
Paper 1 Medical-based (60 questions) and Paper 2 Surgical-based (60 questions)
MMC Guidelines for Examination for Provisional Registration
90 minutes
Each theory paper lasts 90 minutes, for a total of 3 hours
MMC Guidelines for Examination for Provisional Registration
50%
Passing mark for the EPR theory examination
MMC Guidelines for Examination for Provisional Registration
RM3,000
Fee for the theory examination per attempt (plus RM1,000 processing)
MMC Guidelines for Examination for Provisional Registration
Twice a year
EPR is held around March and September each year
Malaysian Medical Council
OSCE clinical
A separate clinical OSCE follows the theory papers about a month later
MMC Guidelines for Examination for Provisional Registration
100
Free original theory-format practice questions here
OpenExamPrep
The Examination for Provisional Registration (EPR / MMLE) is the Malaysian Medical Council exam that medical graduates from non-recognised universities must pass to practise in Malaysia. The theory component is 120 one-best-answer MCQs split into Paper 1 (Medical, 60 questions, 90 minutes) and Paper 2 (Surgical, 60 questions, 90 minutes), with a passing mark of 50%. It is held twice yearly (around March and September), with fees of RM1,000 processing, RM3,000 theory and RM3,000 clinical per attempt. A separate clinical OSCE follows about one month after the theory papers. This 100-question bank gives original single-best-answer practice across Medicine, Surgery, Paediatrics, O&G, Psychiatry and Family Medicine, emphasising Malaysian and tropical clinical practice.
Sample Malaysia MMLE / EPR Practice Questions
Try these sample questions to test your Malaysia MMLE / EPR exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 28-year-old man presents on day 5 of fever with abdominal pain, vomiting, lethargy and a rising haematocrit with falling platelets. His blood pressure is 90/70 mmHg with a narrow pulse pressure. Which phase of dengue is he most likely entering?
2A 35-year-old paddy farmer presents with high fever, severe myalgia (especially calves), conjunctival suffusion, and jaundice with acute kidney injury. Which organism is the most likely cause?
3A 45-year-old man with a 3-week history of cough, night sweats, weight loss and haemoptysis has an upper-lobe cavity on chest radiograph. What is the most appropriate initial confirmatory investigation?
4A 58-year-old man with type 2 diabetes has an HbA1c of 9.2% despite maximal metformin. He has established atherosclerotic cardiovascular disease. According to current guidance, which add-on agent provides the greatest cardiovascular benefit?
5A 62-year-old man presents with crushing central chest pain for 40 minutes. ECG shows ST elevation in leads II, III and aVF. Which coronary artery is most likely occluded?
6A 24-year-old woman presents with acute severe asthma: she cannot complete sentences, respiratory rate 32/min, and SpO2 91% on air. After high-flow oxygen, what is the most appropriate immediate bronchodilator treatment?
7A 70-year-old man with COPD presents with increased breathlessness, increased sputum volume and purulent sputum. His SpO2 is 86% on air. Which target oxygen saturation range is most appropriate while awaiting blood gases?
8A 50-year-old man presents with severe vomiting and is found to have a serum potassium of 2.6 mmol/L. Which ECG change is most characteristic of hypokalaemia?
9A 55-year-old woman with newly diagnosed hypertension has a clinic blood pressure of 158/96 mmHg and no compelling indications. According to common practice, which is an appropriate first-line antihypertensive for a patient of her age (over 55)?
10A 19-year-old man with type 1 diabetes presents drowsy with Kussmaul breathing. Capillary glucose is 28 mmol/L, ketones are raised and venous pH is 7.10. After starting IV 0.9% sodium chloride, what is the next priority in management?
About the Malaysia MMLE / EPR Exam
The Examination for Provisional Registration (EPR), also referred to as the Malaysia Medical Licensing Examination (MMLE), is conducted by the Malaysian Medical Council (MMC) under the Medical (Setting of Examination for Provisional Registration) Regulations 2015. It is required for medical graduates whose basic qualification is not listed in the Second Schedule of the Medical Act 1971 and who wish to undertake housemanship and practise medicine in Malaysia. The theory examination comprises 120 one-best-answer MCQs across two papers - Paper 1 (Medical-based) and Paper 2 (Surgical-based) - covering internal medicine, surgery, paediatrics, obstetrics and gynaecology, psychiatry and family medicine. The passing mark is 50%, and candidates must subsequently pass a clinical OSCE. The EPR is held twice a year, around March and September.
Assessment
Theory examination: 120 one-best-answer MCQs in two papers - Paper 1 (Medical-based, 60 questions) and Paper 2 (Surgical-based, 60 questions). A separate clinical OSCE follows about one month later.
Time Limit
Theory examination totals 3 hours: Paper 1 (Medical) 90 minutes and Paper 2 (Surgical) 90 minutes.
Passing Score
The passing mark for the theory examination is 50%. Candidates must also pass the separate clinical (OSCE) examination.
Exam Fee
Processing fee RM1,000, Theory Examination RM3,000 and Clinical Examination RM3,000 per attempt, paid to the Malaysian Medical Council through MeRITS. (Malaysian Medical Council (Majlis Perubatan Malaysia), EPR Committee)
Malaysia MMLE / EPR Exam Content Outline
Medicine (Internal Medicine)
Diagnosis and management of common medical presentations, with emphasis on Malaysian and tropical disease such as dengue, leptospirosis and tuberculosis, plus core non-communicable disease (diabetes, hypertension, ischaemic heart disease), respiratory disease, electrolyte and acid-base disorders and acute medical emergencies.
Surgery
Acute abdomen, trauma and the primary survey, common general and orthopaedic surgical conditions, surgical emergencies, fluid resuscitation, and pre- and post-operative care.
Paediatrics
Childhood infections, the Malaysian immunisation schedule, neonatal jaundice and resuscitation, growth and development, dehydration and fluid management, and common paediatric emergencies.
Obstetrics & Gynaecology
Antenatal care, obstetric emergencies including postpartum haemorrhage and pre-eclampsia or eclampsia, labour management, contraception and common gynaecological conditions.
Psychiatry
Mood and anxiety disorders, psychosis and schizophrenia, substance misuse and withdrawal, suicide and risk assessment, and basic psychopharmacology.
Family Medicine / Primary Care
Primary-care management of chronic non-communicable diseases following Malaysian CPGs, preventive care and screening, common undifferentiated presentations and appropriate referral.
How to Pass the Malaysia MMLE / EPR Exam
What You Need to Know
- Passing score: The passing mark for the theory examination is 50%. Candidates must also pass the separate clinical (OSCE) examination.
- Assessment: Theory examination: 120 one-best-answer MCQs in two papers - Paper 1 (Medical-based, 60 questions) and Paper 2 (Surgical-based, 60 questions). A separate clinical OSCE follows about one month later.
- Time limit: Theory examination totals 3 hours: Paper 1 (Medical) 90 minutes and Paper 2 (Surgical) 90 minutes.
- Exam fee: Processing fee RM1,000, Theory Examination RM3,000 and Clinical Examination RM3,000 per attempt, paid to the Malaysian Medical Council through MeRITS.
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
Malaysia MMLE / EPR Study Tips from Top Performers
Frequently Asked Questions
What is the MMLE / EPR and who has to take it?
The Examination for Provisional Registration (EPR), also called the Malaysia Medical Licensing Examination (MMLE), is set by the Malaysian Medical Council. It must be passed by medical graduates whose degree is not listed in the Second Schedule of the Medical Act 1971 before they can do housemanship and practise in Malaysia.
How many questions are on the EPR theory examination?
The theory examination has 120 one-best-answer MCQs in two papers: Paper 1 (Medical-based) with 60 questions and Paper 2 (Surgical-based) with 60 questions.
How long is the EPR theory examination and what is the pass mark?
Each paper lasts 90 minutes, for a total of 3 hours. The passing mark for the theory examination is 50%, and candidates must also pass a separate clinical OSCE.
How much does the EPR cost and how often is it held?
Fees are a RM1,000 processing fee, RM3,000 for the theory examination and RM3,000 for the clinical examination per attempt, paid through MeRITS. The EPR is held twice a year, around March and September.
Is there a clinical component as well as the theory papers?
Yes. After the theory papers, candidates sit a clinical examination based on the OSCE format with manned and unmanned stations, usually about a month later. This practice bank covers the theory MCQ component only.
Are these official Malaysian Medical Council questions?
No. These are original OpenExamPrep practice questions modelled on the EPR theory syllabus and one-best-answer format. The Malaysian Medical Council does not publish an official question bank.