100+ Free WACP Primary Practice Questions

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2026 Statistics

Key Facts: WACP Primary Exam

CBT

Delivery Mode

WACP Primary Guidelines 2026

$150

Exam Fee (USD)

WACP Primary Advert 2026

200 MCQs

Primary Paper Size (FM report)

WACP FM Standard Setting 2026

~60.5%

Recent Angoff Pass Mark

WACP FM Standard Setting 2026

50%

Curriculum Pass Mark Wording

WACP FM Curriculum §2.4

7 centres

Listed CBT Centres

WACP Primary Page 2026

The WACP Primary is a CBT screening exam for West African postgraduate physician training. The 2026 published fee is $150 (or local-currency equivalent). Faculty curricula describe single-best-answer MCQs; FM standard-setting materials describe a 200-item Primary paper with Angoff-set pass marks (recently ~60.5%). This free bank offers 100 practice MCQs weighted to published primary syllabus credit emphasis.

Sample WACP Primary Practice Questions

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

1Which structure forms the anterior boundary of the inguinal canal?

A.Inguinal ligament

B.External oblique aponeurosis

C.Transversalis fascia

D.Conjoint tendon

Explanation: The anterior wall of the inguinal canal is formed mainly by the aponeurosis of external oblique, reinforced laterally by internal oblique. Canal boundaries matter for understanding inguinal hernia pathways.

2The right coronary artery typically arises from which aortic sinus?

A.Posterior (non-coronary) aortic sinus

B.Right anterior (right coronary) sinus

C.Left coronary sinus

D.Sinus of Valsalva of the pulmonary trunk

Explanation: The right coronary artery normally originates from the right (anterior) aortic sinus, while the left coronary artery arises from the left aortic sinus. Knowing coronary ostia helps interpret ischaemic and congenital coronary anatomy.

3Which nerve provides motor innervation to the diaphragm?

A.Phrenic nerve (C3–C5)

B.Vagus nerve

C.Intercostal nerves T7–T12 exclusively

D.Recurrent laryngeal nerve

Explanation: The phrenic nerves (C3–C5) provide motor supply to the diaphragm and carry important sensory fibres from the central diaphragmatic and mediastinal pleura. Diaphragmatic innervation explains referred shoulder-tip pain.

4In the femoral triangle, which structure lies most laterally?

A.Femoral vein

B.Femoral artery

C.Femoral nerve

D.Deep inguinal lymph nodes

Explanation: From lateral to medial the mnemonic NAVEL places nerve, artery, vein, empty space, lymphatics. The femoral nerve is therefore the most lateral structure in the femoral triangle.

5Which epithelial type lines the trachea?

A.Simple squamous epithelium

B.Keratinised stratified squamous epithelium

C.Pseudostratified ciliated columnar epithelium with goblet cells

D.Transitional epithelium

Explanation: Respiratory (pseudostratified ciliated columnar) epithelium with goblet cells lines the trachea and much of the conducting airways, enabling mucociliary clearance of inhaled particles.

6The portal vein is normally formed by the union of which veins?

A.Superior mesenteric and splenic veins

B.Inferior vena cava and superior mesenteric vein

C.Hepatic veins and splenic vein

D.Left gastric and right gastric veins

Explanation: The portal vein forms behind the neck of the pancreas by union of the superior mesenteric and splenic veins; the inferior mesenteric usually drains into the splenic vein. Portal anatomy underpins portal hypertension pathophysiology.

7Which cranial nerve exits the skull through the jugular foramen together with CN X and XI?

A.Glossopharyngeal nerve (CN IX)

B.Trigeminal nerve (CN V)

C.Facial nerve (CN VII)

D.Hypoglossal nerve (CN XII)

Explanation: Cranial nerves IX, X and XI leave the cranial cavity via the jugular foramen along with the internal jugular vein. Foramen-based cranial nerve exits are classic applied neuroanatomy items.

8The kidney is typically related posteriorly on the right to which structure among the following?

A.Stomach

B.Spleen

C.12th rib and diaphragm

D.Tail of pancreas

Explanation: Both kidneys relate posteriorly to the diaphragm and the 12th rib (with quadratus lumborum and psoas relationships). Anterior relations differ by side, making posterior relations a reliable anatomy discriminator.

9Which muscle is the primary abductor of the arm at the shoulder in the mid-range (about 15–90°)?

A.Supraspinatus

B.Deltoid

C.Pectoralis major

D.Latissimus dorsi

Explanation: Supraspinatus initiates abduction (first about 15°); deltoid middle fibres then become the main abductor through mid-range. Latissimus and pectoralis major are adductors and internal rotators.

10Lymph from the right upper limb and right side of the head and neck predominantly drains into which vessel?

A.Thoracic duct

B.Right lymphatic duct

C.Cisterna chyli

D.Azygos vein

Explanation: The right lymphatic duct drains the right upper quadrant (right head/neck, right upper limb and right thorax), while the thoracic duct drains the remainder of the body. Lymphatic drainage patterns matter for infection and malignancy spread.

About the WACP Primary Exam

The WACP Primary Membership Examination is the college's pre-entry (screening) CBT for doctors seeking residency training in WACP faculties (Community Health, Family Medicine, Internal Medicine, Paediatrics, Psychiatry, and Laboratory Medicine). It tests foundational knowledge in anatomy, physiology, nutrition, biochemistry, embryology, genetics, human development, pharmacology, pathology (including microbiology, immunology, parasitology and haematology), forensic medicine, biostatistics/informatics, family medicine principles, oral health, and basic medical education and health administration, as set out in faculty primary syllabi such as the WACP Faculty of Family Medicine curriculum.

Assessment

Computer-Based Test (CBT) of single-best-answer multiple-choice questions covering basic medical sciences and bio-psychosocial concepts relevant to entry into WACP residency faculties. A WACP Family Medicine standard-setting presentation (2026) describes the Primary paper as 200 MCQs. Pass marks may be Angoff-set per diet rather than a fixed percentage.

Time Limit

Not published on the public WACP guidelines/primary pages reviewed for this bank. Confirm with the current examination advert.

Passing Score

Curriculum texts cite 50%; recent FM Angoff standard-setting set Primary at about 60.5% (diet-dependent). Confirm for your sitting.

Exam Fee

$150 USD or ₦195,000 or GHC 1,950 (WACP 2026 primary advert) (West African College of Physicians (WACP))

WACP Primary Exam Content Outline

10%

Anatomy

Applied gross and microscopic anatomy of major organ systems and basic tissues.

14%

Physiology and Nutrition

Systemic physiology, fluids/electrolytes, and nutrition including infant feeding.

10%

Biochemistry

Macromolecules, intermediary metabolism, vitamins/minerals and clinical derangements.

Embryology

Gametogenesis, fertilization, foetal growth and teratogenic influences.

Genetics and Genomics

Inheritance patterns, chromosomal disorders and genetic counselling basics.

Human Development

Lifespan development, personality, sleep, grief and ageing.

Pharmacology

Pharmacokinetics, essential medicines and primary-care therapeutics.

10%

Pathology (Anatomic, Chemical, Microbiology, Immunology, Parasitology, Haematology)

Disease mechanisms, infections, neoplasia and laboratory interpretation.

Forensic Medicine

Medical ethics, consent, confidentiality and legal aspects of practice.

Medical Informatics and Biostatistics

Descriptive statistics, vital statistics and clinical information tools.

Introduction to Family Medicine

Principles of family medicine and the family as unit of care.

Oral Health

Dentition, jaws and mastication for primary-care physicians.

Medical Education and Health Administration

Communication, leadership and basic health-system management.

How to Pass the WACP Primary Exam

What You Need to Know

Passing score: Curriculum texts cite 50%; recent FM Angoff standard-setting set Primary at about 60.5% (diet-dependent). Confirm for your sitting.
Assessment: Computer-Based Test (CBT) of single-best-answer multiple-choice questions covering basic medical sciences and bio-psychosocial concepts relevant to entry into WACP residency faculties. A WACP Family Medicine standard-setting presentation (2026) describes the Primary paper as 200 MCQs. Pass marks may be Angoff-set per diet rather than a fixed percentage.
Time limit: Not published on the public WACP guidelines/primary pages reviewed for this bank. Confirm with the current examination advert.
Exam fee: $150 USD or ₦195,000 or GHC 1,950 (WACP 2026 primary advert)

Keys to Passing

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

WACP Primary Study Tips from Top Performers

1Map your reading to the published Primary syllabus blocks (anatomy through health administration), not only to past-paper habit — faculties blue-print from the curriculum.

2Use a high-yield physiology text (e.g. Ganong) plus applied anatomy (e.g. Ellis) and general pathology/microbiology together, because pathology items often integrate infection, immunology and laboratory data.

3Drill biostatistics definitions (mean/median/mode, rates, sampling) and ethics/consent scenarios — these are short syllabus modules that still appear on Primary papers.

4Attend or review the WACP Primary Revision Course for format familiarity; the course certificate is published as valid for 5 years.

5Practise timed single-best-answer sets under CBT-like conditions so you can triage uncertain items without losing overall pace.

Frequently Asked Questions

What is the WACP Primary Membership Examination?

It is the West African College of Physicians' pre-entry CBT screening exam for doctors seeking admission into WACP residency training. It assesses foundational basic-science and bio-psychosocial knowledge relevant to physician specialties across the College's faculties.

How many questions are on the official WACP Primary exam?

Public guidelines emphasize CBT delivery. A WACP Family Medicine standard-setting presentation (March 2026) describes the Primary exam paper as 200 MCQs. Confirm the exact format for your diet on wacpcoam.org. This free practice bank contains 100 single-best-answer questions for revision.

What is the WACP Primary exam fee in 2026?

The published primary examination fee is $150 USD, or ₦195,000, or GHC 1,950, payable electronically through the College portal (with country-specific payment instructions for applicants outside Nigeria).

What score do I need to pass the WACP Primary?

Older faculty curriculum wording cites a 50% pass mark for Primary single-best-answer MCQs. WACP Family Medicine now uses Angoff standard-setting; a recent CBT diet set the Primary paper pass mark at 60.5%. The cut score can vary by diet, so confirm with WACP for your sitting.

Who is eligible to sit the WACP Primary?

Candidates need an MBBS (or equivalent) certificate and full registration with the Medical and Dental Council of their country. Provisional registration or an annual practising licence alone is not accepted. A completed Primary Certification Form, passport photograph, and fee payment are also required.