Free Practice Questions for FCPS-II Medicine
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Sample FCPS-II Medicine Practice Questions
Try these sample questions to review concepts for the FCPS-II Medicine exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 40+ question experience with AI tutoring.
1A man develops persistent chest pressure 90 minutes before arriving at a PCI-capable hospital. ECG shows inferior ST elevation with reciprocal changes. The catheterisation team can perform primary PCI in 45 minutes. Which reperfusion strategy is preferred?
2A patient has a regular monomorphic wide-complex tachycardia at 190/min with a palpable pulse, blood pressure 72/40 mmHg and new confusion. Defibrillator pads are attached. What is the next rhythm treatment?
3A stable patient with symptomatic HFrEF and an ejection fraction of 30% takes an ARNI, an evidence-based beta-blocker and a mineralocorticoid receptor antagonist. Renal function permits an SGLT2 inhibitor. He does not have diabetes. Which addition has established heart-failure outcome benefits regardless of diabetes status?
4A 76-year-old man with atrial fibrillation has hypertension and a previous TIA, but no heart failure, diabetes or vascular disease. Echocardiography shows moderate rheumatic mitral stenosis. There is no contraindication to anticoagulation. Which CHA2DS2-VASc score and long-term anticoagulant choice are correct?
5Four days after a transmural myocardial infarction, a patient develops shock and a new harsh pansystolic murmur at the lower left sternal border. Urgent colour Doppler echocardiography shows blood flowing from the left ventricle into the right ventricle through a new septal defect. Which complication explains the findings?
6Despite initial bronchodilators, corticosteroids and controlled oxygen, a patient with an acute COPD exacerbation remains breathless with pH 7.28 and PaCO2 68 mmHg. He is alert, cooperative, haemodynamically stable and able to protect his airway. Which ventilatory support should usually be tried first in a monitored setting with access to intubation?
7A 50-year-old with community-acquired pneumonia is alert, with urea 6 mmol/L, respiratory rate 24/min and blood pressure 116/68 mmHg. However, room-air oxygen saturation is 82%. Which interpretation of CURB-65 is most appropriate?
8Pleural fluid protein is 2.4 g/dL and serum protein 6.0 g/dL. Pleural LDH is 170 U/L, serum LDH 300 U/L and the laboratory upper reference limit for serum LDH 240 U/L. Applying Light's criteria, how is the effusion classified?
9An invasively ventilated patient has ARDS. Predicted body weight calculated from sex and height is 60 kg, while actual weight is 95 kg. Which initial tidal-volume target best represents a lung-protective strategy?
10An adult with asthma has a first symptomatic episode of newly diagnosed allergic bronchopulmonary aspergillosis. There have been no recurrent ABPA exacerbations. Under the revised ISHAM recommendations, which statement about initial systemic treatment is most accurate?
About the FCPS-II Medicine Exam
CPSP FCPS-II Medicine is a specialty fellowship examination after prescribed postgraduate training. The official Medicine prospectus covers organ-system medicine as well as dermatology, psychiatry, geriatrics, professional skills and other areas. This resource offers independent English-language MCQ practice for a selected clinical subset. It does not cover every specialty or the complete Medicine curriculum. It is an MCQ study adaptation of a mixed written and clinical assessment, not an official translation, a TOACS or viva simulation, or a substitute for clinical examination, communication, procedural and patient-facing practice.
Exam sponsor: College of Physicians and Surgeons Pakistan (CPSP). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Assessment
For Medicine in Pakistan, two online papers each contain 100 single-best-answer MCQs and last 2½ hours. Theory qualification is followed by TOACS and long/short clinical cases with oral assessment. Current training documentation and workplace assessments are separate requirements; overseas theory arrangements can differ.
Time Limit
2½ hours per Pakistan online theory paper; 5 hours total theory examination time, excluding breaks. Clinical scheduling is separate.
Passing Score
Theory threshold not verified in the current public sources reviewed. The February 2027 notice specifies TOACS 55% for current-sitting cases, or 60% and above for current and subsequent cases while theory remains valid. This is not a universal 60% pass rule for all components.
Exam / Certification Fees
Rs. 15,050 standard Pakistan fee (Rs. 15,000 plus Rs. 50 handling), confirmed in the September 2026 notice for February 2027; late fees and sitting-specific conditions apply.
Exam sponsor websiteReported exam pass rate: Not publicly published in the official sources reviewed. Exam sponsor website
Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
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.
Cardiology
Acute coronary reperfusion, unstable tachycardia, HFrEF medicines, AF risk calculation and post-infarction rupture.
Pulmonology
COPD ventilatory support, CURB-65, Light's criteria, ARDS tidal volumes and initial ABPA treatment.
Gastroenterology and Hepatology
Early variceal-bleeding care, pancreatitis hydration, steroid-refractory colitis and coeliac serology.
Nephrology and Acid-Base Disorders
Cardiac protection in hyperkalaemia, FeNa limitations and mixed acid-base calculations.
Neurology
Early stroke thrombolysis and thrombectomy, late negative CT in suspected SAH and GBS immunotherapy.
Endocrinology
Potassium before DKA insulin, HHS correction rates and sodium changes, and ACTH stimulation testing.
Infectious Diseases
Culture-directed typhoid care, severe malaria, hypoxaemic PCP and category III rabies exposure.
Rheumatology
Initial disease modification in RA, urgent GCA treatment, allopurinol during a flare and renal crisis in systemic sclerosis.
Haematology
Immediate immune-TTP treatment, 4Ts calculation and HIT management, and targeted APL induction.
Critical Care and Toxicology
Septic shock vasopressor escalation, immediate anaphylaxis treatment and N-acetylcysteine mechanism.
Preparing for the FCPS-II Medicine Exam
What You Need to Know
- Passing score: Theory threshold not verified in the current public sources reviewed. The February 2027 notice specifies TOACS 55% for current-sitting cases, or 60% and above for current and subsequent cases while theory remains valid. This is not a universal 60% pass rule for all components.
- Assessment: For Medicine in Pakistan, two online papers each contain 100 single-best-answer MCQs and last 2½ hours. Theory qualification is followed by TOACS and long/short clinical cases with oral assessment. Current training documentation and workplace assessments are separate requirements; overseas theory arrangements can differ.
- Time limit: 2½ hours per Pakistan online theory paper; 5 hours total theory examination time, excluding breaks. Clinical scheduling is separate.
- Exam / certification fees: Rs. 15,050 standard Pakistan fee (Rs. 15,000 plus Rs. 50 handling), confirmed in the September 2026 notice for February 2027; late fees and sitting-specific conditions apply. Official sources
Using Our Practice Resources
- Work through all 40 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
FCPS-II Medicine: Suggested Study Strategy
Frequently Asked Questions
Which FCPS-II specialty does this resource cover?
This is a selected Medicine study set. FCPS-II has specialty-specific examinations; these questions do not represent Surgery, Obstetrics and Gynaecology, Paediatrics, Ophthalmology or every Medicine topic.
What are the official format and assessment language?
For Pakistan Medicine theory, CPSP specifies two computer-based papers of 100 SBAs and 2½ hours each. Candidates who qualify theory progress to TOACS and clinical cases with oral assessment. The Medicine prospectus specifies English for theory and clinical examinations.
Do the practice percentages reproduce official examination weights?
No numerical Medicine topic weighting was verified in the public official material reviewed. The displayed shares count the 40 questions in this limited study set. Use the current CPSP prospectus and trainee requirements to plan complete preparation.
Can these MCQs replace clinical or viva preparation?
No. This is independent English-language MCQ study practice, not an official translation or format simulation. Prepare patient assessment, examination, communication, procedures and oral reasoning separately with supervised clinical practice.
What eligibility and fee should applicants check?
The current major-subject notice requires four completed years of training with rotations and supervisor-approved e-log entries. Medicine progression also involves FCPS-I, IMM and prescribed training requirements. Confirm current research, workshops, workplace assessments and application documents with CPSP. The September 2026 notice for February 2027 lists a standard Pakistan fee of Rs. 15,050 including handling.
Are these official CPSP questions?
These are independently written study questions. CPSP does not provide, sponsor or endorse this resource.