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Key Facts: PCM (Ordem dos Médicos) Exam

CEFR B2

Language proficiency level required, following the ALTE conceptual model

Guia da Prova de Comunicação Médica

120 minutes

Maximum total duration across computer e-assessment, written composition, and jury oral

Guia da Prova de Comunicação Médica

€300

Examination fee per candidate per sitting

Guia da Prova de Comunicação Médica

50% per part

Minimum mark required in Part 1 to advance, and minimum mark required in Part 2 to pass

Guia da Prova de Comunicação Médica

12 sessions

Monthly sessions scheduled in 2026 rotating across Porto, Coimbra, and Lisbon

Calendarização da Prova de Comunicação Médica 2026

140–170 words

Required length of the Part 2 computer written composition

Guia da Prova de Comunicação Médica

Language only

The exam assesses communication with patients and peers in Portuguese, not diagnosis or technical medical knowledge

Camões, I.P.

The Prova de Comunicação Médica (PCM) is the B2-level Portuguese exam that doctors trained abroad in a course not taught in Portuguese must pass (or replace with an accepted alternative) to register with the Ordem dos Médicos. It costs €300, runs monthly in 2026 (12 sessions), and combines 70 minutes of computer-based listening and reading with a 140–170-word composition and a 20-minute oral before a jury. This bank is an independent English-language MCQ study adaptation; it cannot certify the written composition or the oral.

Sample PCM (Ordem dos Médicos) Practice Questions

Try these sample questions to review concepts for the PCM (Ordem dos Médicos) exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 106+ question experience with AI tutoring.

1A 45-year-old male patient presents to the emergency room in Porto clutching his side and states: "Doutor, comecei a correr hoje de manhã e de repente deu-me uma dor de burro terrível e uma pontada forte que quase não me deixava respirar." How should the attending physician interpret and document the patient's colloquial complaint in formal clinical Portuguese?
A.O doente descreve dor lombar irradiada para o membro inferior com sinais de alarme neurológico.
B.O doente relata cólica nefrítica com irradiação genital acompanhada de disúria e hematúria franca.
C.O doente relata dor abdominal lateral transitória, desencadeada pelo esforço, em pontada e agravada pela inspiração.
D.O doente queixa-se de epigastralgia em queimadura com regurgitação ácida desencadeada pelo exercício.
Explanation: In European Portuguese, 'dor de burro' is the everyday name for a temporary, usually lateral abdominal pain linked to walking or exercise (the 'side stitch'); the Priberam dictionary records exactly this sense. 'Pontada' is a brief, sharp pain, and 'quase não me deixava respirar' ties it to breathing in. The record should keep this lay meaning instead of upgrading it to renal colic or spinal pathology.
2A 52-year-old woman in a primary care consultation says: "Doutor, quase todas as noites sinto um fogo no peito que sobe até à garganta e um amargo na boca que não me deixa dormir." Which medical terms best correspond to the patient's symptoms in European Portuguese clinical documentation?
A.Pirose e regurgitação ácida
B.Disfagia orofaríngea e xerostomia
C.Odinofagia e sialorreia
D.Dispepsia funcional e globus hystericus
Explanation: The patient's vivid colloquial description of 'um fogo no peito que sobe até à garganta' (a fire in the chest rising to the throat) and 'amargo na boca' (bitter taste in the mouth) represents classic pyrosis (pirose) and acid regurgitation (regurgitação ácida) typical of gastroesophageal reflux disease.
3During a cardiology consultation, an elderly patient with heart failure reports: "Doutor, desde há duas semanas que não consigo dormir estendido na cama; tenho de pôr três almofadas altas debaixo da cabeça para não me faltar o ar a meio da noite." How should the physician accurately record this finding in the clinical history?
A.O doente refere platipneia aliviada pela flexão anterior do tronco.
B.O doente apresenta ortopneia com necessidade de três almofadas para dormir.
C.O doente descreve trepopneia associada a decúbito lateral direito exclusivo.
D.O doente relata apneia obstrutiva do sono com hipersonolência diurna grave.
Explanation: The need to elevate the head with multiple pillows to avoid shortness of breath when lying flat is the defining clinical manifestation of orthopnea (ortopneia). In Portuguese clinical practice, quantifying the symptom by the number of pillows ('ortopneia de três almofadas') is standard descriptive terminology.
4A 38-year-old teacher presents with palpitations and states: "Doutor, de vez em quando sinto um baque no peito, como se o coração desse uma cambalhota e fizesse uma pausa, e a seguir bate com mais força." Which clinical concept in cardiology does this colloquial description most accurately reflect?
A.Bloqueio auriculoventricular completo de terceiro grau com ritmo de escape ventricular.
B.Fibrilhação auricular permanente com frequência ventricular descontrolada.
C.Taquicardia ventricular sustentada com compromisso hemodinâmico agudo.
D.Extrassístoles com pausa compensatória e batimento pós-extrassistólico hipercontrátil.
Explanation: The patient describes a sudden thud, sensation of a 'heart flip' ('cambalhota no coração'), followed by a brief pause and a forceful succeeding beat. In Portuguese clinical practice, this is the classic lay description of isolated extrasystoles (extrassístoles auriculares ou ventriculares) with a compensatory pause.
5A 60-year-old patient presents with jaundice and reports: "A minha urina está muito escura, parece chá preto carregado ou coca-cola, as fezes estão esbranquiçadas como gesso e tenho uma comichão no corpo todo que me dá cabo do juízo." Which medical terms in Portuguese must be used in the hospital record?
A.Poliúria, melenas e exantema maculopapular
B.Colúria, acolia fecal e prurido generalizado
C.Hematúria macroscópica, esteatorreia e urticária aguda
D.Disúria, tenesmo retal e hiperestesia cutânea
Explanation: Dark urine like dark tea ('chá preto carregado') is colúria; pale clay-like stools ('fezes esbranquiçadas como gesso') are acolia fecal; and severe generalized itchiness ('comichão no corpo todo') is prurido generalizado. Together, these constitute the hallmark triad of cholestatic jaundice.
6A 28-year-old football player arrives at the urgent care centre after an ankle injury. His teammate says: "Ele virou o pé para dentro, ouviu um estalido e ficou logo com a junta num bolo e cheia de nódoas negras." What does the colloquial phrase "ficar com a junta num bolo e cheia de nódoas negras" mean?
A.Apresenta fratura exposta grave com desvio articular e necrose isquémica cutânea.
B.Apresenta atrofia muscular marcada com contratura fibrosa da articulação tibiotársica.
C.Apresenta tumefação/edema volumoso da articulação acompanhado de equimoses.
D.Apresenta flictenas hemorrágicas com perda de sensibilidade distal nos dermátomos sagrados.
Explanation: In Portuguese colloquial speech, having a joint 'num bolo' means it is heavily swollen (tumefação ou edema volumoso), and 'nódoas negras' is the everyday Portuguese term for bruising or ecchymoses (equimoses).
7A 65-year-old woman describes an acute episode: "Estava na cozinha, de repente tudo à minha volta começou a rodar a alta velocidade, fiquei agoniada e vomitei." Which symptom should the physician document?
A.Vertigem rotatória acompanhada de náuseas e vómitos
B.Lipotimia com síncope vasovagal reflexa
C.Diplopia binocular com parésia do nervo abducente
D.Desequilíbrio de marcha por dismetria cerebelosa isolada
Explanation: The false sensation of rotational movement of the surrounding environment ('tudo à minha volta começou a rodar') accompanied by nausea ('fiquei agoniada') and vomiting is the textbook definition of rotatory vertigo (vertigem rotatória).
8An 80-year-old man accompanied by his daughter visits the family physician. The daughter states: "O meu pai anda muito murcho há dois meses. Já não quer comer quase nada, perdeu o gosto pelas hortas e pelas conversas com os vizinhos, e passa o dia sentado a olhar para o chão." In evaluating this clinical encounter in Portugal, which clinical synthesis is most accurate?
A.Quadro de declínio cognitivo de início fulminante com afasia de Broca motora.
B.Síndrome extrapiramidal idiopática com rigidez em roda dentada, bradicinesia e sem alteração do humor.
C.Intoxicação medicamentosa aguda por sedativos com ataxia sensitiva e nistagmo.
D.Síndrome depressiva geriátrica caracterizada por anedonia, hipobulia, astenia e anorexia.
Explanation: In European Portuguese, saying an older person 'anda murcho' colloquially denotes being downcast, low in energy, and apathetic. Combined with loss of interest in beloved hobbies ('perdeu o gosto pelas hortas'), social withdrawal, poor appetite, and psychomotor reduction, this represents a depressive syndrome with anhedonia (anedonia) and avolition (hipobulia).
9A mother brings her 3-year-old child to the pediatric urgent care service at night and explains: "Doutor, ele começou ao fim da tarde a tossir rouco, como se fosse um cão a ladrar, e agora quando puxa o ar faz um barulho agudo e parece que lhe falta o ar." What respiratory signs are being described in European Portuguese?
A.Tosse produtiva com expetoração mucopurulenta e fervores crepitantes basais
B.Tosse crupal (laríngea/ladrante) e estridor inspiratório
C.Tosse espasmódica paroxística com estertores subcrepitantes difusos
D.Sibilos expiratórios e roncos brônquicos de transmissão
Explanation: The lay description 'tossir como um cão a ladrar' is the classic barking cough ('tosse crupal' or 'tosse ladrante') of acute laryngotracheobronchitis (croup), and the high-pitched noise when drawing in breath ('barulho agudo ao puxar o ar') corresponds to inspiratory stridor (estridor inspiratório).
10A 54-year-old patient tells the triage nurse: "Senti um aperto terrível na boca do estômago que se espalhou para as costas e me fez suar frio." How should the doctor document the location, radiation, and vegetative symptom in the Portuguese medical admission note?
A.Dor no hipocôndrio direito com irradiação para o ombro e febre remitente
B.Dor lombar bilateral com irradiação para as fossas ilíacas e obstipação
C.Dor epigástrica constritiva com irradiação dorsal e diaforese
D.Dor periumbilical em cólica com irradiação para a virilha e náuseas
Explanation: 'Aperto na boca do estômago' translates clinically to constrictive epigastric pain ('dor epigástrica constritiva'); 'espalhou para as costas' is dorsal radiation ('irradiação dorsal'); and 'suar frio' describes cold sweating / diaphoresis ('diaforese').

About the PCM (Ordem dos Médicos) Exam

Independent practice questions by OpenExamPrep for Portugal's Prova de Comunicação Médica (PCM), the B2-level medical Portuguese exam that the Ordem dos Médicos runs with Camões, I.P. The questions cover patients' everyday Portuguese, clinical reading, doctor-patient and peer communication, clinical writing, and European Portuguese grammar and register. They are an English-language MCQ study adaptation, not an official translation or simulation of the exam.

Exam sponsor: Ordem dos Médicos (Conselho Regional Norte, Centro, Sul) with Camões – Instituto da Cooperação e da Língua, I.P.. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Two parts sat under a 120-minute maximum schedule. Part 1 (70 minutes) is an auto-scored computer-based e-assessment of listening and reading comprehension with selection items (multiple choice, association, true/false). Candidates scoring at least 50% advance to Part 2, which consists of a 30-minute written composition (140–170 words on computer) and a 20-minute oral evaluation before a jury of OM doctors and Camões language assessors (interview 3–5 min, case report 7–10 min, commentary 3–5 min).

Time Limit

120 minutes (maximum)

Passing Score

Aprovado / Não Aprovado (minimum 50% in Part 1 to advance, and minimum 50% in Part 2)

Exam / Certification Fees

€300 per sitting

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.

Not published

Compreensão Oral (Parte 1)

Computer-based listening comprehension of audiovisual material in medical contexts, answered with selection items (escolha múltipla, associação, juízos de verdade) and scored automatically

Not published

Leitura (Parte 1)

Computer-based reading comprehension of written texts in medical contexts with the same selection-item types; Part 1 lasts 70 minutes in total and candidates need at least half the marks to continue

Not published

Escrita (Parte 2)

One composition item of 140–170 words, typed on a computer in 30 minutes and marked by the jury using Camões, I.P. criteria

Not published

Produção Oral (Parte 2)

20 minutes before a jury of OM doctors and Camões language assessors: interview (3–5 min), oral report of a clinical case (7–10 min) and commentary on a medical topic (3–5 min)

Preparing for the PCM (Ordem dos Médicos) Exam

What You Need to Know

  • Passing score: Aprovado / Não Aprovado (minimum 50% in Part 1 to advance, and minimum 50% in Part 2)
  • Assessment: Two parts sat under a 120-minute maximum schedule. Part 1 (70 minutes) is an auto-scored computer-based e-assessment of listening and reading comprehension with selection items (multiple choice, association, true/false). Candidates scoring at least 50% advance to Part 2, which consists of a 30-minute written composition (140–170 words on computer) and a 20-minute oral evaluation before a jury of OM doctors and Camões language assessors (interview 3–5 min, case report 7–10 min, commentary 3–5 min).
  • Time limit: 120 minutes (maximum)
  • Exam / certification fees: €300 per sitting Official sources

Using Our Practice Resources

  • Work through all 106 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

PCM (Ordem dos Médicos): Suggested Study Strategy

1Learn the everyday Portuguese patients use for symptoms and its clinical equivalents, such as 'dor de burro', 'dor de rins' (lombalgia), 'formigueiros', 'pontada' and 'estar constipado' (having a cold)
2Practise the European Portuguese patterns doctors use every day: 'o senhor/a senhora', 'estar a + infinitivo', pronoun placement ('Dói-lhe?' / 'Não lhe dói?') and the subjunctive after 'se', 'caso' and 'embora'
3Rehearse a 7–10-minute oral case report in a fixed order: identificação, motivo de internamento/consulta, história da doença atual, antecedentes, exame objetivo, hipóteses diagnósticas e plano
4Time yourself writing 140–170-word compositions on a computer in 30 minutes, using connectors such as 'por conseguinte', 'no entanto' and 'nomeadamente'
5Use the free demo access to the Camões, I.P. e-assessment platform described in the official guide to get used to the computer-based Part 1

Frequently Asked Questions

What is the Prova de Comunicação Médica (PCM)?

The Prova de Comunicação Médica is a standardized Portuguese language proficiency examination for medical purposes at CEFR B2 level. It is organized by the Ordem dos Médicos in partnership with Camões – Instituto da Cooperação e da Língua, I.P., under a protocol signed on 4 June 2019. It assesses language only (understanding patients and communicating with colleagues), not diagnostic or technical medical knowledge.

Who is required to take the PCM and who is exempt?

Under article 98 of the Estatuto da Ordem dos Médicos, doctors trained abroad in a course not taught in Portuguese must prove the linguistic competence needed to practise in Portugal before they can register with the Ordem dos Médicos. Passing the PCM is one route. The 2026 guide also accepts a certificate from a competent body showing a pass in both a B2 Portuguese exam and a medical communication test, or, for Portuguese and CPLP nationals, proof of secondary education (or equivalent) completed at a Portuguese-language school.

How is the exam structured and how long does it take?

The exam has a maximum total duration of 120 minutes across two parts. Part 1 (70 minutes total) is a computer-based e-assessment of listening and reading comprehension with selection items (multiple choice, association, true/false). Part 2 consists of a computer-based written composition of 140–170 words (30 minutes) and a 20-minute oral evaluation before a joint jury of OM doctors and Camões language assessors.

What is the passing score and can the exam be re-marked?

The exam result is qualitative: Aprovado (Pass) or Não Aprovado (Fail). Candidates must score at least 50% in Part 1 to proceed to Part 2, and must achieve at least 50% in Part 2. A review can be requested within one week of the final result through the region where the exam was taken, and only Part 2 can be re-marked (reapreciação).

Where and when is the exam held, and what is the fee?

In 2026, 12 monthly sessions are scheduled, rotating across the three regional sections of the Ordem dos Médicos: Norte (Porto), Centro (Coimbra), and Sul (Lisbon). The examination fee is €300 per candidate per sitting, payable upon registration.

Is this practice question bank an official exam simulation?

No. This is an independent English-language MCQ study adaptation by OpenExamPrep, not an official translation or simulation. It keeps Portuguese patient quotes, clinical texts, phrases and answer options wherever the Portuguese itself is the skill being tested, and explains them in English. It cannot simulate or certify the written composition or the oral before the jury, so practise those by actually writing and speaking.