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Key Facts: Stručni ispit za doktore medicine Exam

26 weeks

Required supervised internship under the relevant programme

Pravilnik 33/2019

30 days

Minimum interval before repeating a failed examination

Pravilnik 33/2019, Article 11

40

Independent practice items, not an official exam count

Independent English-language MCQ study adaptation, not an official translation, format simulation, or substitute for oral, written, or practical preparation. Official instructions and materials are in Serbian, but the reviewed sources do not specify permitted assessment languages; confirm them and the assigned oral or written mode with the Ministry. The mandatory supervised internship remains separate from this study resource.

Sample Stručni ispit za doktore medicine Practice Questions

Try these sample questions to review concepts for the Stručni ispit za doktore medicine exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 40+ question experience with AI tutoring.

1Which right is expressly protected by Article 68 of the Constitution of the Republic of Serbia?
A.A right to every requested treatment regardless of statutory conditions
B.Everyone's right to protection of physical and mental health
C.An unconditional right to receive all medicines without patient participation
D.A right to choose any overseas provider at the RFZO's expense
Explanation: Article 68 protects everyone's physical and mental health. The Constitution also addresses publicly funded protection for specified groups; detailed insurance entitlements and payment conditions are established by legislation.
2A patient needs routine preventive care and follow-up with an izabrani lekar at a dom zdravlja. At which level of Serbia's healthcare system is this ordinarily provided?
A.Secondary inpatient care
B.Tertiary referral care
C.Primary healthcare
D.Specialist rehabilitation hospital care
Explanation: A dom zdravlja ordinarily provides primary healthcare, including prevention and continuing care through the chosen physician. Referral to a hospital or tertiary centre depends on the patient's needs and the applicable referral pathway.
3An employer asks a physician to send an employee's complete diagnostic record. The adult patient has not authorised disclosure, and no specific legal basis has been identified. What should the physician do?
A.Decline disclosure and establish a valid consent or legal basis before releasing protected information
B.Send the record because the employer pays employment-related contributions
C.Send the record after removing the physician's signature
D.Release it if the request is marked confidential by the employer
Explanation: Health information is protected by professional confidentiality and patient-rights rules. An employer's request or confidentiality label does not itself authorise disclosure; establish a valid basis and disclose only what that basis permits.
4A competent adult in Serbia refuses a proposed non-emergency blood transfusion after receiving and understanding information about its benefits, alternatives, and risks of refusal. What is the appropriate response?
A.Obtain a relative's signature to override the refusal
B.Treat the previous admission consent as permission to transfuse
C.Declare the patient incapable solely because the decision is medically unwise
D.Respect the informed refusal, discuss alternatives, and document the discussion and refusal
Explanation: A competent adult may refuse a proposed medical measure, including one that could preserve life. Explain the consequences and document the refusal under the patient-rights procedure; disagreement with medical advice alone does not establish incapacity.
5Which Serbian institution administers compulsory health insurance entitlements and reimbursement under the statutory health-insurance system?
A.Lekarska komora Srbije (LKS)
B.Agencija za lekove i medicinska sredstva Srbije (ALIMS)
C.Republički fond za zdravstveno osiguranje (RFZO)
D.Institut za javno zdravlje Srbije Dr Milan Jovanović Batut
Explanation: RFZO is the Republic Health Insurance Fund responsible for compulsory health insurance. Professional licensing, medicine regulation, and public-health surveillance are distinct functions performed by the other named institutions.
6An izabrani lekar assesses temporary incapacity for work for an ordinary illness. None of the statutory categories permitting a 60-day assessment applies. Under the Serbian health-insurance rule introduced in 2023, what is the usual limit before the first-instance medical commission becomes responsible?
A.15 days
B.30 days
C.60 days
D.90 days
Explanation: The usual limit for the chosen physician is 30 days. The law preserves a 60-day limit for specified categories, such as malignant disease and certain pregnancy-related conditions, so the exception must be checked rather than applying 30 days universally.
7A 16-year-old in Serbia can understand a proposed non-emergency procedure and its consequences but refuses it. The clinician recalls that a capable child aged at least 15 may independently consent. Which interpretation of the Law on Patients' Rights is correct?
A.Independent consent means the refusal must always be treated exactly like a competent adult's refusal
B.The child's refusal automatically authorises immediate treatment without further consent
C.The clinician must obtain a court order before speaking with the legal representative
D.The refusal triggers a duty to seek consent from the legal representative, while continuing to involve the child
Explanation: The Serbian law distinguishes independent consent by a capable child aged at least 15 from that child's refusal: on refusal, the responsible health worker must seek consent from the legal representative. This does not make refusal automatic permission to proceed, and the child should remain involved in the decision.
8Under Article 36 of Serbia's Labour Law (Zakon o radu), what is the maximum duration of a probationary period agreed in an employment contract?
A.Six months
B.Three months
C.Nine months
D.Twelve months
Explanation: Article 36 permits a probationary period of up to six months. This ceiling concerns probation under an employment contract and should not be confused with the separately regulated healthcare internship.
9Which blood biomarker is preferred for detecting myocardial injury when evaluating suspected acute coronary syndrome?
A.D-dimer
B.C-reactive protein
C.High-sensitivity cardiac troponin
D.B-type natriuretic peptide
Explanation: High-sensitivity cardiac troponin is the preferred biomarker for myocardial injury. An elevated value alone does not prove myocardial infarction: serial change, symptoms, ECG findings, and other evidence of myocardial ischaemia determine the diagnosis.
10Using the 2024 ESC atrial-fibrillation guidance, a 66-year-old with hypertension and clinical atrial fibrillation has no other CHA2DS2-VA factors, mechanical valve, or moderate-to-severe mitral stenosis. After reviewing contraindications, what is the recommended stroke-prevention approach?
A.Oral anticoagulation, generally with a direct oral anticoagulant
B.Aspirin alone because the score is only 1
C.No antithrombotic treatment because age below 75 contributes no point
D.Aspirin plus clopidogrel as the preferred substitute for anticoagulation
Explanation: Age 65–74 contributes one CHA2DS2-VA point and hypertension contributes another, giving a score of 2, at which ESC recommends oral anticoagulation. A direct oral anticoagulant is generally preferred over a vitamin K antagonist in eligible patients; individual bleeding risks and contraindications still require review.

About the Stručni ispit za doktore medicine Exam

The stručni ispit is a Ministry professional examination following supervised internship and is part of the route toward physician licensure. Lekarska komora Srbije handles the separate practice-licensing process. This independent bank reviews selected knowledge and does not certify competence or complete every part of the official programme.

Exam sponsor: Ministry of Health of the Republic of Serbia (Ministarstvo zdravlja Republike Srbije). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

The examination has an opšti deo (general part: constitutional order, labour and pension/disability rules, healthcare, health insurance, medicines/devices, and patients' rights) and a posebni deo (professional knowledge). Article 9 allows oral or written assessment before a minister-appointed commission. The medical internship programme includes primary care and healthcare organisation, paediatrics, internal medicine, gynaecology/obstetrics, and surgery; internship weeks are not published examination weights.

Time Limit

No fixed duration published in the reviewed Ministry instructions or rulebook.

Passing Score

Položio / nije položio (pass/fail), decided by the commission considering both parts; no numerical pass threshold specified.

Exam / Certification Fees

12,130 RSD in the Ministry instructions checked 10 October 2026; confirm before payment.

Exam sponsor website

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

Official sources

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.

8/40 practice items; official weight unpublished

Healthcare regulations and ethics

Consent, confidentiality, constitutional protection, insurance, and labour law.

10/40 practice items; official weight unpublished

Internal medicine

Selected diagnosis, risk assessment, and acute medical problems.

8/40 practice items; official weight unpublished

Surgery and emergency medicine

Acute abdomen, trauma, burns, neurological assessment, and resuscitation.

7/40 practice items; official weight unpublished

Paediatrics

Newborn care, immunisation, common presentations, and dehydration.

5/40 practice items; official weight unpublished

Obstetrics and gynaecology

Pregnancy emergencies, postpartum haemorrhage, and screening.

2/40 practice items; official weight unpublished

Social medicine and epidemiology

Incidence and biological sterilisation indicators.

Preparing for the Stručni ispit za doktore medicine Exam

What You Need to Know

  • Passing score: Položio / nije položio (pass/fail), decided by the commission considering both parts; no numerical pass threshold specified.
  • Assessment: The examination has an opšti deo (general part: constitutional order, labour and pension/disability rules, healthcare, health insurance, medicines/devices, and patients' rights) and a posebni deo (professional knowledge). Article 9 allows oral or written assessment before a minister-appointed commission. The medical internship programme includes primary care and healthcare organisation, paediatrics, internal medicine, gynaecology/obstetrics, and surgery; internship weeks are not published examination weights.
  • Time limit: No fixed duration published in the reviewed Ministry instructions or rulebook.
  • Exam / certification fees: 12,130 RSD in the Ministry instructions checked 10 October 2026; confirm before payment. 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

Stručni ispit za doktore medicine: Suggested Study Strategy

1Practise explaining each answer aloud and in the assessment language confirmed for your sitting.
2Read the current Serbian legal texts rather than importing another jurisdiction's consent or insurance rules.
3Use calculation questions to practise units and assumptions; actual clinical treatment requires an authorised patient-specific plan.
4Rehearse examination, communication, and emergency skills with supervision; MCQ scores do not establish practical competence.

Frequently Asked Questions

Does passing this exam itself issue a physician licence?

No. Passing produces the professional-examination certificate. Chamber registration and licensing have separate requirements; follow LKS and Ministry instructions for your circumstances.

Is the official exam always oral, and is English permitted?

The rulebook permits oral or written examination. The reviewed official sources do not establish permitted assessment languages, so do not assume an English sitting is available. Confirm the actual session arrangements with the Ministry.

Are there mandatory practical or assignment components?

A supervised six-month internship and certified internship booklet are prerequisites. The reviewed rulebook does not list a separate exam-day OSCE, practical station, project, or take-home assignment; confirm session requirements directly. MCQs cannot replace clinical performance or spoken-answer practice.

Does this bank cover the full official programme?

No. It is a selected 40-question knowledge sample. The official general part is broader, including pension and disability rules, and professional preparation extends well beyond these cases. Use the Ministry programme and current clinical materials as well.