Free Practice Questions for KROK 3 General Practice - Family Medicine

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Key Facts: KROK 3 General Practice - Family Medicine Exam

150

Official Test Questions

Testing Center KROK 3 overview, checked 2026-10-24

150 min

Official Test Time

Testing Center KROK 3 overview, checked 2026-10-24

66.0%

Passing Criterion

Testing Center KROK 3 overview, checked 2026-10-24

The official KROK 3 Family Medicine test has 150 questions, 150 minutes and a 66.0% passing criterion. Ukrainian delivery is confirmed. These independent English-language MCQs support topic study and do not replace the practical and oral parts of internship attestation.

Sample KROK 3 General Practice - Family Medicine Practice Questions

Try these sample questions to review concepts for the KROK 3 General Practice - Family Medicine exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 50+ question experience with AI tutoring.

1A woman with hypertension, type 2 diabetes and persistent albuminuria needs initial combination antihypertensive treatment. Her potassium and renal function permit renin-angiotensin system inhibition. Which combination is most appropriate?

A.ACE inhibitor plus an ARB

B.ACE inhibitor plus amlodipine

C.Clonidine plus doxazosin

D.Propranolol plus furosemide

Explanation: An ACE inhibitor or ARB is particularly useful in hypertension with diabetic albuminuria. Adding a dihydropyridine calcium-channel blocker provides complementary blood-pressure control; monitor renal function and potassium after starting or increasing treatment.

2A three-year-old has severe ear pain, fever and a bulging tympanic membrane. Antibiotic treatment for acute otitis media is indicated. There is no penicillin allergy, recent amoxicillin use or purulent conjunctivitis. Which oral antibiotic is a usual first choice?

A.Amoxicillin-clavulanate

B.Azithromycin

C.Amoxicillin

D.Cefixime

Explanation: Amoxicillin is a usual first-line oral antibiotic when treatment of uncomplicated acute otitis media is indicated and these modifying factors are absent. Many mild cases can instead be observed, so the decision to prescribe depends on age, severity and follow-up reliability.

3A clinically stable patient with symptomatic heart failure and LVEF 32% takes an ACE inhibitor, an evidence-based beta-blocker and spironolactone. He has no diabetes; renal function and other contraindication checks permit additional treatment. Which missing foundational drug class should be considered?

A.Non-dihydropyridine calcium-channel blocker

B.Alpha-blocker

C.Thiazolidinedione

D.SGLT2 inhibitor

Explanation: SGLT2 inhibitors are foundational treatment for symptomatic heart failure with reduced ejection fraction, including in people without diabetes. Review the full regimen, including whether an ARNI should replace the ACE inhibitor, and monitor tolerance.

4Two patients with clinical atrial fibrillation are each 69 years old and have hypertension and a previous ischemic stroke, with no other score factors. One is a man and one a woman. Under the ESC CHA2DS2-VA approach, which comparison is correct?

A.Both score 4 and warrant assessment for oral anticoagulation

B.The man scores 4 and the woman 5 because sex adds a point

C.Both score 3 because age is ignored below 75

D.Only the woman requires stroke-prevention assessment

Explanation: CHA2DS2-VA omits the sex-category point: hypertension contributes one, age 65–74 one, and previous stroke two, totaling four for each patient. Oral anticoagulation is recommended at this risk level unless contraindicated, with individualized drug selection and bleeding-risk management.

5A smoker reports reproducible calf pain on walking that resolves with rest. Foot pulses are reduced. Which investigation is the usual initial physiological test for suspected lower-limb peripheral arterial disease?

A.Catheter angiography

B.Ankle-brachial pressure index

C.CT angiography

D.MR angiography

Explanation: The ankle-brachial pressure index is a readily available initial test alongside clinical assessment. Anatomical imaging is usually reserved for further assessment or intervention planning; an apparently normal index does not reliably exclude disease in diabetes.

6A woman with atrial fibrillation has a ventricular rate of 125/min, normal blood pressure, LVEF 60% and no pre-excitation. Which oral drug can provide ventricular rate control?

A.Flecainide alone

B.Adenosine

C.Bisoprolol

D.Atropine

Explanation: A beta-blocker such as bisoprolol slows atrioventricular conduction and can control ventricular rate. With preserved systolic function, diltiazem or verapamil may also be options; stroke prevention and the broader AF management plan still require assessment.

7An adult with a prosthetic heart valve will undergo a dental procedure involving gingival manipulation. He can take oral medication and has no penicillin allergy. Which single-dose endocarditis prophylaxis regimen is appropriate?

A.Amoxicillin 500 mg, 30–60 minutes before the procedure

B.Amoxicillin 2 g only after the procedure as the planned regimen

C.Clindamycin 600 mg before the procedure as the routine first choice

D.Amoxicillin 2 g, 30–60 minutes before the procedure

Explanation: Prosthetic valve recipients are among the patients for whom prophylaxis is recommended for qualifying invasive dental procedures. A single adult oral dose of amoxicillin 2 g is given 30–60 minutes beforehand; this recommendation does not apply to every procedure or every heart condition.

8A 48-year-old with confirmed community-acquired pneumonia is alert, has urea 5.2 mmol/L, respiratory rate 18/min and BP 124/78 mmHg. Oxygenation is satisfactory, he can take oral treatment and home support is reliable. What is his CURB65 score and a reasonable care setting?

A.Score 0; consider outpatient treatment with safety-netting

B.Score 1; consider outpatient treatment with safety-netting

C.Score 2; consider hospital treatment

D.Score 3; arrange urgent hospital admission

Explanation: He receives no points for confusion, elevated urea, tachypnea, low blood pressure or age. A score of zero supports considering outpatient treatment, but clinical judgment, comorbidity, oxygenation and social circumstances remain essential.

9A patient with confirmed COPD is starting maintenance treatment. She had two moderate exacerbations in the past year, has no coexisting asthma, and her blood eosinophil count is 80 cells/µL. Under GOLD 2026, which initial inhaled regimen is preferred?

A.Inhaled corticosteroid alone

B.LABA plus LAMA

C.LABA alone with an oral antibiotic indefinitely

D.Routine triple therapy solely because FEV1 is reduced

Explanation: This exacerbation history places her in group E, for which LABA/LAMA is the preferred initial regimen. GOLD 2026 recognizes even one moderate exacerbation for group E; the low eosinophil count and absence of asthma do not support routine initial ICS addition here.

10A woman with episodic wheeze has FEV1 2.10 L before and 2.45 L after bronchodilator administration. Which interpretation best supports assessment for asthma?

A.A restrictive defect is established

B.The increase excludes asthma

C.FEV1 increases by 350 mL and about 16.7%, supporting variable airflow limitation

D.The response proves COPD rather than asthma

Explanation: The increase is 0.35 L, and 0.35/2.10 × 100 is approximately 16.7%. This exceeds the GINA adult bronchodilator-response criterion and supports asthma in the appropriate clinical context, but reversibility is not uniquely diagnostic of asthma.

About the KROK 3 General Practice - Family Medicine Exam

Крок 3 зі спеціальності «Загальна практика-сімейна медицина» is Ukraine's specialty-specific assessment for family medicine interns. It has been a mandatory attestation stage since 2025 and remains scheduled in 2026.

Exam sponsor: ДНТ «Центр якості освіти МОЗ». The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

KROK 3 is the first attestation stage: a written paper or computer-based single-best-answer test. Internship completion also requires practical skills assessment followed by a specialty interview; those components are not reproduced here.

Time Limit

150 minutes

Passing Score

66.0%

Exam / Certification Fees

Confirm with the registering institution; no universal individual fee verified

Exam sponsor website

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

Official sources

Testing Center — current KROK 3 requirements · Source checked 2026-10-24Current item count, duration, criterion, introduction dates and one-retake rule.
Testing Center — family medicine assessment · Source checked 2026-10-24
Official family medicine examination programme · Source checked 2026-10-24Seven domain weights verified from the programme's summary table.
Testing Center — 2026 internship examination schedule · Source checked 2026-10-24
Testing Center — KROK 3 admission · Source checked 2026-10-24
Kyiv Medical University — internship attestation requirements · Source checked 2026-10-24Section 6 confirms programme completion, practical tasks and situational cases, followed by the specialty interview. This primary institutional document supports the practical/oral disclosure.
Kyiv Medical University — examination regulations for 2026 · Source checked 2026-10-24Institutional primary source explicitly confirms Ukrainian KROK 3 booklets and the 2026 criterion.
Bogomolets National Medical University — examination payment information · Source checked 2026-10-24Linked draft institutional 2026 specification distinguishes exam, specialty, funding and retake charges; it does not establish a universal individual application fee.

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.

Health promotion and prevention

Risk assessment, healthy lifestyles and prevention of noncommunicable disease.

Child development and health surveillance

Development, nutrition and preventive care in childhood.

20%

Urgent conditions across age groups

Emergency recognition, stabilization and referral, including special patient groups.

55%

Common acute and chronic conditions across age groups

Primary-care diagnosis, treatment, monitoring and coordination.

Ambulatory and home palliative care

Symptom relief and coordinated support.

Cancer risk and oncology care

Screening, cancer risk assessment and care pathways.

11%

Health-system emergency response plans

Preparedness, triage, continuity and response to major incidents.

Preparing for the KROK 3 General Practice - Family Medicine Exam

What You Need to Know

Passing score: 66.0%
Assessment: KROK 3 is the first attestation stage: a written paper or computer-based single-best-answer test. Internship completion also requires practical skills assessment followed by a specialty interview; those components are not reproduced here.
Time limit: 150 minutes
Exam / certification fees: Confirm with the registering institution; no universal individual fee verified Official sources

Using Our Practice Resources

Work through all 50 available questions
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KROK 3 General Practice - Family Medicine: Suggested Study Strategy

1Study the current specialty programme, including emergency preparedness and cancer care as well as common clinical conditions.

2Practice clinical examination, procedures and oral case discussion separately from MCQ study.

3Check current Ukrainian clinical guidance and official notices when reviewing medicines, immunization and referral pathways.

4Use the official programme for full coverage; this 50-question bank samples selected topics.

Frequently Asked Questions

Which KROK 3 specialty does this page cover?

This page covers «Загальна практика-сімейна медицина» (General Practice–Family Medicine). It does not combine other medical specialties or Pharmacy with this assessment.

What are the official test format and criterion?

The Testing Center specifies 150 single-best-answer MCQs, 150 minutes and a 66.0% criterion. One retake is permitted after an unsuccessful result.

What language and assessment practice does this resource provide?

This is an independent English-language MCQ study adaptation. Ukrainian KROK 3 booklets are confirmed by current institutional instructions. This bank is not an official translation or format/language simulation, and does not replace clinical performance practice or the required practical skills assessment and specialty interview.

Does passing KROK 3 alone complete internship certification?

No. KROK 3 is the first attestation stage. Completion of the internship programme and the separate practical skills assessment and specialty interview remain necessary under the applicable institutional and national rules.

What fee should I budget?

Ask the registering institution for the amount payable for your cohort and sitting. A published draft institutional 2026 specification distinguishes specialty, funding and retake charges; a single universal individual fee was not verified.