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100+ Free DTM&H Practice Questions

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Which measure best protects an individual traveler from malaria when visiting a high-risk area?

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2026 Statistics

Key Facts: DTM&H Exam

27 May 2026

Scheduled 2026 online examination date

https://www.apothecaries.org/diploma-in-tropical-medicine-and-hygiene/

GBP 570

2026 examination fee

https://www.apothecaries.org/wp-content/uploads/2025/12/Administrative-Guidance-for-Candidates-1.pdf

50 + 50 + 5 + 50

BO5, BO5, SSQ and SAQ component question counts

https://www.apothecaries.org/wp-content/uploads/2025/12/Guide-to-the-Diploma-in-Tropical-Medicine-Hygiene.pdf

60%

Clinical infectious diseases and tropical medicine content share

https://apothecaries.shorthandstories.com/diploma-in-tropical-medicine-hygiene-option-1/

250 hours

Approximate teaching-time level expected for a good tropical medicine course

https://apothecaries.shorthandstories.com/diploma-in-tropical-medicine-hygiene-option-1/

The source row's RCP/Liverpool wording is now normalized: the 2026 UK Independent DTM&H exam is run by the Worshipful Society of Apothecaries, while LSTM is an approved course provider. The exam is online with live remote invigilation on Wednesday 27 May 2026, costs GBP 570, and has four components: 50 BO5 + 50 BO5 + 5 SSQ + 50 image SAQ questions. The content split is 60% clinical infectious diseases/tropical medicine, 15% non-communicable diseases in the tropics, and 25% preventative medicine/international public health, plus parasitology and entomology image reasoning.

Sample DTM&H Practice Questions

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

1Who runs the UK Independent DTM&H examination in 2026?
A.The Worshipful Society of Apothecaries
B.The Royal College of Physicians of London
C.Liverpool School of Tropical Medicine alone
D.The American Society of Tropical Medicine and Hygiene
Explanation: The Society of Apothecaries states it runs the UK Independent DTM&H examination from 2024; it was previously run by the RCP.
2What is the scheduled date for the 2026 DTM&H examination?
A.Wednesday 27 May 2026
B.Tuesday 10 March 2026
C.7 September 2026
D.Every month on demand
Explanation: The 2026 DTM&H examination is scheduled online on Wednesday 27 May 2026. Tuesday 10 March 2026 is the application and payment closing date.
3What is the 2026 DTM&H application and payment closing date?
A.Tuesday 10 March 2026
B.Wednesday 27 May 2026
C.31 December 2026
D.No closing date is published
Explanation: The Society's 2026 page and administrative guidance list Tuesday 10 March 2026 as the closing date for applications and payment.
4Which components make up the 2026 DTM&H examination?
A.BO5 Paper 1, BO5 Paper 2, Preventative Medicine SSQ, and Parasitology/Entomology SAQ
B.One oral viva only
C.A single 200-question Pearson VUE test
D.An OSCE and no written papers
Explanation: The 2026 DTM&H consists of two BO5 papers, one Preventative Medicine Short Structured Question paper, and one Parasitology/Entomology Short Answer Question image paper.
5How many questions are in each DTM&H BO5 paper?
A.50 questions
B.5 questions
C.150 image questions
D.No questions
Explanation: The guide lists BO5 Paper 1 and BO5 Paper 2 as 50 questions each, with each paper lasting 1 hour 30 minutes.
6How long does each DTM&H BO5 paper last?
A.1 hour 30 minutes
B.30 minutes
C.3 hours
D.All day without breaks
Explanation: Both BO5 papers last 1 hour 30 minutes each according to the 2026 guide and administrative guidance.
7What is the format of the Preventative Medicine paper?
A.A Short Structured Question paper with 5 questions lasting 1 hour
B.A 50-image parasitology paper lasting 1.5 hours
C.A 50-question BO5 paper
D.A practical bedside OSCE
Explanation: The Preventative Medicine SSQ paper consists of 5 questions and lasts 1 hour; it was previously known as the SEQ paper.
8What is the format of the Parasitology/Entomology paper?
A.A Short Answer Question paper with 50 images of parasites or arthropods and associated questions
B.A single essay on tropical public health
C.A verbal microscope viva only
D.A 5-question statistics paper
Explanation: The SAQ paper uses 50 images of parasites or arthropods with associated questions and lasts 1 hour 30 minutes.
9What is the 2026 DTM&H examination fee?
A.GBP 570
B.GBP 6,495
C.USD 244
D.No fee is charged
Explanation: The Society's 2026 page and administrative guidance list the examination fee as GBP 570. GBP 6,495 is the LSTM course fee, not the independent exam fee.
10How are DTM&H pass marks generated?
A.By Angoff standard-setting for each examination paper
B.By a fixed 50% score for every paper forever
C.By candidate ranking only with no standard setting
D.By random selection after the exam
Explanation: The guide states that examination questions undergo standard-setting according to the Angoff method, generating the pass mark for each paper.

About the DTM&H Exam

The Diploma in Tropical Medicine and Hygiene (DTM&H) is the UK Independent professional diploma examination in tropical medicine and hygiene. From 2024 the examination is run by the Worshipful Society of Apothecaries; it was previously run by the Royal College of Physicians of London. It is designed for qualified medical practitioners who have completed an approved tropical medicine and hygiene or global health and humanitarian medicine course. The 2026 online remotely invigilated exam consists of two 50-question BO5 papers, one 5-question Preventative Medicine SSQ paper, and one 50-question Parasitology/Entomology image SAQ paper. Its syllabus emphasizes clinical tropical medicine and infectious diseases, non-communicable disease in tropical settings, preventative medicine, international public health, diagnostic parasitology and medical entomology.

Assessment

Online live-remote-invigilated DTM&H examination: two Best-of-Five MCQ papers mostly on clinical infectious diseases and tropical medicine; a Preventative Medicine Short Structured Question paper; and a Parasitology/Entomology Short Answer Question paper using 50 images of parasites or arthropods with associated questions.

Time Limit

BO5 Paper 1 1 hour 30 minutes; BO5 Paper 2 1 hour 30 minutes; SSQ 1 hour; SAQ 1 hour 30 minutes. The 2026 online exam is scheduled 09:30-17:30 GMT on Wednesday 27 May 2026.

Passing Score

Angoff standard setting determines each paper pass mark; the guide describes an overall combined pass mark plus component pass/compensation rules.

Exam Fee

GBP 570 for the 2026 examination; re-entry fees are GBP 570. (Worshipful Society of Apothecaries, Centre for Health Studies)

DTM&H Exam Content Outline

60%

Clinical Infectious Diseases and Tropical Medicine

Malaria, arboviruses, viral haemorrhagic fevers, HIV, TB, typhoid, rickettsioses, leptospirosis, melioidosis, leishmaniasis, trypanosomiasis, toxoplasmosis, helminths, fungi, ectoparasites, syndromes and NTDs.

15%

Non-Communicable Diseases in Tropical and Sub-Tropical Settings

Asthma, diabetes, cardiovascular and cerebrovascular disease, epilepsy, eye disease, malnutrition, mental health, trauma, surgery, travel medicine, vitamin deficiencies, bites and stings.

25%

Preventative Medicine and International Public Health

Child and maternal health, epidemiology, clinical trials, disaster and refugee medicine, essential medicines, health economics, health policy, immunisation, nutrition, reproductive health, statistics and WASH.

SAQ paper

Diagnostic Parasitology and Medical Entomology

Parasite and arthropod identification, life cycles, transmission, vectors, intermediate hosts, microscopy interpretation, control measures and low-resource laboratory reasoning.

How to Pass the DTM&H Exam

What You Need to Know

  • Passing score: Angoff standard setting determines each paper pass mark; the guide describes an overall combined pass mark plus component pass/compensation rules.
  • Assessment: Online live-remote-invigilated DTM&H examination: two Best-of-Five MCQ papers mostly on clinical infectious diseases and tropical medicine; a Preventative Medicine Short Structured Question paper; and a Parasitology/Entomology Short Answer Question paper using 50 images of parasites or arthropods with associated questions.
  • Time limit: BO5 Paper 1 1 hour 30 minutes; BO5 Paper 2 1 hour 30 minutes; SSQ 1 hour; SAQ 1 hour 30 minutes. The 2026 online exam is scheduled 09:30-17:30 GMT on Wednesday 27 May 2026.
  • Exam fee: GBP 570 for the 2026 examination; re-entry fees are GBP 570.

Keys to Passing

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

DTM&H Study Tips from Top Performers

1Use the 60/15/25 official content split to organize review time, but practise cross-cutting syndrome reasoning because tropical presentations often overlap.
2For BO5 papers, practise discriminating between malaria, arboviral illness, enteric fever, rickettsial disease, leptospirosis, TB, HIV complications, viral haemorrhagic fever and neglected tropical diseases.
3For the parasitology and entomology SAQ, build recognition drills around parasite morphology, vectors, life cycles, intermediate hosts and control measures.
4For SSQ preparation, write concise public-health answers: define the problem, prioritize data, intervention, implementation, monitoring, equity and WASH or prevention principles.
5Read administrative guidance before applying; eligibility, payment, identity, remote invigilation and conduct rules are part of safe exam planning.

Frequently Asked Questions

Who runs the UK Independent DTM&H examination in 2026?

The Worshipful Society of Apothecaries runs the UK Independent DTM&H examination from 2024. The exam was previously run by the Royal College of Physicians of London.

When is the 2026 DTM&H exam?

The 2026 exam is scheduled online for Wednesday 27 May 2026, 09:30-17:30 GMT, with applications and payment closing Tuesday 10 March 2026.

What is the DTM&H exam format?

The exam consists of BO5 Paper 1 with 50 questions, BO5 Paper 2 with 50 questions, a 5-question Preventative Medicine SSQ paper, and a 50-question Parasitology/Entomology SAQ image paper.

How is the pass mark set?

The Society states that exam questions undergo Angoff standard setting, which generates the pass mark for each paper. Pass mark and pass rate can vary between sittings.

Is LSTM still relevant to this target?

Yes. LSTM offers an approved Professional Diploma in Tropical Medicine and Hygiene course. The current independent examination, however, is run by the Society of Apothecaries.