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Australian Medical Council MCQ examination

Computer-adaptive multiple choice across the AMC's specialty domains. The adaptive delivery means your later questions depend on your earlier answers — practising on a fixed-order bank trains the wrong reflexes.

AustraliaAustralian Medical Council written

What is on the AMC MCQ?

Questions or stations150 verified 2026-08-10 Source says: “consists of 150 multiple choice questions where there is one correct response from five options” check it yourself
Time210 minutes verified 2026-08-10 Source says: “delivered in one 3.5 hour session” check it yourself
FormatSingle best answer, computer-adaptive delivery
Adaptive deliveryYes — item difficulty responds to your answers
Pass markScaled score standard set by the AMC; not a fixed percentage of items correct. verified 2026-08-10 check it yourself
BlueprintAMC examination specifications and clinical handbook, Australian Medical Council

Delivered as a computer-adaptive test (CAT): 150 questions in one 3.5-hour session, and questions cannot be revisited.

Verification status. All 3 published figures on this page have been read in the source document and dated above. Source of truth: AMC examination specifications and clinical handbook, Australian Medical Council. How we verify.

The AMC MCQ curriculum, section by section

Every question in this bank is tagged to one of the sections below, and the tag traces to AMC examination specifications and clinical handbook. That is what makes a coverage claim checkable instead of a marketing line. The table shows exactly how many items exist in each section today, including the sections where the answer is none.

Coverage today: 18 of 18 sections. We publish the gap rather than hiding it.

Free sample questions

Full explanations for every option, including the ones you didn't pick. The option you nearly chose is usually the one you needed explained. Read these before paying for anything.

A 74 year old man has exertional breathlessness, two episodes of collapse on exertion, and chest tightness climbing stairs. He has a harsh ejection systolic murmur at the right upper sternal edge radiating to both carotids, with a slow-rising, low-volume pulse and a narrow pulse pressure. An echocardiogram shows a small valve area with a high gradient. What is the most likely diagnosis?

  1. Heart failure Breathlessness and oedema without a discrete valve lesion. The syncope-angina-dyspnoea triad with a slow-rising pulse and carotid radiation points elsewhere.
  2. Innocent murmur A soft systolic murmur with no structural disease. The syncope-angina-dyspnoea triad with a slow-rising pulse and carotid radiation argues against pathology.
  3. Acute coronary syndromes Angina from coronary disease rather than valvular. The syncope-angina-dyspnoea triad with a slow-rising pulse and carotid radiation makes it worth separating.
  4. Aortic valve disease correct Correct. An ejection systolic murmur radiating to the carotids with a slow-rising pulse and the symptom triad is severe aortic stenosis.
  5. Mitral valve disease A mitral murmur with a different site and radiation. The syncope-angina-dyspnoea triad with a slow-rising pulse and carotid radiation makes the auscultation matter.

The point: The two aortic valve lesions are separated at the bedside. Aortic stenosis gives an ejection systolic murmur at the right upper sternal edge radiating to the carotids, a slow-rising low-volume pulse, and a narrow pulse pressure, and the ominous triad is exertional syncope, angina and breathlessness, which marks a poor prognosis and the need for valve replacement. Aortic regurgitation gives an early diastolic murmur at the left sternal edge, a collapsing water-hammer pulse and a wide pulse pressure, from valve or aortic root disease. An echocardiogram grades severity and guides timing. Symptomatic severe aortic stenosis is treated with surgical valve replacement or, in older or higher-risk patients, transcatheter aortic valve implantation, which is now widely used in Australia. Severe aortic regurgitation is repaired before the ventricle fails. Avoid vasodilators and be cautious with nitrates in severe aortic stenosis, because they can drop the pressure precipitously. Antibiotic prophylaxis for endocarditis is now reserved for high-risk patients.

Source: National Heart Foundation of Australia / CSANZ — valvular heart disease National Heart Foundation of Australia / CSANZ · tier 2, specialty society or college

A 74 year old man has exertional breathlessness, two episodes of collapse on exertion, and chest tightness climbing stairs. He has a harsh ejection systolic murmur at the right upper sternal edge radiating to both carotids, with a slow-rising, low-volume pulse and a narrow pulse pressure. An echocardiogram shows a small valve area with a high gradient. What is the most appropriate initial investigation?

  1. Assessment of symptom status Syncope, angina and breathlessness change the management. The syncope-angina-dyspnoea triad with a slow-rising pulse and carotid radiation makes it key.
  2. Chest radiograph Shows cardiomegaly or calcification. The syncope-angina-dyspnoea triad with a slow-rising pulse and carotid radiation makes it worthwhile.
  3. Transthoracic echocardiogram correct Correct. It graded the stenosis as severe with a small valve area and high gradient, guiding intervention.
  4. ECG Shows left ventricular hypertrophy or strain. The syncope-angina-dyspnoea triad with a slow-rising pulse and carotid radiation makes it necessary.
  5. Coronary angiography before valve surgery Assesses the coronaries prior to intervention. The syncope-angina-dyspnoea triad with a slow-rising pulse and carotid radiation indicates it.

The point: The two aortic valve lesions are separated at the bedside. Aortic stenosis gives an ejection systolic murmur at the right upper sternal edge radiating to the carotids, a slow-rising low-volume pulse, and a narrow pulse pressure, and the ominous triad is exertional syncope, angina and breathlessness, which marks a poor prognosis and the need for valve replacement. Aortic regurgitation gives an early diastolic murmur at the left sternal edge, a collapsing water-hammer pulse and a wide pulse pressure, from valve or aortic root disease. An echocardiogram grades severity and guides timing. Symptomatic severe aortic stenosis is treated with surgical valve replacement or, in older or higher-risk patients, transcatheter aortic valve implantation, which is now widely used in Australia. Severe aortic regurgitation is repaired before the ventricle fails. Avoid vasodilators and be cautious with nitrates in severe aortic stenosis, because they can drop the pressure precipitously. Antibiotic prophylaxis for endocarditis is now reserved for high-risk patients.

Source: National Heart Foundation of Australia / CSANZ — valvular heart disease National Heart Foundation of Australia / CSANZ · tier 2, specialty society or college

Where AMC MCQ sits in the pathway

Australia registration (AMC) runs AMC MCQ → AMC Clinical. One DocPasser account covers all of them, so moving to the next stage does not mean a new subscription and a progress history you can no longer see.

AMC Clinical

Questions people actually ask about AMC MCQ

What does computer-adaptive mean for AMC MCQ preparation?

Your score depends on the difficulty of items you answer correctly, not the raw count. Practising against a bank that also adapts is the only way to feel what the real delivery does to your pacing.

What does AMC MCQ preparation cost?

AMC MCQ is a flat £20 for 12 months of access — one price, one purchase, no tiers. The first 10 questions are free, with the full explanation for every option, so you can judge the quality of the explanations before paying for anything.

DocPasser is exam preparation material, not clinical guidance. Nothing here should be used to make a decision about a real patient. Always work from your own local guidelines and seniors.