Free practice
Free AMC MCQ practice questions: 50 worked AMC Part 1 cases
Every AMC MCQ here has a worked explanation, a one-line reason each wrong option is wrong, and a high-yield takeaway you can revise from, split across the six patient groups the exam actually uses.
Work through them cold, mark the ones you got wrong, and come back to those.
Browse by topic
Practice questions by medical topic
The six groups the AMC Part 1 blueprint is built from, with the share of the exam each one carries.
Adult health: Medicine
Cardiology, respiratory, gastroenterology, endocrinology, neurology and infectious disease in adults.
Adult health: Surgery
General surgery, orthopaedics, urology, trauma and peri-operative care.
Women's health
Pregnancy, labour and delivery, contraception, and diseases of the female reproductive system.
Child health
Paediatric medicine, growth and development, immunisation and the common childhood presentations.
Mental health
Psychiatry, mental state examination, risk assessment and treatment.
Population health and ethics
Screening programs, public health, statistics, medical ethics and Indigenous health.
Recently published
Newest firstRefusing life-saving surgery: respecting a capable adult
Capable man refuses surgery for a ruptured aneurysm: the correct course of action.
Impaired colleague: mandatory notification to Ahpra
Surgeon impaired by alcohol before an emergency operation: your legal obligation.
Contraception for a 16-year-old: Gillick competence
A 16-year-old alone asking for the pill in confidence: the correct approach.
Fitness to drive: hypoglycaemia in a commercial driver
Insulin-treated taxi driver with severe hypoglycaemia who refuses to report: doctor's duty.
Meningococcal disease: notification and contact prophylaxis
Confirmed meningococcal disease: what to do for the household contacts.
Suspected non-accidental injury: mandatory reporting
Patterned bruises of different ages in a 4-year-old: the doctor's obligation.
Adult health: Medicine
15 casesSuspected melanoma: how to biopsy
Changing pigmented lesion with ABCDE features: the correct biopsy technique.
Iron deficiency anaemia in an older man: investigate the bowel
Iron deficiency and weight loss in a 66-year-old man: the must-do investigation.
Acute monoarthritis: gout or septic arthritis?
Febrile man with a hot first MTP joint: the essential step before treating.
Transient ischaemic attack: urgent investigation
Resolved arm weakness and dysphasia, ABCD2 six: what must happen next?
Acute ischaemic stroke: thrombolysis within 4.5 hours
Hemiparesis and neglect at 2.5 hours with clear CT: the immediate treatment.
Graves disease in the first trimester of pregnancy
Thyrotoxicosis with positive TRAb at 8 weeks: choose the safe antithyroid drug.
Diagnosing type 2 diabetes from an incidental HbA1c
Asymptomatic man with HbA1c 6.7%: confirm the diagnosis or start treatment?
Helicobacter pylori: test and treat in primary care
Young patient with uncomplicated dyspepsia: choose the first H. pylori test.
Atrial fibrillation: choosing anticoagulation by CHA2DS2-VASc
New atrial fibrillation, CHA2DS2-VASc 3: pick the right long-term stroke prevention.
COPD exacerbation with hypercapnic respiratory failure
COPD exacerbation acidotic and tiring after initial treatment: choose ventilation support.
Rural STEMI: fibrinolysis when PCI is too far away
STEMI in a rural clinic with PCI more than two hours away: choose reperfusion.
Suspected pulmonary embolism: choosing the right test
Pleuritic pain and haemoptysis after a long flight: pick the diagnostic test.
Iron deficiency in heart failure with reduced ejection fraction
Symptomatic HFrEF on full therapy with low ferritin: what single drug helps next?
Acute severe asthma not responding to nebulisers
Silent chest and rising CO2 despite nebulisers: the most urgent next intervention.
ACE inhibitor cough: switching to an ARB
Dry cough on ramipril, normal chest workup: the correct medication change.
No account. No card.
Adult health: Surgery
10 casesTension pneumothorax in a ventilated patient
Ventilated patient collapses with tracheal deviation: what you do before any X-ray.
Testicular torsion: straight to theatre
Sudden scrotal pain with absent Doppler flow: manual detorsion or theatre?
Uncomplicated diverticulitis: outpatient care without antibiotics
CT-proven uncomplicated diverticulitis in a well patient: how to manage it.
Australian snake bite with coagulopathy and collapse
Collapse and coagulopathy after a snake bite: the single best next step.
Paracetamol overdose: timing the level
Deliberate paracetamol overdose presenting early: what to do with a 3-hour level.
Acute angle-closure glaucoma: emergency management
Painful red eye with fixed mid-dilated pupil and IOP 52: immediate management.
Acute compartment syndrome of the forearm
Escalating forearm pain after fracture with intact pulses: the immediate treatment.
Small abdominal aortic aneurysm: surveillance
Incidental 3.8 cm aortic aneurysm: surveillance interval and when to refer.
Adhesive small bowel obstruction: CT before conservative management
Vomiting and distension with previous abdominal surgery: the correct next investigation.
Gallstone pancreatitis: timing of cholecystectomy
Mild gallstone pancreatitis improving on day three: when to remove the gallbladder.
No account. No card.
Women's health
6 casesGestational diabetes: postnatal testing and long-term risk
Diet-controlled GDM after delivery: when and how to test, and lifetime risk.
Primary postpartum haemorrhage: escalating uterotonics
Boggy uterus and ongoing bleeding despite oxytocin: the next escalation step.
Contraception with migraine with aura
Migraine with aura and a request for the pill: what contraception is safe?
Anti-D for threatened miscarriage before 12 weeks
RhD-negative woman with light bleeding at 10 weeks: is anti-D needed?
Ruptured ectopic pregnancy with shock
Shoulder tip pain, shock and free fluid at 7 weeks: the immediate management.
Pre-eclampsia at 34 weeks: admit and stabilise
Hypertension, proteinuria and headache at 34 weeks: immediate management plan.
No account. No card.
Child health
6 casesImaging after a first febrile UTI in infancy
Infant recovering from a first febrile UTI: which imaging test comes first?
Pyloric stenosis: correct the alkalosis before surgery
Projectile vomiting, olive mass, pH 7.55: what must happen before pyloromyotomy.
Intussusception: non-operative reduction
Currant jelly stool, sausage mass and target sign: how to reduce it.
Moderate to severe croup: dexamethasone and nebulised adrenaline
Barking cough with stridor at rest and recession: the single best treatment.
Bronchiolitis: supportive care only
Wheezy, hypoxic 6-month-old with RSV: what to give and what to avoid.
Jaundice in the first 24 hours: ABO incompatibility
Jaundice at 18 hours, group O mother, spherocytes: the confirmatory test.
No account. No card.
Mental health
6 casesAcute dystonic reaction to haloperidol
Neck locked to one side three days into haloperidol: the immediate treatment.
Postpartum psychosis with an organic contributor
Command hallucinations after birth with TSH 18: what is contributing?
Postoperative delirium: non-drug management first
Agitated delirium two days after surgery: the correct first-line management.
First-episode psychosis: choosing an antipsychotic
First psychotic episode in a woman with obesity and prediabetes: which antipsychotic?
Mania with an organic cause: thyrotoxicosis
Three weeks of elevated mood with a suppressed TSH: what is really going on?
Severe depression with a suicide plan: admission
Depressed man with a specific overdose plan: the next management step.
No account. No card.
Population health and ethics
7 casesRefusing life-saving surgery: respecting a capable adult
Capable man refuses surgery for a ruptured aneurysm: the correct course of action.
Impaired colleague: mandatory notification to Ahpra
Surgeon impaired by alcohol before an emergency operation: your legal obligation.
Contraception for a 16-year-old: Gillick competence
A 16-year-old alone asking for the pill in confidence: the correct approach.
Fitness to drive: hypoglycaemia in a commercial driver
Insulin-treated taxi driver with severe hypoglycaemia who refuses to report: doctor's duty.
Meningococcal disease: notification and contact prophylaxis
Confirmed meningococcal disease: what to do for the household contacts.
Suspected non-accidental injury: mandatory reporting
Patterned bruises of different ages in a 4-year-old: the doctor's obligation.
Breast cancer screening with a family history
One relative with late-onset breast cancer: how should a 42-year-old be screened?
No account. No card.
Twenty more, unmarked and timed.
These cases show you the reasoning. A session shows you where you actually stand.
No account. No card.