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Step-by-Step AMC MCQ Exam Preparation Guide

Preparing for the Australian Medical Council (AMC) MCQ Examination can feel overwhelming, especially for international medical graduates (IMGs). The exam not only tests medical knowledge but also the ability to apply clinical reasoning in an Australian context. A structured approach makes preparation more effective and less stressful.


1. Understand the Exam Structure

The AMC MCQ exam consists of:

  • 150 multiple-choice questions (MCQs) – all best-of-five format.

  • Computer-based, delivered in Pearson VUE test centres worldwide.

  • Covers medicine, surgery, paediatrics, psychiatry, obstetrics & gynaecology, and general practice.

  • Focuses on clinical reasoning, not just memorisation.

📌 Tip: Review the official AMC Handbook to familiarise yourself with the blueprint.


2. Build a Study Timeline

  • 6 months before exam: Begin structured reading (system-wise approach).

  • 3 months before exam: Start practising recall-based MCQs daily.

  • 1 month before exam: Focus on timed mock exams and high-yield topics.

  • Last week: Light revision, do not attempt new material.

📌 Tip: Aim for at least 100 MCQs per day in the final 6–8 weeks.


3. Use the Right Resources

  • Official AMC Handbook of MCQs – primary resource.

  • Online question banks – practice best-of-five style questions.

  • Australian guidelines – e.g., Therapeutic Guidelines (eTG), RACGP resources.

📌 Tip: Avoid relying only on overseas guidelines; the exam reflects Australian clinical practice.


4. Adopt Active Study Methods

  • Recall practice: Re-attempt questions you got wrong until you consistently score high.

  • Clinical notes: Write short summaries of high-yield conditions (MI, PE, asthma, epilepsy, etc.).

  • Peer discussions: Explaining answers to colleagues improves retention.

📌 Tip: Focus more on why an answer is correct rather than just memorising facts.


5. Practice Time Management

  • 150 questions in 3.5 hours = about 84 seconds per question.

  • Do not get stuck—mark and return later.

  • Use practice exams under timed conditions to simulate real testing.


6. Focus on High-Yield Topics

  • Cardiology (ACS, arrhythmias, heart failure)

  • Respiratory (asthma, COPD, pneumonia, TB)

  • Neurology (stroke, seizures, dementia)

  • Paediatrics (fever, growth milestones, asthma)

  • Psychiatry (depression, schizophrenia, suicide risk)

  • Obstetrics & Gynaecology (antenatal care, eclampsia, contraception)


7. Maintain Wellbeing During Preparation

  • Ensure regular sleep, exercise, and balanced diet.

  • Avoid burnout by scheduling rest days.

  • Stay socially connected for emotional support.


8. On Exam Day

  • Arrive early at the test centre.

  • Read each question carefully—look for key words such as “first step,” “best next investigation,” or “most appropriate management.”

  • Stay calm and trust your preparation.


Final Thoughts

Success in the AMC MCQ exam depends on strategy, practice, and consistency. By following a structured timeline, using the right resources, and focusing on clinical reasoning, candidates can approach the exam with confidence.

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