Confidently transition into New Zealand general practice with MedMCQ — the RNZCGP-endorsed clinical question bank designed to align with local guidelines, clinical priorities, and real-world practice in Aotearoa. Whether you are a seasoned GP from overseas or entering your first New Zealand role, MedMCQ provides a structured, practical way to adapt your clinical decision-making to the New Zealand context.

MedMCQ is Ideal for Overseas Clinicians

Align with New Zealand guidelines
All questions are written and reviewed with reference to New Zealand guidance (including bpacNZ, Health NZ and national screening protocols) so you can quickly learn the local standard of care.

Broaden and update your clinical knowledge
Over 1,400 MCQs across the breadth of general practice, from acute presentations to chronic disease management, preventive care, mental health, and women’s and children’s health.

Focus on real-world primary care scenarios
Cases are drawn from everyday general practice in New Zealand — the kinds of presentations you’ll see in your consulting room.


How MedMCQ Can Help You Settle In

Identify differences between your previous clinical environment and New Zealand practice

Learn local prescribing norms and medicine availability (NZF-aligned)

Familiarise yourself with Māori and Pacific health priorities and culturally safe care principles

Get comfortable with New Zealand-specific screening programmes (e.g. cervical screening, bowel screening, AAA screening)

Refresh guideline-based emergency management in the community setting

Support a smoother transition into clinical practice and integration into your new community.

Tips on Answering Clinical Reasoning MCQs

Answering multiple choice questions (MCQs) in clinical reasoning can feel challenging at first — especially when the scenarios are realistic and the options seem similar. The key is to approach each question systematically rather than relying on gut instinct. Clinical reasoning questions are designed to test how you think, not just what you know.

 

Start by carefully reading the question itself first, especially if it contains wording like “which of the following is NOT” or “which is LEAST likely.” It’s easy to miss negative phrasing or double negatives, which can completely change the meaning of the question. Once you are clear on what the question is asking, go back and read the clinical stem carefully. Focus on the key clinical information — age, symptoms, relevant history, and examination findings — and ask yourself: What is the clinical problem? What is the most likely diagnosis or key issue?

Next, read each answer option carefully. Begin by eliminating clearly incorrect options. Then, compare the remaining options against the clinical details provided. Check your reasoning: Does this option explain all of the findings? Is it the best fit for the scenario? Think clinically — what would you actually do in real life, given this information?

 

Finally, remember that clinical reasoning MCQs often require you to choose the “best” or “most appropriate” answer— not just one that is technically correct. With practice, you’ll get better at spotting common distractors and thinking through the clinical scenario logically. Each question is an opportunity to apply your knowledge in a practical, patient-centred way.