# Internal Medicine Interview > 361 Internal Medicine Training (IMT) interview questions with model answers across the clinical, ethics and portfolio stations of the UK IMT national interview. £97. ## Pages - [Preparation guide](https://www.internalmedicineinterview.com/The-Interview): How to prepare, station by station - [Free sample questions](https://www.internalmedicineinterview.com/Sample-Questions): Try real questions before buying - [Pricing and registration](https://www.internalmedicineinterview.com/Question-Bank/Register): Access options, prices and FAQs - [Contact](https://www.internalmedicineinterview.com/Contact-Us): Support and general enquiries - [Interview Overview](https://www.internalmedicineinterview.com/The-Interview/Interview-Overview): IMT interview info - [Portfolio Station](https://www.internalmedicineinterview.com/The-Interview/Portfolio-Station): IMT interview info - [Clinical Station](https://www.internalmedicineinterview.com/The-Interview/Clinical-Station): IMT interview info - [Ethics Station](https://www.internalmedicineinterview.com/The-Interview/Ethics-Station): IMT interview info - [Application Overview](https://www.internalmedicineinterview.com/The-Interview/Application-Overview): IMT interview info ## Internal Medicine Knowledge Library - [Acute Asthma: The Severity Table, Oxygen Targets and Who Goes to Intensive Care](https://www.internalmedicineinterview.com/knowledge/acute-asthma): Acute severe asthma in adults is any one of a peak flow of 33 to 50% of best or predicted, a respiratory rate of 25 per minute or more, a he - [Acute Coronary Syndrome: The ECG, the Troponin and the Reperfusion Clock](https://www.internalmedicineinterview.com/knowledge/acute-coronary-syndrome): NICE NG185 turns STEMI into a clock: offer primary PCI if the patient presents within 12 hours of symptom onset and PCI can be delivered wit - [Acute Heart Failure: Natriuretic Peptides, Intravenous Diuretics and What NICE Says Not to Give](https://www.internalmedicineinterview.com/knowledge/acute-heart-failure): NICE CG187 rules out new acute heart failure with a BNP below 100 ng/L or NT-proBNP below 300 ng/L, treats with intravenous loop diuretic as - [Acute Kidney Injury: Staging, the Reversible Causes and When to Call Renal](https://www.internalmedicineinterview.com/knowledge/acute-kidney-injury): Stage AKI on creatinine rise or urine output, work through pre-renal, renal and post-renal causes, and know the four indications for urgent - [Acute Liver Failure and Decompensated Cirrhosis: The BSG/BASL Six-Hour Bundle and When to Call the Transplant Unit](https://www.internalmedicineinterview.com/knowledge/acute-liver-failure-and-decompensated-cirrhosis): Decompensated cirrhosis is jaundice, ascites, encephalopathy or suspected variceal bleeding in a known cirrhotic, managed with the BSG/BASL - [Acute Pancreatitis: Diagnosis, Fluids, No Prophylactic Antibiotics and Feeding Within 72 Hours](https://www.internalmedicineinterview.com/knowledge/acute-pancreatitis): Acute pancreatitis is confirmed by a raised lipase or amylase, or CT if they are not raised; NICE NG104 says do not give prophylactic antimi - [Acute Stroke and Thrombolysis Windows: 4.5 Hours, 6 Hours and 24 Hours](https://www.internalmedicineinterview.com/knowledge/acute-stroke-and-thrombolysis-windows): NICE NG128 sets three windows in acute ischaemic stroke: thrombolysis with alteplase or tenecteplase within 4.5 hours of symptom onset, thro - [Acute Upper GI Bleeding: Risk Scores, Resuscitation and Endoscopy Timing](https://www.internalmedicineinterview.com/knowledge/acute-upper-gi-bleeding): Score every upper GI bleed with the Glasgow-Blatchford score at first assessment; a score of 0 can be considered for early discharge without - [Alcohol Withdrawal: Who to Admit, Symptom-Triggered Benzodiazepines and Wernicke's](https://www.internalmedicineinterview.com/knowledge/alcohol-withdrawal): NICE CG100 admits anyone in, or at high risk of, alcohol withdrawal seizures or delirium tremens, treats with a symptom-triggered benzodiaze - [Anaphylaxis: Adrenaline 500 Micrograms IM, the Five-Minute Repeat and Refractory Anaphylaxis](https://www.internalmedicineinterview.com/knowledge/anaphylaxis): Anaphylaxis is a sudden-onset, life-threatening airway, breathing or circulation problem, treated with 500 micrograms of intramuscular adren - [Bacterial Meningitis: The Red Flag Combination, Antibiotics Within an Hour and When Not to Tap](https://www.internalmedicineinterview.com/knowledge/bacterial-meningitis): NICE NG240 asks you to strongly suspect bacterial meningitis in anyone with the red flag combination of fever, headache, neck stiffness and - [COPD Exacerbation: Controlled Oxygen, Prednisolone 30 mg and the Case for NIV](https://www.internalmedicineinterview.com/knowledge/copd-exacerbation): NICE NG115 recommends 30 mg oral prednisolone daily for 5 days in a COPD exacerbation, and non-invasive ventilation as the treatment of choi - [Capacity and the Mental Capacity Act](https://www.internalmedicineinterview.com/knowledge/capacity-and-the-mental-capacity-act): A capacity answer at the IMT interview has two parts: the Mental Capacity Act 2005's two-stage test (an impairment of the mind or brain, and - [Community-Acquired Pneumonia and CURB-65: The Score, the Four-Hour Targets and the New Steroid](https://www.internalmedicineinterview.com/knowledge/community-acquired-pneumonia-and-curb-65): NICE NG250, which replaced NG138 in September 2025, keeps CURB65 in hospital and adds two four-hour targets: chest X-ray within 4 hours of p - [Confidentiality](https://www.internalmedicineinterview.com/knowledge/confidentiality): GMC Confidentiality 2017 says the duty is important but not absolute: you may disclose with consent, for a patient who lacks capacity when i - [DNACPR and ReSPECT Conversations](https://www.internalmedicineinterview.com/knowledge/dnacpr-and-respect-conversations): GMC end-of-life guidance says a recorded DNACPR decision is not in itself legally binding, and is a clinical assessment made in advance by t - [Delirium and the Frail Patient](https://www.internalmedicineinterview.com/knowledge/delirium-and-the-frail-patient): Delirium is an acute, fluctuating disturbance of attention and cognition with an underlying cause. NICE CG103 asks you to screen anyone aged - [Diabetic Ketoacidosis: Diagnosis, Fixed-Rate Insulin and the Traps](https://www.internalmedicineinterview.com/knowledge/diabetic-ketoacidosis): DKA needs all three of ketonaemia, acidosis and hyperglycaemia (or known diabetes); treat with fluid first, then fixed-rate insulin at 0.1 u - [Duty of Candour](https://www.internalmedicineinterview.com/knowledge/duty-of-candour): There are two duties of candour: a professional one on you, set out in the GMC and NMC joint guidance, and a statutory one on the organisati - [Hypercalcaemia: Severity Bands, Saline First and When Bisphosphonates Work](https://www.internalmedicineinterview.com/knowledge/hypercalcaemia): Adjusted calcium above 3.5 mmol/L needs urgent correction: intravenous 0.9% saline 4 to 6 litres in 24 hours first, then zoledronic acid 4 m - [Hyperkalaemia: Severity, Protecting the Heart and the Five Steps](https://www.internalmedicineinterview.com/knowledge/hyperkalaemia): The UK Kidney Association's October 2023 guideline defines hyperkalaemia as a serum potassium of 5.5 mmol/L or above, severe at 6.5 mmol/L o - [Hypertensive Emergency: 180/120, Accelerated Hypertension and Same-Day Referral](https://www.internalmedicineinterview.com/knowledge/hypertensive-emergency): NICE NG136 says a clinic blood pressure of 180/120 mmHg or higher with retinal haemorrhage or papilloedema, or with life-threatening symptom - [Hyponatraemia: Symptoms, Hypertonic Saline and the Correction Limits](https://www.internalmedicineinterview.com/knowledge/hyponatraemia): Society for Endocrinology 2022 guidance says hyponatraemia is treated on the patient's symptoms rather than the sodium number: 150 mL of 3% - [New-Onset Atrial Fibrillation: The 48-Hour Rule, Rate Versus Rhythm and Stroke Risk](https://www.internalmedicineinterview.com/knowledge/new-atrial-fibrillation): NICE NG196 splits new-onset atrial fibrillation on one number: under 48 hours from onset you may offer either rate or rhythm control, and ov - [Paracetamol Overdose](https://www.internalmedicineinterview.com/knowledge/paracetamol-overdose): Paracetamol overdose is managed by timing the ingestion, taking a level at four hours or later, plotting it against the 100 mg/litre treatme - [Pulmonary Embolism and Wells Scoring: More Than 4 Points, and What Follows](https://www.internalmedicineinterview.com/knowledge/pulmonary-embolism-and-wells-scoring): NICE NG158 splits suspected pulmonary embolism on the two-level Wells score: more than 4 points is PE likely and goes to immediate CTPA, and - [Seizure and Status Epilepticus: The Five-Minute Rule and the Benzodiazepine Ladder](https://www.internalmedicineinterview.com/knowledge/seizure-and-status-epilepticus): NICE NG217 defines convulsive status epilepticus as seizures lasting 5 minutes or more, treats it with a benzodiazepine immediately, a secon - [Sepsis and NEWS2: Recognition, the First Hour and Escalation](https://www.internalmedicineinterview.com/knowledge/sepsis-and-news2): NEWS2 is a track-and-trigger tool, not a diagnosis; suspect sepsis in any patient with likely infection and a NEWS2 of 5 or more, and delive - [The SBAR Handover](https://www.internalmedicineinterview.com/knowledge/the-sbar-handover): NHS England describes SBAR as situation, background, assessment and recommendation, a structured way of communicating information that requi - [The Struggling Colleague](https://www.internalmedicineinterview.com/knowledge/the-struggling-colleague): GMC Good medical practice 2024 paragraph 51 gives the whole answer in two sentences: you must be compassionate towards colleagues who have p ## Blog (application-cycle news and preparation guides) - [IMT Ethics, Professionalism and Governance Scenarios (2027)](https://www.internalmedicineinterview.com/blog/imt-ethics-professionalism-and-governance-scenarios-2027): The Internal Medicine Training interview ends Station 1 with an ethics, professionalism and governance scenario of up to five minutes, score - [IMT Interview Resources Compared 2027](https://www.internalmedicineinterview.com/blog/imt-interview-resources-compared-2027): Six Internal Medicine Training interview resources rated 1 to 5 on seven criteria, with prices read on 11 September 2026: internalmedicinein - [IMT Offers, Ranking and Preferences 2027](https://www.internalmedicineinterview.com/blog/imt-offers-ranking-and-preferences-2027): Internal Medicine Training offers for 2027 are made in rank order of the weighted interview score against your programme preferences, with i - [The IMT Clinical Station and the One-Minute Handover (2027)](https://www.internalmedicineinterview.com/blog/imt-clinical-station-and-the-one-minute-handover-2027): Station 2 of the Internal Medicine Training interview is one clinical scenario of up to ten minutes, covering investigations, diagnosis and - [The IMT Two-Minute Presentation and the Suitability Questions (2027)](https://www.internalmedicineinterview.com/blog/imt-two-minute-presentation-and-the-suitability-questions-2027): Station 1 of the Internal Medicine Training interview opens with a two-minute spoken presentation, no slides, then questions on your applica - [IMT Interview 2027: Two Stations, Timings, the /96 Scoring and Appointability](https://www.internalmedicineinterview.com/blog/imt-interview-2027-two-stations-timings-the-96-scoring-and-appointability): The Internal Medicine Training interview is two 11-minute stations on Qpercom Recruit, scored by two interviewers on seven areas from 1 to 5 - [IMT Self-Assessment 2027: Every Domain and Its Points](https://www.internalmedicineinterview.com/blog/imt-self-assessment-2027-every-domain-and-its-points): The Internal Medicine Training self-assessment is scored out of 30 for 2027, with the five IMT-only points removed. Every domain and option - [IMT Application 2027: Dates, Eligibility and the Competition Ratio](https://www.internalmedicineinterview.com/blog/imt-application-2027-dates-eligibility-and-the-competition-ratio): Internal Medicine Training applications for 2027 open at 10am on 22 October 2026 and close at 4pm on 19 November 2026. Full GMC registration ## For agents - [AI information](https://www.internalmedicineinterview.com/ai-info): what the product is, price, question counts and key URLs - [Skill](https://www.internalmedicineinterview.com/skill.md): how an assistant should use this site - [MCP server card](https://www.internalmedicineinterview.com/.well-known/mcp/server-card.json) - [Sitemap](https://www.internalmedicineinterview.com/sitemap.xml) ## FAQ ### How much does registration cost? The Internal Medicine Interview Question Bank costs £97, reduced from £145, for access up to the next interview date. ### Can I register for longer access? Yes. If you would like longer access please contact us. ### Is my payment secure? Payment is fully secure. Transactions are handled via Stripe. We accept all major credit and debit cards including AMEX. ### What happens after I buy access? When purchasing access via Stripe you will be instantly taken to a payment success page from where you can login and change your password. ### I have purchased access but haven’t received my login details or an email Occasionally email filters send the automated email to your junk or spam folder. Please check these folders within your email client. If you are still unable to locate the email please contact us for assistance. We aim to answer all queries within 72 hours. ### What terms and conditions am I bound by when purchasing access Full Terms and Conditions and our Privacy Policy can be found by following their respective links. In short you are not permitted to copy or disseminate images or questions and we are unable to offer a refund following purchase as you will be in receipt of the full product upon completion of purchase. ### I have successfully gained a internal medical training number. Can I get involved with the website? Absolutely. We are always looking for tutors and content creators to help expand the website and help foundation doctors gain internal medical training numbers. If you are interested in getting involved drop us an email via our contact form.