More study resources

About this exam

The International Medical Admissions Test (IMAT) is the standardized entrance assessment used by a consortium of Italian universities for admission to English-language degree programmes in Medicine and Surgery, and in some cases Dentistry. It is aimed at final-year secondary students and graduates who hold, or expect to hold, a valid upper-secondary qualification and who want to compete for a limited number of places. The exam is delivered in Italian centres under standardized conditions and is scored by the consortium; individual universities then use that score within their own selection procedures.

The paper is entirely multiple choice and is organized into five sections: logical reasoning and general knowledge; reading comprehension and knowledge acquired in school; biology; chemistry; and physics and mathematics. Questions test recall of core scientific content plus the ability to read critically, interpret data and reason under time pressure. The official consortium publishes the current syllabus, question count, time limit, scoring rules, fees and registration deadlines, so consult its website rather than relying on second-hand figures.

Preparation works best in two layers. First, rebuild the scientific foundations from a solid upper-secondary textbook, especially cell biology, genetics, organic chemistry, mechanics and algebra. Second, practise timed mixed sets so you learn to allocate minutes per question and to skip efficiently. Review every error by topic, keep an error log, and revisit weak areas weekly rather than rereading everything.

What you'll study

Common questions

About IMAT preparation

What is the IMAT used for?

It is the entrance test for English-taught Medicine and Surgery programmes at participating Italian universities, and for some related programmes. Your score is used in the ranking that allocates places, so it matters more than any school-leaving grade for admission purposes.

How many questions are there and how long is the test?

The official consortium sets and periodically revises the question count and time limit. Those figures are published on its website together with the syllabus and scoring rules. Check the current official documentation before you plan your pacing strategy, and do not rely on numbers from older sittings.

How hard is the IMAT?

Difficulty comes less from any single question than from breadth and pace. Most items are at upper-secondary level, but you must switch between biology, chemistry, physics and reasoning within a tight clock. Candidates who know the content but never practise timed mixed sets usually feel the pressure most.

Can I retake the exam?

Retake rules and any limits on attempts are set by the official bodies and can change between cycles. Consult the consortium website and the individual university calls for the current position. Do not assume that unlimited attempts are allowed, and plan your preparation as if each sitting counts.

In what order should I study the sections?

Build content first: biology and chemistry carry the most questions and reward systematic revision. Add physics and mathematics next, since they are formula-driven and improve quickly with drills. Practise reasoning and reading comprehension throughout, in short timed bursts, rather than saving them for the final weeks.

Why do candidates underperform despite knowing the science?

Common causes are slow reading of long stems, refusing to skip a stubborn question, and never simulating full-length timed papers. Others revise passively by rereading notes. Active recall, timed practice and a written error log that you review weekly address most of these problems.

Is the exam in English or Italian?

The English-language version is used for English-taught programmes and is written in English, so scientific terminology should be learned in English. Confirm the language of the specific sitting and programme on the official website, since arrangements can differ between universities and cycles.

How should I use practice questions?

Treat them as diagnostics, not entertainment. Do a timed block, mark it, and record for each error whether the cause was missing knowledge, misreading, or poor time management. Then revisit that topic in your textbook within a few days. Spaced repetition of your own error log beats doing endless fresh questions.

Where do I find official dates, fees and scoring rules?

Only on the official consortium and university websites. Those bodies publish registration windows, fees, the syllabus, scoring and any admission thresholds for the current cycle. This page deliberately gives no figures because they change; verify everything at the source before registering.