Veterinary Internal Medicine exam questions: topics, study tips and free sample questions
Updated 20 October 2026
Veterinary Internal Medicine on the BCSE covers the diagnosis and management of disease across organ systems and species: cardiology, respiratory, gastrointestinal, endocrine, renal, neurological, haematological and infectious disease.
Topics to know in internal medicine
- Cardiac and respiratory disease
- Gastrointestinal and hepatic disease
- Endocrine disorders such as diabetes, Cushing's and Addison's
- Renal and urinary disease
- Neurological localisation and infectious disease
How to study internal medicine for the BCSE
- Use a problem-oriented approach: signs, differentials, tests, treatment.
- Learn the classic presentation of each common disease.
- Review your missed list often, because internal medicine is the largest subject.
- Read every explanation and add questions you miss to a list you clear to zero.
Free internal medicine sample questions
Try these practice questions. Open each one to see the answer and the explanation. They are for study only. These are not official exam questions.
Question 1. A rancher has some calves that have respiratory disease. He says he thinks they have "red nose". What disease is he referring to? GX, res) yd
- Bovine viral diarrhea
- Parainfluenza-3 virus
- Bovine respiratory syncytial virus
- Infectious bovine rhinotracheitis
- Moraxella bovis
Show the answer and explanation
Answer: D. "Red nose" is the lay terminology for infectious bovine rhinotracheitis (IBR) caused by bovine herpesvirus-1 (BHV-1). BHV-1 is associated with a number of syndromes: rhinotracheitis, vulvovaginitis, conjunctivitis, abortion, enteritis, and encephalomyelitis. Prevention with immunization is usually effective. Moraxella bovis is a bacteria that causes infectious bovine keratoconjunctivitis, which can also occur in sheep and goats.
Question 2. Which infectious cause of colitis in horses occurs primarily in June through October, east of the Mississippi River and in California?
- Right dorsal colitis
- Clostridiosis
- Larval cyathostomiasis
- Salmonellosis
- Potomac horse fever
Show the answer and explanation
Answer: E. Potomac horse fever is a syndrome of fever, acute diarrhea, laminitis, and abortion caused by Neorickettsia risticii. N. risticii infects parasites that infect fresh water snails, which are then eaten by mayflies and caddis flies. Horses are infected when they accidentally ingest any of these vectors or the feces of infected birds or bats. Cases are seen most often in June through October, near fresh water, east of the Mississippi River or in California.
Question 3. A birnavirus causes which one of these avian diseases?
- Infectious bronchitis
- Newcastle disease
- Marek's disease
- Infectious laryngotracheitis
- Infectious bursal disease
Show the answer and explanation
Answer: E. Infectious bursal disease (IBD) is caused by a birnavirus. IBD is shed in feces and transferred barn to barn via fomites. Very stable. Difficult to eradicate from premises. Signs include clinical picture given above in older birds, or MORE IMPORTANT subclinical form in young birds, which causes immunosuppression via destruction of immature lymphocytes in bursa, thymus, spleen. Immunosuppressed birds do not respond well to vaccination and are predisposed to infections with normally nonpathogenic viruses and bacteria. Common diseases usually exacerbated by IBDV infections. See large economic losses.
Frequently asked questions
How many internal medicine questions are on the BCSE?
The exam is built from domains with published question ranges. Check the NEB overview for the current table and prepare this subject alongside the others.
How should I study internal medicine for the BCSE?
Use a problem-oriented approach: signs, differentials, tests, treatment. Learn the classic presentation of each common disease. Review your missed list often, because internal medicine is the largest subject.
Where can I practise internal medicine questions?
VetQ has 449 internal medicine practice questions, including 139 with images, with explanations. You can try it free for 48 hours.
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