Get the latest IMAT 2026 News, deadlines, seat updates, and results — click here to check updates

Frequently Asked Questions about the IMAT Exam

We have carefully compiled the most important and frequently asked questions about the IMAT Exam to ensure that every candidate finds clear, reliable answers. This comprehensive guide explores the key concerns of aspiring medical students — from how to effectively prepare for the exam and master its most challenging sections, to what to expect on test day and how to navigate the post-exam process. Whether you’re looking for details about the IMAT syllabus, scoring system, or registration requirements, this resource will help you approach the IMAT Exam with confidence and clarity.

1. What is the IMAT Exam?

The IMAT (International Medical Admissions Test) is a paper-based entrance exam designed for students who wish to apply to English-taught medical and surgery programs at public universities in Italy.

The exam is held annually, typically in September or October, and is required for both EU and non-EU students applying to these programs.

Each year, the Italian Ministry of Education, University, and Research (MUR) sets out the guidelines and content for the IMAT exam. These details are officially published in a decree, typically released in the summer.

Italy offers one of the most unique opportunities in medical education: world-class, English-taught programs at public universities with affordable tuition and global recognition. Students from every corner of the world come to Italy not just for the degree, but for the chance to study in an international environment that blends tradition, innovation, and accessibility.

The only challenge standing between you and that opportunity is the IMAT — a single exam that defines your path to medical or dental school. It’s not about memorizing facts, but about understanding how to think under pressure, reason logically, and stay sharp throughout the test.

That’s where LOCOMOTIVE steps in. We don’t just prepare you for the IMAT — we teach you to master it. With structured guidance, real-exam simulations, and proven strategies, we help you turn the IMAT from an obstacle into your gateway to studying medicine in Italy.

The IMAT exam is open to any EU or non-EU student who wishes to apply to an English-taught medical or surgical program at Italian public universities. These programs are aimed at both domestic and international students who have completed their secondary education and meet the admission requirements set by the universities andthe Italian Ministry of Education.

The IMAT is offered once a year, but there is no limit on the number of times you can take it as long as you apply each year.

The IMAT exam is conducted worldwide in designated test centers. A list of the centers is usually shared a month before the IMAT test. Read more about test centers for IMAT 2025

As of the most recent academic cycle, the Italian public universities offering Medicine and Surgery programs in English are the University of Pavia, University of Bologna, University of Turin, University of Milan, University of Bari “Aldo Moro”, University of Rome Tor Vergata, University of Padua, University of Parma, University of Naples Federico II, University of Campania “Luigi Vanvitelli”, and University of Siena.

In addition, two public universities offer Dentistry and Dental Prosthodontics in English — the Sapienza University of Rome and the University of Siena.

Among private universities, programs in Medicine in English are also available at Humanitas University (Hunimed), Vita-Salute San Raffaele University (UniSR), and Saint Camillus International University of Health and Medical Sciences (UniCamillus).

The registration fee varies slightly by university and location, but it’s usually around €130. Payment is made online during registration through the Universitaly portal.

Yes. Many universities offer regional or merit-based scholarships, often covering tuition and accommodation. These are awarded after enrollment for the scholarships and require proof of financial status or academic merit.

Classes for first-year medical students typically begin in October or November, depending on the university and the timing of the scrolling process.

No, the IMAT exam is not age-limited. There is no specific age requirement to take the IMAT; both younger students who have completed their secondary education and older individuals who meet the eligibility criteria can sit for the exam.

1. What subjects are covered in the IMAT exam?

The IMAT covers:

i. Biology
ii. Chemistry
iii. Physics and Mathematics
iv. General Knowledge and reading skills
v. Logical Reasoning

 

The IMAT exam consists of 60 multiple-choice questions, and the format is as follows:

I) Logical Reasoning and General Knowledge consist of 9 questions designed to evaluate your ability to think critically, solve problems, and analyze information effectively. General Knowledge covers topics like culture, history, current events, and general facts.

II) Biology consists of 23 questions, focusing on topics such as cell biology, genetics, evolution, physiology, and ecology.

III) Chemistry consists of 18 questions, covering topics such as atomic structure, chemical reactions, periodic properties, and organic chemistry.

IV) Physics and Mathematics consist of 13 questions. Physics covers topics such as mechanics, electricity, and thermodynamics, while Mathematics focuses on algebra, geometry, and statistics.

Yes, the IMAT exam is time-limited. The total time allotted for the exam is 100 minutes. During this period, candidates must answer all 60 multiple-choice questions across subjects like logical reasoning, general knowledge, biology, chemistry, physics, and mathematics. 

Given the time constraints, time management is crucial for success, especially since the questions vary in difficulty and cover different topics.

Each correct answer gives 1.5 points, each incorrect answer results in a deduction of -0.4 points, and unanswered questions give 0 points.

The maximum score is 90 points.

There is no fixed passing score. Admission is determined by your rank compared to other candidates, as each university sets its own cut-off point based on the available seats and the level of competition. Read more here about the IMAT Thresholds

Results are calculated based on your performance and released within 3-4 weeks after the Scores and Rankings are published on the Universitaly platform.

No. Calculators, notes, and electronic devices are strictly forbidden. Only pens, an ID document, and the materials provided at the center are allowed.

Bring your passport or ID, the registration confirmation page, and any required local documents mentioned in your confirmation email. You may also bring a bottle of water and small snacks, but all labels must be completely removed. Pens are usually provided by the test center.

Your score is valid only for that academic year. If you plan to reapply, you must retake the IMAT in the next session.

No. Private universities in Italy (like Humanitas, San Raffaele, UniCamillus) have their own entrance exams and do not use IMAT results.

If you fail to appear on the test day, your registration will be automatically canceled, and no refund will be given. You will need to wait for the next session.

1. What are the best resources to prepare for the IMAT?

Students can utilize various resources that cover the IMAT syllabus, including reviewing past IMAT exams to practice and familiarize themselves with the format.

We also offer flexible IMAT courses tailored for students preparing for the exam. These courses include study planners, weekly tests, and mock exams designed to mimic the real IMAT exam format, ensuring that students are well-prepared and confident on test day.

Preparation time varies, but it is recommended to start at least 4 to 6 months before the exam, focusing on both the science subjects and logical reasoning skills.

You should practice all available official IMAT past papers from 2011 to the most recent year. Focus primarily on the latest versions (2020–2024), as they best reflect the current exam format and level of difficulty. Revisiting older papers (2011–2016) remains helpful in practicing logic and critical thinking, but the more recent ones are closer to the question styles of today.

Tolc Exam and test di medicina are the other options that we recommend students to practice.

Aim for at least 8–10 full-length mocks under timed conditions. Review every mistake carefully to understand the reasoning behind correct answers.

LOCOMOTIVE IMAT is for students who want more than just test preparation — it’s for those aiming to build a clear path toward medical or dental school in Italy. Whether you’re starting from zero or refining your final strategy, LOCOMOTIVE gives you the structure, mentorship, and precision you need to turn your IMAT goals into results.

If you’re determined to study medicine or dentistry in Italy and want guidance from students who have already made it, then yes — this program is for you. LOCOMOTIVE offers a complete system that takes you from confusion to clarity, covering every topic, strategy, and exam-day detail needed to secure your place in an Italian medical university.

Our students come from all over the world — united by one goal: to study medicine or dentistry in Italy. LOCOMOTIVE IMAT supports beginners, re-takers, and high scorers alike with a proven roadmap, expert feedback, and resources designed to help you perform at your absolute best.

1. How many universities can I apply to?

EU students are allowed to choose all universities in their application and rank them in their preferred order on the Universitaly

Non-EU students, however, are limited to choosing only one university during the registration process. This means that non-EU students must carefully select the university where they wish to study, as their application will only be considered for that specific institution.

Citizens of the European Union (EU): Individuals with citizenship in any EU member state.

Citizens of the European Economic Area (EEA) include non-EU countries such as Norway, Iceland, and Liechtenstein.

Swiss Citizens: Switzerland is not an EU member, but Swiss citizens are treated similarly to EU nationals for education purposes in

Non-EU nationals with EU-equivalent status: This category encompasses non-EU citizens who have obtained a legal residence permit in Italy. Recently, some universities, such as Parma and Siena, have updated their policies and no longer consider certain non-EU nationals with EU-equivalent status as EU candidates for the IMAT. It’s important to double-check the specific requirements for each university to confirm whether they will treat EU-equivalent candidates the same as EU citizens for admissions purposes. Always review the most up-to-date guidelines provided by individual universities to avoid any confusion during the application process.

The pre-enrollment process is a mandatory step for non-EU students applying to English-taught medical programs in Italy through the IMAT exam. This process is conducted through the Universitaly portal and is designed to secure a study visa and verify eligibility for admission.

Non-EU students must submit a pre-enrollment application on the Universitaly portal, indicating their preferred university and medical program.

Required documents, including educational qualifications, identification (such as a passport), and proof of language proficiency (if applicable), are submitted through the portal.

Head to the Universitaly website and create an account when the registration window opens, typically in the summer.

Then, go to the IMAT section. Complete the application form by entering your personal details, selecting your preferred test center, and specifying your university preferences. Non-EU students are limited to selecting one university, while EU students can choose multiple universities in their preferred order.

Pay the registration fee. You need to pay the required fee, which typically ranges around €130, but the exact amount may depend on your test location. Payment is made through the Universitaly platform.

Once your payment is processed, you will receive an email to confirm your registration and provide further details about your exam location.

To study medicine in Italy, you will need to hold a high school diploma or an equivalent qualification. To be eligible for enrollment in an Italian university, including medical programs, you must demonstrate that you have completed secondary education that meets the admission standards set by the university and the Italian Ministry of Education.

Some universities require both EU and non-EU students, or only non-EU students, to pre-register on their portal system to evaluate their documents. It is essential to check the specific requirements of each university before the exam. This process differs from pre-enrollment.

No. Once the registration is submitted and the fee is paid, test centers cannot be changed. Choose your preferred location carefully before confirming.

1. When should I apply for the visa?

You should apply for your student visa to study medicine in Italy after you receive the results. Please note that visa processing times may vary depending on the country, and you should check the requirements shared by the Italian embassy in your country.

A DOV (Declaration of Value) is an official document issued by an Italian consulate or embassy in your home country, which certifies the value of your foreign qualifications (like a high school diploma) and their equivalence to the Italian education system. The DOV confirms that your diploma allows you to pursue higher education in your home country, and that it meets the requirements for admission to universities in Italy.

Contact the Italian consulate or embassy in your country.

CIMEA (Information Centre on Academic Mobility and Equivalence) provides the Statement of Comparability, a document that helps foreign qualifications be understood and recognized. This document compares your educational degree to the Italian system, ensuring itʼs valid for study or work.

An English language certificate, such as IELTS, is not required to take the IMAT exam. The IMAT (International Medical Admissions Test) is conducted in

English, and your ability to understand and answer questions in English is implicitly tested through the exam. Therefore, the IMAT serves as a sufficient indicator of your English proficiency for most universities.

Some universities may require proof of English proficiency for non-native speakers, especially if they did not complete their previous education in English. Exams such as IELTS or TOEFL may be required. Check the specific language requirements of the university to which you are applying, as they may vary. Some may accept the IMAT score alone as proof of your English skills, while others may require an additional certificate.