IMAT 2025: Simulations and Exercises Online and PDF

Getting ready for the International Medical Admissions Test (IMAT) 2025 means learning how to practise effectively — not just studying.

Many students ask where to find official simulations, how to train online for free, how to download the PDFs, and, above all, how to understand their results and average scores to know whether they are ready.
In this guide, we’ll go through everything you need: from the official test files published by the Ministry, to how to analyse your mistakes and reproduce the same conditions as on exam day.

The goal is simple: understand how to practise like it’s the real IMAT and use the right tools to make progress without anxiety.

Official simulations: where to find them

Every year, after the test, the Ministry of Universities and Research (MUR) publishes the full official IMAT exam in English, including all questions and the correct answers.

For 2025, you can download the official test paper directly from https://accessoprogrammato.mur.gov.it/compiti/CompitoInglese2025.pdf.
If you want to compare it with the previous edition, you’ll also find the IMAT 2024 test here: https://accessoprogrammato.mur.gov.it/compiti/CompitoInglese2024.pdf.

These official documents allow you to practise with authentic questions and familiarise yourself with the format and language of the exam.

They’re the best benchmark for understanding how questions are phrased and how much reasoning and reading comprehension they require.

All materials come from the official Accesso Programmato section of the Ministry’s website (https://accessoprogrammato.mur.gov.it/2025/index.php?pag=IMT), where you can also find previous test archives and official updates.

Exercises by topic and difficulty (online)

There is no official question bank for IMAT before the exam, but there is one for the Italian medical admission tests published by the Ministry. It’s called Domande AP and is available on https://domande-ap.mur.gov.it/domande.

Even though it’s in Italian, this database covers the same topics defined in the official decree — biology, chemistry, physics, mathematics, and logical reasoning — so it’s extremely useful to train on content that reflects the official syllabus.

For English practice, the most complete way to simulate IMAT-style questions is through TestBuddy, which offers exercises organised by topic and difficulty level.
They are algorithmic fac-similes of the original test: not official, but built to replicate the structure and complexity of the real questions. Each session adapts to your results, so you can train where you’re weakest and keep track of your progress through performance reports.

Free online simulations with correction: how they work

On TestBuddy you can access free IMAT simulations that mirror the real exam: 60 questions, five answer options per question, and 100 minutes total time — just like in the official decree (https://www.mur.gov.it/sites/default/files/2025-08/Decreto%20ministeriale%20n.%20599%20del%2007-08-2025.pdf).

Each simulation automatically applies the official scoring rules:

• +1.5 points for each correct answer
• −0.4 for each wrong answer
• 0 points for questions left blank

At the end of the test, you receive a detailed report with your total score out of 90, the breakdown by subject, and even the average time per question.
This system allows you to monitor your improvement and correct your recurring mistakes without needing any manual calculation.

Even though these simulations are not official, they are built to be algorithmically identical to the real IMAT, so that training feels exactly like sitting the exam.

PDF simulations: how to use them effectively

If you prefer to practise offline, you can download and print the official IMAT PDFs.
Use the 2025 paper (https://accessoprogrammato.mur.gov.it/compiti/CompitoInglese2025.pdf) or the 2024 one (https://accessoprogrammato.mur.gov.it/compiti/CompitoInglese2024.pdf).

To make your practice realistic, set a timer for 100 minutes, print the pages double-sided, and mark only one answer per question using a black pen — exactly as required in the official instructions.
Avoid writing notes or calculations on the answer sheet; instead, use a separate rough-work sheet just like during the real test.

Reproducing these small details helps you get used to the pressure, timing, and rhythm of the real IMAT day.

How to analyse your results and progress

Once you’ve completed a simulation, start by looking at your total score on the 0–90 scale. This gives you a first sense of your distance from the minimum threshold of 20 points required for EU candidates and non-EU residents in Italy.

Then, focus on three key analyses:

1. By subject area – Check your strongest and weakest sections. Biology and chemistry represent 38 questions out of 60, so improving even a few answers here can make a big difference.
2. By time – With 100 minutes for 60 questions, the average is about 1 minute and 40 seconds per question. Tracking how much time you spend helps identify where you lose pace.
3. By error type – Separate mistakes due to misunderstanding, distraction, or lack of knowledge.

In TestBuddy, this analysis happens automatically: the platform shows your weak areas and suggests follow-up exercises to fix them. That’s how each simulation becomes a concrete step forward rather than just a score.

Average scores, benchmarks, and goals to aim for

The official scoring system (1.5 for correct, −0.4 for wrong, 0 for blank) creates a very specific pattern: balancing risk and accuracy is essential.

A few examples help make it clear:

• 40 correct, 10 wrong, 10 blank → 56 points
• 35 correct, 5 wrong, 20 blank → 50.5 points
• 30 correct, 15 wrong, 15 blank → 39 points

Setting a goal between 50 and 60 points across several consecutive simulations is a realistic target to ensure admission safety, since the national minimum is 20 but competition is usually much higher.

The official decree also specifies how tie-breaks are resolved: biology scores come first, followed by chemistry, physics and mathematics, logical reasoning, and reading skills. You can read these rules directly in the official document at https://www.mur.gov.it/sites/default/files/2025-08/Decreto%20ministeriale%20n.%20599%20del%2007-08-2025.pdf.

Recreating real conditions: timing, environment, and rules

When training, replicate exam conditions as closely as possible.
Use only a black pen, keep your phone and notes away, and sit in a quiet room. Start the simulation at 11:00 a.m., the same time used in Italian IMAT sessions.

Get used to marking one single box per question, avoid random guessing, and respect the total time limit. These habits will make the real exam day much smoother.

All the official conduct rules and timing instructions are written in Annex 1 of the decree, available at https://www.mur.gov.it/sites/default/files/2025-08/Decreto%20ministeriale%20n.%20599%20del%2007-08-2025%20-%20Allegati%20D.M.%201_2_3_definitivo%206.08.2026.pdf.

Turning everything into an effective study plan

To build a solid plan, alternate between topic-based exercises and full simulations.
During the week, focus on small sets by subject; then, at the weekend, do a full-length TestBuddy simulation to test your overall performance.

After every attempt, review your report, check your timing and accuracy, and revise the weakest areas first. Over time, this process creates a measurable path toward your target score.

If you want to verify the full official structure, scoring, and seat distribution, you’ll find everything inside the IMAT 2025 decree (https://www.mur.gov.it/sites/default/files/2025-08/Decreto%20ministeriale%20n.%20599%20del%2007-08-2025.pdf) and on the Accesso Programmato page (https://accessoprogrammato.mur.gov.it/2025/index.php?pag=IMT).

With these references and regular training on TestBuddy, it becomes easier to track your progress, lower anxiety, and study with purpose.