Myndaq AI
Home EN ES
Spain's national residency exam · one score, one ranking

MIR exam preparation online — timed mocks and an AI tutor

The MIR decides which specialty and which hospital you can choose — in strict rank order. Myndaq trains you the way the exam scores you: clinical questions with negative marking, weakness-first analytics across the whole MD curriculum, and an AI tutor that explains every answer.

No card needed · Start in 30 seconds
¿Prefieres leerlo en español? →
Conceptual exam preparation illustration
Myndaq · AI illustration
Ilustración de dos médicos graduados estudiando un caso clínico en una biblioteca.
El razonamiento clínico empieza aquí.Ilustración creada con IA
About the MIR

The exam that ranks every future doctor in Spain

The MIR (Médico Interno Residente) is Spain's national exam for entry into specialist medical training, held every year on the last Saturday of January. You answer 210 multiple-choice questions — 200 scored plus 10 reserve — with 4 options each, in a single 4h30 sitting, including a separate image booklet (cuadernillo) of around 25 image-based questions. Marking is net: +3 for a correct answer, −1 for a wrong one, 0 for a blank — a −0,33 penalty per question. Your net score (max 600) combines with your academic record in the baremo — 90% exam, 10% expediente — to produce your número de orden, the national rank that decides when you pick your specialty and hospital.

210
preguntas — 200 scored + 10 reserve, 4 options each
4h30
270 minutes, one sitting — last Saturday of January
600
maximum net score — +3 / −1 / 0 marking
90/10
baremo: 90% exam + 10% academic record → número de orden
How the score becomes a rank

Net score → baremo → número de orden

1 · Net marking
+3 −1 0

Correct +3, wrong −1, blank 0 — the classic −0,33 penalty. Knowing when NOT to answer is a trainable skill, and every Myndaq practice session scores you exactly this way.

2 · The baremo
90% exam (net, max 600)10% expediente

Your final baremo weighs the exam at 90% and your academic record at 10%. The exam day is where the ranking is really decided.

3 · The cut line
nota de corte · 35%

To be ranked at all you must clear the nota de corte: 35% of the mean of the ten best exams that year. Below it there is no número de orden — above it, every extra net point moves you up the national list.

What you face

The whole MD curriculum, in one afternoon

18 clinical specialties Case vignettes with 4 options Cuadernillo de imágenes · ~25 image questions
🩺 Clinical questions across every specialty

Medicine, surgery, paediatrics, obstetrics & gynaecology, psychiatry, preventive medicine and statistics — the MIR draws on all 18 clinical specialties. Most questions are self-contained case vignettes: read, reason, commit.

🖼️ The image booklet

Around 25 questions come with a clinical image in a separate cuadernillo — radiology, ECGs, dermatology, histology. Reading the image IS the question, and it is a skill you can drill.

⚖️ Strategy under negative marking

With +3 / −1 / 0, a guess is a bet and a blank is a choice. Training with the real penalty teaches you which bets to take — the difference of hundreds of ranking positions.

Practice that scores like the exam

Clinical vignettes with the real penalty

Four options, one best answer, net scoring on every session. You see your neta move question by question — and you learn, with data, when answering beats leaving it blank. All in Spanish, the language of your exam.

Myndaq AI Tutor

A tutor on every single question

The tutor sees the exact question you are on. Ask why the distractor is wrong, what the guideline says, or how to reason from the vignette — it guides your thinking and explains every answer, step by step, without ever just handing you the letter.

The cuadernillo, trained

Image questions as their own skill

Roughly 25 of your 210 questions hang on an image — an ECG, a radiograph, a dermatology photo. Myndaq treats image reading as a first-class practice surface, so exam day's booklet feels familiar, not frightening.

Score-first analytics

Know where you stand — before January does

Net score today
your current neta on the 600 scale, with the −0,33 penalty applied
Days to the exam
counting down to the last Saturday of January
Weakest specialties
ranked by the net points they are costing you
Your next move
one concrete recommendation, recalculated as you practise

Why Myndaq for the MIR

🧠
A tutor on every question

Ask anything about the vignette you are on — the AI tutor explains the reasoning in Spanish, step by step.

🎯
Real-format practice

4-option vignettes, net scoring with the −0,33 penalty, image questions — the exam's rules on every session.

📈
Score-first analytics

Your neta, your weakest specialties, and your next move — recalculated every time you practise.

📱
Study anywhere

Browser-based on any device — a guardia-friendly way to keep the streak alive between shifts.

Three rungs up the ranking

01
Start free in 30 seconds

Sign in with Google and start practising immediately — no card, no setup.

02
Practise with the penalty on

Clinical vignettes and image questions, scored +3 / −1 / 0 — with the tutor whenever you need it.

03
Attack your weakest front

Analytics rank the specialties costing you net points — climb by fixing exactly those.

MIR questions, answered

How is the MIR scored?

Net marking: +3 for each correct answer, −1 for each wrong one, 0 for a blank — equivalent to a −0,33 penalty per question. 200 of the 210 questions are scored (10 are reserve), and the maximum net score is 600.

What is the número de orden and the baremo?

Your baremo combines the exam (90%) with your academic record (10%). The result places you on a single national list — your número de orden — and you choose specialty and hospital strictly in that order.

What is the nota de corte?

The minimum to be ranked: 35% of the mean score of the ten best exams that year. Clear it and every additional net point improves your position.

How long is the exam, and when is it held?

One sitting of 4 hours 30 minutes (270 minutes) for 210 questions with 4 options each, held every year on the last Saturday of January.

Are there image questions?

Yes — around 25 questions reference clinical images (radiology, ECGs, dermatology, histology) in a separate booklet, the cuadernillo de imágenes. Myndaq drills image-based questions as their own practice surface.

Is Myndaq's MIR practice in Spanish?

Yes. Questions, options and explanations are written in Spanish, matching the language of the real exam — and this page has a full Spanish version at /exam/mir/es.

Start free. Upgrade when it clicks.

Try MIR practice with the AI tutor for free. When you are ready for more, see plans on the welcome page.

See how it works →

Every net point is a rung. Start climbing today.

Clinical practice, the real penalty, and a tutor that never leaves your side.

No card needed · Start in 30 seconds

Myndaq is an AI-powered preparation platform for the MIR, Spain's national exam for entry into specialist medical training. Practise clinical case questions across the full MD curriculum with the exam's real net scoring — +3 for correct, −1 for wrong, 0 for blank — train the image-based questions of the cuadernillo, and track the net score that drives your número de orden, with a Myndaq AI Tutor that explains every answer in Spanish, on any device, right in your browser.

YOUR NEXT STEP

Resources for MIR

Find a guide, explore a useful tool or compare your next course.

Sample questions

Try 5 real MIR questions

Taken from the 2,835-item MIR bank on Myndaq. Work them here; sign in (Google or email link, no card) to check each answer and have the AI tutor explain why the other options are wrong.

  1. Question 1 · medium · Zoonosis Y Enfermedades Importadas · Diagnostico Microbiologico

    Mujer de 45 años, veterinaria, con fiebre prolongada, neumonía atípica y hepatitis granulomatosa. Refiere contacto con ganado ovino durante la época de partos. La serología muestra anticuerpos frente a antígenos de fase II elevados. ¿Cuál es el diagnóstico más probable?

    • Brucelosis
    • Leptospirosis
    • Psitacosis
    • Fiebre Q (Coxiella burnetii)
    Check your answer with the AI tutor →
  2. Question 2 · hard · Infecciones Respiratorias Altas Y Bajas

    Niño de 3 años acude a urgencias por la noche con tos metálica 'perruna', estridor inspiratorio en reposo y disfonía, precedidos de un cuadro catarral leve. Está afebril o con febrícula, presenta tiraje leve y buen estado general, sin babeo ni aspecto tóxico. ¿Cuál es el tratamiento más adecuado?

    • Dexametasona oral; añadir adrenalina nebulizada si el estridor es intenso o hay dificultad respiratoria
    • Amoxicilina-clavulánico y observación domiciliaria sin corticoides
    • Intubación orotraqueal urgente y antibioterapia intravenosa de amplio espectro
    • Salbutamol nebulizado y corticoide inhalado
    Check your answer with the AI tutor →
  3. Question 3 · medium · Tuberculosis Diagnostico Tratamiento

    Varón de 45 años en tratamiento antituberculoso con isoniazida, rifampicina, pirazinamida y etambutol. A las tres semanas refiere disminución de la agudeza visual y alteración en la discriminación de los colores rojo-verde. ¿Qué fármaco es el principal responsable?

    • Rifampicina
    • Isoniazida
    • Etambutol
    • Pirazinamida
    Check your answer with the AI tutor →
  4. Question 4 · hard · Criterios Programas Cribado

    Un comité valora implantar un cribado poblacional de una enfermedad. Según los criterios clásicos de Wilson y Jungner, ¿cuál de las siguientes circunstancias sería un argumento SÓLIDO A FAVOR de implantar el programa?

    • La prueba de cribado es muy invasiva, cara y mal aceptada por la población
    • No se dispone de tratamiento que modifique el curso de la enfermedad detectada precozmente
    • Existe una fase preclínica detectable y un tratamiento eficaz que mejora el pronóstico si se aplica precozmente
    • La enfermedad es muy poco frecuente y de escaso impacto en salud pública
    Check your answer with the AI tutor →
  5. Question 5 · hard · Infecciones Y Tumores Oseos · Osteoporosis Y Enfermedad Metabolica

    Varón de 72 años que consulta por dolor lumbar de reposo, pérdida de peso y anemia. La analítica muestra calcio de 3,1 mmol/L, insuficiencia renal e hipergammaglobulinemia monoclonal. La radiografía de cráneo muestra lesiones líticas 'en sacabocados' sin reacción esclerótica. ¿Cuál es el diagnóstico más probable?

    • Metástasis de carcinoma de próstata
    • Enfermedad de Paget ósea
    • Mieloma múltiple
    • Hiperparatiroidismo primario
    Check your answer with the AI tutor →
Exam essentials

MIR at a glance

The MIR is Spain's national entrance exam for medical residency (Formación Sanitaria Especializada): one ranked test, sat once a year, that decides which specialty and hospital each physician can choose. Open to holders of a degree that qualifies for the medical profession, including recognised foreign degrees.

Baseline source review of Ministerio de Sanidad's pages: . Dates and fees change between cycles — the official page linked on each row is authoritative.

Conducting body
Ministerio de Sanidad (Gobierno de España); the convocatoria is published in the BOE
Source: BOE — Orden SND/854/2026 ↗
Exam date
A Saturday in late January, 14:00 (13:00 in the Canaries)
The exact date is fixed for each cycle by the convocatoria order in the BOE
Source: BOE — Orden SND/854/2026 ↗
Application window
Ten working days in early September, both inclusive
One window only, set by that cycle's order; there is no late or extraordinary window
Source: BOE — Orden SND/854/2026 ↗
Places (Medicina)
A little over 9,000
Set afresh in each convocatoria order; the figure has risen from one call to the next
Source: BOE — Orden SND/854/2026 ↗
Format
One objective test: 200 questions + 10 reserve questions
Reserve questions count only if an original is annulled
Source: BOE — Orden SND/854/2026 ↗
Duration
4 hours 30 minutes
Source: BOE — Orden SND/854/2026 ↗
Fee
€31.10
Exemptions: victims of terrorism, large families, ≥33% disability, unemployed applicants meeting the order's conditions
Source: BOE — Orden SND/854/2026 ↗
FAQ

MIR — common questions

When is the MIR exam and when do I apply?

The exam falls on a Saturday in late January, at 14:00 peninsular time (13:00 in the Canaries). Applications are accepted only inside one short window in early September, described in recent orders as ten working days, both days inclusive, through the Ministerio de Sanidad. There is no late window, so missing it means waiting a full year. The convocatoria order in the BOE fixes both dates for each cycle.

How many questions does the MIR have and how long is it?

One sitting of 200 scored questions plus 10 reserve questions (210 on the paper), four and a half hours, multiple choice with four options. Reserve questions only count if an original question is annulled.

How many places does the MIR offer?

Recent calls have offered a little over 9,000 Medicina places, and the figure has risen from one call to the next; each convocatoria order sets it. Places are allocated in order of número de orden, so the ratio of candidates to places is what sets how competitive each specialty is.

What does the MIR cost?

The derechos de examen are €31.10. Exemptions apply to victims of terrorism, members of large families, people with a recognised disability of 33% or more, and unemployed applicants who meet the conditions in the order.

Can a foreign medical graduate, for example from India, sit the MIR?

Yes, if you hold a degree that qualifies you to practise medicine and it is recognised (homologated) in Spain. Nationals of countries where Spanish is not an official language must show sufficient Spanish. Homologation can take a long time, so start it well before the September window.

Is the Myndaq MIR practice in Spanish?

Yes. The AI tutor explains answers in Spanish and a fully Spanish course page exists at /exam/mir/es. The free mock follows the real format — one continuous timed paper — with one attempt per account and no payment card.

What does the Myndaq MIR course include?

Practice across Especialidades médicas, Cirugía y especialidades quirúrgicas, Pediatría, Ginecología y Obstetricia, Psiquiatría, Farmacología, Estadística y Medicina Preventiva, Bioética y Medicina Legal, Imagen Clínica with an AI tutor that explains every answer, plus progress analytics.

Is there a free MIR mock test?

Myndaq runs a free mock test programme. Availability varies by exam and publication status — check the free mock tests page. One attempt per account, for one eligible exam; sign in with Google or an email link, no payment card required. See free mock tests →