MAT 2026: The Gateway to Medicine The IMAT (International Medical Admissions Test) remains the mandatory exam for those aiming for Medicine and Surgery or Dentistry at Italian public universities. Purpose: Specifically for medical programs taught in English. Structure: A 100-minute paper-based exam with 60 questions. It heavily emphasizes Biology and Chemistry, alongside General Knowledge and Logical Reasoning. Scoring: Features a high-stakes scoring system (+1.5 for correct, -0.4 for incorrect) designed to discourage blind guessing. Timeline: Unlike the year-round CEnT-S, the IMAT is typically held only once a year in September, with registration opening in July.