MRCP(UK) Part 2 Written Examination Format

The MRCP(UK) Part 2 Written Examination has a three-paper format. All papers in the MRCP(UK) Part 2 Written Examination are 3 hours in duration and contain 90 multiple choice questions. The questions will usually have a clinical scenario, may include the results of investigations and may be illustrated with images such as clinical photographs, pathology slides, inheritance trees, ECGs, X-rays, CT and MR scans, and echocardiograms.

Questions are asked about the diagnosis, investigation, management, and prognosis of patients using multiple choice questions in 'best of five' format. This format, in addition to testing core knowledge and comprehension, also assesses the ability to interpret information and to solve clinical problems. There will be five options: one correct answer and four alternatives to the correct answer. The four distractors will be closely related to the preferred option but less correct, therefore acting as plausible alternatives. The candidate chooses the best answer from the five possible answers. Each correct answer is awarded one mark; there is no negative marking.

The composition of the papers is as follows:

Specialty Number of questions*
Cardiology 25
Dermatology 13
Endocrinology and metabolic medicine 25
Gastroenterology 25
Geriatric medicine 10
Haematology 13
Infectious diseases and GUM 25
Neurology 25
Nephrology 25
Oncology and palliative medicine 13
Opthalmology 4
Psychiatry 4
Respiratory medicine 25
Rheumatology 13
Therapeutics and toxicology 25

*This should be taken as an indication of the likely number of questions – the actual number may vary by up to 2%.

A proportion of the questions will be on adolescent medicine.

A detailed explanation of the marking system used for the MRCP(UK) Part 2 Written Examination can be viewed in the MRCP(UK) Regulations.