Format

MRCP(UK) Part 1 Examination format

The MRCP(UK) Part 1 examination is designed to assess a candidate's knowledge and understanding of the clinical sciences relevant to medical practice and of common or important disorders to a level appropriate for entry to specialist training. Knowledge is an essential base for the practice of clinical reasoning and vital as a basis for learning during postgraduate training to develop understanding of disease and their treatment.

The examination has a two-paper format. Each paper is 3 hours in duration and contains 100 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 content of the examination is based on a blueprint. This outlines the composition of the papers, including the likely number of questions under each broad clinical topic heading. This has been updated to reflect the new terminology used in the new UK Internal Medicine curriculum, and it will be used from the 2020/1 diet of the examination. Details of the new blueprint can be found here.

Specialty

Number of questions*

Cardiology 14
Clinical Pharmacology and Therapeutics 15
Clinical sciences** 25
Dermatology 8
Endocrinology, diabetes and metabolic medicine 14
Gastroenterology and Hepatology 14
Geriatric medicine 8
Haematology 10
Infectious diseases 14
Neurology 14
Oncology 5
Medical ophthalmology 4
Palliative medicine and end of life care 4
Psychiatry 9
Renal medicine 14
Respiratory medicine 14
Rheumatology 14
  200

* This should be taken as an indication of the likely number of questions – the actual number may vary slightly.

** Clinical sciences comprise:

Cell, molecular and membrane biology 2
Clinical anatomy 3
Clinical biochemistry and metabolism 4
Clinical physiology 4
Genetics 3
Immunology 4
Statistics, epidemiology and evidence-based medicine 5

 

A detailed explanation of the marking system adopted for the MRCP(UK) Part 1 Examination can be viewed in the MRCP(UK) Regulations.