MRCP Part 1 Exam format
- MRCP Part 1 exam 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.
- MRCP Part 1 exam has a two-paper format.
- Each paper is 3 hours in duration and contains
- 100 multiple choice questions in the ‘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 MRCP Part 1 Exam format
- 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.
|Specialty||Number of questions|
|Clinical Pharmacology and Therapeutics||15|
|Clinical sciences (Pre-para clinicals)**||25|
|Endocrinology, diabetes and metabolic medicine||14|
|Gastroenterology and Hepatology||14|
|Palliative medicine and end of life care||4|
- NB: This should be taken as an indication of the likely number of questions – the actual number may vary slightly.
- *Clinical sciences comprise (Pre-para clinicals):
|Cell, molecular and membrane biology||2|
|Clinical biochemistry and metabolism||4|
|Statistics, epidemiology and evidence-based medicine||5|
- NB: A detailed explanation of the marking system adopted for the MRCP(UK) Part 1 Examination can be viewed in the MRCP(UK) Regulations.
Sample MRCP Part 1 Questions
1. A 65-year-old woman presented with a 12-hour history of sudden-onset gait unsteadiness, vomiting and headache, followed by increasing drowsiness. What is the most likely diagnosis?
B: acute subdural haemorrhage
C: frontal subdural empyema
D: herpes simplex encephalitis
E: pituitary apoplexy
2. A post-marketing observational study of a new drug was conducted on 5000 patients following clinical trials. What best describes the data generated from this type of study?
C: cost effectiveness
E: profile of adverse effects
3. A 79-year-old woman was admitted for elective hip-replacement surgery. On examination, she was pale. There was 2-cm splenomegaly and there were small discrete axillary lymph nodes. Investigations:
|haemoglobin||107 g/L (115–165)|
|white cell count||34.5 × 109/L (4.0–11.0)|
|platelet count||183 × 109/L (150–400)|
What is the most likely diagnosis?
B: chronic lymphocytic leukaemia
C: chronic myeloid leukaemia
4. A 17-year-old boy presented with a non-blanching rash over his legs, a swollen knee and painless, visible haematuria. Urinalysis showed blood 3+, protein 1+. Investigations:
|serum creatinine||210 µmol/L (60–110)|
|ultrasound scan of kidneys||normal|
What glomerular abnormality is most likely to be present at renal biopsy?
B: foot process fusion
C: linear deposition of IgG on the basement membrane
D: mesangial deposition of IgA
E: thickening of basement membranes
5. A 28-year-old man presented with a 1-month history of weight loss, abdominal distension, flatulence and foul-smelling diarrhoea following a visit to India. Investigations:
|anti-tissue transglutaminase antibodies||negative|
|stool cultures and microscopy||negative|
What is the most likely diagnosis?
B: coeliac disease
D: hookworm infection (ancylostomiasis)
E: viral gastroenteritis
- All You Need to Know About the MRCP Part 1
- All You Need to Know About the MRCP Part 2
- MRCP 2–Written Exam Format
- MRCP Part 2–MRCP PACES
- Preparation for MRCP PACES
- MRCP PACES examination format