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MRCP Guidelines

Examination format of MRCP(UK) Part 1

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.

The MRCP(UK) Part 1 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

The composition of the papers is as follows:

Specialty                                                                                 Number of questions*

Cardiology                                                                                                15
Clinical haematology and oncology                                                 15
Clinical Pharmacology, Therapeutics and Toxicology                 16
Clinical sciences**                                                                                  25
Dermatology                                                                                              8
Endocrinology                                                                                         15
Geriatric medicine                                                                                    4
Gastroenterology                                                                                   15
Infectious diseases and GUM                                                              15
Neurology                                                                                                 15
Nephrology                                                                                               15
Ophthalmology                                                                                          4
Psychiatry                                                                                                    8
Respiratory medicine                                                                             15
Rheumatology                                                                                          15

See also  Experience of MRCP Part 1 and 2 by Dr. Mohamed Sabagh

* 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

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