European Specialty Examination in Nephrology — Information & Free Practice
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Exam Review
About European Specialty Examination in Nephrology
European Specialty Examination in Nephrology · GB
Key exam facts
- Provider
- Joint partnership: European Renal Association (ERA), European Section and Board of Nephrology, UK Kidney Association, and Federation of the Royal Colleges of Physicians of the UK. Surpass administers computer-based delivery at test centres.
- Format
- English-language, in-centre computer-based knowledge examination; two papers on the same day, with best-of-five multiple-choice questions (one correct option and four alternatives). One mark per correct answer, no negative marking.
- Exam questions
- Total questions: 200.
- Time limit
- 3 hours of answering time per paper; 6 hours across two papers. This is answering time, not a claim about check-in, tutorials or breaks.
- Passing score
- Pass standards are equated, so the raw percentage required can vary between sittings. The latest ESENeph results report linked from the current examination page (2025) reports a scaled passing score of 422, corresponding to 134/196 in February 2025 and 127/196 in November 2025. Those historical raw cut-offs are not asserted for later sittings.
- Exam fee
- UK test centres: GBP £700. ESENeph full member, associate member and observer countries: EUR €800. All other countries and territories: GBP £875; category depends on sitting location.
Topics covered
Glomerulonephritis, tubulointerstitial nephritis (incl. vasculitis, anti-GBM disease, SLE) (15%)
Acute kidney injury, acute renal replacement therapy, disorders of fluid, electrolytes and acid base (13%)
Chronic kidney disease, haematuria, proteinuria (12%)
Renal bone disease, renal anaemia (6%)
Cardiovascular disease, hypertension, renovascular disease and diabetes (10%)
Urological presentations including renal stone disease, urinary tract infection and obstruction (7%)
Inherited and rarer diseases (7%)
Peritoneal dialysis (4%)
Haemodialysis (7%)
Renal transplantation (7%)
Other (12%)
- Therapeutics & safe prescribing
- Renal disorders in pregnancy
- Infection in the renal patient
- Active supportive (non-dialysis) care
- Nutrition
- Practical procedures
- Sexual health
- Adult-paediatric interface
- End-of-life care
How to prepare
Work through the topics, read the explanation after each answer, and revisit the areas where you miss questions. Use the official outline and reference materials below to guide your study.
These independent practice questions are not actual exam items and do not guarantee a passing result.
Frequently asked questions
What is the exam format?
English-language, in-centre computer-based knowledge examination; two papers on the same day, with best-of-five multiple-choice questions (one correct option and four alternatives). One mark per correct answer, no negative marking.
How many questions are on the exam?
Total questions: 200.
How long is the exam?
3 hours of answering time per paper; 6 hours across two papers. This is answering time, not a claim about check-in, tutorials or breaks.
What is the passing score?
Pass standards are equated, so the raw percentage required can vary between sittings. The latest ESENeph results report linked from the current examination page (2025) reports a scaled passing score of 422, corresponding to 134/196 in February 2025 and 127/196 in November 2025. Those historical raw cut-offs are not asserted for later sittings.
How much does the exam cost?
UK test centres: GBP £700. ESENeph full member, associate member and observer countries: EUR €800. All other countries and territories: GBP £875; category depends on sitting location.
Official sources and references
- ESENeph official examination page
Curricula and blueprints
- SCE in Nephrology Blueprint, linked by current ESENeph page
page 1, table and footnote
- ESENeph official examination page
Format
Confirm current exam arrangements with the exam provider.