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MRCP(UK) Part 1 — Information & Free Practice

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About MRCP(UK) Part 1

MRCP(UK) Part 1 · GB

Key exam facts

Provider
Developed and delivered by MRCP(UK), within the Federation of the Royal Colleges of Physicians of the UK; Surpass administers computer-based testing at test centres.
Format
Two computer-based papers at a test centre; best-of-five multiple-choice, one correct answer and four alternatives; no images. Myanmar/Sudan remote exceptions do not change the GB format.
Exam questions
Total questions: 200.
Time limit
Three hours of answering time per paper, six hours total over one day; reporting and the interval between papers are additional.
Passing score
Overall scaled ability score of 450 from the 2026/1 diet; equated using Item Response Theory, not a percentage. Scores usually 200–800 but may lie outside that range.
Exam fee
2026/3 and 2027 diets: GBP £520 for UK centres; £696 international, with separate Hong Kong arrangements. Eligible UK refugee-status candidates may qualify for a £50 concession under the regulations.

Topics covered

  • Cardiology (7%)

  • Clinical Pharmacology and Therapeutics (7.5%)

  • Clinical sciences (12.5%)

    • Cell, molecular and membrane biology
    • Clinical anatomy
    • Clinical biochemistry and metabolism
    • Clinical physiology
    • Genetics
    • Immunology
    • Statistics, epidemiology and evidence-based medicine
  • Dermatology (4%)

  • Endocrinology, diabetes and metabolic medicine (7%)

  • Gastroenterology and Hepatology (7%)

  • Geriatric medicine (4%)

  • Haematology (5%)

  • Infectious diseases (7%)

  • Neurology (7%)

  • Oncology (2.5%)

  • Medical ophthalmology (2%)

  • Palliative medicine and end of life care (2%)

  • Psychiatry (4.5%)

  • Renal medicine (7%)

  • Respiratory medicine (7%)

  • Rheumatology (7%)

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?

Two computer-based papers at a test centre; best-of-five multiple-choice, one correct answer and four alternatives; no images. Myanmar/Sudan remote exceptions do not change the GB format.

How many questions are on the exam?

Total questions: 200.

How long is the exam?

Three hours of answering time per paper, six hours total over one day; reporting and the interval between papers are additional.

What is the passing score?

Overall scaled ability score of 450 from the 2026/1 diet; equated using Item Response Theory, not a percentage. Scores usually 200–800 but may lie outside that range.

How much does the exam cost?

2026/3 and 2027 diets: GBP £520 for UK centres; £696 international, with separate Hong Kong arrangements. Eligible UK refugee-status candidates may qualify for a £50 concession under the regulations.

Official sources and references

Confirm current exam arrangements with the exam provider.