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Specialty Certificate Examination in Acute Medicine — Information & Free Practice

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About Specialty Certificate Examination in Acute Medicine

Specialty Certificate Examination in Acute Medicine · GB

Key exam facts

Provider
MRCP(UK), the examinations arm of the Federation of the Royal Colleges of Physicians of the UK, develops and delivers the examination; Surpass administers the computer-based test at test centres.
Format
Computer-based examination at a test centre; two papers of best-of-five multiple-choice questions. 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 excludes any check-in, tutorial or between-paper interval.
Passing score
460 on the equated scoring scale, applied from December 2025 until reviewed by the SCE Acute Medicine Examination Board. The percentage of correct answers required can vary by diet; 460 is not a percentage.
Exam fee
GBP £700 at UK centres; GBP £875 at international centres. A UK-to-international transfer incurs the £175 difference. These are the currently published sitting fees, not combined qualification fees.

Topics covered

  • Cancer and palliative care and haematology (5%)

  • Cardiovascular medicine (10%)

  • Clinical pharmacology and poisoning (5%)

  • Critical care medicine (5%)

  • Diabetes and endocrine medicine (7%)

  • Gastroenterology and hepatology (10%)

  • Infectious diseases (7%)

  • Medicine in the elderly (9%)

  • Musculoskeletal system (6%)

  • Neurology and ophthalmology (10%)

  • Renal medicine (5%)

  • Respiratory medicine (10%)

  • Other (11%)

    • Patient safety and risk management
    • Allergy
    • Clinical genetics
    • Psychiatry
    • Dermatology
    • Public health and health promotion
    • Immunology

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?

Computer-based examination at a test centre; two papers of best-of-five multiple-choice questions. 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 excludes any check-in, tutorial or between-paper interval.

What is the passing score?

460 on the equated scoring scale, applied from December 2025 until reviewed by the SCE Acute Medicine Examination Board. The percentage of correct answers required can vary by diet; 460 is not a percentage.

How much does the exam cost?

GBP £700 at UK centres; GBP £875 at international centres. A UK-to-international transfer incurs the £175 difference. These are the currently published sitting fees, not combined qualification fees.

Official sources and references

Confirm current exam arrangements with the exam provider.