Specialty Certificate Examination in Respiratory Medicine — Information & Free Practice
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Exam Review
About Specialty Certificate Examination in Respiratory Medicine
Specialty Certificate Examination in Respiratory Medicine · GB
Key exam facts
- Provider
- Developed by the Federation of Royal Colleges of Physicians in conjunction with the British Thoracic Society; computer-based delivery administered by Surpass.
- Format
- In-centre computer-based knowledge examination, two papers of best-of-five multiple-choice questions. One correct answer earns one mark; no negative marking.
- Exam questions
- Total questions: 200.
- Time limit
- Three hours of answering time per paper; six hours across two papers.
- Passing score
- Equated scaled passing score 457, following the June 2025 review; applies to future examinations until the next Board review. This is not a fixed percentage; the December 2025 equivalent was 61%.
- Exam fee
- GBP 700 at UK centres; GBP 875 internationally. Transfer from UK to international location incurs the GBP 175 difference.
Topics covered
Airways disease (17.5%)
Interstitial lung disease (ILD) (12.5%)
Disorders of the pleura and mediastinum, including pneumothorax (12.5%)
Pulmonary infections (17.5%)
Pulmonary vascular disease (10%)
Sleep-related breathing disorders and hypoventilation (2.5%)
Thoracic oncology (17.5%)
Other (10%)
- Critical and high-dependency care of respiratory disease
- Genetic and developmental lung disease
- Lung transplantation
- Pharmacology
- Practical procedures
- Statistics
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?
In-centre computer-based knowledge examination, two papers of best-of-five multiple-choice questions. One correct answer earns one mark; no negative marking.
How many questions are on the exam?
Total questions: 200.
How long is the exam?
Three hours of answering time per paper; six hours across two papers.
What is the passing score?
Equated scaled passing score 457, following the June 2025 review; applies to future examinations until the next Board review. This is not a fixed percentage; the December 2025 equivalent was 61%.
How much does the exam cost?
GBP 700 at UK centres; GBP 875 internationally. Transfer from UK to international location incurs the GBP 175 difference.
Official sources and references
Confirm current exam arrangements with the exam provider.