Practice for the MRCP(UK) Part 1 examination — 200 best-of-five questions across two papers in one day, with adaptive AI question selection, spaced repetition and per-distractor rationales on every question.
A growing, referenced question bank — NICE, BNF and UK Royal College guidance
📚 Every answer anchored to named guidelines — see something off? Write us and we answer with the reference.
MRCP(UK) Part 1 is the entry written examination of the MRCP(UK) Diploma, administered by the Federation of the Royal Colleges of Physicians of the United Kingdom — the Royal Colleges of Physicians of London and Edinburgh and the Royal College of Physicians and Surgeons of Glasgow. It assesses knowledge and understanding of the clinical sciences relevant to medical practice, and of common and important disorders, at the level of a doctor entering core training in medicine.
The exam is 200 best-of-five questions delivered as two 100-question papers of three hours each, sat on the same day. There is no negative marking, and raw marks are converted to an equated (scaled) score so that results are comparable across sittings.
The Federation publishes the specialty distribution of the 200 questions, so preparation can be targeted precisely: eight major medical specialties carry 14 questions each, clinical pharmacology carries 15, and a 25-question clinical sciences block includes a reliable set of statistics and evidence-based medicine questions.
Sittings run several times a year at computer-based test centres in the UK and internationally. Eligibility requirements, fees and exam dates are published on the official website — always confirm current details at mrcpuk.org before applying.
200 best-of-five questions across two 3-hour papers in a single day. Know exactly what to expect.
Who applies: Doctors with a primary medical qualification pursuing the MRCP(UK) Diploma — UK internal medicine trainees and international medical graduates alike.
Experience: Candidates normally sit Part 1 after gaining postgraduate clinical experience (the Federation's standard entry point is around 12 months from graduation).
Registration Steps:
Source: mrcpuk.org. Verify details before registering.
The Federation publishes the number of questions per specialty (out of 200). AiMedQs coverage follows this distribution.
25 questions — cell and molecular biology, clinical anatomy, biochemistry and metabolism, physiology, genetics, immunology, plus statistics, epidemiology and evidence-based medicine
15 questions — interactions, cytochrome P450, dose adjustment in renal and hepatic impairment, prescribing in pregnancy, adverse reactions and toxicology per the BNF
14 questions — acute coronary syndromes, heart failure, atrial fibrillation and anticoagulation, inherited cardiomyopathies, valvular and pericardial disease
14 questions — thyroid, adrenal and pituitary disease, diabetes emergencies, calcium disorders and MEN syndromes
14 questions — IBD, hepatitis B serology, cirrhosis and its complications, coeliac disease, autoimmune and metabolic liver disease
14 questions — HIV and opportunistic infection, TB, endocarditis, tropical medicine, C. difficile and antimicrobial stewardship
14 questions — stroke, multiple sclerosis, epilepsy and drug choice, parkinsonism, neuromuscular disease and headache
14 questions — glomerular disease, AKI and CKD, hyponatraemia, electrolyte emergencies and inherited renal disease
14 questions — asthma and severe asthma biologics, interstitial lung disease, lung cancer, pleural disease and pulmonary embolism
14 questions — rheumatoid arthritis and DMARDs, SLE, vasculitis classification, spondyloarthropathies and crystal arthropathies
10 questions — anaemia workup, leukaemias and lymphomas, myeloma, coagulation disorders and haemoglobinopathies
9 questions — mood disorders, lithium monitoring, psychosis, dementia subtypes, capacity and the Mental Health Act
8 questions — common and serious skin disease, drug eruptions and skin signs of systemic illness
8 questions — delirium, falls, osteoporosis, frailty and prescribing in older people
13 questions combined — oncological emergencies, medical ophthalmology and end-of-life care
Part 1 is the first of three components. The full MRCP(UK) Diploma runs:
For the most current pathway requirements, visit mrcpuk.org and jrcptb.org.uk.
An intelligent study platform built for the Federation's best-of-five written examination.
Questions mapped to the published Part 1 specialty distribution — the eight 14-question major specialties, clinical pharmacology, clinical sciences and the guaranteed statistics questions.
Stems written in the NHS voice — SI units with reference ranges, rINN drug names (adrenaline, paracetamol), and management framed the way UK medical registrars practise.
Our engine identifies your weakest specialties and prioritises questions there, so your study time goes where the marks are.
Management answers track NICE guidance and UK specialty societies (BTS, BSR, BSG, BSH); drug and dose answers follow the BNF — not overseas standards.
Every answer is anchored to a named guideline or standard reference. See something off? Write us and we answer with the reference.
Understand not just why the correct answer is right, but why every other option is wrong. Each distractor gets its own explanation on every question.
Missed questions return at scientifically optimised intervals, so high-yield concepts hold until exam day.
MRCP(UK) Part 1 is not a generic internal medicine test. It assesses medicine as practised in the NHS, and generic international question banks miss these critical differences:
Management questions track NICE guidelines and CKS, with UK specialty society guidance (BTS, BSR, BSG, BSH, JBDS) filling in specialty detail — not AHA/ACC or generic WHO standards.
If a question asks which drug or what dose, the answer is the BNF. Drug names use rINNs — adrenaline not epinephrine, paracetamol not acetaminophen, furosemide not frusemide.
Glucose in mmol/L, creatinine in µmol/L, high-sensitivity troponin in ng/L — stems supply UK reference ranges and expect you to reason in SI units.
Ethics questions rest on GMC Good Medical Practice, the Mental Capacity Act and UK consent and confidentiality frameworks.
AiMedQs questions are written for the UK context — NICE and BNF-anchored, in SI units, with named references — so your preparation matches what you will actually meet on exam day.
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MRCP(UK) Part 1 is the entry written examination of the MRCP(UK) Diploma, run by the Federation of the Royal Colleges of Physicians of the United Kingdom (the Royal Colleges of Physicians of London, Edinburgh, and Physicians and Surgeons of Glasgow). It assesses knowledge and understanding of the clinical sciences relevant to medical practice and of common and important disorders, at the level expected of a doctor entering core training in medicine.
The exam consists of 200 best-of-five multiple-choice questions delivered as two papers of 100 questions, each lasting three hours, sat on the same day. Each question has five options with one best answer. There is no negative marking, and results are reported on an equated (scaled) score so that different sittings are comparable.
Marks are awarded for correct answers only — there is no penalty for a wrong answer, so you should attempt every question. Raw marks are converted to a scaled score through statistical equating, and the pass mark is set against a defined performance standard rather than a quota of candidates. Always confirm current scoring arrangements on the official MRCP(UK) website.
Part 1 is taken by doctors pursuing the MRCP(UK) Diploma — typically UK core/internal medicine trainees and international medical graduates seeking a globally recognised postgraduate qualification in internal medicine. Candidates normally become eligible after gaining postgraduate clinical experience (the Federation's standard entry point is around 12 months after graduation). Confirm current eligibility rules and application windows at mrcpuk.org.
The Federation publishes a specialty distribution for the 200 questions. The largest single block is clinical sciences (25 questions, including statistics and evidence-based medicine), followed by clinical pharmacology and therapeutics (15). Cardiology, endocrinology, gastroenterology, infectious diseases, neurology, renal medicine, respiratory medicine and rheumatology each contribute 14 questions, with haematology, psychiatry, dermatology, geriatric medicine, oncology, ophthalmology and palliative medicine making up the remainder. AiMedQs coverage follows this weighting.
MRCP(UK) tests medicine as practised in the NHS. Management answers track NICE guidance and UK specialty society recommendations (BTS, BSR, BSG, BSH and others), prescribing follows the BNF, drug names use recommended international non-proprietary names (adrenaline, not epinephrine), and laboratory values use UK SI units with reference ranges. Question banks built for other jurisdictions routinely teach answers that are wrong for this exam.
It is widely regarded as a demanding exam with a substantial failure rate, particularly for candidates who prepare from general medical knowledge rather than the specific blueprint. The single most effective strategy is systematic coverage of the published specialty weighting — including the guaranteed statistics and evidence-based medicine questions, which are the highest-yield marks on the paper.
AiMedQs provides a growing, referenced MRCP(UK) Part 1 question bank in the exam's best-of-five format, with adaptive AI question selection that targets your weakest specialties, spaced repetition for long-term retention, per-distractor rationales on every question, and performance analytics by specialty. Every answer is anchored to a named guideline or standard reference — if you think a keyed answer is wrong, write to us and we reply with the reference.
The MRCP(UK) Part 1 bank is new and growing, with referenced questions added continually across the Federation's specialty distribution. We deliberately publish carefully sourced questions rather than inflating the count — every question carries a named guideline reference and per-distractor explanations.
Part 1 is the first of three components of the MRCP(UK) Diploma. After passing it, candidates proceed to the Part 2 Written examination and PACES (the Practical Assessment of Clinical Examination Skills). Completing all three earns the MRCP(UK) Diploma, which is the standard gateway to higher specialty training in medicine in the UK and a widely recognised qualification internationally.
Best-of-five practice questions with named-guideline references and full rationales. AI-powered. Start studying today.
Try 30 Questions FreeAiMedQs is an exam preparation tool and does not guarantee exam results. Content is for educational purposes only. AiMedQs is not affiliated with or endorsed by the Federation of the Royal Colleges of Physicians of the United Kingdom or MRCP(UK). For official exam information, visit mrcpuk.org.