Practice for the MRCPI Part 2 Written examination — longer, image-rich single-best-answer vignettes at management depth, with adaptive AI question selection, spaced repetition and per-distractor rationales on every question.
A growing, referenced question bank — HSE, NCEC and European guidance at management depth
📚 Every answer anchored to named guidelines — see something off? Write us and we answer with the reference.
MRCPI Part 2 Written is the written component of the second stage of the MRCPI in General Medicine, administered by the Royal College of Physicians of Ireland (RCPI). It tests whether you can apply general-medicine knowledge to real clinical decisions — the emphasis moves from what the diagnosis is to what you should do next.
The paper is built from longer, image-rich single-best-answer vignettes — multiple investigation results, an evolving clinical course, and management pivots where every option is plausible. As with Part 1, at least 75% of questions concern the direct clinical care of inpatients and outpatients, and the exam is delivered by remote invigilation, typically three times a year.
Part 2 has a second component: the Clinical examination, held in person and assessed through long and short cases at the bedside. Both components must be passed to complete the MRCPI in General Medicine.
Eligibility requires a Part 1 pass, and attempts are limited within a validity window. Always confirm current regulations, dates and fees at rcpi.ie before applying.
A management-depth single-best-answer paper, remotely invigilated, alongside a separate in-person Clinical examination.
Prerequisite: A pass in MRCPI Part 1 (or an RCPI-accepted exempting qualification) is required before sitting Part 2.
Both components: The Written and Clinical examinations must both be passed, within RCPI's attempt and validity rules.
Registration Steps:
Source: rcpi.ie. Verify details before registering.
RCPI publishes the clinical-versus-science split rather than a per-specialty percentage — the paper samples general medicine at management depth per the RCPI curriculum. AiMedQs coverage follows that curriculum.
Next-step decisions across the medical specialties — cardiology, respiratory, gastroenterology and hepatology, endocrinology, neurology, renal, infectious diseases, rheumatology, haematology and care of older people — including Irish signature territory: CFTR modulators and CF complications, haemochromatosis venesection and cascade screening, severe alcoholic hepatitis decisions, hepatitis C regimens, IBD biologic sequencing and STOPP/START medication review
The sciences underpinning practice at interpretation level — applied physiology and pharmacology, evidence-based medicine, statistics and professional ethics
Part 2 Written is the second step. The full MRCPI in General Medicine runs:
For the most current pathway requirements, visit rcpi.ie.
An intelligent study platform built for the RCPI management-depth written examination.
Questions written the way the real paper reads — evolving presentations, multiple investigation results, and a management pivot where every option is plausible.
Stems written from the Irish hospital perspective — HSE-funded settings and reimbursement realities, Irish epidemiology, SI units and rINN drug names throughout.
Our engine identifies your weakest areas and prioritises questions there, so your study time goes where the marks are.
Management answers track HSE National Clinical Programmes, NCEC National Clinical Guidelines and European society guidance (ESC, EASL, ERS, ECCO) — the anchors Irish practice actually uses.
Every answer is anchored to a named guideline or standard reference. See something off? Write us and we answer with the reference.
Part 2 distractors are all plausible — so every option gets its own explanation of exactly why it is not the best answer here.
Missed questions return at scientifically optimised intervals, so management sequences hold until exam day.
MRCPI Part 2 tests management as it is practised and funded in Ireland. Generic international question banks miss these critical differences:
Stroke, heart failure, COPD, diabetes and cystic fibrosis management follow HSE National Clinical Programme pathways, and the national NCEC guidelines set standards such as sepsis care.
CFTR modulator decisions, haemochromatosis venesection schedules, severe alcoholic hepatitis scoring and coeliac management carry more weight than in UK or US papers.
Where no Irish national guidance exists, Irish practice commonly defaults to European societies — ESC, EASL, ERS, ECCO — rather than UK NICE Technology Appraisals.
Treatment-access questions reflect HSE reimbursement; prescribing follows the Irish Medicines Formulary and MIMS Ireland with rINN names and SI units; STOPP/START — developed in Cork — anchors prescribing review in older patients.
AiMedQs Part 2 questions are written for the Irish context at management depth — HSE and NCEC-anchored, epidemiologically Irish, with named references — so your preparation matches the real paper.
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MRCPI Part 2 Written is the written component of the second stage of the MRCPI in General Medicine, run by the Royal College of Physicians of Ireland (RCPI). Where Part 1 emphasises knowledge, Part 2 Written tests clinical management — longer vignettes with multiple investigation results, often with images, asking what to do next.
It is a single-best-answer paper delivered by remote invigilation, built from longer, image-rich vignettes at management level. As with Part 1, RCPI states that at least 75% of questions concern the direct clinical care of inpatients and outpatients. The exam typically runs three times a year — confirm the current format, timing and question count for your sitting at rcpi.ie.
Yes. MRCPI Part 2 has two components that must both be passed: the Written examination and the Clinical examination. The Clinical is held in person and assesses history-taking, physical examination, presentation and management planning through long and short cases, with communication and ethics woven in.
Candidates must have passed MRCPI Part 1 (or hold a qualification RCPI accepts as exempting). Attempts are limited within a validity window, so check the current regulations and calendar at rcpi.ie when planning your sittings.
The paper covers general internal medicine at management depth, following the RCPI curriculum — the same specialty spread as Part 1 but with the pivot shifted to next-step decisions: which investigation confirms the diagnosis, which treatment is most appropriate, which therapy is right given this patient's comorbidities. Image interpretation (ECGs, radiographs, cross-sectional imaging, blood films, dermatology) is part of the paper.
The clinical content overlaps heavily, but MRCPI anchors management to Irish practice: HSE National Clinical Programmes and NCEC National Clinical Guidelines frame pathways, drug access reflects HSE reimbursement rather than NICE Technology Appraisals, and the case mix reflects Irish epidemiology — cystic fibrosis, hereditary haemochromatosis, alcohol-related liver disease and coeliac disease all carry more weight than in UK papers.
Management-depth versions of Ireland's signature conditions: CFTR modulator therapy and cystic fibrosis complications, venesection schedules and cascade screening in haemochromatosis, severe alcoholic hepatitis scoring and treatment decisions, hepatitis C direct-acting antiviral regimens, biologic sequencing in IBD, and structured medication review in older patients using STOPP/START — a tool developed in Cork.
AiMedQs provides a growing, referenced Part 2 Written question bank built around longer, management-focused stems in single-best-answer format, with adaptive AI question selection, spaced repetition, per-distractor rationales and performance analytics. Every answer is anchored to a named guideline — if you think a keyed answer is wrong, write to us and we answer with the reference.
The MRCPI Part 2 Written bank is new and growing, with referenced questions added continually. Dedicated MRCPI practice material is scarce, so we focus on carefully sourced, Irish-anchored management questions rather than inflating the count — every question carries a named reference and per-distractor explanations.
Passing the Part 2 Written and Clinical examinations completes the MRCPI in General Medicine. The qualification supports progression through Basic and Higher Specialist Training in Ireland and is recognised by many international regulators.
Irish-context management 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 Royal College of Physicians of Ireland (RCPI). For official exam information, visit rcpi.ie.