MRCP

Exam guide · UK

MRCP exam preparation

A practical guide for residents preparing for the MRCP, by Dr. Maryam AlHamar.

Registration

Details, schedule, and fees are on the official website. Register and pay through MRCPUK.

Exam format

  • Two papers, each with 100 MCQs — total 200 questions
  • The number of questions per speciality/subcategory differs from exam to exam
  • MRCPUK publishes a table of estimated average number of questions per speciality

What to bring with you

  • Yourself
  • The agreement document they send you — printed and signed
  • Your passport or any ID that includes your signature
  • A non-hoodie jacket or sweater (per their email: hoodies are not permitted; some centers may be more lenient)
  • Water and snacks — there is a short 1-hour break between both papers
  • No watches, calculators, or writing utensils. Pencils and erasers are provided. A calculator will not be provided.

Study tips from my own experience

General tips

  • Don’t be discouraged. The question banks can be tricky on a first pass — treat it as a learning experience more than a test of your knowledge.
  • Generally, Passmedicine was more important for Part 1, while Pastest was essential for Part 2.
  • Tackle the questions section by section rather than studying randomly.
  • Always read the explanation after the question and note them down when useful. I liked to copy/paste points I thought were important into a Google document.
  • Your studying for Part 1 will help you pass Part 2. I would recommend doing Part 2 as soon as possible after passing Part 1.

On textbooks

I didn’t use textbooks. I relied on the online textbooks on Passmedicine and (to a lesser degree) Pastest, and I wrote my own notes compiled into various documents.

If you prefer a book, the most well-known options are:

  • The Only MRCP Notes You Will Ever Need by Hani Abuelgasim — largely a reorganization of the Passmedicine online textbook. It may add a few points here and there, but it also misses others and is less updated.
  • Step Up to MRCP by Khaled El Magraby — I have no personal experience with this book, but I know a few who found it helpful.
  • Notes and Notes and MRCP by Yousif Hamad — same as above; some found it helpful.

How I studied for Part 1

  • I tried to solve Passmedicine in full, tackling each speciality at a time. During this pass I wrote notes.
  • Then I studied my notes and reset the question bank. This time I solved questions randomly. I only managed to solve half the question bank the second time around.
  • The week before the exam, I solved the sample questions on the MRCPUK official website — close to 200 questions in total. I also used the free trial of Pastest and solved the past exams.

How I studied for Part 2

  • Similar to the first time, I first tackled Passmedicine. However, there are a lot fewer questions for Part 2 on Passmedicine — so I set my sights on completing both the Passmedicine and Pastest question banks.
  • Just like for Part 1, I took notes while solving questions and added them to my Part 1 notes. I studied those notes.
  • In total, I solved the Passmedicine question bank, almost all of the Pastest question bank, and all past papers on Pastest up until 2019.

A note from Maryam

I studied for MRCP during my R1 residency in internal medicine. As the exam drew closer, my life had turned into a predictable routine of work → force myself to study → sleep → repeat. The combination of working full time, doing on-calls, and cramming for an exam was brutal.

At times, self-doubt would creep in — especially as I did not personally find the question banks easy.

I found that more than anything, for these types of exams, discipline is the difference maker. The discipline to make yourself solve another 50 questions today, when you would really rather not.

I can’t claim to be the most self-disciplined either, so it was definitely an internal struggle at times.

Remember to take care of yourself during this process. Listen to your body and your needs. Take time off when you need it. Put yourself first. After all, it’s only an exam.

Best of luck — Maryam. With special thanks to Dr. Maryam for her time and effort.

Last reviewed · June 2026

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