MRCP Part 1 Practice Test
Updated for October 2026Important: The MRCP Part 1 examination requires thorough understanding of all core subject areas. Review the official UK exam guidelines and ensure you meet all eligibility requirements before scheduling your test date.
What are the key eligibility requirements for the MRCP Part 1?
Candidates must meet the educational and professional requirements set by the UK certification body. Check official prerequisites before applying.
Start FREE TestWhat is the best strategy for MRCP Part 1 exam preparation?
Combine official study materials with practice tests, focus on weak areas, and create a structured revision timetable leading up to exam day.
Start FREE TestHow is the MRCP Part 1 exam scored?
The MRCP Part 1 uses a standardised scoring system. Results are typically provided as pass/fail, with detailed score reports available for each domain area.
Start FREE TestWhat should I bring on MRCP Part 1 exam day?
Bring valid photo identification, your exam confirmation, and any approved materials. Arrive early and review the testing centre rules beforehand.
Start FREE TestMRCP Part 1 Study Tips
- Create a structured study schedule at least 4-6 weeks before your MRCP Part 1 exam date.
- Focus on understanding core concepts rather than memorising answers for the MRCP UK Part 1 Written Examination.
- Use our free practice tests to identify weak areas and track your progress over time.
- Review the official MRCP Part 1 exam syllabus to ensure complete topic coverage.
- Take timed practice sessions to build your exam pace and reduce test-day anxiety.
MRCP Part 1 Practice Test Questions
Prepare for the MRCP Part 1 - Membership of the Royal College of Physicians exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.
MRCP Part 1 Cardiology
MRCP Part 1 Exam Questions covering Cardiology. Master MRCP Part 1 Test concepts for certification prep.
MRCP Part 1 Cardiology and Respiratory
Free MRCP Part 1 Practice Test featuring Cardiology and Respiratory. Improve your MRCP Part 1 Exam score with mock test prep.
MRCP Part 1 Clinical Sciences
MRCP Part 1 Mock Exam on Clinical Sciences. MRCP Part 1 Study Guide questions to pass on your first try.
MRCP Part 1 Endocrinology and Nephrology
MRCP Part 1 Test Prep for Endocrinology and Nephrology. Practice MRCP Part 1 Quiz questions and boost your score.
MRCP Part 1 Endocrinology & Renal Medicine
MRCP Part 1 Questions and Answers on Endocrinology & Renal Medicine. Free MRCP Part 1 practice for exam readiness.
MRCP Part 1 Gastroenterology and Hepatology
MRCP Part 1 Mock Test covering Gastroenterology and Hepatology. Online MRCP Part 1 Test practice with instant feedback.
MRCP Part 1 Gastroenterology & Neurology
Free MRCP Part 1 Quiz on Gastroenterology & Neurology. MRCP Part 1 Exam prep questions with detailed explanations.
MRCP Part 1 Haematology, Infectious Diseas...
MRCP Part 1 Practice Questions for Haematology, Infectious Disease & Dermatology. Build confidence for your MRCP Part 1 certification exam.
MRCP Part 1 Infectious Diseases and Immuno...
MRCP Part 1 Test Online for Infectious Diseases and Immunology. Free practice with instant results and feedback.
MRCP Part 1 Neurology and Psychiatry
MRCP Part 1 Study Material on Neurology and Psychiatry. Prepare effectively with real exam-style questions.
- ✓Valid government-issued photo identification
- ✓Exam booking confirmation or admission notice
- ✓Approved calculator (if permitted)
- ✓Water bottle (clear, no labels)
- ✓Arrive 30 minutes before scheduled time
- ✓Know the test centre location and parking
- ✓Review key formulas or concepts the night before
- ✓Get a good night's sleep before exam day
Ready to Pass the MRCP Part 1?
Join thousands of candidates who have used our free practice tests to prepare for the MRCP UK Part 1 Written Examination. Start practising today and build the confidence you need to succeed.
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Prepare for the PLAB 2 - Professional and Linguistic Assessments Board Part 2 — the PLAB Part 2 clinical assessment for international doctors applying for UK medical registration.
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Sample MRCP Part 1 Practice Questions
Try these questions from our free MRCP Part 1 practice tests. The correct answer and an explanation follow each question.
A 50-year-old woman presents with lethargy, weight gain, and constipation. TSH is 45 mU/L (normal 0.4-4.0) and free T4 is 4 pmol/L (normal 9-25). Anti-TPO antibodies are strongly positive. What is the most likely diagnosis?
- A. Hashimoto's thyroiditis
- B. Graves' disease
- C. Toxic multinodular goitre
- D. Subacute (de Quervain's) thyroiditis
Answer: A. Hashimoto's thyroiditis
Hashimoto's thyroiditis is the commonest cause of hypothyroidism in the UK. The markedly elevated TSH with low free T4 confirms primary hypothyroidism, and strongly positive anti-thyroid peroxidase (anti-TPO) antibodies confirm autoimmune aetiology. Treatment is lifelong levothyroxine.
A 35-year-old man presents with epigastric pain and a duodenal ulcer is found on endoscopy. CLO test is positive. What is the recommended first-line eradication therapy in the UK?
- A. PPI, amoxicillin, and clarithromycin for 7 days
- B. PPI and amoxicillin for 14 days
- C. Bismuth quadruple therapy
- D. PPI, metronidazole, and levofloxacin
Answer: A. PPI, amoxicillin, and clarithromycin for 7 days
NICE recommends triple therapy with a PPI, amoxicillin 1g BD, and clarithromycin 500mg BD for 7 days as first-line H. pylori eradication in the UK. If penicillin allergic, metronidazole replaces amoxicillin.
A 52-year-old woman presents with a 2-year history of dry eyes, dry mouth, and arthralgia. Schirmer's test confirms reduced lacrimation. Which antibody is most characteristically associated with primary Sjögren's syndrome?
- A. Anti-Jo-1
- B. Anti-Scl-70
- C. Anti-Ro (SSA)
- D. Anti-dsDNA
Answer: C. Anti-Ro (SSA)
Anti-Ro (SSA) antibodies are present in approximately 70% of patients with primary Sjögren's syndrome and are the hallmark serological finding.
A 35-year-old woman presents with weight gain, moon face, abdominal striae, and proximal myopathy. Her 24-hour urinary free cortisol is elevated. What is the next most appropriate investigation?
- A. Overnight dexamethasone suppression test
- B. MRI pituitary
- C. CT adrenals
- D. ACTH stimulation test (Synacthen test)
Answer: A. Overnight dexamethasone suppression test
After confirming hypercortisolism with elevated urinary free cortisol, the next step is to perform a low-dose (1 mg) overnight dexamethasone suppression test to confirm Cushing's syndrome. Failure to suppress cortisol (<50 nmol/L) confirms the diagnosis. ACTH levels are then measured to determine the cause.
About the Author
Board-Certified Physician & Medical Licensing Exam Expert
Harvard Medical SchoolDr. Michael Reynolds is a board-certified internist and Fellow of the American College of Physicians with an MD from Harvard Medical School and a Master of Science in Medical Education. With 18 years of clinical and academic medicine experience, he specializes in USMLE Step 1, Step 2, and Step 3 preparation, internal medicine board certification, and medical specialty licensing examinations.