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MRCP(UK) Part 2 written examination

Longer, more clinical, more investigation-heavy than Part 1. The examiners want a management decision, not a diagnosis you can already see from the stem.

United KingdomMRCP(UK) Federation written

Coming soon. This bank is still in build and not on sale yet. The banks live now are PLAB 1, MRCP Part 1 and AMC MCQ.

What is on the MRCP Part 2?

Questions or stations200 verified 2026-08-10 Source says: “a two-paper format... each paper... containing 100 multiple choice questions in 'best of five' format” check it yourself
Time180 minutes verified 2026-08-10 Source says: “each paper being 3 hours in duration” check it yourself
FormatBest of five with clinical data, images and investigations
Adaptive deliveryNo
Pass markCriterion-referenced, published per diet. verified 2026-08-10 check it yourself
BlueprintMRCP(UK) examination blueprints and regulations, MRCP(UK) Federation

Timing above is per paper; two papers give 200 questions in total, and stems are substantially longer than Part 1.

Verification status. All 3 published figures on this page have been read in the source document and dated above. Source of truth: MRCP(UK) examination blueprints and regulations, MRCP(UK) Federation. How we verify.

The MRCP Part 2 curriculum, section by section

Every question in this bank is tagged to one of the sections below, and the tag traces to MRCP(UK) examination blueprints and regulations. That is what makes a coverage claim checkable instead of a marketing line. The table shows exactly how many items exist in each section today, including the sections where the answer is none.

Curriculum sectionShare of the blueprintItems in this bank
Cardiology 10% 1
Respiratory medicine 9% 1
Gastroenterology and hepatology 9% 1
Neurology 8% 1
Endocrinology and metabolic medicine 8% 1
Nephrology 7% 1
Rheumatology 6% 1
Haematology 6% 1
Infectious diseases and tropical medicine 6% 1
Oncology and palliative care 5% 1
Dermatology 4% none yet
Clinical pharmacology and therapeutics 8% 1
Clinical sciences and statistics 8% none yet
Acute and critical care medicine 6% 1

Coverage today: 12 of 14 sections. We publish the gap rather than hiding it.

Free sample questions

Full explanations for every option, including the ones you didn't pick. The option you nearly chose is usually the one you needed explained. Read these before paying for anything.

A 55-year-old man with known alcohol-related cirrhosis presents with haematemesis. Blood pressure 92/58 mmHg, heart rate 118, haemoglobin 76 g/L. He is resuscitated with fluids and blood. Alongside endoscopy within 24 hours, which drug should be started immediately?

  1. Propranolol Wrong timing. Non-selective beta blockade is secondary prophylaxis once the bleed is controlled; acutely it blunts the compensatory tachycardia maintaining his cardiac output.
  2. Terlipressin correct Correct. In suspected variceal bleeding a splanchnic vasoconstrictor is started before endoscopy: terlipressin reduces portal pressure, improves haemostasis and carries a mortality benefit. Prophylactic antibiotics go in alongside it.
  3. High-dose intravenous proton pump inhibitor Reasonable in non-variceal bleeding but not the answer here. In a cirrhotic patient with a strong suspicion of varices, terlipressin is the agent with the outcome data.
  4. Tranexamic acid Wrong. The HALT-IT trial found no benefit in gastrointestinal bleeding and signalled increased venous thromboembolic events.
  5. Fresh frozen plasma to correct the prolonged INR Wrong. A raised INR in cirrhosis reflects impaired synthesis of both pro- and anticoagulant factors and does not equate to a bleeding tendency. Routine FFP causes volume overload and raises portal pressure.

The point: Suspected variceal bleed: resuscitate, terlipressin, prophylactic antibiotics, endoscopy with band ligation within 24 hours, then a beta blocker plus banding programme. Do not correct the INR reflexively.

Source: NICE CG141 — Acute upper gastrointestinal bleeding NICE · tier 1, national regulator or guidance

A 74-year-old woman describes a 3-week history of left temporal headache, scalp tenderness on brushing her hair, and jaw pain when chewing. This morning she noticed transient blurring in the left eye. ESR is 88 mm/hr. What is the most appropriate immediate action?

  1. Start a non-steroidal anti-inflammatory and review in one week Wrong. NSAIDs do not treat the vasculitis, and a week's review with visual symptoms is far too slow.
  2. Start low-dose prednisolone 15 mg daily Wrong dose. Uncomplicated polymyalgia-type disease may start around 15 mg, but GCA needs 40 to 60 mg, and visual involvement warrants high-dose treatment, often intravenous methylprednisolone.
  3. Start high-dose corticosteroids immediately and arrange urgent temporal artery biopsy correct Correct. Giant cell arteritis with visual symptoms is an ophthalmic emergency. Steroids start at once. Biopsy remains informative for up to about two weeks afterwards, so waiting for histology risks blindness for no diagnostic gain.
  4. Arrange temporal artery biopsy and start steroids once histology confirms the diagnosis Wrong, and the most dangerous option here. Any delay in a patient with amaurosis risks permanent visual loss, which is typically sudden, painless and can become bilateral.
  5. Arrange an urgent MRI brain and defer treatment pending the result Wrong. Imaging does not exclude GCA and the diagnosis is clinical. Deferring steroids for any investigation with visual symptoms is the error being tested.

The point: GCA with any visual symptom: high-dose steroids now, biopsy soon. Add bone and gastric protection at the outset and consider tocilizumab as a steroid-sparing agent.

Source: BSR guideline — diagnosis and treatment of giant cell arteritis British Society for Rheumatology · tier 2, specialty society or college

Where MRCP Part 2 sits in the pathway

UK physician training (MRCP) runs MRCP Part 1 → MRCP Part 2 → MRCP PACES. One DocPasser account covers all of them, so moving to the next stage does not mean a new subscription and a progress history you can no longer see.

MRCP Part 1 · MRCP PACES

Questions people actually ask about MRCP Part 2

How is MRCP Part 2 different from Part 1?

Part 1 asks whether you know the mechanism. Part 2 asks what you would do next on a ward round, usually with a chest film, an ECG or a set of bloods attached.

What does MRCP Part 2 preparation cost?

MRCP Part 2 is a flat £20 for 12 months of access — one price, one purchase, no tiers. The first 10 questions are free, with the full explanation for every option, so you can judge the quality of the explanations before paying for anything.

DocPasser is exam preparation material, not clinical guidance. Nothing here should be used to make a decision about a real patient. Always work from your own local guidelines and seniors.