Ireland's physicianly entry examination. Heavily overlapping with MRCP(UK) Part 1 in content but with its own regulations, sampling and question style — which is exactly why reskinned UK banks serve it badly.
IrelandRoyal College of Physicians of Ireland written
| Questions or stations | 100 verified 2026-08-10 Source says: “one paper with 100 Single Best Answer (best of five) questions” check it yourself |
|---|---|
| Time | 180 minutes verified 2026-08-10 Source says: “You have three hours to complete the exam” check it yourself |
| Format | One paper, 100 best-of-five questions, no negative marking |
| Adaptive delivery | No |
| Pass mark | Set by RCPI per sitting. verified 2026-08-10 check it yourself |
| Blueprint | RCPI examination regulations and training curricula, Royal College of Physicians of Ireland |
One three-hour paper of 100 best-of-five questions. Confirm the current regulations with RCPI before you book.
Every question in this bank is tagged to one of the sections below, and the tag traces to RCPI examination regulations and training curricula. 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 section | Share of the blueprint | Items 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% | none yet |
| Dermatology | 4% | none yet |
| Clinical pharmacology and therapeutics | 8% | 1 |
| Clinical sciences and statistics | 8% | 1 |
| Acute and critical care medicine | 6% | 1 |
Coverage today: 12 of 14 sections. We publish the gap rather than hiding it.
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 62-year-old man has an ejection fraction of 30% on echocardiography following a myocardial infarction six months ago. He is on ramipril, bisoprolol and a statin, and remains NYHA class II. Which addition gives the greatest mortality benefit?
The point: HFrEF prognostic therapy: ACE inhibitor or ARNI, beta blocker, MRA, SGLT2 inhibitor. Diuretics treat symptoms. Know which drugs change the curve and which change the day.
Source: ESC guidelines for the diagnosis and treatment of acute and chronic heart failure European Society of Cardiology · tier 2, specialty society or college
A 34-year-old woman presents with fatigue, weight loss, dizziness on standing and increased pigmentation of her palmar creases and buccal mucosa. Sodium 128 mmol/L, potassium 5.6 mmol/L, glucose 3.1 mmol/L. Which investigation will confirm the diagnosis?
The point: Pigmentation distinguishes primary adrenal failure (high ACTH) from secondary (low ACTH, no pigmentation, and aldosterone preserved so potassium is normal). Take blood for cortisol and ACTH, then treat immediately in a crisis, do not wait for the result.
Source: Endocrine Society clinical practice guideline — primary adrenal insufficiency Endocrine Society · tier 2, specialty society or college
Ireland physician training (MRCPI) runs MRCPI Part 1 → MRCPI Part 2. 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.
Partly. The internal medicine core overlaps heavily, so most cardiology or renal material transfers. What does not transfer is Irish prescribing and service context, and the sampling weight RCPI applies — which is why every question here is tagged to a section rather than dumped into one pile.
It is a recognised postgraduate diploma in a number of jurisdictions, but recognition is decided by each regulator. Check with the regulator you intend to register with, not with a question bank.
MRCPI Part 1 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.