MRCP Part 1 Question Bank
5,610 MRCP Part 1 practice questions with clinician-written explanations across all 17 specialties. Start 100 free.
“You have such a good site.” — Lydia, MRCP Part 2 subscriber
About the MRCP Part 1 exam
MRCP Part 1 is the first hurdle of the MRCP(UK) diploma and tests applied basic science and clinical knowledge across general internal medicine. MedPrep's bank mirrors the real best-of-five format, with the difficulty spread and specialty weighting you'll meet on exam day, plus a structured explanation for every option so you understand the reasoning, not just the answer.
Who it's for
IMTs and core medical trainees sitting MRCP(UK) Part 1, and IMGs preparing for postgraduate physician training in the UK.
Exam format
Two 3-hour papers, 100 best-of-five questions each (200 total). MedPrep questions match this single-best-answer style.
Topics covered
Free sample MRCP Part 1 questions
Try a few real questions from the bank. Pick an answer to check yourself and see the full explanation.
A 65-year-old man presents to the emergency department with severe central chest pain radiating to his left arm. The pain started 2 hours ago while he was gardening. His ECG shows ST elevation in leads II, III, and aVF with reciprocal changes in leads I and aVL.
Which coronary artery is most likely occluded?
Select an answer to see the explanation.
A 45-year-old non-smoking woman presents with progressive dyspnea and dry cough over 6 months. She has a history of recurrent skin rashes and joint pains. Chest X-ray shows bilateral hilar lymphadenopathy and pulmonary infiltrates.
Serum ACE is elevated at 150 IU/L (normal <40). Bronchoalveolar lavage shows a CD4:CD8 ratio of 10:1.
What is the most likely diagnosis?
Select an answer to see the explanation.
A 62-year-old woman presents with sudden-onset breathlessness and pleuritic chest pain. She had a total knee replacement 10 days ago. Her oxygen saturation is 89% on room air, heart rate 110 bpm, blood pressure 125/78 mmHg. D-dimer is significantly elevated. What is the most appropriate next investigation?
Select an answer to see the explanation.
MRCP Part 1 revision notes
Free clinician-written notes for topics tested in MRCP Part 1.
Study guides
How to Pass MRCP Part 1: A Realistic Study Plan
A practical, evidence-based study plan for MRCP Part 1: how long to prepare, what to prioritise, and how to use questions to actually pass.
6 min readUsing Spaced Repetition and Active Recall for Medical Exams
Why spaced repetition and active recall beat re-reading for medical exams, and how to build them into your revision without wasting time.
6 min readMRCP PACES: High-Yield Topics and Common Cases
A focused guide to the conditions and scenarios that come up most often in MRCP PACES, station by station, with the key facts examiners expect.
25 min readFrequently asked questions
Is MedPrep's MRCP Part 1 question bank free?
You can answer 100 MRCP Part 1 questions completely free, with full explanations and progress tracking, and no card is required. After that, a single affordable subscription unlocks the whole bank.
How many MRCP Part 1 questions are there?
The MRCP Part 1 bank has 5,610 exam-style questions, each with a structured, guideline-referenced explanation.
Are the questions up to date with UK guidelines?
Yes. Every explanation is cross-referenced against current NICE, BNF and relevant UK/European guidelines, and the bank is curated by a UK-trained, CCT-holding clinician.