MRCP Part 2 Question Bank
3,703 MRCP Part 2 written questions with data interpretation and management focus. Practise 100 free.
“You have such a good site.” — Lydia, MRCP Part 2 subscriber
About the MRCP Part 2 exam
MRCP Part 2 builds on Part 1 with a stronger emphasis on diagnosis, investigation and management, including data interpretation, imaging and clinical scenarios. MedPrep's bank reflects the more applied, decision-making style of the written exam, with explanations that walk through the clinical reasoning.
Who it's for
Trainees who have passed MRCP Part 1 and are progressing toward PACES and higher specialty training.
Exam format
Best-of-five written papers testing diagnosis, investigation and management, often with images and data.
Topics covered
Free sample MRCP Part 2 questions
Try a few real questions from the bank. Pick an answer to check yourself and see the full explanation.
A 55-year-old man with known obstructive HCM on metoprolol presents to A&E with syncope. He reports taking sildenafil for erectile dysfunction 3 hours prior. Examination reveals BP 85/55 mmHg with a harsh systolic ejection murmur that increases with Valsalva. ECG shows sinus rhythm.
What is the most appropriate immediate management?
Select an answer to see the explanation.
A 42-year-old woman is diagnosed with her third PE in 5 years. Her first PE occurred at age 37, unprovoked, and she was anticoagulated with warfarin for 12 months with good INR control (time in therapeutic range 78%). Her second PE occurred 18 months after stopping warfarin, again unprovoked, and she was started on rivaroxaban 20mg OD. She now presents with a new segmental PE on CTPA despite taking rivaroxaban consistently (confirmed by therapeutic drug monitoring - anti-Xa level 180 µg/L, within range). She has no personal or family history of cancer. Thrombophilia screen previously showed positive lupus anticoagulant on two occasions 12 weeks apart, with negative anti-cardiolipin and anti-β2 glycoprotein antibodies. What is the most appropriate change in management?
Select an answer to see the explanation.
A 58-year-old man presents with a 4-month history of severe right shoulder and arm pain radiating down the medial aspect of the forearm to the 4th and 5th fingers. He has noticed his right hand becoming weak with difficulty gripping. His GP initially treated him for cervical spondylosis without improvement. On examination, there is wasting of the small muscles of the right hand, weakness of finger abduction and adduction, and reduced sensation in the T1 dermatome. His right pupil is constricted (miosis) with partial ptosis and apparent enophthalmos. There is ipsilateral anhidrosis of the face. He has a 35 pack-year smoking history. CXR shows asymmetric opacification at the right lung apex. CT thorax reveals a 5cm mass at the right lung apex invading the posterior chest wall. What syndrome does this patient demonstrate?
Select an answer to see the explanation.
MRCP Part 2 revision notes
Free clinician-written notes for topics tested in MRCP Part 2.
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 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 2 question bank free?
You can answer 100 MRCP Part 2 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 2 questions are there?
The MRCP Part 2 bank has 3,703 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.