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 76-year-old woman develops a new fever of 38.7°C, productive cough with purulent sputum, and increasing oxygen requirements on day 6 of admission for hip fracture repair. She was previously well and mobilising with physiotherapy. On examination, respiratory rate 26/min, SpO2 92% on 4L oxygen, heart rate 105 bpm. Auscultation reveals right basal coarse crackles with bronchial breathing. CXR shows new right lower zone consolidation that was not present on her admission film 6 days ago. Blood results: WCC 19.8 × 10⁹/L, CRP 195 mg/L, urea 10.2 mmol/L, creatinine 145 µmol/L (baseline 90). She has no known drug allergies. She has not received antibiotics during this admission. What is the most appropriate antibiotic treatment?
Select an answer to see the explanation.
A 78-year-old woman with very severe COPD (FEV1 18% predicted) is admitted for the fourth time in 6 months with an infective exacerbation. She required NIV during two of these admissions. She is on maximal medical therapy including triple inhaler, LTOT, home NIV, prophylactic azithromycin, and has completed pulmonary rehabilitation. Her WHO performance status is 3 (capable of limited self-care). She tells you she does not want to be intubated or admitted to ITU again. Current ABG on NIV and 2L oxygen shows: pH 7.34, PaCO2 8.8 kPa, PaO2 7.5 kPa, HCO3 35 mmol/L. She asks about managing her breathlessness which is constant at rest. What is the most appropriate next step?
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.