The SCE Acute Internal Medicine sits twice per year — February and September. It is the broadest of all SCEs by clinical scope. Where other SCEs test depth within a single specialty, Acute Medicine tests the ability to manage any undifferentiated medical emergency — from STEMI through status epilepticus to paracetamol overdose and neutropenic sepsis. This breadth is both the exam's defining characteristic and its primary preparation challenge.
The breadth problem
The Acute Medicine curriculum touches every other medical specialty. Cardiology (ACS, arrhythmia, acute HF), respiratory (PE, pneumothorax, acute asthma, NIV), neurology (stroke, status epilepticus, meningitis), gastroenterology (GI bleeding, acute liver failure), nephrology (AKI, hyperkalaemia), endocrinology (DKA, HHS, adrenal crisis, thyroid storm), haematology (neutropenic sepsis, DIC, massive transfusion), toxicology (paracetamol, salicylate, opioid, tricyclic), and infectious diseases (sepsis, pneumonia, meningitis) are all represented.
No single specialty question bank covers all of these domains at the depth required for the SCE Acute Medicine. And no general medical question bank (such as an MRCP bank) tests them in the acute assessment and management framework that the SCE expects.
StudyPRN
StudyPRN's Acute Medicine bank contains approximately 697 questions. The content covers the JRCPTB Acute Internal Medicine curriculum. At 697 questions across a curriculum this broad, coverage is necessarily spread thin — some domains may have only 30 to 50 questions.
Standard StudyPRN limitations apply. Pricing approximately £149 to £199 for three months.
iatroX
iatroX's SCE Acute Medicine bank contains over 1,500 questions covering the full JRCPTB AIM curriculum. Questions reference NICE guidelines, RCP Acute Care Toolkit series, Resuscitation Council UK 2021 algorithms, and specialty-specific guidelines (BTS for respiratory, BSG for GI bleeding, NICE NG51 for sepsis).
The toxicology domain is covered in depth — paracetamol (nomogram interpretation, NAC protocol), salicylate (urine alkalinisation), opioid (naloxone dosing and repeat dosing), tricyclic (sodium bicarbonate), lithium, and novel psychoactive substances. These are high-yield topics because the management algorithms are precise and testable.
NEWS2 integration appears throughout the bank — questions present NEWS2 scores as part of clinical scenarios and test your interpretation of the aggregate score, escalation thresholds, and the clinical response framework. This reflects how NEWS2 is used in real acute medical practice and how it is tested in the exam.
The adaptive algorithm is particularly valuable for Acute Medicine because the breadth makes manual revision balancing extremely difficult. If your toxicology is strong but your acute neurology is weak, the system adjusts without you needing to consciously track coverage across 15 different clinical domains.
All included at £29 per month or £99 per year.