This workflow is for DFSRH candidates who have chosen PasSRH as their main teaching bank and want a disciplined way to work through it, review it and — crucially — know when to stop. It addresses the eKA knowledge component only, not the Course of Study or the supervised clinical experience. The principal limitation to name at the outset is that PasSRH, like any bank you learn from, stops being able to measure you once you have seen its questions; so this plan keeps a separate, unseen bank in reserve purely for timed assessment, and treats "finished PasSRH" as a milestone, not an exit signal.
Current-state box (last checked 21 July 2026)
The figures below are vendor-reported from passrh.co.uk and dated 21 July 2026; confirm them on the product page before you rely on them, as counts and prices change.
- Question count: vendor-reported as over 800 questions and answers across contraception, UKMEC 2025, STIs, early pregnancy and cervical screening.
- Price and access: vendor-reported at £59 for a 3-month subscription, with a mock included; a free demo is available.
- AI/adaptive features: none advertised — PasSRH is presented as a themed question bank with mock material, not an adaptive engine. Do not expect algorithmic personalisation.
- Supported components: it targets the DCSRH (formerly DFSRH) knowledge/theory assessment and includes preparation themed around the diploma's assessments; verify exactly which components its mock material reproduces on passrh.co.uk.
Naming note: PasSRH's own pages already use "DCSRH" alongside "DFSRH", reflecting the College of Sexual & Reproductive Healthcare rebrand of August 2025 (fsrh.org redirects to cosrh.org). Confirm the current assessment name and format for your diet on cosrh.org.
Exam anchor
The eKA is the knowledge gate: on the standing specification, 100 single-best-answer questions, five options each, up to two hours, computer-based, no negative marking, immediate pass/fail with no score breakdown. Because there is no breakdown, the exam gives you nothing to learn from afterwards — all of your diagnostic information has to come from your practice. Keep the distinction between official requirement and third-party claim clear: the College (cosrh.org) defines the curriculum and the eKA; PasSRH is a revision product mapped to that curriculum, and its coverage is a helpful claim, not the specification. Where they differ, the College is authoritative.
Build a blueprint inventory and protect an unseen pool
Before your first pass, map PasSRH's topics onto the diploma curriculum so you can see coverage, not just count questions. At the same time, make a decision that most candidates skip: do not use every bank you own for learning. Reserve a separate, genuinely unseen pool — this is iatroX's role in this plan — for timed mixed assessment only. If you learn from every question you own, you will have nothing left that can honestly measure you near the exam.
First pass: mixed by default, filtered only where foundations are weak
Start your first pass mixed, not topic-filtered. Topic filters tell you the subject before you read the stem, which cues the answer and inflates your accuracy — exactly the wrong preparation for an exam that mixes everything. The single exception is a domain where your foundations are genuinely weak: there, a short block of topic-filtered questions to build the scaffold is reasonable, before you fold it back into mixed practice. Everything else should be mixed from the start.
Review each miss with an error code and one action
For every wrong answer, resist the urge to transcribe the whole explanation. Instead:
- Assign an error code — knowledge gap, misread stem, reasoning slip, or recency error (right under an older UKMEC, wrong under UKMEC 2025).
- Write one corrective action — the single thing you will do differently next time.
A wrong answer with a one-line, coded fix is retrievable later; a wrong answer buried under a copied paragraph is not. This keeps your review notes short enough to actually revisit.
Use transfer practice, not repetition
The strongest test that you have learned a principle is answering a new question that tests the same rule — a transfer item — before you ever revisit the original. Repeating the original question mostly measures whether you remember that question. So when you fix a missed PasSRH item, rehearse the principle on a fresh, unseen item in iatroX, then move on. Transfer practice is where genuine learning shows up, and it protects you from the false confidence of recognising a stem.
Switch to mixed timed blocks when domain floors are met
Do not wait until you have finished every PasSRH question to start behaving like an exam candidate. As soon as each domain has cleared a defensible floor on unseen items, switch your emphasis to mixed, timed blocks — even if the first pass is technically incomplete. Coverage of the blueprint at a safe level matters far more than 100% completion of one product. Finishing the bank is a vanity milestone; clearing every domain floor on unseen, timed practice is the real one.
Exit criteria (not 100% completion)
You are ready to stop PasSRH when:
- Coverage: every curriculum domain has been practised, with none left thin.
- Unseen timed performance: your accuracy holds on mixed, unseen blocks, not just on reviewed PasSRH items.
- Pacing: you sustain roughly one minute and a little per question across a full block.
- Retention: previously fixed domains stay fixed when tested cold.
- Official-material calibration: your performance is consistent with any official sample material from cosrh.org.
Note what is absent from that list: "completed 100% of PasSRH". Completion is not an exit criterion, because the last untouched questions in a bank are not more important than a stable, measured performance on unseen items.
Worked example: a seven-day plan
Consider an SRH-clinic clinician using PasSRH for one defined job — first-pass learning and error-coding — with iatroX supplying adaptive transfer practice and the timed measurement.
- Day 1: Mixed PasSRH block; code every miss with one action. Today's clusters: UKMEC 2025 recency and missed-pill rules.
- Day 2: Learn the UKMEC 2025 cluster against the current source; a short timed iatroX block of unseen items on the same categories to test transfer.
- Day 3: Mixed PasSRH block; new clusters emerge (emergency contraception, enzyme-inducer interactions). Code and act.
- Day 4: Learn the two new clusters against CEU guidance and the relevant SmPC; timed iatroX transfer block.
- Day 5: Mixed, timed iatroX block across all four weak domains plus strong ones — confirm the fixes held and check pace. This block is measurement; do not review mid-block.
- Day 6: Review only the new misses; re-test the two most stubborn items cold on unseen questions.
- Day 7: Light retention check or rest. No re-sitting of already-reviewed items as "mocks".
PasSRH did the teaching; iatroX did the unseen measurement. Because no PasSRH question was recycled as a mock, and no iatroX question was pre-read, neither bank's signal was contaminated.
Decision checklist: continue, supplement, switch or stop
- Continue PasSRH while any domain is still under-sampled or below its floor — you have a coverage gap it can close.
- Supplement with unseen iatroX blocks for measurement and spaced transfer practice as soon as you start reviewing PasSRH items (which is the moment they stop measuring you).
- Switch your emphasis to mixed timed blocks once domain floors are met, regardless of PasSRH completion percentage.
- Stop PasSRH when the exit criteria are met — coverage, unseen accuracy, pace, retention and calibration — not when the last question is ticked.
Frequently asked questions
Is PasSRH enough for DFSRH on its own? PasSRH is a genuine, DFSRH/DCSRH-specific bank whose vendor-reported coverage spans the main curriculum areas, so as a single teaching source many candidates find it sufficient to learn from. What no single bank can do on its own is measure you honestly once you have seen its questions, which is why relying on one product for both learning and readiness assessment is the weak point rather than the coverage. Pairing PasSRH with a separate, unseen bank for timed measurement is the more defensible setup; verify PasSRH's current question count on passrh.co.uk.
Which DFSRH component does PasSRH not reproduce well? PasSRH addresses the knowledge and theory-assessment layer; it does not, and cannot, reproduce the supervised clinical experience or the practical competences signed off by a registered trainer, which are separate diploma requirements. It also cannot function as your unseen measurement once you have worked through and reviewed its questions, because at that point it is testing recognition rather than knowledge. Use it for what it is built for — teaching the eKA knowledge — and get clinical sign-off and unseen measurement elsewhere.
How many PasSRH questions should I complete per day for DFSRH? There is no magic number, and daily volume matters less than whether each miss is coded and acted on; a sustainable rate of two to three focused mixed blocks a day, fully reviewed, beats a large number skimmed without error-coding. The constraint is your review quality, not your throughput — 40 questions properly coded teach more than 120 rushed. Set the daily amount by how many you can genuinely review to a one-line corrective action, and confirm your access period on passrh.co.uk so you plan within it.
When should I stop using PasSRH and move to mixed mocks? Move to mixed, timed blocks as soon as every domain has cleared its floor on unseen items — not when you finish the bank. Waiting for 100% completion delays the most valuable preparation, which is rehearsing the whole blueprint under time pressure on questions you have not seen. Once you are reviewing PasSRH items rather than meeting them fresh, they have become teaching material, and your mocks should run on a separate unseen bank.
How should I combine PasSRH with iatroX without duplicating practice? Assign each a distinct job: PasSRH is your teaching first-pass, and iatroX is your reserved unseen bank for transfer practice and timed measurement. The rule that prevents duplication is simple — never turn a reviewed PasSRH question into a "mock", and never pre-read an iatroX question you intend to use for measurement. Keeping the learning bank and the measurement bank separate is exactly the two-Q-bank rule, and it is what stops your calibration from quietly inflating as the exam approaches.
Editorial notes and references
Written by Dr Kolawole Tytler, NHS GP and founder of iatroX. Last checked 21 July 2026. PasSRH figures (over 800 questions; £59 for 3 months; mock included) are vendor-reported from passrh.co.uk and dated 21 July 2026; verify them on the product page, as counts and prices change. Because the Faculty rebranded to the College of Sexual & Reproductive Healthcare (CoSRH) in August 2025 (fsrh.org redirects to cosrh.org) and DFSRH is being redesignated DCSRH, confirm the current assessment name and format on cosrh.org.
Disclosure: iatroX operates a UK question bank that competes directly with PasSRH. To keep this honest, iatroX's role here is confined to the job PasSRH is not being used for in this plan — the reserved unseen bank for timed measurement and transfer practice — and this article says plainly that PasSRH is a legitimate teaching bank for the eKA knowledge layer. iatroX does not provide clinical experience or trainer sign-off. Corrections via the feedback route on iatrox.com.
References: PasSRH, passrh.co.uk (vendor-reported figures); College of Sexual & Reproductive Healthcare, cosrh.org (curriculum, eKA); UKMEC 2025 (CoSRH); FSRH Clinical Effectiveness Unit guidance; medicines detail via SmPC on the eMC. Internal: the DFSRH content-gap checklist; Your Q-Bank Percentage Is Not Your Exam Score; the two-Q-bank rule; the iatroX DFSRH question bank and comparison hub.