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2026 diet dates verified, scaled-540 pass mark explained, Federation blueprint mapped to NICE, BNF and UK guideline sources. A 5,000+ adaptive question bank by UK physicians — completely free, no subscription required.
100 best-of-five SBAs · 3 hours · computer-based
100 best-of-five SBAs · 3 hours · same day, after a 1-hour break
From 2026/03 (23 September) the Part 1 is delivered in-centre at authorised test centres worldwide. For the 2026/02 May diet, UK candidates and certain international centres still run via Remote Online Proctoring (ROP).
Primary Medical Qualification (PMQ) recognised by the GMC plus at least 12 months of post-graduation clinical experience by the exam date.
2026/01: 28 January (results ~mid March). 2026/02: 21 May (results ~early July). 2026/03: 23 September — first in-centre diet (applications open 14 July, close 21 July 2026 at 8am UK). All application windows open at 8am UK time on the opening date and close at 8am UK time on the closing date — applications outside these windows are not accepted.
Approximate question distribution across the Federation's MRCP(UK) Part 1 blueprint. Mapped to the JRCPTB Internal Medicine Training (IMT) curriculum.
Drawn from the Federation blueprint, current UK guidelines and item density across the iatroX bank.
Clinical sciences — pharmacology (mechanism, kinetics, key drug-drug interactions), statistics (sensitivity/specificity, NNT, LR+/LR−, study design), ethics (consent, capacity, GMC duties). 24 marks — the single largest block.
Acute medicine bundles — Surviving Sepsis 2021, ACS algorithms per ESC 2023, stroke thrombolysis windows, anaphylaxis, DKA fluid replacement, acute severe asthma
Cardiology — HFrEF four-pillar therapy (ACEi/ARNI, beta-blocker, MRA, SGLT2i), AF rate vs rhythm control, ESC 2024 CHA₂DS₂-VA score for anticoagulation
Endocrinology — Type 2 diabetes algorithm per NICE NG28 (metformin, SGLT2 inhibitors, GLP-1 agonists), Cushing's screening tests, adrenal insufficiency, hyponatraemia workup
Neurology — stroke and TIA secondary prevention, multiple sclerosis subtypes and disease-modifying therapy, status epilepticus algorithm, headache red flags
Haematology — blood film interpretation, MGUS vs smouldering vs symptomatic myeloma, AML/CML recognition, anti-coagulant reversal
Image and data interpretation — ECGs (acute ischaemia, blocks, arrhythmias), ABGs (acid-base patterns), chest X-rays (consolidation, pleural pathology), CT head patterns
Renal — KDIGO AKI staging, CKD-MBD principles, acid-base, electrolyte disturbances, renovascular disease workup
Observations from UK IMT trainees and recent Part 1 candidates. Verify against current NICE and BNF guidance.
Candidate-reported observations — not official guidance.
A pragmatic phased approach used by recent UK IMT-1/IMT-2 passers.
A live item from the iatroX bank. Try it before launching a full session.
A sample MRCP(UK) Part 1 question will appear here shortly. In the meantime, launch a free practice session.
try a free question →Why iatroX is built differently for MRCP(UK) Part 1.
Every iatroX item is tagged to a blueprint topic, so your performance dashboard mirrors the structure of the exam itself.
The engine surfaces your weakest topics first, in real time, instead of marching you through a static syllabus.
Incorrect items return at increasing intervals to interrupt the forgetting curve and lock knowledge into long-term memory.
Timed full-length simulations that mirror the official exam structure under realistic conditions.
The full MRCP(UK) Part 1 bank, adaptive engine, spaced repetition and AI performance dashboard — all free.
Yes — the entire 5,000+ MRCP Part 1 bank is free at iatroX. No subscription required, no paywall after a trial. iatroX uses the free MRCP Part 1 bank as a flagship of platform value alongside UKMLA, MRCGP AKT, MSRA, PSA, MRCEM SBA, PLAB-1 and PANE — all in the free tier.
Three diets per year. 2026/01: 28 January. 2026/02: 21 May. 2026/03: 23 September. From 2026/03 onwards the Part 1 is delivered in-centre at authorised test centres worldwide (Myanmar and Sudan continue via Remote Online Proctoring). Applications open ~10 weeks before each diet at 8am UK time.
A scaled score of 540 (test-equating). On recent papers, that has aligned to roughly the mid-60s percentage of scored questions, but the raw mark varies per diet. Aim to exceed 540 consistently, not chase a fixed percentage. Raw scores are converted to a scaled score to adjust for paper difficulty.
Two papers of 100 best-of-five SBAs each, three hours per paper, sat on the same day with a one-hour break between. Total 200 questions across the day. From 2026/03 delivery is in-centre at authorised test centres worldwide; before then, UK candidates and some international centres still use Remote Online Proctoring.
You need a Primary Medical Qualification recognised by the GMC (or equivalent verifiable by the Federation) plus at least 12 months of post-graduation clinical experience by the exam date. Most UK candidates sit during IMT1 or IMT2 (formerly CMT1/CMT2). International candidates often sit before applying for UK training.
UK fee is £502; international fee is £672. The Federation reviews fees annually. Fees are payable at the time of application via credit/debit card and are non-refundable after the application close.
MRCP(UK) is awarded after passing Part 1, Part 2 Written and Part 2 Clinical (PACES). All three parts must be completed within 7 years of first sitting Part 1. After MRCP, trainees progress to higher specialty training (HST) and eventually their Specialty Certificate Examination (SCE) for CCT.
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Reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP · Last reviewed 12 May 2026
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