SCE Endocrinology: question practice and revision.

Choose a topic for focused revision and check your plan against the official specification.

• Complications of diabetes
• Thyroid
• Gonads
• Diabetic emergencies and management during acute illness / surgery
• Diabetes mellitus (diagnosis and general management)
• Other – Genetic
• Other – Miscellaneous
• Other – Appetite / weight
• Parathyroid and calcium
• Adrenal
• Hypothalamus and pituitary

Distilled from the Federation's 2025 blueprint weighting, candidate performance data and iatroX item density.

• Diabetes complications — diabetic kidney disease staging, diabetic eye screening pathways, foot ulcer management (16.5% of paper, largest single topic)
• Thyroid — TFT interpretation, Graves' biologics, thyroid eye disease, pregnancy-specific management (16% of paper)
• Gonadal axis — hypogonadism workup, PCOS Rotterdam criteria, hyperprolactinaemia investigation, fertility-preserving treatment
• Diabetic emergencies — DKA and HHS protocols, sick-day rules, perioperative management of insulin-treated patients
• Adrenal — Cushing's workup, primary aldosteronism screening, congenital adrenal hyperplasia, adrenal incidentalomas
• Hypothalamic-pituitary axis — acromegaly biochemistry, prolactinoma management, pituitary apoplexy, MEN syndromes

Observations synthesised from the Federation's 2025 performance report and candidate-reported feedback. Verify against your study sources.

Candidate-reported observations — not official guidance.

1. Hypothalamus and pituitary is the weakest topic for UK resident doctors (53.9% mean in 2025). Pituitary apoplexy and acromegaly biochemistry recur as poorly answered.
2. Confusing PCOS Rotterdam criteria with NIH or Androgen Excess Society criteria — examiners specifically test Rotterdam.
3. Misinterpreting dynamic adrenal testing — the short Synacthen response cut-offs and the difference between primary, secondary and tertiary adrenal insufficiency.
4. Time pressure in Paper 2 — candidates report under-finishing the second paper after a strong Paper 1.
5. Underestimating the appetite / weight category (10% of the paper) — anti-obesity pharmacology and bariatric surgery indications are now reliably tested.
6. Misclassifying thyroid eye disease severity using the wrong scoring system (EUGOGO vs CAS) and missing the indications for IV methylprednisolone.

A pragmatic phased approach used by iatroX subscribers who passed in 2024–25.

1. Weeks 1–4

   Foundation pass — 30 mixed questions/day across all 11 topics. iatroX diagnostic dashboard identifies your bottom three areas after roughly 400 attempts.

2. Weeks 5–8

   Targeted weak-area drilling. Spaced repetition surfaces incorrect items at increasing intervals. Read NICE NG28, NICE NG17 and the relevant Endocrine Society guidelines alongside.

3. Weeks 9–11

   Two timed 200-SBA mock exams under exam conditions, one Paper 1 + Paper 2 each week. Review every incorrect answer in detail; flag recurrent themes.

4. Week 12

   Light review of bookmarked items only. Sleep, hydrate, do not learn new material. Confirm centre location and admission ticket.

Dedicated SCE Endocrinology question practice with answer explanations, guided Tutor review and study planning.

• Focused question practice — Choose the relevant bank and use your answers to identify what to study next.
• Guided reasoning — Explore a difficult answer with Tutor, then apply the distinction independently.
• Review and timed practice — Return to important mistakes and choose a timed practice set where available.

Choose the relevant bank and use the official exam guidance to plan your preparation.

Use the dedicated SCE Endocrinology bank for question practice and answer explanations. Choose a practice set to see its available count and timing, then use the official specification to plan your wider preparation.

Next SCE Endocrinology and Diabetes sitting: 11 November 2026. Applications: 22 July 2026–19 August 2026 (closed). Applications open and close at 08:00 UK local time. Confirm booking and delivery arrangements with the Federation.

Since 2022 the pass mark has been set at 462, equivalent to 62% (124 out of 200). This was raised from 432 after a standards review and will remain until the Examination Board next reviews it.

In the 2025 paper, complications of diabetes (33 questions), thyroid (32) and gonads (31) were the three highest-weighted categories. Together they accounted for 48% of the exam. iatroX adaptive sequencing reflects this distribution.

Full SCE Endocrinology bank access is included in all-access. Up to 10 new sample questions per day are shared across exams, with no account required. A verified free account includes one guided Tutor session; continued Tutor use is included in all-access.