SCE Neurology: question practice and revision.

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

• Stroke and cerebrovascular disease
• Epilepsy and sleep disorders
• Multiple sclerosis and neuroinflammation
• Movement disorders
• Headache
• Neuro-oncology
• Peripheral nerve and neuromuscular
• Cognitive and behavioural neurology
• Neuroinfection
• Neurological disorders in special groups (elderly, paediatric, pregnancy, end-of-life)
• Data interpretation (NCS/EMG, EEG, neuroimaging, pathology)

Topics that consistently produce the most marks.

• Stroke — thrombolysis and thrombectomy criteria, ABCD2 scoring, secondary prevention by aetiology
• Epilepsy — first-line AEDs by syndrome, status epilepticus protocols, driving regulations
• Multiple sclerosis — DMT escalation, JCV serostatus, pregnancy and breastfeeding considerations
• Movement disorders — Parkinson's disease vs atypical parkinsonism, deep brain stimulation indications
• Neuromuscular — myasthenia gravis crisis management, GBS variants and treatment
• Data interpretation — nerve conduction study patterns, EEG abnormalities, MRI sequences

Recurring themes from candidate feedback.

Candidate-reported observations — not official guidance.

1. Nerve conduction study data interpretation — demyelinating vs axonal vs mixed patterns are reliably misread.
2. Glioma histopathology — WHO 2021 classification with IDH mutation and 1p/19q codeletion status.
3. ABCD2 stroke risk scoring — exact thresholds and what they trigger.
4. Ethical, regulatory and driving questions — DVLA group 1 vs group 2 thresholds for various neurological conditions.
5. Statistics in trial design questions — odds ratios, NNT, study type identification.
6. Pregnancy-specific neurology — medication safety, eclampsia vs cerebral venous sinus thrombosis.

A phased approach used by recent SCE Neurology passers.

1. Weeks 1–4

   Foundation pass across all topics. 30 questions/day. Read Bradley, Daroff in parallel for weak areas.

2. Weeks 5–8

   Targeted weak-area drilling with spaced repetition. Cross-reference recent NICE and ABN guidance.

3. Weeks 9–11

   Two timed full 200-SBA mocks. Review every incorrect answer in detail. Practice data interpretation under time pressure.

4. Week 12

   Bookmark review only. Walk through driving regulations, statistics formulas, and DVLA tables.

Dedicated SCE Neurology 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.

The Federation publishes the exact number of questions per topic before each sitting. Subspecialties are not equally weighted — stroke, epilepsy and MS together typically account for over a third of the paper.

Historically the SCE Neurology pass rate sat around 80%, although the standard was raised in September 2022. Per-year figures are published in the Federation's annual performance report.

Anyone holding MRCP(UK) or occupying a UK training post. For post-2007 neurology specialty trainees, passing the SCE is a precondition for obtaining a Certificate of Completion of Training (CCT).

The historical published fee is £700 for UK candidates and £875 for overseas candidates. The current fee is set annually by the MRCP(UK) Management Board.

Full SCE Neurology 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.

Next SCE Neurology sitting: 18 November 2026. Applications: 29 July 2026–26 August 2026 (closed). Applications open and close at 08:00 UK local time. Confirm booking and delivery arrangements with the Federation.