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2026 diet dates verified, the scaled-450 pass mark effective from the 2026/1 diet explained, and the published Federation blueprint covered in full. A 5,000+ adaptive MRCP Part 1 question bank by UK physicians — free to use, with no subscription required for the bank.
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 clinical details against current official and professional 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 68-year-old man is admitted with 90 minutes of central chest pain at rest. The pain has resolved following aspirin and sublingual glyceryl trinitrate. ECG shows 1 mm horizontal ST-segment depression in leads V4 to V6. High-sensitivity troponin T is 84 ng/L on admission and 326 ng/L 3 hours later. He is haemodynamically stable, has no recurrent pain or signs of heart failure, and has no history of bleeding. His estimated glomerular filtration rate is 72 mL/min/1.73 m². Coronary angiography with PCI if indicated is booked for the following morning, approximately 18 hours after admission. Which is the most appropriate antithrombin strategy from admission until the planned procedure?
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. Socratic tutoring is available with an iatroX subscription for supported quiz sessions.
Yes — the entire 5,000+ MRCP Part 1 bank is free at iatroX. No subscription is required for MRCP Part 1, and it sits in the free tier alongside MRCEM SBA, PSA and PARA. UKMLA, PLAB 1, MSRA and MRCGP AKT include free sample questions, with full adaptive access with an iatroX subscription.
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 450 from the 2026/1 diet onwards. This is an equated score, not 45% and not a fixed raw mark: raw scores are converted to a scaled score that accounts 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 MSt MRCGP · Last reviewed 29 August 2026
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