This MRCP Part 2 complete guide has been put together to assist you in your preparation for the exam. MRCP Part 2 is the second of three exams that you need to pass in order to receive the Membership of the Royal Colleges of Physicians Diploma.

In order to be awarded the MRCP diploma and transition into specialised medical training, you need to pass all three separate parts of the exam:  

  • MRCP(UK) Part 1
  • MRCP(UK) Part 2 Written
  • MRCP(UK) Part 2 Clinical (PACES)

What is the MRCP Part 2?

When you sit MRCP Part 2 you will be expected to complete two papers over the course of a day. For each paper, you will have three hours to go through 100 multiple choice questions.      

MRCP Part 2 will test your knowledge, skills and behaviour as a doctor. In addition, your ability to understand and make clinical judgements will be assessed across a multitude of topics. The questions within Part 2 of the exam are based on the diagnosis, investigation, management and prognosis of a patient. 

What is the difference between MRCP Part 1 and 2?

Although MRCP Part 2 requires you to build on the knowledge that is assessed in Part 1, there is one key difference between the two exams. While Part 1 is purely made up of text based multiple choice questions, MRCP Part 2 often uses images to display clinical scenarios. Among other medical related occurrences, these images usually include x-rays, pathology slides, CT and MRI scans. On top of having the relevant medical knowledge, you will need to be able to interpret the information that is given to solve the problems and answer the questions.  

MRCP Part 2 Dates

There are four different periods throughout the year that you can sit the exam. Generally, these occur in February, June, September and December. For UK students, the application fee is £448, while international students have to pay £608. You can submit an application for the MRCP Part 1 exam through the MRCP UK website.

The exam dates are as follows:

Exam Date  Application Period Results by
23rd February 2022 16th – 21st December 2021 6th April 2022
1st June 2022 28th March – 4th April 2022 13th July 2022
7th September 2022 4th – 11th July 2022 19th October 2022
14th December 2022 10th – 17th October 2022 25th January 2023

MRCP Part 2 Pass Mark 

The pass mark for MRCP Part 2 is 454. After sitting the exam, you will receive a result which has been curated by a process referred to as equating. This method of marking relies on a statistical approach, to ensure that candidates are awarded a comparable score for similar rates of performance across different parts of the MRCP exams. 

What is a good score in MRCP Part 2?

To achieve the set pass mark of 454, you need around 121 correct answers from the 200 questions. However, due to the marking process, answering this many questions correctly won’t necessarily result in a pass mark. Therefore, you are better off aiming for an overall score of 475 to 575. 

The key to achieving a good score on the MRCP Part 2 exam is making sure that you prepare effectively. As well as gaining an insight into the type of questions that will be included in the exam, going through sample questions will encourage you to understand the concepts behind the right answers. 


There are a number of resources that are available to help you with your preparation for MRCP Part 2. As the exam is written in accordance with the UK core medical training curriculum and the UK national guidelines, you should form the basis of your preparation around these specifications. It’s also wise to study the latest clinical textbooks and medical journals to ensure that you are taking on the exam with up to date knowledge.

Finally, there are several courses that you can make use of to get ready for your MRCP Part 2 exam. These courses are available in a variety of formats and are delivered by the three Colleges that make up the Federation of Royal Colleges of Physicians of the United Kingdom.