MRCP UK Part 2 Written — the applied-reasoning bridge to PACES
200 vignette-style best-of-5 MCQs · 2 papers × 3 hours · +1 / 0 marking · ~63% equated scaled pass. Every question is a clinical case — imaging, ECGs, labs, histories. Where Part 1 tested breadth, Part 2 Written tests depth of reasoning before PACES gates the final diploma.
- Federation of UK Royal Colleges · mrcpuk.org
- Gate before PACES (final clinical)
- 3 diets · Feb · Jun · Oct
Hero photo by National Cancer Institute on Unsplash
The second of three gates to MRCP(UK)
Conducted by the Federation of the Royal Colleges of Physicians of the United Kingdom, Part 2 Written sits between the MCQ-recall Part 1 and the face-to-face PACES — proving you can apply that recall to real clinical cases.
- Conducting body: Federation of the Royal Colleges of Physicians of the UK (London, Edinburgh, Glasgow).
- Eligibility: A valid MRCP UK Part 1 pass dated within the last 7 years.
- Mode: Computer-Based Test (CBT) — Pearson VUE delivery, UK and international centres.
- Structure: Two 3-hour papers (100 MCQs each), taken on the same day = 6 hours, 200 questions total.
- Question style: Best-of-5 clinical vignettes with imaging, ECGs, lab panels, case histories — far more visual than Part 1.
- Marking: +1 correct · 0 otherwise. No negative marking — attempt every question.
- Pass mark: An equated scaled score (~63% typical raw equivalent). No sectional minima.
- Attempt cap: Maximum 6 attempts, all within the 7-year Part 1 validity window.
- Fee: ~£460 UK · ~£616 international (confirm live on mrcpuk.org).
- February dietMonth after Feb Part 1
- June dietMonth after Jun Part 1
- October dietMonth after Oct Part 1
- Registration window~10 weeks before each diet
- Result release~6 weeks after exam day
- PACES booking unlocksImmediately on Part 2 pass
Always confirm exact diet dates and per-diet sub-specialty weighting on the official Federation site at mrcpuk.org.
Same format, completely different cognitive load
Vignette-heavy
Every stem is a clinical case — ECGs, chest/abdo X-rays, CT/MRI slices, blood films, derm photos, full lab panels rendered inline. Pattern recognition matters.
Applied reasoning
Part 1 rewarded fact recall. Part 2 Written rewards synthesis — combining the history, imaging and labs to pick the single best management step.
Same +1 / 0 marking
No negative marking — attempt every question. Our analytics flag any blank-leaving habit so you don't leave equated scaled marks on the table.
Same 6-hour endurance
Two 3-hour papers in one day at 108 seconds per question. Our mock player enforces the real diet's pacing so stamina is built, not discovered on the day.
What you get on LanguageTest.in
Two-paper format
Every mock is exactly 200 MCQs split into Paper 1 + Paper 2 of 100 each, 3 hours per paper — mirroring the real diet down to the section break.
Per-diet blueprint match
Cardio / Nephro / Endo / Neuro / Resp / Gastro / ID / Haem / Rheum / Geri / Derm / Therapeutics weighted to match the Federation's published per-diet blueprint.
Imaging + ECG bank
3,000+ inline images — ECGs, chest X-rays, CT/MRI slices, blood films, derm photos — all with zoom, all with structured reasoning in the explanation.
Per-subspecialty heatmap
After every mock, see your accuracy by system. The single weakest subspecialty drives your next 5 targeted re-reads — no guesswork.
PACES-aware explanations
Every explanation flags the management step a PACES examiner would expect to hear — so your Part 2 prep doubles as a head-start on the clinical carousel.
Eligibility-window tracker
We track the 7-year clock from your first Part 1 pass and warn you which diets are still in-window — so you never burn an attempt outside eligibility.
Mock packs · pay-as-you-go
Stack as many packs as you need across the Feb, Jun and Oct diets. No subscription.
Pricing is being updated — please check back shortly.
Continue with the full prep guide
The most asked MRCP UK Part 2 Written questions
How is Part 2 Written different from Part 1 and PACES?+
How many attempts do I get at Part 2 Written?+
What is the eligibility window for Part 2 Written?+
Is the sub-specialty weighting published per diet?+
Do questions really include ECGs, imaging and lab panels?+
What prep cadence do successful candidates follow?+
What happens after I clear Part 2 Written?+
Find out if you can clear Part 2 Written this diet
A full-length, blueprint-accurate MRCP UK Part 2 Written mock. Per-subspecialty heatmap within the hour.