MRCP(UK) Part I Examination

Some Tips for Part I

What is it?

The MRCP(UK) Part I is the first part of an entrance exam for higher training in UK. Without it you can’t enter into a Specialist training post in medicine.

It is not easy and the qualities required are:

What is being tested?

In particular the areas being tested include common medical conditions, new areas of knowledge e.g. new genetics, important areas of ignorance e.g. statistics and other important topics.

WHAT IS THE FORM OF THE EXAM?

Example question (courtesy of www.ydr.org.uk)

A 30-year-old female presents with fatigue, weight loss, red, painful tender nodules over her shins and breathlessness. The chest X-ray shows bilateral hilar lymphadenopathy. Investigations show that she has hypercalcaemia.

The cause of the hypercalcaemia is:

a)       Increased parathyroid hormone production in the lungs

b)       A high serum ACE causing increased hydroxylation of 25 hydroxycholecalciferol to 1,25 dihydroxycholecalciferol in the kidney

c)       Alpha hydroxylation of 25 hydroxycholecalciferol to 1, 25 dihydroxycholecalciferol by macrophages in the lung

d)       Lytic lesions in the bones

e)       Hyperventilation

Answer:

c)

The patient has sarcoidosis. In this condition alpha hydroxylation of 25 hydroxycholecalciferol to 1,25 dihydroxycholecalciferol takes place in sarcoid macrophages in the lungs. This increases levels of calcitriol in the blood and results in hypercalcaemia.

Facts acquired by book work are tested as well as those acquired by clinical experience (c).

WHAT TYPES OF QUESTIONS ARE ASKED

Of the medical specialties the following is a guide to the number of questions asked…

etc.

example of the types of question asked…. CLINICAL PHARMACOLOGY

In ALL 9 MAJOR SPECIALTIES

Questions asked concern the following…

MINOR SPECIALTIES

Examples of the sort of things asked about…

PREPARING FOR THE EXAM

There is no substitute for hard work i.e. you must know the facts

1 Individual planned approach is appropriate – but ask for guidance from your consultant or your friendly MRCP course organiser, etc. Don’t be afraid to ask for this.

2. Concentrate your efforts in reasonable time. You cannot do everything at the last moment.

3. Don't encourage distractions

4. Don't waste time by questioning answers in test papers. If you really think the answers are wrong then they may well be! Move on to something better, please!

Remember to keep generally fit!

READ & KNOW BY UNDERSTANDING (not by heart)

It is essential that you have core knowledge which you have an understanding of…Examples of the material to understand include…

HAVE ACCESS TO REFERENCE TEXTS

Read regularly about topics in…

MAKE YOUR OWN LISTS AND SENTENCES

Most people find this is a good way to learn….and you might be able to write a book or web page – who knows?

Score the goals you wan't to.

HOW TO TACKLE  "BEST OF FIVES"

Doing many can help you in your preparation as well as being aware of the common types of question.

So practice lots! Visit  www.ydr.org.uk   for numerous examples.

Learn from the ones you get wrong — make a real effort to concentrate the learning on the ones you got wrong.

ADVANTAGES of doing "BEST OF FIVES"

DISADVANTAGES

RULES

1. Read the question very carefully e.g. don’t , mix up chlorpropamide and chlorpromazine

2. Try to work out what the examiner is trying to find out

3. Do not be over suspicious looking for tricks or pitfalls in the question

4. Do not guess any answer

5. Logical reasoning may help you answer some questions

WORDS THAT CAUSE DIFFICULTY IN "BEST OF FIVES"

WILL YOU PASS?

The more facts you know the more likely you are to pass.

If you don't pass you'll have to try again.

EXAM DAY!

Preparing for the exam day means the following things…

 

Q. Who is more likely to pass

A. The student who works hard and prepares well in advance and who can relax on the day.