MRCP OFFICIAL SAMPLE EXAM
QUESTIONS AND ANSWERS 2026
VERIFIED.
A 65-year-old woman presented with a 12-hour history of the sudden onset of gait
unsteadiness, vomiting and headache, followed by increasing drowsiness.
What is the most likely diagnosis?
A: acute cerebellar haemorrhage
B: acute subdural haemorrhage
C: frontal subdural empyema
D: herpes simplex encephalitis
E: pituitary apoplexy - ANS A
A post-marketing observational study of a new drug was conducted on 5000 patients following
clinical trials.
@2026/2027 ALLRIGHTS RESERVED.
,What best describes the data generated from this type of study?
A: comparative efficacy
B: cost-benefit
C: cost effectiveness
D: potency
E: profile of adverse effects - ANS E
A 79-year-old woman was admitted for elective hip replacement surgery. On examination, she
was pale. There was 2-cm splenomegaly and there were small discrete axillary lymph nodes.
haemoglobin 107 g/L (115-165)
white cell count 34.5 × 109/L (4.0-11.0)
platelet count 183 × 109/L (150-400)
What is the most likely diagnosis?
A: acute myeloid leukaemia
B: chronic lymphocytic leukaemia
C: chronic myeloid leukaemia
@2026/2027 ALLRIGHTS RESERVED.
,D: myelodysplasia
E: myelofibrosis - ANS B
A 17-year-old boy presented with a non-blanching rash over his legs, a swollen knee and
painless, visible haematuria.
Urinalysis showed blood 3+, protein 1+.
serum creatinine 210 µmol/L (60-110) urine culture negative ultrasound scan of kidneys normal
What glomerular abnormality is most likely to be present at renal biopsy?
A: focal segmental sclerosis
B: foot process fusion
C: linear deposition of IgG on the basement membrane
D: mesangial deposition of IgA
E: thickening of basement membranes - ANS D
A 75-year-old woman developed a spreading cellulitis on her left leg secondary to ulceration.
blood cultures MRSA
@2026/2027 ALLRIGHTS RESERVED.
, In addition to vancomycin, what is the most appropriate antibiotic?
A: amoxicillin
B: azithromycin
C: flucloxacillin
D: metronidazole
E: rifampicin - ANS E
A 45-year-old woman presented with right flank pain. She had a 4-year history of hypertension
and progressive cognitive impairment.
On examination, she had livedo reticularis and tenderness in the right flank. Her BP was
185/105 mmHg. Urinalysis showed blood 3+, protein 1+.
Hb 129 g/L (115-165) WCC 8.7 × 109/L (4.0-11.0) PlTs 83 × 109/L (150-400)
serum creatinine 106 µmol/L (60-110)
What antibody test is most likely to be positive?
A: anticardiolipin
B: anticentromere
C: anti-glomerular basement membrane
@2026/2027 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS 2026
VERIFIED.
A 65-year-old woman presented with a 12-hour history of the sudden onset of gait
unsteadiness, vomiting and headache, followed by increasing drowsiness.
What is the most likely diagnosis?
A: acute cerebellar haemorrhage
B: acute subdural haemorrhage
C: frontal subdural empyema
D: herpes simplex encephalitis
E: pituitary apoplexy - ANS A
A post-marketing observational study of a new drug was conducted on 5000 patients following
clinical trials.
@2026/2027 ALLRIGHTS RESERVED.
,What best describes the data generated from this type of study?
A: comparative efficacy
B: cost-benefit
C: cost effectiveness
D: potency
E: profile of adverse effects - ANS E
A 79-year-old woman was admitted for elective hip replacement surgery. On examination, she
was pale. There was 2-cm splenomegaly and there were small discrete axillary lymph nodes.
haemoglobin 107 g/L (115-165)
white cell count 34.5 × 109/L (4.0-11.0)
platelet count 183 × 109/L (150-400)
What is the most likely diagnosis?
A: acute myeloid leukaemia
B: chronic lymphocytic leukaemia
C: chronic myeloid leukaemia
@2026/2027 ALLRIGHTS RESERVED.
,D: myelodysplasia
E: myelofibrosis - ANS B
A 17-year-old boy presented with a non-blanching rash over his legs, a swollen knee and
painless, visible haematuria.
Urinalysis showed blood 3+, protein 1+.
serum creatinine 210 µmol/L (60-110) urine culture negative ultrasound scan of kidneys normal
What glomerular abnormality is most likely to be present at renal biopsy?
A: focal segmental sclerosis
B: foot process fusion
C: linear deposition of IgG on the basement membrane
D: mesangial deposition of IgA
E: thickening of basement membranes - ANS D
A 75-year-old woman developed a spreading cellulitis on her left leg secondary to ulceration.
blood cultures MRSA
@2026/2027 ALLRIGHTS RESERVED.
, In addition to vancomycin, what is the most appropriate antibiotic?
A: amoxicillin
B: azithromycin
C: flucloxacillin
D: metronidazole
E: rifampicin - ANS E
A 45-year-old woman presented with right flank pain. She had a 4-year history of hypertension
and progressive cognitive impairment.
On examination, she had livedo reticularis and tenderness in the right flank. Her BP was
185/105 mmHg. Urinalysis showed blood 3+, protein 1+.
Hb 129 g/L (115-165) WCC 8.7 × 109/L (4.0-11.0) PlTs 83 × 109/L (150-400)
serum creatinine 106 µmol/L (60-110)
What antibody test is most likely to be positive?
A: anticardiolipin
B: anticentromere
C: anti-glomerular basement membrane
@2026/2027 ALLRIGHTS RESERVED.
