MRCP(UK) Part 1 · built on the official blueprint

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Q 14 / 40Cardiology · Moderate
42:18

A 34-year-old woman presents with palpitations for 40 minutes. She is alert with a blood pressure of 74/46 mmHg and cool peripheries. The ECG shows a regular narrow-complex tachycardia at 190 bpm. What is the most appropriate immediate management?

  • AIntravenous amiodarone
  • BIntravenous adenosine
  • Synchronised DC cardioversion
  • DIntravenous verapamil
  • EVagal manoeuvres

Explanation

A narrow-complex tachycardia with adverse features (shock) requires immediate synchronised DC cardioversion per Resuscitation Council UK guidance. Adenosine and vagal manoeuvres are for stable SVT…

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Exam-style questions

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Past papers & mocks

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High-yield textbook topics

17

Specialties, blueprint weighted

Everything in one place

A complete revision system, not just a question bank

Each tool feeds the next: read, practise, identify weak areas, reinforce and progress. Built to reduce overwhelm and maximise marks per hour of revision.

Qbank

Thousands of exam-style best-of-five questions

Every question is peer-reviewed by physicians who have sat the exam, mapped to the official blueprint and written in the exact best-of-five style you will face on the day. Filter by specialty, difficulty, familiarity and keyword to build a session of up to 100 questions.

Past Papers

Bespoke past papers built from candidate feedback

Sit full papers that reproduce the themes and difficulty reported by candidates after each diet. Complete them under exam conditions and review every explanation afterwards.

Mock Exams

Blueprint-matched mocks with a 3-hour clock

Generate a fresh 100-question mock at any time. Specialty weighting follows the MRCP(UK) blueprint, so your score is a realistic indicator of exam readiness.

Textbook

High-yield topics that link straight to questions

Clear, structured notes for every essential topic. Read a chapter, then test yourself on linked questions without leaving the page.

Analytics

Know exactly when you are ready

A live readiness score, accuracy by specialty, trend over time and peer comparison show your weak areas and how you compare with thousands of other candidates.

AI Tutor

Instant, on-demand explanations while you practise

Stuck on an option? Ask the AI tutor to break down the question, explain why distractors are wrong or go deeper on the underlying physiology – all from the question page.

Scientifically grounded

The MedAscend learning cycle

Active recall, spaced repetition and deliberate practice on your weakest areas – the methods with the strongest evidence for high-stakes exams.

  1. 01

    Learn

    Read the high-yield textbook topic and its key points.

  2. 02

    Practise

    Answer blueprint-mapped best-of-five questions in Tutor mode.

  3. 03

    Identify

    Analytics pinpoints weak specialties and recurring mistakes.

  4. 04

    Reinforce

    Re-test incorrect and flagged questions until they stick.

  5. 05

    Progress

    Sit timed mocks and watch your readiness score climb.

Matched to the exam

Every mock follows the official specialty blueprint

The real exam has 200 best-of-five questions across 2 papers. Our mocks reproduce the weighting of all 17 specialties, so your score is a true readiness signal – not a guess.

Questions per specialty (out of 200)

  • 25
    Clinical Sciences
  • 15
    Clinical Pharmacology & Therapeutics
  • 14
    Cardiology
  • 14
    Endocrinology, Diabetes & Metabolic Medicine
  • 14
    Gastroenterology & Hepatology
  • 14
    Infectious Diseases
  • 14
    Neurology
  • 14
    Renal Medicine
  • 14
    Respiratory Medicine
  • 14
    Rheumatology
  • 10
    Haematology
  • 9
    Psychiatry
  • 8
    Dermatology
  • 8
    Geriatric Medicine
  • 5
    Oncology
  • 4
    Medical Ophthalmology
  • 4
    Palliative Medicine & End of Life Care

Trusted by candidates

Doctors who passed with MedAscend

The mock exams felt exactly like the real thing. On exam day nothing surprised me – the pacing, the phrasing, the mix of specialties. I finished with time to spare.
AA

Dr Amani Al-Harbi

Passed MRCP Part 1, first attempt

The analytics changed how I revised. Instead of re-reading everything I focused on my three weakest specialties and my score went up 14% in a month.
TW

Dr Tom Whitaker

IMT2, Manchester

Explanations for every wrong option is the killer feature. You learn five things from one question rather than one.
PN

Dr Priya Nair

Core Medical Trainee

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FAQ

Frequently asked questions

What is the MRCP(UK) Part 1 exam?+

MRCP Part 1 is the first of three examinations leading to Membership of the Royal Colleges of Physicians. It is a written exam of two three-hour papers, each containing 100 best-of-five questions (200 in total), testing core medical knowledge and the clinical sciences that underpin medical practice.

Who is eligible to sit MRCP Part 1?+

You can apply once you have at least 12 months of postgraduate clinical experience (the equivalent of completing Foundation Year 1). Most candidates sit the exam within 12–24 months of graduating.

How many attempts are allowed?+

A maximum of six attempts is permitted at MRCP Part 1. Well-structured revision that focuses on understanding rather than memorising gives you the best chance of passing first time.

How does MedAscend match the real exam?+

Every question is written in the best-of-five format, text only, with one mark per correct answer and no negative marking – exactly like the exam. Mock exams are generated from the official specialty blueprint so the balance of topics mirrors the real paper.

What is the difference between Tutor mode and Timed mode?+

Tutor mode reveals the answer and full explanation immediately after each question, ideal for learning. Timed mode hides feedback until you finish, replicating exam conditions with a countdown clock, so you can rehearse pacing (roughly 1.8 minutes per question).

Can I try before I buy?+

Yes. Every new account gets a free 48-hour trial with access to the textbook and up to 100 practice questions. No card details are needed.

Does my subscription renew automatically?+

No. Subscriptions are one-off purchases for 3, 6 or 12 months of access. You can extend at any time and the new period is added to your remaining access.

What is your refund policy?+

If you have answered fewer than 50 questions and it is within 7 days of purchase, email us and we will refund you in full. See the refund policy page for details.

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