MRCS Part A1 and A2: Composition of the exam

123Doc has recently restructured the Intercollegiate MRCS online course in accordance with the latest Royal College syllabus. In addition to the MRCS Part A1 and Part A2 revision sections, we are also giving you 500 FREE questions over 1000 past examination based MCQs.

Composition of the Intercollegiate MRCS exam

The Intercollegiate MRCS examination contains 2 papers: MRCS Part A1 and MRCS Part A2. The MRCS Paper A1 consists of Single Best Answer (SBA) and Best of Five (BOF) questions and the MRCS Paper A2 comprises of EMQ questions.

Example of an MRCS 'Single Best Answer' (SBA)

A 55-year-old man presents to the upper gastrointestinal clinic with symptoms of indigestion. He undergoes upper gastrointestinal (GI) endoscopy and visits you later to discuss his results. You tell him he has Barrett's oesophagus and he wants to know more. The following are features of Barrett's oesophagus except:-

  1. A. Small intestinal metaplasia of the normal squamous mucosa.
  2. B. Increased risk of oesophageal adenocarcinoma.
  3. C. A Association with gastro-oesophageal reflux disease.
  4. D. The presence of goblet cells.
  5. E. The presence of cuboidal mucosal phenotype.

Example of an MRCS 'Emergency Medicine Question' (EMQ)

  1. A. PO2 10.4kPa, O2 Sat 99%, PCO2 3.0kPa, Bic 19 meq/l, pH 7.60
  2. B. PO2 9.4kPa, O2 Sat 99 %, PCO2 3.0kPa, Bic 12 meq/l, pH 7.25
  3. C. PO2 8.6kPa, O2 Sat 95%, PCO2 6kPa, Bic 45 meq/l ,pH 7.58
  4. D. PO2 8.0kPa, O2 Sat 92%, PCO2 4.4kPa, Bic 23 meq/l, pH 7.46
  5. E. PO2 5.9,O2 Sat 65%,PCO2 7.1kPa, Bic 26.2 meq/l, pH 7.22

Instructions: Match the above investigation results with the appropriate condition below:-

  1. Status Asthmaticus
  2. Pyloric obstruction
  3. Hyperventilation
  4. Diabetic Ketoacidosis
  5. Chronic Obstructive Pulmonary Disease