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A Guide to
MRCPCH Theory Exams

How many theory exams are there?

01. Foundation of Practice (FOP)

Previously MRCPCH Part 1A: FOP assesses a candidate's knowledge, understanding and clinical decision-making abilities. It aims to ensure you have reached the standard of someone entering core specialist training. It lasts 2 hours 30 minutes and consists of 79 SBAs and 6 EMQs.

02. Theory and Science (TAS)

Previously MRCPCH Part 1B: TAS tests basic scientific, physiological and pharmacological principles of clinical practice, and of evidence-based practice. It lasts 2 hours 30 minutes and comprises 70 SBAs and 10 EMQs. Most people find the TAS more difficult as it is much heavier on basic medical sciences than clinical questions.

03. Applied Knowledge in Practice (AKP)

Previously MRCPCH Part 2: AKP tests a candidate's knowledge, understanding and clinical decision-making abilities based on a standard of someone entering their core specialist training. It comprises two exams, each of which is 2 hours 30 minutes and taken on the same day. It uses an “N from Many” style, where you are asked to pick more than one answer for each question.

How to apply for the exam?

You can only apply for the exams online. To do this, you will need to create an exam account (through the RCPCH site), choose the method of delivery from your account dashboard, completely fill out the application form, and then pay to secure your place.

Where can i take the exams?

  • At home – with online invigilation

  • Test centre – various locations across the UK

You are expected to pass all 3 theory exams by the end of ST3


recommended to prepare
for the theory exams?

Everyone has a different learning style and there is no one size that fits all when it comes to preparation for your exams. However, we have completed a list of common and recommended resources used by trainees to ace the exams

Question Banks

The commonest online question banks used by most candidates are



Sample papers

The RCPCH website has sample papers which help you understand the functionality of CBT exams and how these will run.


DragonBytes Paediatrics Podcasts: These  podcasts are created by paediatrians in Wales and aimed at trainee paediatricians or anyone interested in child health. These are available at several platforms including Google podcasts

When do i get the results for the exams?

Results are available 6-7 weeks following the exam. You have 6 attempts to pass each of the MRCHPCH exams, following which you will need to provide evidence of additional educational experience to be allowed to sit the exam.

Throwing Caps

And finally you just need to believe in yourself...!

Our team is rooting for you!

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