MRCPCH (UK Paediatrics & Child Health) — Free Online Mock Test
Theory exam structure: FOP (Foundation of Practice) + TAS (Theory & Science) + AKP (Applied Knowledge, 2 papers), SBA best-of-five. Genuinely paediatric content — common paediatric presentations, basic sciences in children, neonatology, growth & development, subspecialties, emergencies and safeguarding. Each paper draws from a distinct paediatric domain so no question repeats within an attempt. (Question counts are scaled to the curated paediatric bank; the real papers are sat on separate days.) MTF discontinued; SBA only. · Official language: English.
Elite
United Kingdom
Medical Licensing
128 questions
192 min
50 distinct variants
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MRCPCH section breakdown
The MRCPCH mock test on Wrexa Edge replicates the real exam's section structure — same names, same question count per section, same time limits. Inter-section breaks are enforced.
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FOP — Foundation of Practice (general paediatrics)
40 questions · 48 minutes · ~72 sec/question
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TAS — Theory & Science (basic sciences in children)
36 questions · 44 minutes · ~73 sec/question
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AKP Paper 1 — Neonatology, growth & development
26 questions · 50 minutes · ~115 sec/question
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AKP Paper 2 — Subspecialties, emergencies & safeguarding
26 questions · 50 minutes · ~115 sec/question
MRCPCH scoring & marking scheme
Strategy: MRCPCH has no negative marking. Attempt every question — blank answers cost you potential marks but cannot pull your score down.
Scale: MRCPCH (% accuracy across all papers).
How MRCPCH is conducted
Mode
Standard — practice without proctoring on Wrexa Edge, or enable optional webcam proctoring to simulate test-day conditions.
Test format
Linear / fixed-form — every candidate sees the same number of questions per section.
Backtracking
Allowed — you can revisit and change answers within a section.
Mark for review
Available — flag tough questions and return to them before submitting the section.
Tools available during the MRCPCH exam
Wrexa Edge renders these tools inside the mock test exactly as they appear on the real MRCPCH exam — same shortcuts, same behaviour.
MRCPCH time strategy
With 128 questions in 192 minutes, you have about 90 seconds per question on average. Successful candidates aim for the following pacing on each section:
FOP — Foundation of Practice (general paediatrics)
Target ~72 sec/question. If a question takes more than 108 seconds, mark for review and move on.
TAS — Theory & Science (basic sciences in children)
Target ~73 sec/question. If a question takes more than 110 seconds, mark for review and move on.
AKP Paper 1 — Neonatology, growth & development
Target ~115 sec/question. If a question takes more than 173 seconds, mark for review and move on.
AKP Paper 2 — Subspecialties, emergencies & safeguarding
Target ~115 sec/question. If a question takes more than 173 seconds, mark for review and move on.
Wrexa Edge's analytics show your actual time-per-question after every mock so you can spot which sections you're losing time on.
MRCPCH topics covered
Across the 50 Wrexa Edge variants of MRCPCH, the following topics appear most often (sample distribution from one variant):
FOP — Foundation of Practice (general paediatrics)
- GenPaed — Respiratory · 7
- GenPaed — GI · 6
- GenPaed — Infections · 5
- GenPaed — Rheum/Vasculitis · 3
- GenPaed — Immunisation · 3
- GenPaed — MSK · 3
- GenPaed — Neurology · 2
- GenPaed — Emergencies · 2
TAS — Theory & Science (basic sciences in children)
- BasicSci — Genetics · 8
- BasicSci — Haematology · 5
- BasicSci — Immunology · 4
- BasicSci — Pharmacology · 4
- BasicSci — Physiology · 3
- BasicSci — Statistics · 3
- BasicSci — Metabolic · 2
- BasicSci — Microbiology · 2
AKP Paper 1 — Neonatology, growth & development
- Neonat — Development · 6
- Neonat — Jaundice · 3
- Neonat — Respiratory · 2
- Neonat — Cardiac · 2
- Neonat — Birth Injury · 2
- Neonat — Assessment · 2
- Neonat — GI · 1
- Neonat — Infection · 1
AKP Paper 2 — Subspecialties, emergencies & safeguarding
- Specialty — Emergencies · 4
- Specialty — Safeguarding · 3
- Specialty — Cardiology · 3
- Specialty — Oncology · 2
- Specialty — Neurology · 2
- Specialty — Endocrine · 2
- Specialty — Respiratory · 2
- Specialty — Renal · 2
Sample MRCPCH questions
A preview of real practice questions from the Wrexa Edge MRCPCH bank — the same style, phrasing and difficulty you'll face on test day. Full solutions unlock free inside the mock.
FOP — Foundation of Practice (general paediatrics) · GenPaed — GI
Q1. A 6-week-old with non-bilious projectile vomiting and a palpable "olive" mass has:
Why: Correct answer: D — Hypertrophic pyloric stenosis. Topic: GenPaed — GI.
TAS — Theory & Science (basic sciences in children) · BasicSci — Metabolic
Q2. Phenylketonuria (PKU) is due to deficiency of:
Why: Correct answer: D — Phenylalanine hydroxylase. Topic: BasicSci — Metabolic.
AKP Paper 1 — Neonatology, growth & development · Neonat — GI
Q3. Necrotising enterocolitis (NEC) is most common in:
Why: Correct answer: D — Premature, low-birth-weight infants. Topic: Neonat — GI.
AKP Paper 2 — Subspecialties, emergencies & safeguarding · Specialty — Oncology
Q4. A child with an abdominal mass that does not cross the midline and haematuria likely has:
Why: Correct answer: D — Wilms tumour (nephroblastoma). Topic: Specialty — Oncology.
FOP — Foundation of Practice (general paediatrics) · GenPaed — GI
Q5. The classic biochemical picture of pyloric stenosis is:
Why: Correct answer: A — Hypochloraemic, hypokalaemic metabolic alkalosis. Topic: GenPaed — GI.
TAS — Theory & Science (basic sciences in children) · BasicSci — Metabolic
Q6. Classic galactosaemia results from deficiency of:
Why: Correct answer: A — Galactose-1-phosphate uridyltransferase (GALT). Topic: BasicSci — Metabolic.
These are a handful of the 6400 unique MRCPCH questions across all 50 Wrexa Edge variants — start a free mock to attempt the full set with instant scoring.
MRCPCH difficulty calibration
Elite tier. Elite-tier: among the toughest exams in its category. Most successful candidates prepare for 6-12+ months.
Theory exam structure: FOP (Foundation of Practice) + TAS (Theory & Science) + AKP (Applied Knowledge, 2 papers), SBA best-of-five. Genuinely paediatric content — common paediatric presentations, basic sciences in children, neonatology, growth & development, subspecialties, emergencies and safeguarding. Each paper draws from a distinct paediatric domain so no question repeats within an attempt. (Question counts are scaled to the curated paediatric bank; the real papers are sat on separate days.) MTF discontinued; SBA only. · Official language: English.
Verified content — Wrexa Edge's MRCPCH bank has been deeply curated with real exam-aligned content (estimated 100% syllabus coverage).
How Wrexa Edge prepares you for MRCPCH
Real test-day interface
Our vignette skin mirrors the actual MRCPCH testing software — same timer, palette, tools, and navigation.
50 distinct variants
6400 unique practice questions, each variant a fresh test — not just shuffled options.
Detailed analytics
Scaled score, section accuracy, topic-wise heatmap, time-per-question — see where to focus after every attempt.
Spaced repetition (Notebook)
Wrong answers and flagged questions flow into an SM-2 spaced-repetition deck so you actually retain what you learn.
Optional proctoring
Browser-based face-api detection (no install) — turn it on to simulate a high-stakes environment.
Free to start
No credit card. Sign up, pick a variant, and your first MRCPCH mock starts in under a minute.
MRCPCH study plan
A phase-by-phase roadmap from your first concept to test-ready. Stretch or compress each phase to fit the time you have before your attempt.
1
Phase 1 — Learn the syllabus
Weeks 1–4
- Work through every section — FOP — Foundation of Practice (general paediatrics), TAS — Theory & Science (basic sciences in children), AKP Paper 1 — Neonatology, growth & development, AKP Paper 2 — Subspecialties, emergencies & safeguarding — from your core study material
- Make short notes and a formula/fact sheet you can revise quickly
- Attempt topic questions right after finishing each area
2
Phase 2 — Practice & sectionals
Weeks 5–8
- Solve previous-year and practice questions section by section
- Time yourself on FOP — Foundation of Practice (general paediatrics) and your weakest areas
- Keep an error log and revisit every mistake weekly
3
Phase 3 — Full-length mocks
Weeks 9–12
- Take full-length MRCPCH mocks in the real test interface
- Analyse accuracy, time per question and silly mistakes after each mock
- Revise from notes and re-attempt only weak-topic questions
Where MRCPCH can take you
A strong MRCPCH result opens up these careers and higher-study paths:
Clinical practice
A pass grants the licence required to practise and treat patients in your jurisdiction.
Residency & specialisation
Qualifies you for residency, postgraduate training and specialist certification.
Hospital & public health roles
Positions across hospitals, public-health services and research institutions.
Frequently asked questions
- What is the MRCPCH exam pattern?
- MRCPCH (UK Paediatrics & Child Health) contains 128 questions across 4 sections: FOP — Foundation of Practice (general paediatrics), TAS — Theory & Science (basic sciences in children), AKP Paper 1 — Neonatology, growth & development, AKP Paper 2 — Subspecialties, emergencies & safeguarding. Total duration is 192 minutes (about 90 seconds per question).
- Does MRCPCH have negative marking?
- No — MRCPCH has no negative marking. Each correct answer is worth 1 mark, so attempt every question.
- How is MRCPCH scored?
- Scaled score range: 0 to 100. MRCPCH (% accuracy across all papers).
- How can I practise MRCPCH online for free?
- Wrexa Edge gives you 10 free full-length MRCPCH mock tests — with instant scoring, detailed explanations and analytics — plus 40 more with Pro. Start practising in under a minute, no card required.
- What is the difficulty level of MRCPCH?
- MRCPCH is rated Elite difficulty on Wrexa Edge. Elite-tier: among the toughest exams in its category. Most successful candidates prepare for 6-12+ months. Theory exam structure: FOP (Foundation of Practice) + TAS (Theory & Science) + AKP (Applied Knowledge, 2 papers), SBA best-of-five. Genuinely paediatric content — common paediatric presentations, basic sciences in children, neonatology, growth & development, subspecialties, emergencies and safeguarding. Each paper draws from a distinct paediatric domain so no question repeats within an attempt. (Question counts are scaled to the curated paediatric bank; the real papers are sat on separate days.) MTF discontinued; SBA only. · Official language: English.
- How long is the MRCPCH exam?
- MRCPCH runs for 192 minutes total across 4 sections. On Wrexa Edge the timer is enforced exactly as on the real exam — including mandatory inter-section breaks.
- What topics are covered in MRCPCH?
- MRCPCH is split into: FOP — Foundation of Practice (general paediatrics), TAS — Theory & Science (basic sciences in children), AKP Paper 1 — Neonatology, growth & development, AKP Paper 2 — Subspecialties, emergencies & safeguarding. Each section is timed and weighted separately. Theory exam structure: FOP (Foundation of Practice) + TAS (Theory & Science) + AKP (Applied Knowledge, 2 papers), SBA best-of-five. Genuinely paediatric content — common paediatric presentations, basic sciences in children, neonatology, growth & development, subspecialties, emergencies and safeguarding. Each paper draws from a distinct paediatric domain so no question repeats within an attempt. (Question counts are scaled to the curated paediatric bank; the real papers are sat on separate days.) MTF discontinued; SBA only. · Official language: English.
- What tools or aids are allowed during MRCPCH?
- Built-in lab values reference table (USMLE-style).
- Is the MRCPCH test adaptive?
- No — MRCPCH is a fixed-form (linear) test. Every candidate sees the same number of questions per section.
- How many MRCPCH mock tests does Wrexa Edge offer?
- Wrexa Edge generates 50 distinct MRCPCH variants — each with different question content, not just shuffled options — the first 10 free for everyone and 40 more with Pro. That's 6400 unique practice questions in the real test-day interface.
- Is there a free MRCPCH test series 2026?
- Yes. The Wrexa Edge MRCPCH test series for 2026 gives you 10 free full-length mock tests (50 in total) plus subject-wise and topic-wise tests — instant scoring and detailed analysis, no card required.
- Are MRCPCH previous year question–style papers included?
- Every MRCPCH mock is modelled on the official exam pattern and the style of previous years' papers — the same 128-question structure, sections and marking — so your practice mirrors the real paper you'll sit.
- Which is the best free MRCPCH mock test online?
- Wrexa Edge's MRCPCH mock test replicates the real exam interface, timing and marking scheme, with instant score, section-wise analysis and 50 fresh variants — a strong free choice for 2026 preparation.
- Can I take the MRCPCH mock test on mobile?
- Yes. MRCPCH mock tests run in any browser on mobile, tablet or desktop — no app or download needed. Start on your phone and your progress and analytics sync when you sign in.
- What is the MRCPCH syllabus?
- The MRCPCH syllabus maps to its 4 sections: FOP — Foundation of Practice (general paediatrics), TAS — Theory & Science (basic sciences in children), AKP Paper 1 — Neonatology, growth & development, AKP Paper 2 — Subspecialties, emergencies & safeguarding. Wrexa Edge's mock tests cover the complete syllabus topic by topic — see the topics-covered breakdown above — so you practise every area at real exam difficulty.
- What is the eligibility for MRCPCH?
- Eligibility for MRCPCH — age, qualification and number of attempts — is set by the official conducting body and can change each cycle, so always confirm the current official notification before applying. Wrexa Edge focuses on realistic MRCPCH practice: 10 free full-length mocks in the exact exam pattern, ready whenever you are.
- When is the MRCPCH exam and how should I prepare?
- Official MRCPCH exam dates are announced by the conducting body for each cycle — check the latest notification for the current schedule. To be ready, follow a phased study plan and take full-length timed mocks; Wrexa Edge gives you 10 free MRCPCH mocks with instant scoring so you can track your readiness week by week.
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