MRCPCH (UK Paediatrics & Child Health) — Free Online Mock Test

MRCPCH exam at a glance

MRCPCH full-length mock tests

Attempt 50 full-length MRCPCH mock tests, each a distinct question set built on the real 128-question, 192-minute pattern — with instant scoring and section-wise analysis. The first 3 are free.

MRCPCH key facts & eligibility

Who is eligible for MRCPCH?

Open to medically qualified doctors; the theory exams can be attempted early in training, while the Clinical exam requires passing all three theory exams first.

Last verified July 2026 against RCPCH — Examinations. Always confirm current details on the official website before you register.

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.

• FOP — Foundation of Practice (general paediatrics)
  40 questions · 48 minutes · ~72 sec/question
• TAS — Theory & Science (basic sciences in children)
  36 questions · 44 minutes · ~73 sec/question
• AKP Paper 1 — Neonatology, growth & development
  26 questions · 50 minutes · ~115 sec/question
• 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

• Lab Values
  Built-in lab values reference table (USMLE-style).

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 — GI · 6
• GenPaed — Infections · 5
• GenPaed — Rheum/Vasculitis · 3
• GenPaed — Respiratory · 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

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.

Expert take: what MRCPCH really tests

The MRCPCH, from the Royal College of Paediatrics and Child Health, is a postgraduate membership examination required to progress from core to higher UK paediatric training. It has three theory exams — Foundation of Practice (formerly Part 1A, 100 questions, 2 hours), Theory and Science (formerly Part 1B, 100 questions, 2 hours) and Applied Knowledge in Practice (formerly Part 2 written, 120 questions in two papers) — plus the MRCPCH Clinical Examination, a 10-station OSCE. The theory papers use single-best-answer questions with no negative marking, and all three theory exams must be passed before the Clinical.

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.

Where MRCPCH can take you

A strong MRCPCH result opens up these careers and higher-study paths:

• UK paediatric training
  MRCPCH is required to progress to higher paediatric training.
• Permanent membership
  A lasting postgraduate qualification recognised internationally.

Best books & official prep for MRCPCH

• RCPCH exam syllabus & MRCPCH revision guides — RCPCH / Various
  Cover Foundation of Practice, Theory and Science, and Applied Knowledge in Practice.
• MRCPCH Clinical (OSCE) preparation — Various
  10 stations of history, examination and communication.

Official practice: Work through the RCPCH syllabus for the three theory exams, then prepare OSCE-style for the 10-station Clinical Examination after passing the theory.

Previous-year papers: RCPCH publishes syllabi and sample questions for each component.

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 3 free full-length MRCPCH mock tests — with instant scoring, detailed explanations and analytics — plus 47 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 3 free for everyone and 47 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 3 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?

Open to medically qualified doctors; the theory exams can be attempted early in training, while the Clinical exam requires passing all three theory exams first. Wrexa Edge focuses on realistic MRCPCH practice: 3 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 3 free MRCPCH mocks with instant scoring so you can track your readiness week by week.

Related exams & practice tests

Candidates preparing for MRCPCH also practise these on Wrexa Edge:

Browse more: All Medical Licensing exams →  ·  All United Kingdom exams →  ·  Full exam catalog →

• Global exam practice tests
• Exam calendar 2026

Ready to ace MRCPCH?

Join thousands of candidates practising on Wrexa Edge. Free signup, 50 variants per exam, instant scoring.