MRCPI GM Part II Written study materials
MRCPI GM Part II Written study resources

MRCPI GM Part II Written study guide

MRCPI GM Part II Written · Work through your exam, one topic at a time.

The MRCPI Part II Written Examination is one component of the Membership examination of the Royal College of Physicians of Ireland. Candidates are typically doctors in basic specialist training in general (internal) medicine who need to demonstrate the breadth and depth of knowledge expected of a physician before progressing to higher specialist training. The written paper is designed to test applied clinical reasoning across the whole of adult medicine rather than isolated fact recall, so preparation usually combines a structured revision programme with heavy practice on case-based, data-interpretation and single-best-answer material. Because the examination is set at a level appropriate to a doctor who has completed several years of general professional training, the most effective study plan covers general internal medicine, medicine of the elderly, acute and emergency presentations and the major medical subspecialties in parallel, with regular self-testing under timed conditions and review of diagnostic reasoning rather than memorisation. The MRCPI GM Part II Written study guide has 4 sections and about 1,407 words.

01

General (internal) medicine - clinical sciences and core topics

This domain tests whether you can apply physiology and pharmacology at the bedside: interpret an arterial blood gas, explain a mechanism, and choose the single next investigation rather than recite a list. Calculate the anion gap: Na − (Cl + HCO3).

369 words, about 2 min
02

Medicine of the elderly and rehabilitation

This domain tests a structured, function-centred approach: what matters to the patient, what is reversible, and what should deliberately not be done. CGA is the intervention, not the paperwork.

335 words, about 2 min
03

Acute and emergency medicine, including critical care

This domain rewards a reproducible first ten minutes: ABCDE, a differential for shock, and a defined treatment bundle. Sepsis-3 means infection plus organ dysfunction (SOFA ≥2); qSOFA is a prompt, not a diagnosis.

343 words, about 2 min
04

Specialty and subspecialty medicine

This domain expects working knowledge across the major specialties and the ability to choose the single next best step. ACS: ECG within 10 minutes, high-sensitivity troponin, aspirin plus a P2Y12 inhibitor and anticoagulant, and primary PCI within 120 minutes of STEMI diagnosis.

360 words, about 2 min