Jan 222019

Cardiology is a essential part of MRCP exam carrying 15 marks in the exam. Most student usual attain low marks in this section. Cardiology is the study of the heart and blood vessel. Its treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology. Medicos Library has provided high standard cardiology on examination revision materials for medical exams.

  • Anatomy and physiology
    - Basic anatomy and physiology of the heart in health and disease including:
    Clinical relevant normal anatomy of the heart, coronary arteries and great vessels
     Determinants of the heart rate and rhythm 
     Cardiac conduction 
     Cardiac output
    Vascular tone
     Blood pressure
     Coronary blood flow
     Genesis of heart sound
  • Pathophysiology and pathology
    - Mechanism underlying the main pathological processes
    Heart failure
  • Cell biology
    - Topics of proven clinical relevance such as:
    Excitation-contraction process
     Molecular and cellular aspects of hypertrophy of the myocardium of vascular smooth muscle
  • Clinical pharmacology
    - Indications of drug therapy in cardiac disease
    - Actions, interactions, and side effects of the drugs used, with emphasis on new drugs and newly observed side effects.
  • Clinical cardiology
    - Clinical features and management of the cardiac disorders encountered in hospital practice by the general physician
    - Risk factors
    Clinical features of constrictive pericarditis, cardiac tamponade, endocarditis, valvular disease 
     Management of acute coronary syndromes
     Management of cardiac failure
    Management issues in atrial fibrillation
     Indications for, and types of, permanent pacemaker
    - Important changes in clinical practice, following the publication of major clinical trials
     Use of ACE inhibitors after myocardial infarction 
     Use of HMG CoA reductase inhibitors in primary and secondary prevention of coronary morbidity and mortality
     Use of beta-adrenoceptor blocking drugs in left ventricular dysfunction
    - Indications for invasive and non-invasive cardiac investigation
    - Principle of these investigative methods, their limitations and the clinical relevance
     Common ECG abnormalities
    Basic echocardiographic abnormalities such as hypertrophic obstructive cardiomyopathy or pericardial effusion
     Indication for coronary angiography

MRCP(UK) develops and delivers postgraduate medical examinations around the world on behalf of the three Royal Colleges of Physicians of the UK.

Part 1 at a glance

  • one-day examination
  • two three-hour papers
  • 200 mutiple-choice (best of five) questions
  • no images
  • sat in an examination hall.

Exam pass marks

MRCP(UK) examinations

Examination Pass mark
Part 1 540
Part 2 Written 454
PACES 130 (see individual skills breakdown below)

The composition of the papers is as follows:

Specialty Number of questions*
Cardiology 15
Clinical haematology and oncology 15
Clinical Pharmacology, Therapeutics and Toxicology 16
Emergency and Critical care
Clinical sciences** 25
Dermatology 8
Endocrinology 15
Geriatric medicine 4
Gastroenterology 15
Infectious diseases and GUM 15
Neurology 15
Nephrology 15
Ophthalmology 4
Psychiatry 8
Respiratory medicine 15
Rheumatology 15

* This should be taken as an indication of the likely number of questions – the actual number may vary slightly.

** Clinical sciences comprise:

Cell, molecular and membrane biology 2
Clinical anatomy 3
Clinical biochemistry and metabolism 4
Clinical physiology 4
Genetics 3
Immunology 4
Statistics, epidemiology and evidence-based medicine 5

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