Jan 282019

Gastroenterology is a essential part of MRCP exam carrying 15 marks in the exam. Most student usual attain low marks in this section. Gastroenterology is the study of the normal function and diseases of the esophagus, stomach, small intestine, colon and rectum, pancreas, gallbladder, bile ducts and liver. Medicos Library has provided high standard Gastroenterology on examination revision materials for medical exams.

  • Clinical science
    - Structure and function of the gastrointestinal and hepatobilary tract
    - Neurohormonal control of gut motility
    - Secretory and absorptive functions of the gastro-intestinal tract and liver
    - Symptoms and signs of gastrointestinal, hepatobiliary and pancreatic diseases
    - Genetics of the more common gastrointestinal and liver disorders
    - Clinical pharmacology of drugs used in gastrointestinal disorders including their actions, interactions and adverse effects
  • Clinical nutrition
    - Nutritional requirements in health
    - Assessment of nutritional status
    - Nutritional deficiency states
    - Primary nutritional disorders
  • Disorders of the mouth, tongue and salivary glands
    - Mouth ulcers, periodontal and salivary disorders
    - Oral manifestations of systemic and dermatological disorders
  • Disorders of the oesophagus and stomach
    - Alchalasia
    - Carcinomas
    - Peptic ulceration
    - Gastritis
    - Gastrointestinal haemorrhage
  • Functional disorders
    - Functional chest pain and functional dyspepsia
    - Irritable bowel syndrome and functional abdominal pain
    - Functional constipation and diarrhoea
  • Disorders of the small intestine
    - Malabsoption syndromes and gluten enteropathy
    - Hormone-secreting tumours of the gut
  • Disorders of the liver, biliary tree and pancreas
    - Bilirubin metabolism and the enterohepatic circulation of bile acids
    - Causes of jaundice and cholestasis
    - Common pancreatic disorders including carcinoma
    - Fulminant liver failure
    - Acute and chronic hepatitis
    - Drugs, toxins, alcohol and the liver
  • The acute abdomen
    - Perforated viscus and peritonitis
    - Intestinal obstruction
    - Ischaemic disease of the small and large bowel
  • Inflammatory bowel diseases
    - Crohn’s disease
    - Ulcerative colitis
    - Infective gastroenteritis
    - Parasitic and protozoal gut infections

Colorectal disorders
- Polyps
- Carcinomas
- Diverticular disease
- Anorectal disorders

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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