MRCPsych Paper B
MRCPsych Paper B question bank
Practise single best answer (SBA) questions and extended matching items (EMIs) based on topics recalled from recent MRCPsych sittings and on the 2027 Paper B syllabus, so you revise what the exam actually tests. Every answer comes with a worked explanation of the reasoning, and your progress is tracked so you can see where to focus next.
- 2,471practice questions
- 1,731 / 740SBAs / EMI items
- 3full mock papers
- 92027 syllabus domains
What the 2027 Paper B syllabus covers
From January 2027, Paper B has 9 domains. The College gives each one an approximate share of the paper, shown here with the number of practice questions we have for it.
Research methods, statistics, critical review and evidence-based practice
Study design and bias, statistics, diagnostic tests, critical appraisal of papers and figures, evidence-based practice and health economics.
General adult psychiatry
Diagnosis and management of mental illness in adults, physical treatments, liaison and perinatal psychiatry.
Old age psychiatry
Dementia, delirium, depression and psychosis in later life, frailty and prescribing for older adults.
Child and adolescent psychiatry
Neurodevelopmental, emotional and behavioural disorders in children and young people, and their treatment.
Organisation and delivery of psychiatric services
Mental health law, capacity and consent, human rights, service models, ethics and quality improvement.
Psychotherapy
Psychological therapies, from CBT and DBT to psychodynamic, systemic and newer approaches.
Addictions psychiatry
Alcohol, drugs and behavioural addictions, withdrawal management and relapse prevention.
Forensic psychiatry
Risk assessment, offending and mental disorder, secure services and the legal framework.
Intellectual disability
Genetic syndromes, behaviour that challenges, and mental illness in people with intellectual disability.
Try a sample question
A 34-year-old woman who takes clozapine is admitted to a smoke-free ward and stops smoking abruptly. She is not using nicotine replacement. What is most likely to happen to her plasma clozapine level over the next one to two weeks?
Show the answer and explanation
Answer: A. It will rise
Polycyclic aromatic hydrocarbons in tobacco smoke induce CYP1A2, the main enzyme that metabolises clozapine. When smoking stops abruptly, the induction wears off over about one to two weeks, clozapine clearance falls and plasma levels rise, sometimes substantially, with a risk of sedation, hypersalivation, hypotension and seizures.
The level will not fall: stopping smoking removes enzyme induction rather than adding it, and a fall is what happens when someone starts or resumes smoking. It will not stay unchanged, because the effect of smoke on CYP1A2 is large and clinically important. There is no recognised pattern in which levels fall at first and then rise. Norclozapine is itself formed by CYP1A2, so the idea that only the norclozapine level will change is wrong; the clozapine level rises and the clozapine to norclozapine ratio may increase.
Plasma levels should be checked and a dose reduction considered when someone stops smoking, and the dose reviewed again if they resume.
Learning point: Nicotine does not induce CYP1A2, so nicotine replacement does not prevent the rise in clozapine levels after stopping smoking.
Try all five free Paper B questions, with no account needed.
What you get
- Worked explanations for every question, including why each wrong option is wrong, with learning points to remember.
- Full 150-question mock papers, with a 3-hour timer you can pause or an untimed option, and a score for each domain.
- Progress tracking: your strengths and weak areas by domain, an accuracy trend and an exam readiness score.
- Critical appraisal picture questions, such as forest plots, Kaplan–Meier curves, ROC curves and study flow charts.
- Anki-style flashcards you can make from any question.
- Exam tools: cross out options, highlight text and use an on-screen calculator.
- Works on phone, tablet and computer, and can be added to your home screen like an app.
Prices
- 3 months£35
- 6 months£55
- 12 months£99
A one-off payment for Paper B, including VAT. It doesn't renew automatically. Paid securely through Stripe.
About the exam
Paper B covers clinical psychiatry and research. It is a 3-hour exam of 150 items, each worth one mark: 100 single best answer questions and 50 extended matching items, sat on computer through Pearson VUE. Research methods, statistics and critical review is its biggest domain.
The College can change the exam format and syllabus, so check the latest details on the Royal College of Psychiatrists' website before you book.
Common questions
Do I need an account to try it?
No. You can answer five free Paper B questions on the home page without one. A free account adds progress tracking and more sample questions; a subscription unlocks the full Paper B bank and its mock papers.
Which syllabus does it follow?
Written papers sat from January 2027 follow the Royal College of Psychiatrists' 2027 syllabus, and earlier sittings follow the 2021 syllabus. Most content is shared. Questions are organised by the 2027 domains, and topics the new syllabus no longer names stay in the bank.
Does the subscription renew automatically?
No. Each plan is a one-off payment for 3, 6 or 12 months. When it ends, your account and progress history stay, and the full bank locks until you choose another plan. If you extend early, the new period starts when the current one ends.
Can I subscribe to Paper A as well?
Yes. Each paper has its own subscription, so you can buy either or both, for whatever length of time suits you.
Can I claim the cost back?
Sometimes. Some regions let trainees use their study budget for a question bank if it's approved before buying. Rules differ by region, so check with your deanery or local education team first; our Exam news page has a guide.
Revising for Paper A? See the MRCPsych Paper A question bank.