MRCPsych Paper A MCQs 1-4 Practice Test 2025-2026
Success Guide
1. Adding two or more questions in Compound or Polythematic questions
a single statement (Obstructive
techniques)
-"Do you take a proper break
from work every six months and
are you able to relax?"
2. When the answers are contained Suggestive questions
in the question. It misleads both
the patient and the doctor. (Ob-
structive techniques)
-"These voices, which you are de-
scribing, are not from your head.
Am I right?"
3. Expressing unhappiness with a Disapproval
topic that the patient wants to
discuss; may lead to withdraw-
al and not revealing the impor-
tant problem faced by the pa-
tient. (Obstructive techniques)
-"When the patient stated, 'Over
the last four weeks I have had
trouble with my sleep', the doc-
tor replied 'We are here to talk
about your mood.'"
4. Tricking the patient using his Setting traps
words. Often seen as doctor's at-
tempt to negate patient's prob-
lems. (Obstructive techniques)
-"You wanted to see me as noth-
, MRCPsych Paper A MCQs 1-4 Practice Test 2025-2026
Success Guide
ing had gone well for you. But
you just mentioned that you
have got a new job and entered
into a new relationship."
5. Electrolyte abnormality - Rani, Hypercalcemia
a 52-year-old woman under the
oncologists for breast cancer polydipsia is a common symptom of hypercalcaemia. Hy-
complains of being excessively percalcaemia is relatively common in cancer (20-30% of
thirsty. cancer patients develop hypercalcaemia). The most com-
mon cancers associated with hypercalcaemia are breast
and lung cancer, and multiple myeloma.
6. Electrolyte abnormality - Jay, a Hyponatremia
22-year-old man, was brought
into A&E in a coma. His friend Jay has likely taken MDMA which results in chatty and over-
Josh said that they had been at familiar behaviour, and excessive thirst. He has developed
a rave where he thinks Jay may hyponatreamia secondary to over-drinking water due to
have taken something. He de- this excessive thirst. MDMA also causes syndrome of inap-
scribes Jay as being very chatty propriate antidiuretic hormone (SIADH) which contributes
and overfamiliar. He said that be- to hyponatremia.
cause Jay had a lot of alcohol be-
fore, his friends encouraged him
to drink lots of water to sober up.
7. Electrolyte abnormality - Lena, Metabolic Alkalosis
a 19-year-old woman, is under
her GP for low mood. In the Metabolic alkalosis is associated with excessive vomiting.
past she suered from bulimia In this case, it is likely that Lena has started to binge and
and struggles with her weight. purge following the breakdown of her relationship putting
Her boyfriend broke up with her her at risk of developing metabolic alkalosis.
a few days ago. Her friend Jess
brings her to A&E as Jess noticed
, MRCPsych Paper A MCQs 1-4 Practice Test 2025-2026
Success Guide
Lena was a little confused. She
also has a
tremor and some numbness and
is dizzy
8. A man who kicks his wife once as Sleep myoclonus/hypnic jerk
he falls asleep
9. A man on psychotropic medica- Parkinsonism
tion for a long time who sleeps
badly, wakes with a stiff back in
the morning and takes at least
10 minutes to get out of bed
10. A man who experiences slow Athetosis
writhing movements in periph-
eral limbs
11. Diagnosis of acute disturbances Pulmonary embolism
Mrs. Greaves is a 74-year-old
woman who has recently had an
elective hip replacement. Whilst
on the orthopaedic ward she de-
velops confusion, dyspnoea and
chest pain 3 days postoperative-
ly
12. Diagnosis of acute disturbances Absence seizures
Helen Honey is a 6-year-old girl
whose parents take her to the
GP after they and her teach-
, MRCPsych Paper A MCQs 1-4 Practice Test 2025-2026
Success Guide
ers notice that she is exhibiting
episodes of blank staring and
unresponsiveness lasting 10 to
15 seconds, which Helen is un-
aware of.
13. Diagnosis of acute disturbances Lithium toxicity
Mrs. Ives is a 32-year-old woman
with a diagnosis of bipolar
aective disorder. She develops
coarse tremor and ataxia after
going for a run whilst staying at
her holiday let in Spain during
her summer holiday
14. Anxiety disorders Social phobia
Matthew attends a CAMHS clin-
ic. He has recently changed
schools due to experiencing sev-
eral diculties. He also refuses to
go out with friends or parents
because he nds it uncomfortable
to eat in front of people
15. Anxiety Disorders Adjustment Disorders
Beth is a 22-year-old who has
been experiencing a two-week
history of low mood, ner-
vousness, poor concentration
and hopelessness following the
Success Guide
1. Adding two or more questions in Compound or Polythematic questions
a single statement (Obstructive
techniques)
-"Do you take a proper break
from work every six months and
are you able to relax?"
2. When the answers are contained Suggestive questions
in the question. It misleads both
the patient and the doctor. (Ob-
structive techniques)
-"These voices, which you are de-
scribing, are not from your head.
Am I right?"
3. Expressing unhappiness with a Disapproval
topic that the patient wants to
discuss; may lead to withdraw-
al and not revealing the impor-
tant problem faced by the pa-
tient. (Obstructive techniques)
-"When the patient stated, 'Over
the last four weeks I have had
trouble with my sleep', the doc-
tor replied 'We are here to talk
about your mood.'"
4. Tricking the patient using his Setting traps
words. Often seen as doctor's at-
tempt to negate patient's prob-
lems. (Obstructive techniques)
-"You wanted to see me as noth-
, MRCPsych Paper A MCQs 1-4 Practice Test 2025-2026
Success Guide
ing had gone well for you. But
you just mentioned that you
have got a new job and entered
into a new relationship."
5. Electrolyte abnormality - Rani, Hypercalcemia
a 52-year-old woman under the
oncologists for breast cancer polydipsia is a common symptom of hypercalcaemia. Hy-
complains of being excessively percalcaemia is relatively common in cancer (20-30% of
thirsty. cancer patients develop hypercalcaemia). The most com-
mon cancers associated with hypercalcaemia are breast
and lung cancer, and multiple myeloma.
6. Electrolyte abnormality - Jay, a Hyponatremia
22-year-old man, was brought
into A&E in a coma. His friend Jay has likely taken MDMA which results in chatty and over-
Josh said that they had been at familiar behaviour, and excessive thirst. He has developed
a rave where he thinks Jay may hyponatreamia secondary to over-drinking water due to
have taken something. He de- this excessive thirst. MDMA also causes syndrome of inap-
scribes Jay as being very chatty propriate antidiuretic hormone (SIADH) which contributes
and overfamiliar. He said that be- to hyponatremia.
cause Jay had a lot of alcohol be-
fore, his friends encouraged him
to drink lots of water to sober up.
7. Electrolyte abnormality - Lena, Metabolic Alkalosis
a 19-year-old woman, is under
her GP for low mood. In the Metabolic alkalosis is associated with excessive vomiting.
past she suered from bulimia In this case, it is likely that Lena has started to binge and
and struggles with her weight. purge following the breakdown of her relationship putting
Her boyfriend broke up with her her at risk of developing metabolic alkalosis.
a few days ago. Her friend Jess
brings her to A&E as Jess noticed
, MRCPsych Paper A MCQs 1-4 Practice Test 2025-2026
Success Guide
Lena was a little confused. She
also has a
tremor and some numbness and
is dizzy
8. A man who kicks his wife once as Sleep myoclonus/hypnic jerk
he falls asleep
9. A man on psychotropic medica- Parkinsonism
tion for a long time who sleeps
badly, wakes with a stiff back in
the morning and takes at least
10 minutes to get out of bed
10. A man who experiences slow Athetosis
writhing movements in periph-
eral limbs
11. Diagnosis of acute disturbances Pulmonary embolism
Mrs. Greaves is a 74-year-old
woman who has recently had an
elective hip replacement. Whilst
on the orthopaedic ward she de-
velops confusion, dyspnoea and
chest pain 3 days postoperative-
ly
12. Diagnosis of acute disturbances Absence seizures
Helen Honey is a 6-year-old girl
whose parents take her to the
GP after they and her teach-
, MRCPsych Paper A MCQs 1-4 Practice Test 2025-2026
Success Guide
ers notice that she is exhibiting
episodes of blank staring and
unresponsiveness lasting 10 to
15 seconds, which Helen is un-
aware of.
13. Diagnosis of acute disturbances Lithium toxicity
Mrs. Ives is a 32-year-old woman
with a diagnosis of bipolar
aective disorder. She develops
coarse tremor and ataxia after
going for a run whilst staying at
her holiday let in Spain during
her summer holiday
14. Anxiety disorders Social phobia
Matthew attends a CAMHS clin-
ic. He has recently changed
schools due to experiencing sev-
eral diculties. He also refuses to
go out with friends or parents
because he nds it uncomfortable
to eat in front of people
15. Anxiety Disorders Adjustment Disorders
Beth is a 22-year-old who has
been experiencing a two-week
history of low mood, ner-
vousness, poor concentration
and hopelessness following the
