100+ Free FFPMRCA Pain Medicine Practice Questions

Pass your Fellowship of the Faculty of Pain Medicine of the Royal College of Anaesthetists exam on the first try — instant access, no signup required.

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Not published as a fixed pass rate in official FPM pages reviewed on 2026-06-05. Pass Rate

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Question 1

Score: 0/0

Which feature is most characteristic of classical trigeminal neuralgia?

Brief electric-shock-like unilateral facial pain triggered by innocuous stimuli

Pain localised to both shoulders

Facial pain only during fever

Constant bilateral facial numbness without attacks

to track

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Key Facts: FFPMRCA Pain Medicine Exam

Current sections

MCQ structure

MCQ time

SOE components

MCQ pass validity

Use this free FFPMRCA bank for original SBA-style practice on MCQ/SOE logistics, pain mechanisms, assessment, pharmacology, multidisciplinary management, procedures and patient safety.

Sample FFPMRCA Pain Medicine Practice Questions

Try these sample questions to test your FFPMRCA Pain Medicine exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1What official credential does this practice bank map to?

A.Fellowship of the Faculty of Pain Medicine of the Royal College of Anaesthetists

B.Primary Fellowship of the Royal College of Anaesthetists

C.European Diploma in Pain Medicine

D.FRCR Clinical Oncology Part 2B

Explanation: The FFPMRCA is the Fellowship examination of the Faculty of Pain Medicine of the Royal College of Anaesthetists.

2Which statement best describes the current FFPMRCA examination structure?

A.It is a single OSCE circuit with standardised patients only

B.It has a Multiple Choice Question paper and a Structured Oral Examination taken separately

C.It is only a portfolio review after Stage 3 training

D.It is a written essay paper followed by a workplace assessment

Explanation: FPM describes the current FFPMRCA as two separately taken sections: the MCQ paper and the SOE.

3Which combination matches the current FFPMRCA MCQ paper?

A.100 single best answer questions only

B.12 oral stations with 8 minutes per station

C.40 MTF stems, 25 SBA questions and 25 EMQ questions

D.Two written essay papers and one prescribing paper

Explanation: The current MCQ paper has three sections: 40 MTF stems, 25 SBAs and 25 EMQs.

4How long is the current FFPMRCA MCQ sitting?

A.90 minutes

B.Two hours

C.Two hours 30 minutes

D.Three hours

Explanation: FPM regulations state that all three MCQ sections are taken as one paper in a three-hour sitting.

5What must a candidate do before applying to sit the FFPMRCA SOE?

A.Pass the FFPMRCA MCQ paper

B.Complete a separate radiology viva

C.Hold a consultant contract for five years

D.Pass a 2027 CPEP station circuit

Explanation: The MCQ must be passed before a candidate can apply for the SOE.

6For how long is a pass in the current FFPMRCA MCQ valid?

A.One year

B.Three years

C.Five years

D.Indefinitely

Explanation: FPM states that a pass in the MCQ paper is valid for three years; otherwise the MCQ must be retaken.

7Which baseline eligibility requirements are common to FFPMRCA candidates under FPM regulations?

A.Registration with any international medical board and no faculty membership

B.A nursing registration and local employer sponsorship only

C.Current UK GMC registration and Faculty of Pain Medicine membership in good standing

D.Completion of a radiotherapy physics course

Explanation: FPM eligibility requirements include current General Medical Council registration and FPM membership in good standing.

8Which description best fits the Clinical Pain Medicine SOE component in the current regulations?

A.A written statistics paper marked by computer

B.A prescribing OSCE with simulated ward rounds

C.An anatomy-only oral examination

D.A long case with preparation time followed by short clinical questions

Explanation: The Clinical Pain Medicine SOE includes preparation for a long case, examination of the clinical material and short clinical questions.

9Which set of topics belongs to the Clinical Science SOE?

A.Anatomy, physiology, pharmacology, psychology, epidemiology and clinical measurement

B.Radiotherapy contouring, brachytherapy and systemic anticancer therapy

C.Dental materials, prosthodontics and endodontics

D.Paediatric growth charts, neonatal resuscitation and safeguarding only

Explanation: FPM regulations describe Clinical Science SOE sections in anatomy, physiology, pharmacology and psychology, epidemiology and clinical measurement.

10How are wrong answers treated in the current FFPMRCA MCQ marking system?

A.One mark is deducted from the total for each wrong answer

B.Marks are not deducted for wrong answers

C.Wrong answers automatically trigger an oral review

D.Only wrong EMQ answers are penalised

Explanation: FPM regulations state that marks are not deducted for wrong answers in the MCQ.

About the FFPMRCA Pain Medicine Exam

The FFPMRCA is the Fellowship examination of the Faculty of Pain Medicine of the Royal College of Anaesthetists. The current assessment uses an MCQ paper and clinical and science SOE components to test pain medicine knowledge, clinical judgement, scientific foundations and readiness for UK specialist pain medicine practice.

Assessment

The current FFPMRCA is divided into two sections taken separately: a Multiple Choice Question paper and a Structured Oral Examination. Candidates must pass the MCQ before applying for the SOE, and both sections must be passed to obtain fellowship.

Time Limit

MCQ: one three-hour sitting. SOE: Clinical Pain Medicine SOE1 is 52 minutes including 10 minutes preparation, 21 minutes long-case examination and 21 minutes for three short clinical questions; Clinical Science SOE2 is 30 minutes.

Passing Score

FPM regulations state the MCQ and SOE pass marks are set using GMC-approved assessment methods. FPM FAQs describe modified Angoff standard setting for the MCQ and Hofstee/global-rating approaches for the SOE.

Exam Fee

FPM's 2026 calendar lists MCQ fee GBP 620 and SOE fee GBP 735 for listed 2026-2027 sittings. (Faculty of Pain Medicine of the Royal College of Anaesthetists)

FFPMRCA Pain Medicine Exam Content Outline

Current format

MCQ Plus Structured Oral Examination

The current FFPMRCA has a three-section MCQ paper followed by separate Clinical Pain Medicine and Clinical Science SOE components.

MCQ

Ninety Stems in Three Hours

The MCQ paper contains 40 MTF stems, 25 SBA questions and 25 EMQ questions, taken together in one three-hour sitting.

SOE

Clinical and Science Viva Components

The SOE assesses a complex chronic pain long case, three short clinical questions and science areas including anatomy, physiology, pharmacology, psychology, epidemiology and clinical measurement.

2027 transition

New AKT and CPEP Formats From July 2027

FPM states that new formats are planned from July 2027, subject to GMC approval: a 110-SBA Applied Knowledge Test and a 12-station Clinical Performance Examination in Pain.

How to Pass the FFPMRCA Pain Medicine Exam

What You Need to Know

Passing score: FPM regulations state the MCQ and SOE pass marks are set using GMC-approved assessment methods. FPM FAQs describe modified Angoff standard setting for the MCQ and Hofstee/global-rating approaches for the SOE.
Assessment: The current FFPMRCA is divided into two sections taken separately: a Multiple Choice Question paper and a Structured Oral Examination. Candidates must pass the MCQ before applying for the SOE, and both sections must be passed to obtain fellowship.
Time limit: MCQ: one three-hour sitting. SOE: Clinical Pain Medicine SOE1 is 52 minutes including 10 minutes preparation, 21 minutes long-case examination and 21 minutes for three short clinical questions; Clinical Science SOE2 is 30 minutes.
Exam fee: FPM's 2026 calendar lists MCQ fee GBP 620 and SOE fee GBP 735 for listed 2026-2027 sittings.

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

FFPMRCA Pain Medicine Study Tips from Top Performers

1Use the FPM scope-and-depth page as a checklist: breadth for MCQ practice, then deeper long-case and short-question reasoning for the SOE.

2Rehearse chronic pain long cases by stating diagnosis, mechanism, psychosocial context, risk, function, investigations, treatment options and follow-up priorities.

3Build fast science-viva summaries for anatomy, physiology, pharmacology, psychology, epidemiology and clinical measurement topics.

4Practise explaining medication benefits, adverse effects, opioid stewardship, tapering plans and procedural risks in patient-centred language.

5Review special-interest areas such as spinal cord stimulation, intrathecal therapy, cancer pain and paediatric pain at awareness level even when not examined as subspecialist options.

Frequently Asked Questions

What is the current FFPMRCA format?

The current examination has two sections taken separately: an MCQ paper and a Structured Oral Examination. Candidates must pass the MCQ before applying for the SOE.

How many questions are in the FFPMRCA MCQ?

FPM regulations list 40 MTF stems, 25 SBA questions and 25 EMQ questions in the current MCQ paper, taken as one three-hour sitting.

What does the FFPMRCA SOE include?

The SOE has a Clinical Pain Medicine component with a long case and three short clinical questions, plus a Clinical Science component covering anatomy, physiology, pharmacology, psychology, epidemiology and clinical measurement.

How long is an MCQ pass valid?

FPM states that a pass in the MCQ paper is valid for three years. If the whole examination is not passed within that period, the MCQ must be retaken.

Will the FFPMRCA format change?

Yes. FPM states that new formats are planned from July 2027, subject to GMC approval: an Applied Knowledge Test and a Clinical Performance Examination in Pain. This page describes the current 2026 format.