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100+ Free MFFLM Practice Questions

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A detainee appears intoxicated and police want immediate interview. What is the clinician assessing?

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2026 Statistics

Key Facts: MFFLM Exam

150

Part 1 written questions

FFLM MFFLM page and 2026 regulations

3 hours

Part 1 examination duration

FFLM MFFLM page

8

Part 2 SAQ questions

FFLM MFFLM page

GBP 575

2026 Part 1 MFFLM fee

FFLM fees and diary

GBP 1,550

2026 full Part 2 MFFLM fee

FFLM fees and diary

23 October 2026

Autumn 2026 Part 1 examination date

FFLM examinations schedule

MFFLM is a valid current FFLM examination pathway and is not locally covered elsewhere. The official 2026 MFFLM regulations and FFLM MFFLM page describe a three-component structure: Part 1 online written examination with 150 best-of-five/SBA/MCQ questions completed in 3 hours, Part 2 SAQ written examination with 8 questions, and a Part 2 GFM or SOM clinical OSCE with 11 or 14 stations. FFLM lists 2026 fees as GBP 575 for Part 1 and GBP 1,550 for full Part 2, with SAQ-only and OSCE-only fees for eligible candidates. The Autumn 2026 Part 1 application window is 1 June to 3 July 2026 and the examination date is 23 October 2026. FFLM states that it is not currently able to offer the Medico-Legal Medicine Part 2 route.

Sample MFFLM Practice Questions

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

1A forensic physician working in police custody is asked to examine a detainee and later provide a factual statement. Which professional duty is most directly engaged throughout both tasks?
A.Maintain objective, accurate, contemporaneous records that distinguish observed facts from opinion
B.Act as an advocate for the police investigation
C.Withhold clinical concerns because the encounter is forensic
D.Delegate all consent decisions to the custody sergeant
Explanation: Forensic and legal medicine requires clinical independence, clear records and separation of fact from opinion. The doctor remains bound by professional standards even when instructed by police or courts.
2A doctor who works in both NHS urgent care and private forensic practice is unsure about indemnity. What is the safest general principle?
A.Assume NHS indemnity covers all private forensic work
B.Ensure each area of practice is covered by appropriate indemnity or insurance before undertaking work
C.Rely on police indemnity for every clinical decision
D.Work without cover if the case is urgent
Explanation: Forensic clinicians must understand the limits of NHS, employer and private indemnity arrangements and secure appropriate cover for each role.
3A clinician receives a regulatory complaint alleging dishonesty in a forensic report. Which issue is most likely to be central to fitness to practise?
A.Whether the report was long enough
B.Whether the clinician used a particular font
C.Probity and whether the report was honest, transparent and within the clinician's competence
D.Whether the police agreed with the conclusion
Explanation: Regulators place major weight on probity, competence, insight and patient/public protection when assessing professional conduct.
4A custody healthcare service introduces a new protocol after repeated medication omissions. Which governance concept best describes the process?
A.Judicial precedent
B.Criminal sentencing
C.Privileged legal advice
D.Clinical governance and patient-safety improvement
Explanation: Clinical governance includes systems for quality, safety, audit, learning and improvement in healthcare services.
5A detainee has limited English and needs a forensic medical examination. What is the best approach?
A.Use an appropriate interpreter and document communication support, avoiding reliance on involved parties
B.Ask another detainee to translate sensitive details
C.Proceed without explanation because the exam is requested by police
D.Use only yes/no gestures for consent
Explanation: Access to care and valid consent require effective communication support, especially for sensitive forensic assessments.
6A doctor is asked to comment on dental regulatory standards outside their expertise. What is the most appropriate response?
A.Provide a definitive opinion to be helpful
B.Decline or seek appropriate expert input, making limits of expertise explicit
C.Copy a colleague's opinion without review
D.State that all healthcare regulators have identical standards
Explanation: Expert and professional opinions should remain within competence, with limitations clearly declared.
7A forensic physician identifies unsafe restraint practice in a custody suite. What professional duty applies?
A.Ignore it because restraint is a police matter only
B.Discuss it only informally and keep no record
C.Raise and document patient-safety concerns through appropriate channels
D.Wait until serious injury occurs before acting
Explanation: Healthcare professionals must act on patient-safety concerns and communicate risks appropriately, even in custody settings.
8A patient requests access to their custody healthcare record. What general principle should guide the response?
A.Refuse automatically because all custody records are secret
B.Release third-party police intelligence without review
C.Destroy the record after discharge
D.Handle the request under data-protection and records-access processes, considering lawful exemptions where relevant
Explanation: Medical records remain subject to data-protection and access rules, but disclosure must be reviewed for third-party, legal and safety issues.
9A clinician is asked whether a legal rule from England automatically applies in Scotland. What is the best answer?
A.UK jurisdictions may differ, so the relevant jurisdiction and law must be checked
B.All UK jurisdictions apply identical criminal, civil and mental health law
C.Only European law matters in forensic medicine
D.Local law can be ignored if clinical practice is similar
Explanation: The MFFLM syllabus expects awareness that law and procedure can differ across England, Wales, Scotland and Northern Ireland.
10In a negligence claim, which elements are usually central?
A.Motive, confession and sentence
B.Duty of care, breach of duty, causation and loss
C.Consent, arrest and bail
D.Custody time limit, charge and verdict
Explanation: Civil negligence generally requires a duty, breach, causation and recoverable harm.

About the MFFLM Exam

MFFLM is the Membership examination of the Faculty of Forensic & Legal Medicine for doctors in forensic and legal medicine. FFLM describes it as a three-component examination: Part 1 online written assessment with 150 best-of-five/SBA/MCQ questions, Part 2 online SAQ paper with 8 questions, and a Part 2 GFM or SOM clinical OSCE. The public MFFLM page notes that the Faculty is not currently able to offer a Part 2 Medico-Legal Medicine examination, so this practice set focuses on Part 1 law and ethics plus General Forensic Medicine and Sexual Offence Medicine knowledge and scenario judgement.

Assessment

Three components: Part 1 written exam; Part 2 short-answer-question written exam; Part 2 GFM or SOM clinical OSCE. FFLM states it is not currently able to offer the MLM Part 2 route.

Time Limit

Part 1 is 3 hours online. Part 2 includes online SAQ and clinical OSCE stations delivered online and face to face according to FFLM diet arrangements.

Passing Score

FFLM does not publish a fixed raw passing score on the public MFFLM pages reviewed; results are governed by FFLM examination regulations.

Exam Fee

GBP 575 Part 1; GBP 1,550 full Part 2; GBP 700 Part 2 SAQ-only and GBP 850 Part 2 OSCE-only where eligible in 2026 (Faculty of Forensic & Legal Medicine of the Royal College of Physicians)

MFFLM Exam Content Outline

8/100 practice questions

UK Healthcare Structure and Professional Regulation

NHS and private healthcare structures, UK professional regulators, fitness to practise, indemnity, access to care, governance and professional duties.

10/100 practice questions

UK Law, Evidence and Legal Systems

Sources of law, criminal and civil procedure, negligence, causation, evidence, police powers, road traffic law, human rights and jurisdictional differences.

14/100 practice questions

Consent, Capacity, Confidentiality and Data Protection

Valid consent, mental capacity, children and young people, therapeutic versus forensic consent, confidentiality, public-interest disclosure and records governance.

12/100 practice questions

Safeguarding, Children, Vulnerable Adults and Mental Health Law

Child and adult safeguarding, exploitation, vulnerability, mental health law, capacity-law interface, suicide risk, restraint risk and interagency working.

8/100 practice questions

Death Certification, Coroners, Reports and Witness Duties

Death certification, coroners and fiscal systems, medical examiners, inquests, expert evidence, statement writing, peer review and courtroom duties.

6/100 practice questions

Prescribing, Controlled Drugs and Governance

Prescribing duties, controlled drugs, off-label and unlicensed medicines, custody medication continuity, withdrawal management and medicines safety.

10/100 practice questions

Injury Assessment, Interpretation and Documentation

Wound types, injury interpretation, ageing limitations, restraint injuries, torture, domestic abuse, photography, body maps and absence of injury.

12/100 practice questions

Forensic Science, Toxicology and Road Traffic Medicine

DNA, sampling strategy, contamination avoidance, chain of custody, toxicology, alcohol and drug effects, road traffic impairment and sample interpretation.

10/100 practice questions

General Forensic Medicine and Custodial Medicine

Fitness for detention and interview, custody risk, substance misuse, terrorism detention, medication continuity, deaths in custody and healthcare independence.

10/100 practice questions

Sexual Offence Medicine

Adult and paediatric sexual offence medicine, consent, examination, anatomy, forensic samples, STI care, PEPSE, emergency contraception and trauma-informed practice.

How to Pass the MFFLM Exam

What You Need to Know

  • Passing score: FFLM does not publish a fixed raw passing score on the public MFFLM pages reviewed; results are governed by FFLM examination regulations.
  • Assessment: Three components: Part 1 written exam; Part 2 short-answer-question written exam; Part 2 GFM or SOM clinical OSCE. FFLM states it is not currently able to offer the MLM Part 2 route.
  • Time limit: Part 1 is 3 hours online. Part 2 includes online SAQ and clinical OSCE stations delivered online and face to face according to FFLM diet arrangements.
  • Exam fee: GBP 575 Part 1; GBP 1,550 full Part 2; GBP 700 Part 2 SAQ-only and GBP 850 Part 2 OSCE-only where eligible in 2026

Keys to Passing

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

MFFLM Study Tips from Top Performers

1Start with the FFLM MFFLM syllabus and separate Part 1 law/ethics revision from GFM and SOM Part 2 scenario practice.
2Practise consent, capacity and confidentiality as applied to forensic rather than purely therapeutic encounters.
3Use neutral forensic wording: distinguish history, observed findings, interpretation, limitations and legal conclusions.
4Build custody pathways for fitness to detain, fitness to interview, withdrawal, head injury, medication continuity and self-harm risk.
5For SOM, rehearse trauma-informed consent, sampling logic, STI/PEPSE/emergency contraception decisions and safeguarding escalation.

Frequently Asked Questions

What is the MFFLM exam format?

FFLM describes MFFLM as a three-module exam: Part 1 written with 150 best-of-five/SBA/MCQ questions online, Part 2 SAQ with 8 questions online, and a Part 2 clinical OSCE in GFM or SOM with 11 or 14 stations.

Who is MFFLM for?

The FFLM MFFLM page states that MFFLM is for doctors. The 2026 regulations describe it as an assessment for doctors seeking a specialist qualification in forensic and legal medicine.

How much does MFFLM cost in 2026?

The FFLM fees page lists Part 1 MFFLM at GBP 575, full MFFLM Part 2 at GBP 1,550, Part 2 SAQ-only at GBP 700 and Part 2 OSCE-only at GBP 850 where eligible.

Is Medico-Legal Medicine Part 2 currently available?

The FFLM MFFLM page states that the Faculty is not currently able to offer a Part 2 examination for Medico-Legal Medicine candidates and is reviewing its status.

When is the next published Part 1 exam?

The FFLM examinations schedule lists Autumn 2026 applications from 1 June to 3 July 2026 and the Part 1 examination date as Friday 23 October 2026.