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100+ Free MCSRH Practice Questions

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A 15-year-old requests contraception and asks for confidentiality. What should be assessed?

A
B
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D
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2026 Statistics

Key Facts: MCSRH Exam

80

Part I SBA questions

MCSRH Part I Handbook

120 minutes

Part I duration

MCSRH Part I Handbook

50 SBA + 70 EMQ

Part II KAT question mix

MCSRH Part II Handbook

10

active OSCE stations

MCSRH Part II Handbook

GBP 451

Part I fee

CoSRH MCSRH fees tab

7 years

completion window from passing Part I

MCSRH Examination Regulations

MFSRH is a legacy source label for the current CoSRH Membership examination, MCSRH. CoSRH states that MCSRH has two examination components: Part I SBA and Part II KAT plus OSCE, all held online via online testing platforms. The Part I handbook lists 80 SBA questions in 120 minutes with no negative marking and a blueprint across CiP1, CiP4, CiP5 and CiP8 key skills. The Part II handbook lists a 3-hour KAT with 50 SBA and 70 EMQ questions and an OSCE with ten active 12-minute stations. CoSRH fees are GBP 451 for Part I and GBP 706 for Part II. Candidates must pass Part I before Part II and complete both parts within 7 years.

Sample MCSRH Practice Questions

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

1A patient develops a recognised complication after an intrauterine procedure and needs unplanned hospital review. What communication approach best reflects patient-centred care and candour?
A.Explain what happened, apologise, outline immediate care and document follow-up arrangements
B.Avoid discussing the complication until the patient complains
C.Tell the patient complications are never preventable and end the consultation
D.Ask reception staff to give clinical explanations
Explanation: Candour requires timely, honest explanation, apology, practical next steps and documentation.
2A patient is unsure about contraception and says pregnancy would be unacceptable but daily tablets are difficult. What is the best consultation strategy?
A.Recommend the clinician's favourite method without discussion
B.Explore priorities, medical eligibility, effectiveness, bleeding preferences and ability to use each method
C.Offer only oral contraception because it is familiar
D.Avoid discussing pregnancy intention
Explanation: MCSRH-level practice uses shared decision-making, individual risk assessment and patient preferences.
3A service wants to measure waiting time from arrival to consultation across all SRH clinics over 3 months. What data source is usually most appropriate?
A.A single patient story
B.A laboratory assay
C.Routinely collected appointment and arrival-time data
D.A case-control genetic study
Explanation: Operational waiting-time questions are commonly answered with activity or service data.
4A contraception trial reports relative risk 0.50 for pregnancy with method A compared with method B. What does this mean?
A.Method A prevented pregnancy in 50% of all users
B.Method A caused pregnancy in half of users
C.The result is automatically clinically important regardless of absolute risk
D.The pregnancy risk in method A users was half that in method B users in the study
Explanation: Relative risk compares event rates between groups; clinical importance also depends on baseline and absolute risk.
5A paper reports sensitivity of 95% for an STI test. What does sensitivity describe?
A.The proportion of people with the infection who test positive
B.The proportion of uninfected people who test negative
C.The proportion of positive tests that are true positives
D.The probability that a negative result is false
Explanation: Sensitivity measures true positive detection among people who have the condition.
6A study finds an association between BMI and contraceptive continuation in an observational cohort. What limitation should be considered?
A.Observational studies always prove causation
B.Confounding may explain some or all of the association
C.Bias cannot occur if the sample is large
D.Continuation cannot be measured in cohorts
Explanation: Observational associations can be affected by confounding, selection bias and measurement bias.
7An audit compares local chlamydia test turnaround against a national standard. What makes it an audit rather than research?
A.It randomises patients to treatment
B.It creates a new drug
C.It measures current practice against a defined standard to improve service quality
D.It requires no data at all
Explanation: Clinical audit evaluates practice against standards and drives quality improvement.
8A meta-analysis reports I2 of 80%. What does this suggest?
A.No variation between studies
B.The treatment is 80% effective
C.Publication bias is impossible
D.Substantial heterogeneity between included studies
Explanation: I2 estimates the proportion of variability due to heterogeneity rather than chance.
9A diagnostic test has high specificity. How does this help in clinical interpretation?
A.A positive result is more useful for ruling in disease when specificity is high
B.A negative result always proves disease is absent
C.Specificity is the same as prevalence
D.High specificity means the test is cheap
Explanation: High specificity means few false positives among people without disease.
10A randomised trial has inadequate allocation concealment. What risk increases?
A.Recall bias only
B.Selection bias
C.Attrition eliminated
D.No bias if blinding occurs later
Explanation: Poor allocation concealment can allow prediction or manipulation of group assignment.

About the MCSRH Exam

The source row uses the legacy FSRH title MFSRH. CoSRH now publishes the current official credential as Membership of the College of Sexual and Reproductive Healthcare (MCSRH). The examination has Part I, an online 80-question SBA paper lasting 120 minutes, and Part II, which includes a 3-hour KAT with 50 SBA and 70 EMQ questions plus a 10-station OSCE. This bank keeps the source ID to close the missing-exam row but normalizes display metadata to MCSRH and covers the CSRH curriculum knowledge domains used in the official blueprint.

Assessment

Two examination components: Part I SBA examination; Part II Knowledge Assessment Test plus OSCE.

Time Limit

Part I is 120 minutes; Part II KAT is 3 hours; each OSCE active station lasts 12 minutes including reading and simulated consultation time.

Passing Score

Criterion-referenced using Modified Angoff standard setting; the pass mark varies by diet difficulty.

Exam Fee

GBP 451 Part I and GBP 706 Part II (College of Sexual and Reproductive Healthcare)

MCSRH Exam Content Outline

2/100 practice questions

CiP1 Patient-Centred Care

Patient-centred consultation, duty of candour, shared decision-making and safe SRH communication.

10/100 practice questions

CiP4/CiP5 Data, Research and Critical Appraisal

Audit, service data, quantitative and qualitative methods, risk measures, diagnostic accuracy, trials, bias and evidence interpretation.

22/100 practice questions

CiP8 KS1 Fertility Control

Contraceptive methods, UKMEC reasoning, effectiveness, implants, intrauterine contraception, CHC, POP, injectables, barriers, switching and interactions.

8/100 practice questions

CiP8 KS2 Pregnancy Planning and Preconception Care

Preconception optimisation, folic acid, medicines, chronic disease, genetic risk, immunisation, fertility timing and reproductive planning.

10/100 practice questions

CiP8 KS3 Early Pregnancy, Unplanned Pregnancy and Abortion

Pregnancy diagnosis, pregnancy of unknown location, ectopic risk, abortion options, post-abortion contraception and complications.

14/100 practice questions

CiP8 KS4 Non-Complex Genitourinary Presentations

STIs, vaginal discharge, vulval symptoms, HIV testing, partner notification, PID, UTI overlap and sexual history.

3/100 practice questions

CiP8 KS5 Abnormal Vaginal Bleeding

Intermenstrual bleeding, postcoital bleeding, postmenopausal bleeding, hormonal bleeding patterns and urgent referral triggers.

2/100 practice questions

CiP8 KS6 Pelvic and Vulval Pain

Pelvic pain, vulvodynia, endometriosis, acute differentials and trauma-informed examination.

5/100 practice questions

CiP8 KS7 Urogynaecology

Urinary incontinence, overactive bladder, prolapse, recurrent UTI, pessaries and medication adverse effects.

3/100 practice questions

CiP8 KS8 Screening

Cervical screening, HPV testing, abnormal results, screening eligibility, informed choice and follow-up.

5/100 practice questions

CiP8 KS9 Adolescent SRH

Adolescent contraception, confidentiality, competence, exploitation risk, puberty and youth-friendly SRH care.

5/100 practice questions

CiP8 KS10 Premenstrual Syndrome

PMS and PMDD diagnosis, symptom diaries, differential diagnosis, lifestyle, SSRIs, hormonal suppression and referral.

7/100 practice questions

CiP8 KS11 Menopause and Post-Menopause

Menopause diagnosis, HRT counselling, premature ovarian insufficiency, contraception in perimenopause, bleeding on HRT and genitourinary syndrome.

1/100 practice questions

CiP8 KS12 Transgender Health

Inclusive SRH care, anatomy-based screening, contraception, fertility preservation and respectful communication for trans and gender-diverse patients.

1/100 practice questions

CiP8 KS13 Reproductive Mental Health

Mental health across reproductive transitions, medication risk, perinatal mental health and safeguarding overlap.

1/100 practice questions

CiP8 KS14 Sexual Wellbeing

Sexual function, pain, desire, relationship context, psychosexual referral and holistic SRH consultation.

1/100 practice questions

CiP8 KS15 Sexual Violence

Sexual violence disclosure, trauma-informed care, SARC referral, safeguarding and immediate SRH needs.

How to Pass the MCSRH Exam

What You Need to Know

  • Passing score: Criterion-referenced using Modified Angoff standard setting; the pass mark varies by diet difficulty.
  • Assessment: Two examination components: Part I SBA examination; Part II Knowledge Assessment Test plus OSCE.
  • Time limit: Part I is 120 minutes; Part II KAT is 3 hours; each OSCE active station lasts 12 minutes including reading and simulated consultation time.
  • Exam fee: GBP 451 Part I and GBP 706 Part II

Keys to Passing

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

MCSRH Study Tips from Top Performers

1Use the CoSRH Part I blueprint to allocate revision time by CiP and key skill weighting.
2Practise contraception questions as eligibility and interaction decisions, not only method facts.
3Review statistics and critical appraisal because CiP4 and CiP5 are prominent in Part I and Part II KAT.
4Apply UK guidance for GUM, cervical screening, emergency contraception, abortion care, menopause and safeguarding.
5For Part II, practise explaining risk, eliciting preferences and managing safeguarding in OSCE-style consultations.

Frequently Asked Questions

Is MFSRH still the official name?

The source row uses MFSRH, but CoSRH now publishes the current official qualification as Membership of the College of Sexual and Reproductive Healthcare (MCSRH). This page keeps the source ID and normalizes display metadata to MCSRH.

What is the MCSRH Part I format?

The CoSRH Part I handbook states that Part I has 80 single-best-answer questions, lasts 120 minutes and has no negative marking.

What is in MCSRH Part II?

The Part II handbook states that Part II includes a 3-hour Knowledge Assessment Test with 50 SBA and 70 EMQ questions plus an OSCE with ten active 12-minute stations.

How much does MCSRH cost?

The CoSRH fees tab lists GBP 451 for Part I and GBP 706 for Part II.

How long do candidates have to complete MCSRH?

The 2026 regulations state that both parts must be completed within 7 years from passing Part I, and each part may be attempted up to 6 times.