100+ Free Medical Oncology SCE Practice Questions
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Key Facts: Medical Oncology SCE Exam
9 Sep 2026
2026 Exam Date
Federation Medical Oncology SCE page
20 May-17 Jun 2026
Application Window
Federation Medical Oncology SCE page
200
Official MCQs
SCE Regulations and Medical Oncology blueprint
2 x 3h
Official Paper Length
Federation SCE format FAQ and regulations
GBP 700
UK Centre Fee
Federation SCE exam dates and fees
74.2%
2025 UK Resident Doctor Pass Rate
Federation pass rates table and Medical Oncology 2025 report
The 2026 SCE in Medical Oncology is scheduled for 9 September 2026, with applications open 20 May to 17 June 2026 at 8:00am UK local time. The official format is two 3-hour computer-based papers, each with 100 best-of-five MCQs, separated by a one-hour break. From June 2026, UK and international SCEs are delivered in centre. Published 2026 fees are GBP 700 for UK centres and GBP 875 for international centres. The latest official 2025 Medical Oncology report lists a pass mark of 371, equivalent to 61.9% or 122/197, with pass rates of 74.2% for UK resident doctors and 58.3% for all candidates.
Sample Medical Oncology SCE Practice Questions
Try these sample questions to test your Medical Oncology SCE exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1Which statement best describes an actionable driver mutation in a solid tumour?
2A colorectal cancer shows loss of MLH1 and PMS2 on immunohistochemistry. What is the most immediate implication?
3Which example is a predictive, rather than purely prognostic, biomarker?
4In lung cancer pathology, what does a PD-L1 tumour proportion score measure?
5Why can BRCA1 or BRCA2 loss make a tumour sensitive to PARP inhibition?
6Which HER2 result is usually considered positive for standard HER2-directed therapy in breast cancer?
7Under RECIST 1.1, what best defines a partial response in target lesions?
8What is the best general use of circulating tumour DNA in advanced cancer care?
9Before starting palliative chemotherapy, which action is most central to valid consent?
10A patient receiving chemotherapy phones with fever and rigors 7 days after treatment. What is the safest first principle?
About the Medical Oncology SCE Exam
The Specialty Certificate Examination in Medical Oncology is the UK knowledge-based assessment for higher specialty training in medical oncology. It is a once-yearly, in-centre computer-based SCE covering the JRCPTB Medical Oncology curriculum and a 200-question blueprint across tumour sites, scientific basis of malignancy, systemic anticancer therapy, acute oncology, professional skills, clinical research, supportive care, palliative care, survivorship, and SACT governance.
Assessment
In-centre computer-based test delivered as Paper 1 in the morning and Paper 2 in the afternoon. Each paper lasts 3 hours and contains 100 best-of-five MCQs, with a one-hour break between papers.
Time Limit
6 hours testing time across two 3-hour papers, plus a one-hour break
Passing Score
Equated, criterion-referenced pass standard; 2025 Medical Oncology SCE pass mark was 371 (61.9%, 122/197). Future diets can require a different percentage correct.
Exam Fee
GBP 700 UK centre fee; GBP 875 international centre fee (The Federation of the Royal Colleges of Physicians of the UK / MRCP(UK))
Medical Oncology SCE Exam Content Outline
Breast cancer
Early and metastatic breast cancer, receptor-directed therapy, HER2 treatment, endocrine therapy, triple-negative disease, genetics, bone metastases, and survivorship.
Colorectal and anal cancer
Colon, rectal, and anal cancer staging and systemic treatment, RAS/BRAF/MMR biomarkers, neoadjuvant rectal strategies, adjuvant chemotherapy, and chemoradiotherapy for anal cancer.
Lung and thoracic cancer
NSCLC and SCLC diagnosis, staging, molecular testing, PD-L1, targeted therapy, immunotherapy, chemoradiotherapy, pleural disease, and thoracic emergencies.
Carcinoma of unknown origin
CUP work-up, immunohistochemistry, molecular testing, favourable subsets, symptom-led management, and site-specific versus empirical treatment decisions.
Ovarian cancer
High-grade serous ovarian cancer, cytoreduction decisions, platinum sensitivity, BRCA and HRD testing, PARP maintenance, relapse assessment, and CA125 limitations.
Germ cell tumours
Testicular and ovarian germ cell tumours, AFP and hCG interpretation, seminoma versus non-seminoma, cisplatin-based curative treatment, and late toxicities.
Oesophagogastric cancer
Oesophageal, gastro-oesophageal junction, and gastric adenocarcinoma, perioperative chemotherapy, HER2, PD-L1 and MMR testing, nutrition, and staging.
Lymphoma
Oncology-haematology overlap, urgent recognition of lymphoma presentations, DLBCL referral, tumour lysis risk, and steroid timing before tissue diagnosis.
Uterine cancer
Endometrial cancer risk stratification, mismatch repair testing, recurrent disease systemic therapy, immunotherapy, and multidisciplinary gynaecological oncology care.
Hepatobiliary cancer
Hepatocellular carcinoma, cholangiocarcinoma, liver function assessment, portal hypertension, immunotherapy-bevacizumab, FGFR2 and IDH1 targets, and biliary obstruction.
Skin cancer
Melanoma, cutaneous squamous cell carcinoma, BRAF testing, anti-PD-1 therapy, BRAF/MEK inhibition, adjuvant treatment, and immune toxicity.
Sarcoma
Soft-tissue sarcoma, GIST, bone sarcoma, desmoid tumour, specialist sarcoma MDT referral, doxorubicin, imatinib, and biopsy planning.
Leukaemia
Haematology overlap including urgent recognition of acute promyelocytic leukaemia, coagulopathy, tumour lysis, and need for immediate specialist referral.
Prostate cancer
Hormone-sensitive and castration-resistant prostate cancer, ADT intensification, AR pathway inhibitors, docetaxel, PARP selection, bone disease, and spinal cord compression.
Urothelial cancer
Cisplatin eligibility, platinum and immunotherapy pathways, antibody-drug conjugates, FGFR alteration testing, haematuria assessment, and supportive care.
Cervical cancer
HPV-related disease, staging, concurrent cisplatin chemoradiotherapy, brachytherapy, recurrent disease options, and toxicity management.
Head and neck cancer
Squamous head and neck cancer, HPV and p16 status, smoking risk, chemoradiotherapy, immunotherapy in recurrent disease, nutrition, and airway risk.
CNS cancer
Glioblastoma, MGMT promoter methylation, brain metastases, steroids, seizure management, local therapy, and neurologic emergencies.
Renal cell cancer
Clear-cell RCC, risk stratification, immune checkpoint combinations, VEGF TKIs, cytoreductive nephrectomy decisions, and toxicity trade-offs.
Endocrine cancer
Thyroid and neuroendocrine tumours, RET alterations, somatostatin receptor imaging, somatostatin analogues, PRRT, and hormonal syndromes.
Scientific basis of malignancy
Tumour biology, genomics, DNA repair, biomarkers, targeted therapy, immunotherapy mechanisms, pathology interpretation, response criteria, and ctDNA.
Professional skills
Shared decision-making, consent, capacity, communication, MDT working, training, supervision, quality improvement, patient safety, and ethical practice.
Acute oncology
Neutropenic sepsis, spinal cord compression, SVC obstruction, hypercalcaemia, tumour lysis, brain metastases, bowel obstruction, immunotherapy emergencies, CRS, and DIC.
Clinical research, ethics and economics
Clinical trial phases, randomisation, non-inferiority, bias, hazard ratios, Kaplan-Meier analysis, NNT, GCP, adverse event reporting, and consent.
Systemic anticancer therapy
Chemotherapy, endocrine therapy, targeted therapy, immunotherapy, CAR-T interface, dosing, extravasation, hypersensitivity, pneumonitis, cardiotoxicity, and safe prescribing.
Supportive therapies and palliative care
Antiemetics, G-CSF, cancer pain, renal impairment, palliative care integration, malignant bowel obstruction, bone metastases, fertility, survivorship, and late effects.
Standard operating procedures
SACT governance, local protocols, pharmacy review, staff training, toxicity escalation pathways, consent documentation, audit, and implementation of new treatments.
How to Pass the Medical Oncology SCE Exam
What You Need to Know
- Passing score: Equated, criterion-referenced pass standard; 2025 Medical Oncology SCE pass mark was 371 (61.9%, 122/197). Future diets can require a different percentage correct.
- Assessment: In-centre computer-based test delivered as Paper 1 in the morning and Paper 2 in the afternoon. Each paper lasts 3 hours and contains 100 best-of-five MCQs, with a one-hour break between papers.
- Time limit: 6 hours testing time across two 3-hour papers, plus a one-hour break
- Exam fee: GBP 700 UK centre fee; GBP 875 international centre fee
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
Medical Oncology SCE Study Tips from Top Performers
Frequently Asked Questions
When is the 2026 Medical Oncology SCE?
The Federation lists the 2026/01 Medical Oncology SCE exam date as 9 September 2026. The application period is 20 May to 17 June 2026, opening and closing at 8:00am UK local time, with a reasonable adjustment deadline of 25 June 2026.
What is the format of the Medical Oncology SCE?
The SCE is a computer-based two-paper test. Candidates sit Paper 1 in the morning and Paper 2 in the afternoon; each paper lasts 3 hours and contains 100 best-of-five MCQs, with a one-hour break between papers.
How much does the Medical Oncology SCE cost in 2026?
The Federation SCE fees page lists a centre fee of GBP 700 for UK sittings and GBP 875 for international sittings. Candidates transferring from a UK to an international location are liable for the GBP 175 difference.
Are there entry requirements for the Medical Oncology SCE?
The specialty page states that there are no entry requirements for the SCE in Medical Oncology. UK trainees would normally take it in the penultimate year of higher specialty training, and the curriculum expects the SCE before CCT.
What is the pass mark for the Medical Oncology SCE?
The SCE uses an equated, criterion-referenced pass standard, so the required percentage can vary by diet. The official 2025 Medical Oncology results report states that the 2025 pass mark was 371, equivalent to 61.9% or 122/197.
What topics are tested?
The official Medical Oncology blueprint totals 200 questions across breast, colorectal and anal, lung and thoracic, CUP, ovarian, germ cell, oesophagogastric, lymphoma, uterine, hepatobiliary, skin, sarcoma, leukaemia, prostate, urothelial, cervical, head and neck, CNS, renal cell and endocrine cancer, plus scientific basis, professional skills, acute oncology, research and ethics, SACT, supportive and palliative care, and SOPs.