Free PACES guides

MRCP PACES guides

Clear, practical guides to MRCP(UK) PACES, written for candidates. Exam facts come from the Federation of the Royal Colleges of Physicians’ published guidance, and every guide links to its sources.

Exam essentials

How PACES works, how it is marked and who passes.

Preparation strategy

Plans, resources and ways to practise, including on your own.

Station guides

What happens in each encounter, common cases and how to present them.

PACES communication encounters (Stations 1 and 4): structure and common scenarios

How the 10-minute PACES communication encounters are run and marked, a structure that works, and the scenarios that come up most: bad news, DNACPR, capacity, errors, non-adherence and more.

6 min read

PACES consultation station (Stations 2 and 5): a 15-minute structure

How the 20-minute PACES consultation works, a minute-by-minute structure for the 15 minutes with the patient, and the scenario types the examiners use.

5 min read

PACES cardiovascular station: routine, common cases and viva questions

The PACES cardiovascular encounter: an efficient 6-minute routine, the common cases (valve disease, prosthetic and dual valves, VSD, pulmonary stenosis, HOCM and more), signs of severity and likely viva questions.

6 min read

PACES neurology station: why it costs the most marks and how to prepare

Neurology showed the largest gap from the maximum score of any PACES encounter in 2025. A localisation-first approach, the clinching signs and the common cord, brain, nerve and muscle cases.

6 min read

PACES respiratory station: common cases and how to present them

The PACES respiratory encounter: a reliable routine, the common cases (fibrosis, bronchiectasis, effusion, COPD, lung cancer, post-TB), what each chest scar means and how to present.

5 min read

PACES abdominal station: common cases and how to present them

The PACES abdominal encounter: chronic liver disease, splenomegaly, polycystic kidneys, transplants, dialysis access and stomas, with the signs, scars and devices that give the diagnosis away.

5 min read

Practise PACES with an AI examiner

Present cases, answer viva questions and talk to AI patients under real exam timings, with feedback on every PACES skill. The first case and topic in each section are free.

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Ace PACES

Online MRCP(UK) PACES preparation with an AI examiner, AI patients and PACES-style feedback.

© 2026 Ace PACES. Guides are for exam preparation and are not a substitute for clinical guidelines.