2026 Common Registration Assessment
2026 Common Registration Assessment framework, specification, regulations and permitted-items guidance reviewed 29 July 2026
601 practice questions
96 flashcards
Completely free

UK Pharmacist Registration Assessment Study Guide

Develop accurate calculation, clinical and professional decisions for the two-part computer-based assessment while keeping current UK evidence and four-nation practice explicit.

Part 1: 40 calculations · 120 min
Part 2: 120 questions · 150 min
Delivery: Computer based

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Start with free practice questions

Jump into a mixed set drawn from 601 free practice questions.

Free Practice Questions

Exam structure

Know the split before you start drilling

Part 1: Pharmacy and Healthcare Calculations

25 items

40 scored + 0 pretest

Part 2: Safe and Effective Pharmacy Care

75 items

120 scored + 0 pretest

Part 1

40 calculations · 120 min

Numerical free-entry responses.

Part 2

120 questions · 150 min

90 SBA plus 30 EMQs.

Delivery

Computer based

Delivered at Surpass-partnered test centres in the UK.

Pass rule

Pass both parts

Pass standards may vary by sitting.

Therapeutic areas

15

Ordered by prevalence with no fixed public item count per area.

Practice bank

601 questions · 24 topics

Four-option product adaptations, not an official mock.

Separate calculation accuracy from clinical judgement

How to prepare for the CRA

Prepare for each part in its real response form, then integrate current evidence, patient factors, law and professional responsibility.

1

1. Read the 2026 framework

Map both assessment domains, three core content areas and fifteen therapeutic areas.

2

2. Rehearse free-entry calculations

Write units, formula, substitution, result and a reasonableness check without relying on options.

3

3. Practise patient-centred decisions

Combine clinical evidence, red flags, law, preferences, monitoring and escalation.

About the exam

Common Registration Assessment Exam structure

An independent guide to the 2026 Common Registration Assessment, covering pharmacy calculations, clinical therapeutics, law, governance, person-centred care and professional practice.

Issuer and path

Common Registration Assessment Study Guide is administered through General Pharmaceutical Council and Pharmaceutical Society Northern Ireland. Check official resources before booking, retesting, or relying on a stale requirement.

Part 1: Pharmacy and Healthcare Calculations

25 items

40 scored + 0 pretest

Forty numerical free-entry calculation questions in 120 minutes.

Part 2: Safe and Effective Pharmacy Care

75 items

120 scored + 0 pretest

Ninety single-best-answer questions and thirty EMQs in 150 minutes.

Before booking

Confirm current eligibility, the exact assessment or module code, approved provider or centre instructions, permitted references and any route-specific practical evidence.

Official Outline Coverage Map

Coverage is mapped to official outline item counts so content depth can be checked without hard-coding a single exam.

Official outline
TopicOfficial outline itemsYour questionsYour flashcardsConfidence
Dose, Quantity and Course Calculations004
Good
Concentrations, Strengths and Dilutions004
Good
Infusions, Rates and Administration004
Good
Formulations, Ingredients and Supply Quantities004
Good
Clinical Measures and Pharmacokinetic Calculations004
Good
Cardiovascular Therapeutics004
Good
Central Nervous System004
Good
Endocrine Therapeutics004
Good
Infection and Antimicrobial Stewardship004
Good
Gastro-intestinal Therapeutics004
Good
Respiratory Therapeutics004
Good
Musculoskeletal and Joint Disease004
Good
Nutrition and Blood004
Good
Malignant Disease and Immunosuppression004
Good
Skin Therapeutics004
Good
Eye Therapeutics004
Good
Ear, Nose and Oropharynx004
Good
Vaccines and Immunisation004
Good
Drug Toxicity and Poisoning004
Good
Obstetrics, Gynaecology and Genito-urinary Care004
Good
Person-centred Care and Collaboration004
Good
Medicines Law, Supply and Regulation004
Good
Clinical Governance and Patient Safety004
Good
Evidence, Public Health and Professionalism004
Good

How to use this guide

How to prepare for the CRA

Calculate with units and reasonableness checks, then integrate patient factors, evidence, law, governance and professional judgement in authentic pharmacy scenarios.

1. Clarify the ask

Identify the required numerical unit or the clinical and professional decision.

2. Gather controlling facts

Use patient variables, medicines, evidence, law, setting and red flags.

3. Calculate or compare

Show a dimensionally sound method or rank options against safety and appropriateness.

4. Check and act

Test reasonableness, communicate, document, monitor or escalate as required.

Pharmacy and Healthcare Calculations
Part 1

Dose, Quantity and Course Calculations

Dose by weight or surface area, frequency, duration, pack quantity and safe rounding.

Key rules

Rule 1

Units and dimensions must be aligned before arithmetic begins.

Exam cue: Identify the scope and evidence that control the dose, quantity and course calculations decision before selecting a rule or method.

Rule 2

Dose, total daily dose, course dose and quantity to supply answer different questions.

Exam cue: Connect units and dimensions must be aligned before arithmetic begins. with dose, total daily dose, course dose and quantity to supply answer different questions. and test the conclusion against the numerical result must be checked against patient, product, frequency and stated units..

Rule 3

The numerical result must be checked against patient, product, frequency and stated units.

Exam cue: Identify the governing scope, interpret the evidence and apply the method before selecting a conclusion.

Common traps

Applying a neighbouring topic or route rule without checking whether it belongs to Dose, Quantity and Course Calculations.

Prevention: Check the current official source, route and assessment boundary before relying on a memorised rule.

Memorising a label or number without being able to interpret evidence, explain the boundary or apply the method.

Prevention: Check the current official source, route and assessment boundary before relying on a memorised rule.

Memory anchors

Dose, Quantity and Course Calculations

Dose by weight or surface area, frequency, duration, pack quantity and safe rounding.

Dose, Quantity and Course Calculations: core principle

Units and dimensions must be aligned before arithmetic begins.

Dose, Quantity and Course Calculations: application

Dose, total daily dose, course dose and quantity to supply answer different questions.

Dose, Quantity and Course Calculations: evidence check

The numerical result must be checked against patient, product, frequency and stated units.

Next best moves

Quick check-up

Use a short quiz to confirm the rule pattern is actually sticking.

Check-up Questions

1-2 question checkpoint

Next step personalized recommendations

Open another topic next

Official resources

Verify the details with the official sources

Use these links for eligibility, scheduling, handbook rules, and issuer updates. Our guide helps you study; official sources tell you what the testing partner currently requires.

2026 CRA framework

Official domains, content areas, therapeutic areas and assessment design.

2026 CRA specification and permitted items

Official paper structure, response forms, timing and permitted equipment.

2026 CRA regulations

Current assessment rules, candidate requirements and both-parts pass requirement.

2026 CRA example questions guide

Official illustration of numerical free-entry, five-option SBA and shared-list EMQ forms.

2026 CRA questions and answers

Current clarification of framework coverage, calculations and four-nation scope.

GPhC registration assessment

Current dates, regulations, eligibility, adjustments and candidate guidance.

PSNI Foundation Training Year

Northern Ireland eligibility, sitting dates and CRA information.

Standards for initial education and training

Professional learning outcomes underpinning readiness for registration.

BNF and BNFC

Current UK medicines indications, cautions, interactions, doses and monitoring.

NICE medicines optimisation

UK evidence-based principles for safe and effective medicines use.

MHRA medicines safety

Current safety updates, regulatory advice and risk-minimisation measures.

UKHSA Green Book

Current UK immunisation guidance.

NHS Specialist Pharmacy Service

UK professional medicines advice, monitoring and interaction resources.

Human Medicines Regulations 2012

UK-wide legislation governing human medicines.

Controlled-drug regulations

Great Britain controlled-drug requirements, read with current amendments.

Northern Ireland controlled-drug regulations

Northern Ireland controlled-drug requirements, read with current amendments.

FAQ

Common Common Registration Assessment questions

What changed in 2026?

The CRA is jointly delivered across the UK by the GPhC and Pharmaceutical Society Northern Ireland under the 2026 common framework and specification.

What is Part 1?

Forty pharmacy and healthcare calculation questions with numerical free-entry answers in 120 minutes.

What is Part 2?

One hundred and twenty selected-response questions in 150 minutes: 90 five-option SBAs and 15 EMQ sets containing two questions each.

Is there one fixed pass mark?

No. Candidates must pass both parts, but the standard can vary with paper difficulty and should be checked for the actual sitting.

Are therapeutic-area weights fixed?

No. The framework orders fifteen areas by prevalence but publishes no fixed minimum or maximum count for each.

Can four-option single-answer practice reproduce the CRA?

No. This bank uses four-option single-answer questions only as a Pass Harbor product adaptation. The live assessment uses numerical free entry in Part 1 and five-option SBA plus eight-option shared-list EMQ forms in Part 2.

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