Specialty Certificate Examination
Federation Acute Medicine page, current 200-question blueprint, April 2026 SCE regulations and Acute Internal Medicine curriculum reviewed 29 July 2026
601 practice questions
52 flashcards
Completely free

SCE in Acute Medicine Study Guide

Prepare for best-of-five clinical decisions across the entire acute medical take while preserving severity, uncertainty, UK guidance and escalation.

Format: 2 × 100 questions
Options: Best of five
Blueprint: 13 rows · 200 total

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Exam structure

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SCE in Acute Medicine

200 items

200 scored + 0 pretest

Format

2 × 100 questions

Two three-hour best-of-five papers on the same day.

Options

Best of five

One best answer and four plausible but less correct alternatives.

Blueprint

13 rows · 200 total

Counts are indicative and categories are distributed across both papers.

Delivery

In centre

Applies to UK and international SCEs from June 2026.

Pass standard

Test equated

The required raw mark can vary between diets.

Internal plan

601 items · 52 cards

The scaled allocation is not an official paper.

Think like the acute medical take

How to prepare for the Acute Medicine SCE

Recognise instability first, then combine focused differential diagnosis, investigation, immediate treatment and safe disposition.

1

1. Learn the blueprint

Use the 13 official rows and their indicative counts to plan breadth.

2

2. Prioritise physiology

Identify time-critical instability before narrowing the diagnosis.

3

3. Rehearse best-of-five choices

Compare closely related options and select the most appropriate action for the exact clinical context.

About the exam

SCE in Acute Medicine Exam structure

An independent study guide mapped to the current 13-row SCE in Acute Medicine blueprint and Acute Internal Medicine curriculum.

Issuer and path

SCE in Acute Medicine Study Guide is administered through Federation of Royal Colleges of Physicians of the UK. Check official resources before booking, retesting, or relying on a stale requirement.

SCE in Acute Medicine

200 items

200 scored + 0 pretest

Thirteen official blueprint categories distributed across two 100-question papers.

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
Cancer, Palliative Care and Haematology10304
Good
Cardiovascular Medicine20604
Good
Clinical Pharmacology and Poisoning10304
Good
Critical Care Medicine10304
Good
Diabetes and Endocrine Medicine14424
Good
Gastroenterology and Hepatology20604
Good
Infectious Diseases14424
Good
Medicine in the Elderly18544
Good
Musculoskeletal System12364
Good
Neurology and Ophthalmology20604
Good
Renal Medicine10304
Good
Respiratory Medicine20604
Good
Other Acute Medicine Topics22674
Good

How to use this guide

How to prepare for the Acute Medicine SCE

Prioritise unstable physiology, construct a differential, interpret investigations, select the best next action and review the full plan against current UK practice.

1. Identify instability

Prioritise airway, breathing, circulation, neurological status and immediate reversible threats.

2. Frame the differential

Use time course, risk factors, examination and available investigations to rank plausible causes.

3. Select the best next action

Choose the option that most safely advances diagnosis or treatment at this moment.

4. Review the whole plan

Consider monitoring, organ function, medicines, communication, escalation and disposition.

Cancer, Palliative Care and Haematology
Acute Medicine

Cancer, Palliative Care and Haematology

Oncological emergencies, haematological abnormalities, supportive treatment and person-centred palliative decisions.

Key rules

Rule 1

Acute presentations may reflect malignancy, treatment toxicity, cytopenia, thrombosis or bleeding.

Exam cue: Identify the scope and evidence that control the cancer, palliative care and haematology decision before selecting a rule or method.

Rule 2

Immediate stabilisation and urgent specialty pathways take priority where time-critical harm is possible.

Exam cue: Connect acute presentations may reflect malignancy, treatment toxicity, cytopenia, thrombosis or bleeding. with immediate stabilisation and urgent specialty pathways take priority where time-critical harm is possible. and test the conclusion against palliative decisions integrate symptom control, reversibility, prognosis, capacity and patient goals..

Rule 3

Palliative decisions integrate symptom control, reversibility, prognosis, capacity and patient goals.

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 Cancer, Palliative Care and Haematology.

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

Cancer, Palliative Care and Haematology

Oncological emergencies, haematological abnormalities, supportive treatment and person-centred palliative decisions.

Cancer, Palliative Care and Haematology: core principle

Acute presentations may reflect malignancy, treatment toxicity, cytopenia, thrombosis or bleeding.

Cancer, Palliative Care and Haematology: application

Immediate stabilisation and urgent specialty pathways take priority where time-critical harm is possible.

Cancer, Palliative Care and Haematology: evidence check

Palliative decisions integrate symptom control, reversibility, prognosis, capacity and patient goals.

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.

FAQ

Common SCE in Acute Medicine questions

What is the exam format?

Two three-hour computer-based papers, each containing 100 best-of-five questions, with a scheduled one-hour break.

Is the 200-question blueprint exact for every diet?

It is an indicative composition. The Federation states that actual numbers may vary, and categories are distributed across both papers.

Are there entry requirements?

The Federation states that there are no entry requirements, although UK trainees would normally sit in the penultimate year of higher specialty training.

How is the pass standard set?

SCEs use test equating. The raw percentage required can vary, so a previous diet's mark should not be treated as a fixed pass mark.

Does this bank include other SCE specialties?

No. Acute Medicine has its own approved product scope and blueprint. Other SCE/ESE curricula are separate examinations.

Can static study replace clinical training?

No. It supports knowledge and judgement practice but does not demonstrate clinical competence or replace curriculum evidence and supervised experience.

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