🇮🇪 Medical Council · Ireland

Pre-Registration Examination System Level 2 (written MCQ)

The Pre-Registration Examination System Level 2 (written MCQ) decides whether Medical Council grants your licence. MediFlow prepares you specifically for this exam: 321 practice questions across 10 topics, an explanation for every answer and timed mock exams in the real exam format.

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€34.99 · 3 months of access · one payment · no subscription
321 practice questions

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321 practice questions+121 new in the last 30 days

The challenge

The Pre-Registration Examination System Level 2 (written MCQ) decides whether Medical Council grants your licence.

The exam covers the whole breadth of clinical medicine, from emergencies to rare diagnoses. Textbooks do not tell you what Medical Council actually asks.
Time pressure in the exam is real, and pacing has to be trained in advance.
The question style is specific: clinical scenarios, best-answer choices and distractors that look right.
Working full time leaves little room to plan revision, and a retake costs months of waiting and another exam fee.

How MediFlow solves it

A question bank built on the published content of Medical Council, organised by topic, so you know what matters.
Timed mock exams in the real exam format train your pace before the real day.
Every answer is explained, including why the other options are wrong.
A study plan up to your exam date tells you what to do each day and brings weak topics back for review.

Try free questions

Three steps to exam day

1
Try free questions and see the style of the exam.
2
Unlock the package and follow your study plan, topic by topic.
3
Take timed mock exams until your results are stable, then sit the exam.

Start your PRES Level 2 preparation

What you can check

321 practice questions in 10 topics
Question bank last updated on 30 October 2026

One package, one payment

€34.99 for 3 months of access to this exam. One payment, no subscription, no automatic renewal. Web and app with one account.

Practice material only. MediFlow is independent of Medical Council and cannot guarantee a result.

Exam at a glance

Questions: not published
Duration: 180 minutes
Pass mark: not published
Sections: Written multiple choice exam: short clinical scenario followed by a question, answered within three hours · Exempt with PLAB 1, USMLE Steps 1 and 2 CK, MCCQE Part 1 or AMC MCQ; then apply directly for Level 3
Exam type: Written
Language: English
Authority: Medical Council

Curriculum

Built from the question bank and updated automatically when new questions are added. 10 modules · 321 questions · Last updated: 30 October 2026

01Cardiology and vascular medicine54 questions · 16.8 % of the bank
Chapters
- Foundations: anatomy of the heart
- Foundations: conduction system and cardiac cycle
- Foundations: circulation and blood vessels
Sample question
Sample question1 / 1 · 0 correct
A 49-year-old man has clinic BP 156/98 mmHg on two visits. He has no symptoms. What is the most appropriate next step to confirm hypertension?
Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.
02Emergency medicine, sepsis and neurology8 questions · 2.5 % of the bank
Chapters
- Foundations: ABCDE approach and airway basics
- Foundations: life-threatening chest emergencies
- Foundations: shock, burns and sepsis
- Foundations: spinal cord tracts and the cranial nerves
- Foundations: the circle of Willis and intracranial haemorrhage
Sample question
Sample question1 / 1 · 0 correct
A 70-year-old man on a surgical ward has temperature 38.9 °C, HR 122/min, BP 84/50 mmHg, RR 26/min and new confusion. Urine output is low. What is the most appropriate action within the first hour?
Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.
03Ethics, law and professionalism10 questions · 3.1 % of the bank
Sample question
Sample question1 / 1 · 0 correct
A 16-year-old asks for treatment for a chest infection without her parents present. What is the most appropriate approach?
Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.
04General practice, infection, immunisation and screening10 questions · 3.1 % of the bank
Chapters
- Foundations: bacteria, the Gram stain and antibiotic targets
- Foundations: infection prevention and antimicrobial stewardship
Sample question
Sample question1 / 1 · 0 correct
A 30-year-old non-pregnant woman has dysuria and frequency for 2 days with no fever or loin pain. What is the most appropriate management?
Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.
05General medicine: gastroenterology, renal, endocrinology and haematology57 questions · 17.8 % of the bank
Chapters
- Foundations: the digestive tract, digestion and absorption
- Foundations: peptic ulcer disease and upper GI bleeding
- Foundations: structure and function of the kidney
- Foundations: fluids and electrolytes
- Foundations: endocrine glands and feedback control
- Foundations: the thyroid in the neck and endocrine emergencies
Sample question
Sample question1 / 1 · 0 correct
A 30-year-old woman has bloating, diarrhoea and iron deficiency. She is eating a normal diet. What is the most appropriate first test?
Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.
06Obstetrics and gynaecology52 questions · 16.2 % of the bank
Chapters
- Foundations: female pelvic anatomy
- Foundations: placenta, pregnancy physiology and fetal circulation
- Foundations: labour and the fetal skull
- Foundations: the menstrual cycle in the ovary, endometrium and cervix
- Foundations: breast anatomy and lymphatic drainage
07Paediatrics52 questions · 16.2 % of the bank
Chapters
- Foundations: the newborn and the transition after birth
- Foundations: growth and development
- Foundations: the child's airway, vital signs and resuscitation
08Psychiatry52 questions · 16.2 % of the bank
09Respiratory medicine12 questions · 3.7 % of the bank
Chapters
- Foundations: anatomy of the respiratory tract
- Foundations: alveoli and gas exchange
- Foundations: mechanics and control of breathing
10Surgery, urology and orthopaedics14 questions · 4.4 % of the bank
Chapters
- Foundations: abdominal anatomy and the acute abdomen
- Foundations: hernias and the biliary system
- Foundations: wound healing and perioperative basics
- Foundations: the male urinary tract, prostate and testis
- Foundations: the skeleton, spine and pelvis
- Foundations: shoulder, wrist and hand
- Foundations: hip fractures, knee and ankle ligaments

Sample question

From the module Cardiology and vascular medicine. Choose an answer to see the explanation.

Sample question1 / 1 · 0 correct

A 49-year-old man has clinic BP 156/98 mmHg on two visits. He has no symptoms. What is the most appropriate next step to confirm hypertension?

Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

Try more free questions

What you get

Question bank with a detailed explanation for every answer
Timed mock exams in the real exam format, with score report by topic
Personal study plan up to your exam date and review of weak topics
AI tutor that explains any question in plain words
One account for the app (iPhone, iPad) and the browser

From registration to licence

The usual steps with Medical Council. Details can change; check the current rules with Medical Council before you register.

Check eligibility and collect your documents (degree, experience, good standing).
Create an account with Medical Council and submit the application.
Receive the exam eligibility and book a date with the test centre.
Sit the exam. Results usually come within days.
After passing: complete licensing (for example primary source verification) and receive your licence.

Frequently asked questions

How much does Pre-Registration Examination System Level 2 (written MCQ) preparation cost?

€34.99 for 3 months of access to this exam. One payment, no subscription, no automatic renewal.

How long is my access?

Access runs for 90 days from purchase for this exam package.

Where can I buy it?

In the MediFlow Exam Prep app (App Store) or on mediflow.ae. Both unlock the same package for your MediFlow account.

Are these real exam questions?

No. MediFlow writes original questions based on the published exam content. We do not use recalled or leaked exam questions and we are not affiliated with Medical Council.

Is the exam format up to date?

The format comes from the published information of Medical Council. Check it with Medical Council before your exam, as authorities can change it.

Ready to start

Begin with free questions or unlock the full package now.

Start your PRES Level 2 preparation Try free questions

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MediFlow is an independent provider. We are not affiliated with any licensing authority or exam provider. Questions are written by MediFlow from published exam outlines; they are not questions from real exams. Always check the format with the authority before your exam.

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MediFlow Exam Prep on iPhone and iPad: choose your country, profession and exam. Practice questions with explanations, timed mock exams and a study plan. The same account works in the browser.