The past decade has seen several revisions to the MRCPsych examinations but the latest changes have been the most radical. It is now a three part written examination along with a clinical assessment of skills and competencies. This has changed the focus of the 'new' MRCPsych Paper I, which now includes two thirds 'one-best-item-from-five' multiple choice questions (MCQs). This collection of 'one-best-item-from-five' style multiple choice questions...