A large number of doctors take the MRCP examination every year; unfortunately the highest percentage of failure occurs in the Part II examination, particularly in the clinical part. The candidates are expected to elicit the clinical features correctly and quickly; they are closely scrutinized by the examiners and therefore there is a certain amount of stress involved on the part of the candidates. In addition, they are also expected to identify features shown in the illustrations correctly and within the limited time, which causes additional stress. Therefore continued practice is the only way to improve clinical acumen and confidence to enhance the chance of success. The book is designed for these candidates bearing in mind their particular requirements. Considerable information is gathered not only from the doctors who have already passed this examination but also from those who have been currently sitting the examination. The author has been taking part in teaching junior doctors for the last 22 years; most of his registrars passed the examination while working for him. The book contains a large number of clinical photographs, X-rays (including CT scans), ECGs, haematology and histology slides which the candidates are likely to encounter in the examination. Every effort has been made to fulfil most of the requirements of the MRCP examination but at the same time the book has been kept to a reasonable size.