MRCPsych Paper B: Learning Disability | Questions & Revision
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MRCPsych Paper B · Revision

Learning Disability

Learning disability psychiatry is one of the 9 areas assessed in MRCPsych Paper B. Here is what the exam tests, the high-yield subtopics, and worked example questions referenced to New Oxford Textbook of Psychiatry.

What Paper B tests in Learning Disability

Paper B is a written paper of about 150 questions (single-best-answer MCQs and extended matching items) sat over three hours, blueprinted against the RCPsych syllabus. Questions from this domain typically cover:

  • Assessment & Challenging Behaviour
  • Genetic Syndromes & Behavioural Phenotypes
  • Classification of Intellectual Disability
  • Epidemiology
  • Environmental Causes
  • Metabolic Causes
  • Psychiatric Comorbidity
  • Diagnostic Overshadowing
  • Assessment & Communication
  • Challenging Behaviour
  • Autism in Learning Disability
  • Epilepsy in Learning Disability
In our question bank
72 questions in this section (EMIs counted per stem), each with a full explanation and a reference to the recommended text (New Oxford Textbook of Psychiatry). Balanced answer keys, MCQs and EMIs.

Worked example

This is a real question from the Learning Disability section, the kind you will see in Paper B:

"Diagnostic overshadowing" in intellectual disability refers to:

  1. Diagnosing in dim lighting
  2. Attributing symptoms of a treatable mental or physical illness to the intellectual disability itself
  3. Using too many diagnoses
  4. Overshadowing of the IQ result
  5. Refusing to make any diagnosis
Answer: B. Diagnostic overshadowing is the tendency to attribute changes in behaviour or mental state to the intellectual disability rather than recognising a co-occurring, potentially treatable mental or physical illness, leading to under-diagnosis and under-treatment.

How to revise this section for Paper B

Work in short, active blocks: attempt questions first, read the explanation whether right or wrong, and log the subtopics you miss. Our weakness tracker flags any subtopic where you score below 60% so you can target revision rather than re-reading everything. Anchor your reading to the recommended text (New Oxford Textbook of Psychiatry) so your facts match the exam blueprint.

Related revision

See the full MRCPsych Paper A guide or browse all 14 revision sections.

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