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 mirrors the new format for the exam. Its companion volume Extended Matching Items for the MRCPsych Examinations Part 1 by Michael Reilly and Bangaru Raju remains relevant for the new format where EMIs make up one third of the questions. Together, these two guides thoroughly prepare you for the revised format, incorporating the new areas of study such as basic ethics, philosophy and history of psychiatry, and stigma and culture. With varying degrees of question difficulty, a wide-range of styles and topics, and full explanations of answers overleaf, MRCPsych Paper I One-Best-Item MCQs is ideal for examination preparation and self-study.