This book is an excellent learning tool for the MRCP Part 2 Writtem exam. Although the questions are slightly more difficult than those in the actual exam, and some of them are formatted differently than the "Best of Five" or "n from many" you can expect to see in the exam, they have excellent explanations and cover a good variety of topics. The guidelines used are up-to-date and well outlined, with references to key studies used in the formulations of the guidelines for you to study further if you wish. My only slight complaint is that questions are not organised into subject areas, although this is a bonus in some ways as you cover a variety of topics in a single sitting, but it does make revision of specific subjects more difficult. Ideally you need to start revising from this book about a month to a month-and-a-half before the actual exam as there are a lot of questions to get through, but the reward is well worth the effort!