RCVS Statutory Membership Examination (SME)

UK · Royal College of Veterinary Surgeons · licensing

2354practice questions written to this syllabus
60subjects

Format

Written (online, remotely proctored, March): 367 single-best-answer vignettes with 5 options, about 2 hours per domain paper, no negative marking, no compensation between domains. Plus an open-book Code of Professional Conduct paper: 60 MCQs, 2 h 15 min. OSCE (September, in person, 5-7 days): 15-20 minute stations with two examiners each.

Sections

Over the years

For graduates of non-RCVS-recognised degrees. Fees 2026: entry £1,400, OSCE £1,100, resit £500 per domain. English: IELTS 7.0 (one component may be 6.5) or OET B. From the 2025 diet, a candidate who fails the OSCE may sit it directly in the next diet.

Official source: https://www.rcvs.org.uk/sites/default/files/2026-03/Statutory%20Membership%20Exam%20(SME)%20Guidance%202026.pdf

Subjects this exam draws on

Veterinary Gross Anatomy30 questionsVeterinary Physiology I: Body Fluids, Blood, Circulation, Respiration and Excretion38 questionsVeterinary Physiology II: Digestion, Muscle, Nerve, Endocrinology, Reproduction, Lactation, Growth and Climate17 questionsVeterinary Biochemistry34 questionsLivestock Production Management I: General Principles and Ruminants17 questionsLivestock Production Management II: Monogastric and Laboratory Animals42 questionsLivestock Production Management III: Species of Regional Interest4 questionsFodder Production & Grassland Management8 questionsApplied Animal Nutrition I: Ruminants28 questionsApplied Animal Nutrition II: Non-ruminants, Poultry, Laboratory and Companion Animals24 questionsAnimal Behaviour, Ethology & Welfare Science74 questionsLivestock Farm Practices80 questionsGeneral Veterinary Parasitology & Helminthology25 questionsVeterinary Entomology & Acarology21 questionsVeterinary Protozoology27 questionsClinical, Diagnostic & Immuno-Parasitology38 questionsGeneral Veterinary Microbiology41 questionsVeterinary Immunology & Serology30 questionsSystematic Veterinary Bacteriology & Mycology37 questionsSystematic Veterinary Virology40 questionsGeneral Veterinary Pathology30 questionsSystemic Veterinary Pathology15 questionsSpecial Pathology, Necropsy & Clinical Pathology29 questionsAquatic Animal Diseases, Health Care & Management58 questionsGeneral & Systemic Veterinary Pharmacology13 questionsVeterinary Neuropharmacology16 questionsVeterinary Chemotherapy & Antimicrobial Stewardship32 questionsVeterinary Toxicology10 questionsMilk & Meat Hygiene, Food Safety & Public Health52 questionsVeterinary Epidemiology & Zoonoses30 questionsEnvironment & Environmental Hygiene35 questionsMeat Science, Abattoir Practice & Animal By-products Technology22 questionsGeneral Veterinary Surgery25 questionsVeterinary Anaesthesiology & Analgesia32 questionsDiagnostic Imaging: Radiology and Ultrasonography42 questionsRegional Veterinary Surgery30 questionsVeterinary Orthopaedics & Lameness54 questionsVeterinary Gynaecology & Reproductive Endocrinology26 questionsVeterinary Obstetrics45 questionsVeterinary Andrology & Assisted Reproductive Techniques39 questionsVeterinary Clinical Medicine I: General and Systemic58 questionsVeterinary Clinical Medicine II: Metabolic, Production and Deficiency Diseases69 questionsPreventive Veterinary Medicine I: Bacterial, Fungal, Rickettsial and Mycoplasmal Diseases31 questionsPreventive Veterinary Medicine II: Viral and Parasitic Diseases49 questionsVeterinary Clinical Biochemistry & Laboratory Diagnosis35 questionsAnimal Welfare, Ethics & Veterinary Jurisprudence45 questionsCompanion Animal Practice: Breeding, Management, Nutrition and Health Care107 questionsEquine Medicine, Surgery & Practice91 questionsFood-Animal Production Medicine & Herd Health59 questionsExotic, Pocket Pet, Pet Bird & Reptile Medicine96 questionsLaboratory Animal Science & Medicine20 questionsEmergency & Critical Care, Fluid Therapy and Euthanasia76 questionsVeterinary Clinical Practice (Veterinary Clinical Complex)81 questionsIntegrative and Ethno-Veterinary Medicine14 questionsRegulatory and State Veterinary Medicine & International Trade21 questionsVeterinary Pharmacy, Prescribing Law & Medicines Regulation66 questionsCommunication, Professionalism, Practice Management & Wellbeing70 questionsOne Health, Antimicrobial Resistance & Global Health24 questionsVeterinary Research Methodology & Evidence-Based Veterinary Medicine13 questionsRotating Internship & Entrepreneurship Training39 questions

Five practice questions, worked

Original questions written to this exam's published syllabus and pattern. Not past papers.

1. An adult cow is dehorned close to the skull and the wound opens into an air-filled cavity. Which cavity has been opened?

  1. Frontal sinus
  2. Maxillary sinus
  3. Cranial cavity
  4. Dorsal nasal meatus
Answer and working

A. Frontal sinus

In the adult ox the caudal part of the frontal sinus extends into the horn core (cornual diverticulum), so dehorning opens it and can lead to frontal sinusitis. The maxillary sinus lies in the face below the orbit, and the cranial cavity is protected by the inner table of the frontal bone.

Veterinary Gross Anatomy · Comparative osteology

2. A male cat with urethral obstruction has a plasma potassium well above the reference interval. What happens to the resting membrane potential of its cardiac muscle cells?

  1. It reverses to a positive value at rest
  2. It becomes more negative (hyperpolarised)
  3. It does not change, because potassium is mainly intracellular
  4. It becomes less negative (depolarised)
Answer and working

D. It becomes less negative (depolarised)

Resting potential lies near the potassium equilibrium potential. Raising outside potassium reduces the out/in gradient, so the potential moves towards zero. Early this raises excitability; later it inactivates sodium channels and slows conduction, giving bradycardia and ECG changes. Hyperpolarisation is what low potassium does.

Veterinary Physiology I: Body Fluids, Blood, Circulation, Respiration and Excretion · Cellular basis of physiology

3. A young adult German Shepherd dog has a ravenous appetite, weight loss and large volumes of pale, fatty faeces. Serum trypsin-like immunoreactivity is very low. Which physiological loss best explains the signs?

  1. Loss of gastric parietal cell acid and intrinsic factor secretion (atrophic gastritis)
  2. Loss of pancreatic acinar enzyme secretion (exocrine pancreatic insufficiency)
  3. Loss of ileal bile acid reabsorption
  4. Loss of colonic water absorption
Answer and working

B. Loss of pancreatic acinar enzyme secretion (exocrine pancreatic insufficiency)

Acinar atrophy removes lipase, proteases and amylase, so fat and protein are maldigested and the dog is hungry and thin. Low trypsin-like immunoreactivity reflects reduced acinar mass. Loss of gastric acid alone does not cause steatorrhoea of this degree, and colonic disease causes diarrhoea without maldigestion.

Veterinary Physiology II: Digestion, Muscle, Nerve, Endocrinology, Reproduction, Lactation, Growth and Climate · Digestion in monogastric animals

4. A dog's arterial blood has bicarbonate 24 mmol/L and pCO2 40 mmHg. Using pH = 6.1 + log10(HCO3- / (0.03 x pCO2)), what is the pH?

  1. 7.10
  2. 7.40
  3. 6.10
  4. 7.70
Answer and working

B. 7.40

0.03 x 40 = 1.2 mmol/L dissolved CO2; 24/1.2 = 20; log10(20) = 1.30; pH = 6.1 + 1.30 = 7.40. 7.10 would come from a ratio of 10; 6.10 ignores the ratio; 7.70 would need a ratio of 40.

Veterinary Biochemistry · Biomolecules and their interactions

5. Double muscling in the Belgian Blue breed is due to a mutation affecting which gene?

  1. BMPR1B (Booroola)
  2. Kappa-casein
  3. Myostatin
  4. Halothane (RYR1)
Answer and working

C. Myostatin

Belgian Blue double muscling results from a loss-of-function mutation in myostatin, a negative regulator of muscle growth. BMPR1B is the FecB prolificacy gene of sheep; the halothane RYR1 mutation causes porcine stress syndrome; kappa-casein variants affect cheese yield.

Livestock Production Management I: General Principles and Ruminants · Breeds and home tracts of cattle and buffalo

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