The European Diploma in Musculoskeletal Radiology (EDiMSK) is a recognized European qualification of excellence for musculoskeletal (MSK) radiologists. The EDiMSK confirms proof of knowledge of MSK radiology, in addition to any national qualifications certifying competency. The examination is conducted in English and consists of both a written and an oral part. This article guides candidates taking the EDiMSK examination on how to prepare for the written exam that consists of 40 multiple-choice questions (MCQs). Information is provided on how the questions are structured and the candidate is scored. Ten MCQs representative of the written section of the EDiMSK are also presented.