Multi-Specialty Recruitment Assessment

MSRA
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Enhance your readiness and boost your confidence with our comprehensive Practice Question Bank, specifically designed for the MSRA (Multi-Specialty Recruitment Assessment).

Our Question Bank offers an extensive collection of practice questions, crafted to mirror the format and difficulty of the actual MSRA exam. Our questions follow the MSRA blueprint as outlined by Health Education England (HEE) and the UK Foundation Programme Office (UKFPO) here. Each question is accompanied by detailed explanations, helping you understand the reasoning behind the correct answers and solidifying your knowledge base. The questions cover all essential topics, ensuring a thorough preparation experience.

Our user-friendly online platform allows you to track your progress, identify areas for improvement, and customize your study sessions according to your needs.

MSRA example questions:

Example topic: Respiratory
A 25-year-old male is brought to the emergency department following a road traffic accident. He is in severe respiratory distress, with tachypnoea and hypotension. On examination, there is tracheal deviation to the left and decreased breath sounds on the right side. His jugular veins are distended. An urgent chest X-ray shows a large right-sided pneumothorax with mediastinal shift to the left. What is the most appropriate immediate management for this patient?
1.
Oxygen therapy
2.
Intravenous fluids
3.
Needle decompression
4.
Chest tube insertion
5.
Analgesia
Example topic: Endocrinology / Metabolic
A 45-year-old male, BMI of 32, presents with complaints of fatigue and right upper quadrant discomfort. He has a medical history of well-controlled type 2 diabetes and hypertension. He denies alcohol use. Liver function tests show raised ALT and AST levels. An ultrasound indicates increased echogenicity in the liver consistent with fatty infiltration. What is the most suitable next step in managing this patient?
TestResult
BMI32
ALT78 U/L
AST65 U/L
UltrasoundIncreased echogenicity of liver
1.
Start metformin
2.
Referral to hepatology
3.
Initiate statin therapy
4.
Lifestyle modification
5.
Repeat liver function tests in 3 months
Example topic: Cardiovascular
A 58-year-old male comes to the emergency department after experiencing central chest pain for 3 hours, which radiates to his left arm and jaw. His medical history includes hypertension, type 2 diabetes, and hyperlipidaemia. During examination, he is sweaty and slightly distressed. His vital signs include a blood pressure of 160/95 mmHg, a heart rate of 110 bpm, and a respiratory rate of 20 breaths per minute. An electrocardiogram (ECG) reveals ST-segment elevation in leads II, III, and aVF. What is the most appropriate next step in his management?
InvestigationResult
Troponin IElevated
ECGST-segment elevation in leads II, III, aVF
1.
Administer aspirin and clopidogrel
2.
Administer intravenous morphine
3.
Administer sublingual glyceryl trinitrate
4.
Immediate percutaneous coronary intervention
5.
Order a chest X-ray
Example topic: Renal / Urology
A 68-year-old male comes to the clinic with lower urinary tract symptoms (LUTS) suggesting benign prostatic hyperplasia (BPH). He mentions increased urinary frequency, night-time urination, and a poor urinary stream. Examination reveals a moderately enlarged prostate. You decide to initiate treatment with an alpha-blocker to ease his symptoms. Given his medical history of hypertension and a recent incident of postural hypotension, which alpha-blocker would be ideal to lower the risk of adverse effects, mainly hypotension?
1.
Tamsulosin
2.
Alfuzosin
3.
Silodosin
4.
Doxazosin
5.
Prazosin
Example topic: Gastroenterology / Nutrition
In your clinic, a 68-year-old woman complains of ongoing fatigue, pallor, and mild breathlessness. She has rheumatoid arthritis and is currently managed with methotrexate. Her laboratory tests indicate a haemoglobin level of 9.5 g/dL, an MCV of 72 fL, and a serum ferritin concentration of 15 ng/mL. Following a mostly vegetarian diet, she also sometimes feels numbness and tingling in her hands and feet. Given her symptoms and lab results, what is the best initial intervention?
TestResult
Haemoglobin95 g/L
MCV72 fL
Serum Ferritin15 ng/mL
1.
Vitamin B12 injection
2.
Oral iron supplementation
3.
Calcium and vitamin D supplementation
4.
Increase methotrexate dosage
5.
Folic acid supplementation
Example topic: Respiratory
A 55-year-old male visits your clinic requesting assistance to stop smoking. He has a history of smoking 20 cigarettes daily for the last 30 years and has made multiple unsuccessful attempts to quit, typically relapsing within a few weeks. His medical history includes hypertension and COPD, for which he is taking antihypertensive medications and uses an inhaler. He is keen to quit smoking but is uncertain about the most effective method. What is the best management option for this patient?
1.
Nicotine patches
2.
Herbal remedies
3.
E-cigarettes
4.
Acupuncture
5.
Hypnotherapy
6.
Behavioural therapy

Try a free sample of MSRA questions:

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The MSRA (Multi-Specialty Recruitment Assessment) is a crucial evaluation for medical professionals seeking specialty training positions within the UK healthcare system. It serves as a standardized assessment to evaluate candidates' aptitude and clinical knowledge across various specialties.

The MSRA consists of two key components: a Professional Dilemmas (PD) paper and a Clinical Problem Solving (CPS) paper. Each part is designed to assess different aspects of medical competency.

The Professional Dilemmas paper primarily tests ethical reasoning, decision-making, and professional judgment. It consists of 50 situational judgment test (SJT) questions, to be completed within 95 minutes. These questions present hypothetical professional scenarios, requiring candidates to choose the most appropriate course of action based on the principles of medical ethics and professionalism.

The Clinical Problem Solving paper evaluates theoretical medical knowledge and clinical problem-solving skills. It comprises 97 multiple-choice questions (MCQs) to be completed in 75 minutes. These questions cover a broad range of subjects relevant to clinical practice, including medicine, surgery, pediatrics, obstetrics and gynecology, psychiatry, and general practice. The exam aims to ensure candidates possess a solid understanding of medical principles and can apply them effectively to clinical scenarios.

Candidates prepare for the MSRA by studying comprehensive medical textbooks and resources, often supplemented by practice MCQs and SJTs to familiarize themselves with the exam format and pacing. Successful performance in the MSRA is essential for progressing in specialty training applications, as it is a key component in the selection process for various medical training programs.

Overall, the MSRA serves as a rigorous evaluation ensuring medical professionals meet the high standards required to practice safely and effectively within the UK healthcare system.