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 arrives at the emergency department post road traffic accident. He is experiencing severe respiratory distress, with increased respiratory rate and low blood pressure. On examination, there is evidence of tracheal deviation to the left and reduced breath sounds on the right. His jugular veins appear distended. An emergency chest X-ray reveals a large pneumothorax on the right side accompanied by leftward mediastinal shift. What is the most appropriate immediate intervention for this patient?
1.
Intravenous fluids
2.
Needle decompression
3.
Oxygen therapy
4.
Analgesia
5.
Chest tube insertion
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.
Lifestyle modification
3.
Referral to hepatology
4.
Repeat liver function tests in 3 months
5.
Initiate statin therapy
Example topic: Cardiovascular
A 58-year-old man arrives at the emergency department with central chest pain radiating to his left arm and jaw that started 3 hours ago. He has a past medical history of hypertension, type 2 diabetes, and hyperlipidaemia. On assessment, he appears diaphoretic and mildly distressed. His blood pressure is recorded at 160/95 mmHg, his heart rate at 110 bpm, and his respiratory rate at 20 breaths per minute. An ECG shows ST-segment elevation in leads II, III, and aVF. Which immediate management step is most appropriate?
InvestigationResult
Troponin IElevated
ECGST-segment elevation in leads II, III, aVF
1.
Administer intravenous morphine
2.
Administer sublingual glyceryl trinitrate
3.
Order a chest X-ray
4.
Administer aspirin and clopidogrel
5.
Immediate percutaneous coronary intervention
Example topic: Renal / Urology
A 68-year-old man presents with symptoms of lower urinary tract issues indicative of benign prostatic hyperplasia (BPH). He complains of frequent urination, nocturnal urination, and a weak urinary flow. During the examination, his prostate is found to be moderately enlarged. You decide to prescribe an alpha-blocker to improve his symptoms. Considering his history of hypertension and a recent episode of postural hypotension, which alpha-blocker would be the safest choice to reduce the risk of adverse effects, particularly hypotension?
1.
Alfuzosin
2.
Tamsulosin
3.
Prazosin
4.
Silodosin
5.
Doxazosin
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.
Increase methotrexate dosage
3.
Oral iron supplementation
4.
Folic acid supplementation
5.
Calcium and vitamin D supplementation
Example topic: Respiratory
A 55-year-old man comes to your clinic asking for help to give up smoking. He has been smoking 20 cigarettes a day for 30 years and has attempted to quit several times, always relapsing after a few weeks. His medical background includes hypertension and COPD, and he is on antihypertensive drugs and an inhaler. He is motivated but unsure of the best way to quit. What would be the most suitable management option for him?
1.
Nicotine patches
2.
Hypnotherapy
3.
Herbal remedies
4.
Acupuncture
5.
Behavioural therapy
6.
E-cigarettes

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.