MSRA: Multi-Specialty Recruitment Assessment

Exam at a glance

Questions

147

Duration

170 minutes

Pass mark

not published

Sections

Professional Dilemmas (SJT): 50 · 95 min / Clinical Problem Solving: 97 · 75 min

Exam type

Written

Language

English

Authority

NHS England Medical Recruitment (Work Psychology Group)

Curriculum

Built from the question bank and updated automatically when new questions are added. 10 modules · 322 questions

1. 01Clinical problem solving: cardiovascular and respiratory52 questions · 16.1 % of the bank

   Chapters

   • Foundations: anatomy of the heart
   • Foundations: conduction system and cardiac cycle
   • Foundations: circulation and blood vessels
   • Foundations: anatomy of the respiratory tract
   • Foundations: alveoli and gas exchange
   • Foundations: mechanics and control of breathing

   Sample question

   Sample question1 / 1 · 0 correct

   A 55-year-old man has a clinic blood pressure of 162/98 mmHg and ABPM daytime average of 154/96 mmHg. He has no diabetes and is of White British origin. What is the most appropriate first-line drug?

   AAmlodipineBRamiprilCBendroflumethiazideDAtenololEDoxazosin

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
2. 02Clinical problem solving: endocrinology and metabolism11 questions · 3.4 % of the bank

   Chapters

   • Foundations: endocrine glands and feedback control
   • Foundations: the thyroid in the neck and endocrine emergencies

   Sample question

   Sample question1 / 1 · 0 correct

   A 45-year-old man with no symptoms has an HbA1c of 51 mmol/mol on a routine health check. What is the most appropriate next step?

   ADiagnose diabetes and start metforminBOral glucose tolerance testCRepeat the HbA1c to confirmDReassure as it is borderlineERefer to diabetes clinic

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
3. 03Clinical problem solving: gastroenterology, renal and urology12 questions · 3.7 % of the bank

   Chapters

   • Foundations: the digestive tract, digestion and absorption
   • Foundations: peptic ulcer disease and upper GI bleeding
   • Foundations: structure and function of the kidney
   • Foundations: fluids and electrolytes

   Sample question

   Sample question1 / 1 · 0 correct

   A 28-year-old woman has dysuria and frequency for 2 days. She is not pregnant, has no fever or loin pain, and eGFR is normal. What is the most appropriate treatment?

   ACiprofloxacin for 7 daysBNitrofurantoin for 3 daysCCo-amoxiclav for 7 daysDCefalexin for 14 daysEGentamicin as a single dose

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
4. 04Clinical problem solving: paediatrics51 questions · 15.8 % of the bank

   Chapters

   • Foundations: the newborn and the transition after birth
   • Foundations: growth and development
   • Foundations: the child's airway, vital signs and resuscitation

   Sample question

   Sample question1 / 1 · 0 correct

   A 4-year-old girl has hard, infrequent stools for 3 months with no red flags. Her abdomen has a palpable faecal mass. What is the most appropriate first-line treatment?

   ALactulose aloneBSenna enemaCIncrease fibre onlyDRectal biopsyEMacrogol disimpaction

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
5. 05Professional dilemmas: communication, consent and confidentiality12 questions · 3.7 % of the bank

   Sample question

   Sample question1 / 1 · 0 correct

   The son of a competent inpatient phones the ward asking for details of his mother's scan result. She has not given permission to share information. What is the most appropriate response?

   AGive the result since he is her next of kinBExplain you need her consent and offer to ask herCRefuse and end the call without further helpDGive the result after confirming his date of birthETell him to request the records in writing

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
6. 06Professional dilemmas: patient safety, errors and raising concerns55 questions · 17.1 % of the bank
7. 07Professional dilemmas: teamwork, probity and professionalism54 questions · 16.8 % of the bank
8. 08Clinical problem solving: psychiatry and neurology12 questions · 3.7 % of the bank

   Chapters

   • Foundations: brain anatomy and clinical localisation
   • Foundations: reflexes, the spinal cord and upper versus lower motor neuron signs
9. 09Clinical problem solving: dermatology, ENT, ophthalmology and musculoskeletal12 questions · 3.7 % of the bank

   Chapters

   • Foundations: skin structure, primary lesions and burn depth
   • Foundations: the eye and the visual pathway
   • Foundations: the ear and the larynx
   • Foundations: paranasal sinuses and neck lymph nodes
10. 10Clinical problem solving: obstetrics, gynaecology and sexual health51 questions · 15.8 % of the bank

    Chapters

    • Foundations: female pelvic anatomy
    • Foundations: placenta, pregnancy physiology and fetal circulation
    • Foundations: labour and the fetal skull
    • Foundations: the menstrual cycle in the ovary, endometrium and cervix
    • Foundations: breast anatomy and lymphatic drainage

What you get

• Question bank with a detailed explanation for every answer
• Timed mock exams in the real exam format, with score report by topic
• Personal study plan up to your exam date and review of weak topics
• AI tutor that explains any question in plain words
• One account for the app (iPhone, iPad) and the browser

From registration to licence

The usual steps with NHS England Medical Recruitment (Work Psychology Group). Details can change; check the current rules with NHS England Medical Recruitment (Work Psychology Group) before you register.

1. Check eligibility and collect your documents (degree, experience, good standing).
2. Create an account with NHS England Medical Recruitment (Work Psychology Group) and submit the application.
3. Receive the exam eligibility and book a date with the test centre.
4. Sit the exam. Results usually come within days.
5. After passing: complete licensing (for example primary source verification) and receive your licence.

Frequently asked questions