MSRA Study Guide 2026
Everything you need to pass the MSRA exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.
📋 MSRA Exam Format at a Glance
📚 MSRA Topics to Study (43)
✍️ Sample MSRA Questions & Answers
1. A 24-hour urine collection shows protein 5.8 g/day. Serum albumin is 22 g/L. Cholesterol is 8.2 mmol/L. What syndrome is present?
The triad of heavy proteinuria (>3.5 g/day), hypoalbuminaemia, and hypercholesterolaemia defines nephrotic syndrome regardless of the underlying glomerulopathy.
2. A patient with COPD has oxygen saturations of 86%. What is the appropriate target saturation range while awaiting blood gases?
In COPD patients at risk of CO2 retention, a target saturation of 88-92% is appropriate.
3. Troponin I at 3 hours is 0.06 µg/L (reference <0.04) and at 6 hours is 0.22 µg/L. ECG shows no ST changes. How should this rise be interpreted?
A rising troponin pattern (delta change >20% over 3–6 hours) with symptoms consistent with ACS confirms NSTEMI requiring antiplatelet therapy and cardiology input.
4. A 25-year-old man presents with acute testicular pain, swelling and a high-riding testis after sudden onset. What is the immediate concern?
Sudden severe testicular pain with a high-riding testis is testicular torsion, a surgical emergency.
5. A neonate at 24 hours of life develops jaundice. Total bilirubin is markedly elevated. What is the most important cause to exclude first?
Jaundice in the first 24 hours is always pathological; haemolytic disease of the newborn due to Rh or ABO incompatibility must be excluded urgently to prevent kernicterus.
6. During a busy night shift, a colleague asks you to co-sign a drug chart for a medication you did not administer or check. What should you do?
Co-signing a drug chart implies verification of administration; signing for something you did not witness is dishonest and constitutes a serious documentation and patient safety breach.