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 key facts
- The MSRA lasts 170 minutes in total across two papers: Professional Dilemmas (95 minutes) and Clinical Problem Solving (75 minutes). Source
- For GP specialty training, MSRA paper scores are banded 1 to 4 and applicants with band 1 in either paper are deemed unsuccessful. Source
- Unsuccessful GP applicants may be able to resit the MSRA depending on application numbers, and can transfer their MSRA score by answering 'Yes' when reapplying. Source
📋 MSRA Exam Format at a Glance
📚 MSRA Topics to Study (24)
✍️ 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. 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.
3. 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.
4. 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.
5. Which of the following best defines the legal standard of capacity under the Mental Capacity Act 2005?
The MCA 2005 defines capacity as the ability to understand relevant information, retain it, weigh it in the decision, and communicate a decision — irrespective of the wisdom of the choice.
6. LFTs show: ALP 480 U/L, GGT 510 U/L, ALT 65 U/L, bilirubin 55 µmol/L, albumin 38 g/L. What pattern do these results suggest?
Disproportionate elevation of ALP and GGT relative to aminotransferases, with raised bilirubin, is the hallmark of a cholestatic (obstructive) pattern of liver disease.
🎯 Free MSRA Practice Tests
📖 MSRA Guides & Articles
What Practice Test Geeks adds beyond an AI chat for MSRA
An AI chatbot can quiz you, but it can't reproduce the exam conditions or keep your record. Here you get:
- A timed, full-length MSRA mock exam — 147 questions in 170 minutes with a 70% pass mark, modeled on the official exam's question count and time limit, followed by a score report broken down by exam domain.
- A fixed MSRA question bank: the same test every attempt, so your score is comparable from one try to the next instead of changing with every regenerated quiz.
- Progress saved on your device: completed tests, scores and missed questions stay in My Progress, so you can retake only what you got wrong.
- A printable MSRA cheat sheet you can print or save as a PDF.
- MSRA flashcards built from the same question bank.
- Free MSRA practice tests with the correct answer shown after each question.
How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy
Sources & references
Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy
- medical.hee.nhs.uk — Registration deadline, score release, test dates, eligibility, passing score, retake policy, exam format, time limit, test delivery · verified Oct 2026