VIP Exclusive
MSRA VIP Practice Exam — Multi-Specialty Recruitment Assessment
MSRA — The MSRA (Multi-Specialty Recruitment Assessment) is a computer-based test administered by Pearson VUE on behalf of NHS England, used for competitive entry into multiple specialty training programmes (including GP, Psychiatry, and Core Medical Training); it consists of two papers — Clinical Problem Solving (97 SBA questions, 75 min) and Professional Dilemmas (50 SJT ranking questions, 95 min) — with no fixed pass mark, as candidates are ranked competitively per specialty.
29
Questions
75m
Time Limit
65.00%
To Pass
Question 1 of 29👑 VIP
A 58-year-old man presents to the emergency department with a 45-minute history of severe central crushing chest pain radiating to his left arm. He is diaphoretic and nauseated. His ECG shows 3 mm ST elevation in leads II, III, and aVF, with reciprocal ST depression in leads I and aVL. His blood pressure is 88/60 mmHg and heart rate is 48 bpm. Which is the SINGLE most appropriate immediate management?
Questions 2–29 and full explanations are VIP-exclusive.