MSRA Cheat Sheet 2026

The 30 highest-yield MSRA facts, distilled from real exam questions. Print it, save it as a PDF, or study it here โ€” free, no sign-up.

MSRA exam key facts

  • The MSRA is 170 minutes long, made up of a 95-minute Professional Dilemmas paper and a 75-minute Clinical Problem Solving paper. Source
  • For the 2027 Scotland CT1/BBT recruitment, the MSRA pass mark for both papers is 186. Source
  • MSRA appointments must be rescheduled or cancelled at least 24 hours beforehand, and a missed test cannot be rebooked online without re-authorisation by the MSRA team. Source
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  1. What type of questions are included in the written section of the test? โ†’ Multiple-choice and scenario-based questions
  2. How should fundamental concepts be prioritized in learning? โ†’ Master basics before advancing to complex topics
  3. What role does data collection play in quality improvement? โ†’ It provides objective evidence for identifying trends and measuring progress
  4. What role does reflection play in professional practice? โ†’ It enables learning from experience and continuous improvement
  5. How long must professional records typically be maintained? โ†’ According to state and federal regulations, often 7-10 years or longer
  6. What is the minimum age requirement to appear for the Multi-Specialty Recruitment Assessment Test? โ†’ 18 years
  7. Which qualification is typically required for candidates applying for clinical roles in this test? โ†’ Bachelor's Degree in Medicine or Nursing
  8. Which is a crucial factor for successful test preparation? โ†’ Creating a study schedule
  9. What should a professional do upon discovering a colleague is practicing while impaired? โ†’ Report through appropriate channels as required by professional duty
  10. What is mandatory reporting? โ†’ A legal obligation to report certain situations such as abuse or neglect
  11. What is a key performance indicator (KPI)? โ†’ A measurable value that demonstrates effectiveness in achieving objectives
  12. Which of the following best describes the Gillick competence principle in paediatric medicine? โ†’ A child under 16 may consent if they demonstrate sufficient maturity and understanding
  13. Under the Health and Safety at Work Act 1974, which duty does an NHS employer owe to its employees? โ†’ Duty to ensure health, safety and welfare so far as is reasonably practicable
  14. A junior doctor realises they signed a prescription for a medication they are not familiar with. What is the most appropriate immediate action? โ†’ Contact the prescribing senior, review the prescription, and correct it if needed
  15. Under the Mental Capacity Act 2005, which principle must be applied before concluding that a patient lacks capacity? โ†’ Assume the patient has capacity unless proven otherwise
  16. What is the primary purpose of thorough documentation in professional practice? โ†’ To create an accurate record for continuity of care and legal protection
  17. What is benchmarking in the context of quality improvement? โ†’ Comparing performance against best practices or industry standards
  18. Under the NHS Constitution, patients in England have a legal right to which of the following? โ†’ Maximum 18-week referral-to-treatment waiting time
  19. Are candidates provided with detailed feedback on their test performance? โ†’ Yes, including section-wise analysis
  20. Are the results standardized across all candidates? โ†’ Yes, standardized scoring is used
  21. When should documentation of a service or intervention be completed? โ†’ As soon as possible after the service is provided
  22. A 68-year-old man with COPD has an ABG showing pH 7.32, PaCO2 58 mmHg, PaO2 52 mmHg, and HCO3 28 mEq/L. What is the correct interpretation? โ†’ Type II respiratory failure with compensatory metabolic alkalosis
  23. Which of the following best describes an evidence-based spaced repetition strategy for MSRA knowledge retention? โ†’ Reviewing material at increasing intervals (e.g., day 1, day 3, day 7, day 14)
  24. Which organisation maintains the national database used to confirm that a medical professional is registered and licensed to practise in the UK? โ†’ General Medical Council
  25. Are specific medical or technical certifications required to qualify for this test? โ†’ Yes, certifications like ACLS or PALS are required.
  26. What is the primary purpose of a comprehensive patient assessment in MSRA practice? โ†’ To establish a baseline for treatment planning
  27. Which of the following is the BEST use of the Oxford Handbook of Clinical Medicine during MSRA preparation? โ†’ Using it as a reference to clarify topics flagged as weaknesses by practice questions
  28. For the Professional Dilemmas paper specifically, which revision approach is most effective? โ†’ Practising ranked-answer scenarios and reflecting on GMC/MPTS principles
  29. Which action constitutes a breach of client confidentiality? โ†’ Sharing client information with unauthorized parties without consent
  30. How can stress be effectively managed during preparation? โ†’ Taking regular breaks and maintaining balance

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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

  1. medical.hee.nhs.uk โ€” Score release, retake policy, time limit, exam format, registration deadline, test dates, test delivery, eligibility ยท verified Oct 2026
  2. scotmt.scot.nhs.uk โ€” Passing score ยท verified Oct 2026