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 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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📚 MSRA Topics to Study (23)

Clinical Problem Solving · 7 cards Communication and Documentation · 7 cards Core Knowledge and Fundamentals · 7 cards Industry Regulations · 7 cards Industry Regulations · 7 cards Industry Regulations · 7 cards Industry Regulations · 7 cards Preparation Resources and Strategies · 7 cards Preparation Resources and Strategies · 7 cards Preparation Resources and Strategies · 7 cards Preparation Resources and Strategies · 7 cards Assessment and Evaluation · 6 cards Communication and Documentation · 6 cards Core Knowledge and Fundamentals · 6 cards Eligibility Criteria · 6 cards Evaluation Structure and Format · 6 cards Industry Regulations · 6 cards Practice and Application · 6 cards Preparation Resources and Strategies · 6 cards Professional Standards and Ethics · 6 cards Quality Assurance and Improvement · 6 cards Safety and Compliance · 6 cards Scoring and Results · 6 cards

✍️ Sample MSRA Questions & Answers

1. How long must professional records typically be maintained?

✓ According to state and federal regulations, often 7-10 years or longer

Record retention is governed by state and federal laws, with most requiring 7-10 years, and longer for minors.

2. What is benchmarking in the context of quality improvement?

✓ Comparing performance against best practices or industry standards

Benchmarking involves comparing an organizations performance against recognized leaders or standards to identify improvement opportunities.

3. The Equality Act 2010 places a 'reasonable adjustments' duty on NHS employers. Which characteristic triggers this specific duty for an employee?

✓ Disability only

The duty to make reasonable adjustments applies specifically to disability under the Equality Act 2010, not to all protected characteristics.

4. What is the purpose of a professional code of ethics?

✓ To establish standards of conduct and protect the public

A code of ethics establishes expectations for professional conduct and serves to protect both the public and the profession.

5. Which of the following is a Caldicott Guardian's PRIMARY role within an NHS organisation?

✓ Protecting patient information and ensuring lawful data sharing

The Caldicott Guardian acts as the conscience of the organisation, safeguarding patient information and ensuring it is used appropriately and lawfully.

6. For a candidate with limited revision time, which MSRA subject area should be de-prioritised LAST based on mark weighting?

✓ Prescribing and therapeutics

Prescribing and therapeutics questions appear frequently in the CPS paper and carry high mark potential, making them a priority even under time pressure.

🎯 Free MSRA Practice Tests

Clinical Problem Solving · 7 questions Preparation Resources and Strategies · 7 questions Industry Regulations · 7 questions Industry Regulations · 7 questions Industry Regulations · 7 questions Industry Regulations · 7 questions Preparation Resources and Strategies · 7 questions Preparation Resources and Strategies · 7 questions Preparation Resources and Strategies · 7 questions Communication and Documentation · 7 questions

📖 MSRA Guides & Articles

Your MSRA Study Path

1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation

🃏 MSRA Flashcards (149)

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 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.

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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

medical.hee.nhs.uk — Score release, retake policy, time limit, exam format, registration deadline, test dates, test delivery, eligibility · verified Oct 2026
scotmt.scot.nhs.uk — Passing score · verified Oct 2026