VIP Exclusive
MSRA VIP Practice Exam: Clinical Problem Solving & Professional Dilemmas
MSRA — The MSRA (Multi-Specialty Recruitment Assessment) is a UK medical recruitment exam administered by Pearson VUE on behalf of NHS England, used for specialty training entry (GP, Psychiatry, CSRH, and others); it comprises two papers — Clinical Problem Solving (97 Qs, 75 min) and Professional Dilemmas (50 Qs, 95 min) — with scores used competitively rather than against a fixed pass mark.
30
Questions
95m
Time Limit
70.00%
To Pass
Question 1 of 30👑 VIP
A 58-year-old man presents to the emergency department with sudden-onset severe tearing chest pain radiating to his back. He has a history of hypertension poorly controlled on amlodipine. On examination, BP is 185/110 mmHg in the right arm and 155/95 mmHg in the left arm. He is diaphoretic and in distress. Heart sounds are normal. ECG shows sinus tachycardia with no ST changes. Which investigation should be prioritised immediately?
Questions 2–30 and full explanations are VIP-exclusive.