Preparing for the MSRA exam? A printable MSRA practice test PDF lets you review questions, test your knowledge offline, and build the exam readiness that timed, screen-based testing demands. Whether you are studying at home, commuting, or revisiting weak areas on paper, a printed practice test remains one of the most effective preparation formats available. This page provides a free PDF download and a structured study guide for the MSRA examination. Practice with the free MSRA Exam (Multi-Specialty Recruitment Assessment) practice test on PracticeTestGeeks (7 questions with answer explanations).
The MSRA assessment tests candidates on the core competencies required for certification or qualification in the field. A strong preparation strategy combines repeated practice testing with targeted review of areas where accuracy falls below 70%. Use this PDF alongside the online MSRA practice tests on this site for the most complete preparation experience — paper for review and annotation, online for timed simulation with instant scoring.
Candidates are tested across the primary knowledge domains that define competency in the MSRA field. Each domain contributes a weighted percentage of the total scored questions. High-weight domains deserve proportionally more preparation time. The exam format is typically multiple-choice, and understanding the question structure — identifying the best answer rather than the first correct-sounding one — is as important as content knowledge.
Common high-priority areas include foundational theory, applied practice, regulations or standards governing the field, and scenario-based reasoning that tests judgment under realistic conditions. Review official exam content outlines from the certifying body to confirm current domain weights before your examination date, as content outlines are updated periodically.
Print the PDF, set a timer proportional to the number of questions, and complete each section without reference materials to simulate real exam conditions. After grading, categorize every incorrect answer by domain to build a targeted error log. Prioritize re-study in your weakest domains, then take an additional timed practice session to confirm improvement. Repeat the cycle until accuracy is consistently above 75% across all domains.
Interactive MSRA Exam (Multi-Specialty Recruitment Assessment) resources on PracticeTestGeeks, free to start:
Facts verified Oct 21, 2026 against NHS England Medical and Dental Recruitment and Selection. Dates that have passed are removed automatically.
Facts verified Oct 21, 2026 against NHS England Medical and Dental Recruitment and Selection. Dates that have passed are removed automatically.
| Item | Detail | Official source |
|---|---|---|
| Number of questions (Clinical Problem Solving (CPS)) | 86 items | NHS England Medical and Dental Recruitment and Selection |
| Number of questions (Professional Dilemmas (PD)) | 50 questions | NHS England Medical and Dental Recruitment and Selection |
| Time limit | 170 minutes (PD 95 min + CPS 75 min) | NHS England Medical and Dental Recruitment and Selection |
| Passing score (General Practice ST1) | No fixed pass mark; band 1 in either paper = unsuccessful | NHS England Medical and Dental Recruitment and Selection |
| Retake policy | Resit possible depending on application numbers; opt in/out of score transfer at reapplication | NHS England Medical and Dental Recruitment and Selection |
| Delivery | Computer-based at Pearson Professional Examinations test centres worldwide; OnVUE remote only for extenuating circumstances | NHS England Medical and Dental Recruitment and Selection |
| Eligibility | By invitation after applying on Oriel to an MSRA-using specialty | NHS England Medical and Dental Recruitment and Selection |
| Score release | From 17 March 2027 (GP timeline) | NHS England Medical and Dental Recruitment and Selection |
| Registration deadline | 19 November 2026, 4pm (Oriel applications close) | NHS England Medical and Dental Recruitment and Selection |
| Registration opens | 22 October 2026, 10am (Oriel applications) | NHS England Medical and Dental Recruitment and Selection |
| Testing window (February 2027 sitting (Core Psychiatry / General Practice only)) | 10–18 February 2027 | NHS England Medical and Dental Recruitment and Selection |
| Testing window (January 2027 sitting (all specialties)) | 5–20 January 2027 | NHS England Medical and Dental Recruitment and Selection |
Facts verified Oct 21, 2026 against NHS England Medical and Dental Recruitment and Selection. Dates that have passed are removed automatically.
Before attempting practice tests, ensure you have reviewed the official study materials for the MSRA exam. Most certifying bodies publish a candidate handbook or content outline that lists exactly what knowledge is tested. Read this document first — it tells you not only what to study but also what to ignore. Allocate study time in proportion to domain weights: spend more time on high-weight domains and less on domains you already know well.
Once you have reviewed the content, move to practice testing. Each practice test session should be treated as a diagnostic: the questions you answer incorrectly are more valuable than the ones you answer correctly. Keep an error log organized by domain. After three to four practice tests, patterns in your errors will become clear. These patterns tell you exactly where to concentrate additional study effort.
In the week before the MSRA exam, focus on review rather than new learning. Take one full-length timed practice test to confirm readiness, then spend the remaining days reviewing your error log and reinforcing the concepts behind your most common mistakes. Avoid cramming new material in the final 48 hours — consolidation of existing knowledge is more valuable at that stage than attempting to add new content.
After completing this PDF, take full online MSRA practice tests at MSRA practice test — instant scoring with explanations for every answer. Use both formats together: this PDF for offline review and annotation, the online tests for timed simulation with immediate feedback. Together they give you the most complete MSRA exam preparation available on a single platform.
Try these questions from our free MSRA Exam (Multi-Specialty Recruitment Assessment) practice tests. The correct answer and an explanation follow each question.
In Clinical Problem Solving, a question describes typical symptoms then asks for the most likely diagnosis. What should you do?
Answer: A. Choose the single best fit for the whole presentation
Best-of-five items require the single most likely answer for the full clinical picture.
A junior colleague is clearly overwhelmed and struggling to complete their tasks. What is the most appropriate action?
Answer: A. Offer to help and suggest they speak to a senior if needed
Supporting a struggling colleague protects patient safety and team wellbeing while encouraging appropriate escalation.
The Professional Dilemmas paper is designed to assess a candidate's:
Answer: B. Professional judgement and integrity in workplace situations
The PD paper evaluates situational judgement, professionalism, coping with pressure, and empathy.
A 32-year-old woman presents with palpitations, weight loss, heat intolerance and a fine tremor. Which result would confirm hyperthyroidism?
Answer: A. Low TSH with high free T4
Primary hyperthyroidism is confirmed by a suppressed TSH alongside an elevated free T4.
Take the full MSRA Exam (Multi-Specialty Recruitment Assessment) practice test