MSRA Comprehensive MSRA 3

Question 1

A 22-year-old presents with a non-blanching petechial rash, fever, and neck stiffness. What is the immediate priority?

Accepted Answer

Give parenteral antibiotics urgently

Answer

Suspected meningococcal sepsis requires immediate parenteral antibiotics without delay for investigations.

Question 2

In an SJT scenario, a patient asks you not to tell their family about their diagnosis. What should you do?

Accepted Answer

Respect the patient's confidentiality if they have capacity

Answer

A competent adult's confidentiality must be respected unless there is an overriding legal or public-safety reason to breach it.

Question 3

A patient on warfarin has an INR of 8.0 with no bleeding. What is the appropriate management?

Accepted Answer

Withhold warfarin and consider oral vitamin K

Answer

An INR of 8.0 without bleeding is managed by withholding warfarin and giving oral vitamin K.

Question 4

Which feature most strongly suggests a diagnosis of bacterial rather than viral tonsillitis (Centor criteria)?

Accepted Answer

Tonsillar exudate

Answer

Tonsillar exudate is a Centor criterion favouring bacterial (streptococcal) infection; absence of cough is another.

Question 5

You are asked to perform a procedure you have never done and feel unprepared for. What is the best response?

Accepted Answer

Decline and request supervision or training

Answer

Recognising the limits of your competence and seeking supervision protects patient safety.

MSRA Exam (Multi-Specialty Recruitment Assessment) Practice Test