Within the 86 questions, there are two types of questions, making up roughly half of the questions each. The question types are: Extended Matching Questions Preparing well for the MSRA will ensure that you give yourself the best possible chance of achieving a high MSRA score and positively impacting your ST application. The following are some final tips to support you in preparing effectively for the MSRA exam: Investigation– Focusing on specific investigations to support a more conclusive diagnosis or to rule out possible causes of illness / injury.

Tips:Frommyexperienceitwasjustquestions,questions,questionsandlearningtheappropriateassociations-theseexamsareverystereotypicalincertainwordingmeansacertaindiagnosis.Tookmaybeabout4to6weeksorsoofstudyingquestionafterquestionandlearningthecorrectanswers. For GP applicants, your offer and location of your offer will depend solely on your MSRA score, as opposed to an interview being included like in previous years. Some locations are much more popular than others, so will require a higher MSRA score to be in line with the competition. The score for each paper is normalised; this is usually around a mean score of 250, but as normalisation is dependent on each year’s average scores, there could be a variation of up to 40 marks either side of the mean score.Focus: Work out what it is you need to do and do only that! For me this was using a number of different question banks, generating my own notes from the ones with more detailed answers and then practising, practising, practising!

RCPCHnowrunarevisioncourseforthisexam–itwasa2daycoursewhenIwent,butIbelieveit’snowaonedaycoursewithonlineresourcesavailable.Itwasareallygoodcourse,butexpensive–Ithinkpartoftherationaleinreducingittoonedaywastoalsoreducethecost.Probablynotworthitforthefirstattempt,butifyou’vehadacoupleofattemptsandyou’restrugglingwithTAS,Iwouldhighlyrecommendit.Imanagedtogetminecoveredinmystudyleavebudget.It’srunbythepersonthatactuallyruns/coordinatestheTASexam. ID is only accepted if issued in the country the candidate is sitting the MSRA in. Candidates are not permitted to take personal belongings, for example, bags, books, notes, phones, and wallets into the testing room. Additionally, food and drink are not allowed. Dr Amelia Thompson scored 610 (~top 1% in the country) and got a direct offer in her 1st choice area. She started GP ST1 in August 2017.C is the best option as you are speaking directly with the registrar, and not undermining them in front of the patient or team. The question states that the ward round was busy so waiting until the end may be more appropriate, especially as the operation is still in 2 days’ time. GMC Good Medical Practice states that you should make sure ‘arrangements are made, wherever possible, to meet patient’s language and communication needs’ and be satisfied that consent is taken before providing treatment. As the nurse is reluctant to speak it is important to ensure the concerns do not go unnoticed, especially since you are aware his daughter usually translates. There are two rounds of recruitment a year, one to begin your job in February, the other to begin the job in August. Passing the MSRA is valid for one year so you could, in theory, apply for both rounds of that year without having to re-sit it. It’s also the largest on the market, offering over 4000 questions written specifically for the MSRA. At a moment when being a junior resident is growing increasingly expensive (think GMC, PMETB, Royal College examination fees), Passmedicine is assigned offering a quality revision study resource at the lowest price to yourself as feasible. This is, in part, achieved by relying on word-of-mouth recommendations rather than funding costly promoting campaigns. If you find Passmedicine valuable, tell a colleague!

B is not as good an option because although it does directly act on your concerns, it undermines the registrar in front of others and may impact your working relationship. Furthermore, it may distress the patient who has limited understanding of English. It ranks higher than A, E or D because at least the concerns are actively voiced directly to him. Ruby is 2 years old and is seen today with her father as she has had a one-week history of runny nose and has complained her throat hurts. This morning she has noted a rash on both cheeks but nowhere else on the body. Ruby is well in herself and eating, drinking, passing urine and opening her bowels as normal. She has no other medical history and is up to date with immunisations. She is not lethargic and on examination today is playing happily in the consulting room, has normal observations and an unremarkable respiratory and throat examination. There is a diffuse erythematous rash on both cheeks. What is her most likely diagnosis? Questions are constantly reviewed to ensure they are up-to-date and consistent with current guidelines and clinical practiceYou may also find it helpful to revisit the following documents, given their influence on the MSRA exam, as mentioned previously: You will be given a set of responses (usually between 5 – 8 in this instance) and asked to select the most appropriate option for a single scenario. ThefollowingthingsarelovedbyPACESexaminers:awarenessofDVLAguidelines,activelyaskingpatientsaboutsmokingcessation,exploringideas,concerns,expectations,obtainingafullsocialandoccupationalhistory.