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UPDATED JULY 2025: Experience a Free MSRA Mock Exam!
Mindful Clinical Question Banks is delighted to offer you a free full-length MSRA mock
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• This free mock is a representative sample of our comprehensive question banks.
• Take it as a timed mock on our website for an authentic exam experience:
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• The online mock includes more detailed explanations for each question. No sign-up
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5000 newly created, up-to-date MSRA questions. All questions come with detailed
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Free Mock 1 - CPS
Clinical
Question 1
A 4-month-old infant presents with a 1-day history of sudden, severe, inconsolable crying episodes,
drawing legs to chest, and passing 'redcurrant jelly' stools. Abdominal examination reveals a sausage-
shaped mass in the right upper quadrant.
What is the most appropriate next step in the management of this infant?
A. Administer oral rehydration solution and observe for improvement.
B. Refer for urgent paediatric surgical review and consider air enema or surgical reduction for
suspected intussusception.
C. Prescribe oral antibiotics for suspected gastroenteritis.
D. Advise strict fluid restriction.
E. Reassure parents that it's likely benign colic.
The Correct Answer is B
This is a classic presentation of intussusception, a surgical emergency in infants, characterized by
colicky abdominal pain, 'redcurrant jelly' stools, and a palpable sausage-shaped mass. Urgent
paediatric surgical consultation for a diagnostic and therapeutic air enema, or surgical intervention, is
crucial.
Question 2
A 30-year-old female presents with a 6-month history of severe and persistent anxiety about her
health, despite repeated negative medical investigations. She is preoccupied with the idea that she
has a serious illness, frequently seeks reassurance from doctors, and experiences significant
functional impairment.
What is the most likely diagnosis and the most appropriate initial management approach?
A. Prescribe antidepressant medication (e.g., SSRI) and refer for cognitive behavioural therapy (CBT)
for illness anxiety disorder (hypochondriasis).
B. Arrange further extensive medical investigations to rule out rare diseases.
C. Reassure the patient that she is physically healthy and discharge her.
D. Refer for urgent neurological investigation for organic cause.
E. Prescribe a sedative for anxiety.
The Correct Answer is A
MINDFUL CLINICAL QUESTION BANKS. https://mindfulclinicalcourses.co.uk/msra/
MINDFUL CLINICAL QUESTION
BANKS.
https://mindfulclinicalcourses.co.uk/msra
, MINDFUL CLINICAL QUESTION BANKS.
UPDATED JULY 2025: Experience a Free MSRA Mock Exam!
Mindful Clinical Question Banks is delighted to offer you a free full-length MSRA mock
exam, giving you a taste of our high-quality preparation resources.
What to Expect:
• This free mock is a representative sample of our comprehensive question banks.
• Take it as a timed mock on our website for an authentic exam experience:
https://mindfulclinicalcourses.co.uk/courses/free-msra-mock/
• The online mock includes more detailed explanations for each question. No sign-up
required to try it!
Unlock More with a Free Trial:
If you find our product valuable, sign up for a free 3-day trial with unlimited access to over
5000 newly created, up-to-date MSRA questions. All questions come with detailed
explanations aligned with the latest UK clinical guidelines.
Support a Great Cause:
We offer a discounted monthly subscription of just £5/month. All profits go directly to our
charity, Mindful Gaming UK. Learn more about our mission on our About Us page.
MINDFUL CLINICAL QUESTION BANKS. https://mindfulclinicalcourses.co.uk/msra/
, MINDFUL CLINICAL QUESTION BANKS.
Free Mock 1 - CPS
Clinical
Question 1
A 4-month-old infant presents with a 1-day history of sudden, severe, inconsolable crying episodes,
drawing legs to chest, and passing 'redcurrant jelly' stools. Abdominal examination reveals a sausage-
shaped mass in the right upper quadrant.
What is the most appropriate next step in the management of this infant?
A. Administer oral rehydration solution and observe for improvement.
B. Refer for urgent paediatric surgical review and consider air enema or surgical reduction for
suspected intussusception.
C. Prescribe oral antibiotics for suspected gastroenteritis.
D. Advise strict fluid restriction.
E. Reassure parents that it's likely benign colic.
The Correct Answer is B
This is a classic presentation of intussusception, a surgical emergency in infants, characterized by
colicky abdominal pain, 'redcurrant jelly' stools, and a palpable sausage-shaped mass. Urgent
paediatric surgical consultation for a diagnostic and therapeutic air enema, or surgical intervention, is
crucial.
Question 2
A 30-year-old female presents with a 6-month history of severe and persistent anxiety about her
health, despite repeated negative medical investigations. She is preoccupied with the idea that she
has a serious illness, frequently seeks reassurance from doctors, and experiences significant
functional impairment.
What is the most likely diagnosis and the most appropriate initial management approach?
A. Prescribe antidepressant medication (e.g., SSRI) and refer for cognitive behavioural therapy (CBT)
for illness anxiety disorder (hypochondriasis).
B. Arrange further extensive medical investigations to rule out rare diseases.
C. Reassure the patient that she is physically healthy and discharge her.
D. Refer for urgent neurological investigation for organic cause.
E. Prescribe a sedative for anxiety.
The Correct Answer is A
MINDFUL CLINICAL QUESTION BANKS. https://mindfulclinicalcourses.co.uk/msra/
