MSRA EXAM 2026-2027 QUESTIONS AND
CORRECT ANSWERS GRADED A+
When should you recheck HbA1c following treatment change?
3-6months. RBS life is 120 days.
Diabetic agent contraindicated in heart failure
Pioglitazone causes peripheral oedema
Which drug is shown to reduce incidence of MI and cardiac events in angina
pectoris:
Aspirin
Atenolol
Nicorandil
Diltiazem
ISMN
Aspirin
Evidence from B blockers is post MI
,17yo boy with recurrent syncope usually on exercise. Examination reveals double
apex impulse and an ESM at the lower left eternal edge. ECG shows pathological q
waves in anterior leads.
Hypertrophic cardiomyopathy HOCM
Endometrial thickness of how many mom is at increased risk of pathology
>5mm
Risk factors for rheumatoid arthritis
Smoking,
Indication for endometrial samplingand the method
Method is hysteroscopy with dilation and curettage
Indicated in any woman over 40 with irregular bleeding
Risk factors for idiopathic intracranial hypertension
Obese
Female
OCP
Headache red flags
S: systemic features
,N: Neuro deficits
O: older than 50 yo
O: Sudden and maximal
P: progression of HA, pattern of HA
CHADS2-VASc score
Congestive heart failure
Hypertension 140/90
Age >75 = 2
Diabetes
Stroke/Tia/thromboembolism = 2
Vascular disease (previous MI/aortic plaque/peripheral arterial disease)
Age >65
SC Sex category female
scenario: 27yo male develops single vesico-bullous lesion on glans penis after
taking paracetamol for a headache. The lesion quickly healed with some associated
hyperpigmentation. What is the diagnosis?
Fixed drug eruption . Will recur if medication is reinvested. Typical site for a fixed
drug reaction.
Also associated with tetracyclines, NSAIDs benzos and quinine.
, Characteristic audiogram findings in prebyacusis and results of Rinne and Weber
tests
Also what causes
Loss of high frequencies first
Both normal
Caused by Loss of hair cells in the cochlea and loss of neurones in cochleae nerve
Otosclerosis Examination findings
L ear otosclerosis: Weber's test localises to left and left ear negative for Rinnes
(bc>ac)
Causes of ejection systolic murmur
Aortic stenosis/sclerosis
Flow murmurs in kids
HOCM
Pulmonary stenosis
Causes of pansystolic murmur
Mitral regurg/prolapse
Tricuspid regurg
ASD
VSD
CORRECT ANSWERS GRADED A+
When should you recheck HbA1c following treatment change?
3-6months. RBS life is 120 days.
Diabetic agent contraindicated in heart failure
Pioglitazone causes peripheral oedema
Which drug is shown to reduce incidence of MI and cardiac events in angina
pectoris:
Aspirin
Atenolol
Nicorandil
Diltiazem
ISMN
Aspirin
Evidence from B blockers is post MI
,17yo boy with recurrent syncope usually on exercise. Examination reveals double
apex impulse and an ESM at the lower left eternal edge. ECG shows pathological q
waves in anterior leads.
Hypertrophic cardiomyopathy HOCM
Endometrial thickness of how many mom is at increased risk of pathology
>5mm
Risk factors for rheumatoid arthritis
Smoking,
Indication for endometrial samplingand the method
Method is hysteroscopy with dilation and curettage
Indicated in any woman over 40 with irregular bleeding
Risk factors for idiopathic intracranial hypertension
Obese
Female
OCP
Headache red flags
S: systemic features
,N: Neuro deficits
O: older than 50 yo
O: Sudden and maximal
P: progression of HA, pattern of HA
CHADS2-VASc score
Congestive heart failure
Hypertension 140/90
Age >75 = 2
Diabetes
Stroke/Tia/thromboembolism = 2
Vascular disease (previous MI/aortic plaque/peripheral arterial disease)
Age >65
SC Sex category female
scenario: 27yo male develops single vesico-bullous lesion on glans penis after
taking paracetamol for a headache. The lesion quickly healed with some associated
hyperpigmentation. What is the diagnosis?
Fixed drug eruption . Will recur if medication is reinvested. Typical site for a fixed
drug reaction.
Also associated with tetracyclines, NSAIDs benzos and quinine.
, Characteristic audiogram findings in prebyacusis and results of Rinne and Weber
tests
Also what causes
Loss of high frequencies first
Both normal
Caused by Loss of hair cells in the cochlea and loss of neurones in cochleae nerve
Otosclerosis Examination findings
L ear otosclerosis: Weber's test localises to left and left ear negative for Rinnes
(bc>ac)
Causes of ejection systolic murmur
Aortic stenosis/sclerosis
Flow murmurs in kids
HOCM
Pulmonary stenosis
Causes of pansystolic murmur
Mitral regurg/prolapse
Tricuspid regurg
ASD
VSD
