MSRA Exam 2026 MSRA Actual Exam
Latest Update 2026 Questions and
Correct Answers Rated A+
What age is typical for labial adhesions? -Answer-3 months - 3 years.
Fusion of labia minora. Complication = UTI
Whats the treatment for labial adhesions? -Answer-Conservative -->
oestrogen cream --> surgey
What cancer is particularly associated with immunosupression? -
Answer-Squamous cell carcinoma. Particularly common in transplant
patients
Differentiate between chazalion + hordeolum externum -Answer-
Chazalion = painLESS and no pus
Hordeolum = painFULL + pus
(both managed conservatively unless there is associated
conjunctivitis)
How does tamoxifen affect breast + endometrium? -Answer-Reduces
breast proliferation
Promotes endometrial proliferation
What drugs are used for ER +ve breast ca in post menopausal
women? -Answer-Anastrazole + letrezole
Describe the treatment ladder in psoriasis -Answer-1. Topical steroids
+ VitD analogues
,2. Coal tar
secondary care:
3. PUVA
4. Methotrexate, ciclosporin, oral retinoids
5. Biologics
Which rheumatological drug has a risk of demyelination? -Answer-
Entarecept
Identify side effects of:
- Entarecept
- Methotrexate
- Hydroxychloroquine -Answer-- Entarecept = demyelination
- Methotrexate = pneumonitis, cirrhosis, myelosupression
- Hydroxychloroquine = eye things
Which SSRIs are:
- best in adoloscents
- best in CVD
- most likely to prolong QTc
- highest incidence of withdrawal -Answer-best in adoloscents =
FLUOXETINE
- best in CVD = SERTRALINE
- most likely to prolong QTc = CITALOPRAM
- highest incidence of withdrawal = PAROXETINE
Describe the brief Rx for heart failure -Answer-1st line = ACEi +
bblocker
Add SGLT2 inhibitor if reduced ejection fraction
,T/F - SGLT2 inhibitors should be offered to CCF patients with
preserved EF? -Answer-False - only to those with reduced EF
Describe the Rx of DRY + WET macular degeneration -Answer-Dry =
no treatment, BUT, can slow it down with high dose vitamin C, zinc,
beta carotene
Wet = antiVEGF injections + laser photocoagulation
Spot diagnosis - 'drusen spots' -Answer-Dry macular degeneration
Identify some contraindications to the MMR vaccine -Answer-Pregnant
Immunosupressed
Live vaccine within 4 weeks
Neomycin allergy
What is required for amiodarone monitoring -Answer-TFT + LFT every
6 months
Baseline CXR
What can cause 'Rose Spots' on the abdomen -Answer-Salmonella
Typhi
Whats the treatment for Lyme's disease -Answer-14 days of
doxycycline
OR - ceftriaxone in disseminated disease
T/F - wernike's encephalopathy is associated with opthalmaplegia +
nystagmus? -Answer-True
How long should anticoagulation be offered in provoked VTE? -
Answer-3 MONTHS
, (6 months in cancer)
Spot diagnosis: eczema on palms + soles due to humidity and
sweating -Answer-Pompholyx eczema
T/F - CLL often presents with splenomegaly -Answer-False.
CML presents with splenomegaly
Name some facts about CML -Answer-Signs: nightsweats,
splenomegaly, anaemia, weight loss, fatigue
Rx: imatinib
Complications: transformation AML > ALL
Distinguish between somatisation and conversion disorder -Answer-
Somatisation = multiple symptoms with no organic cause causing
'significant distress'. Ongoing > 2 years. Not reassured by normal
tests.
Conversion = loss of 1 sensory or motor function
How do you diagnose diabetes?
Hint: symptomatic vs non symptomatic -Answer-Symptomatic =
1 x fasting BG > 7
1 x random BG >11.1
HbA1C >48
Asymptomatic
2 x readings of above criteria
HbA1C >48
Latest Update 2026 Questions and
Correct Answers Rated A+
What age is typical for labial adhesions? -Answer-3 months - 3 years.
Fusion of labia minora. Complication = UTI
Whats the treatment for labial adhesions? -Answer-Conservative -->
oestrogen cream --> surgey
What cancer is particularly associated with immunosupression? -
Answer-Squamous cell carcinoma. Particularly common in transplant
patients
Differentiate between chazalion + hordeolum externum -Answer-
Chazalion = painLESS and no pus
Hordeolum = painFULL + pus
(both managed conservatively unless there is associated
conjunctivitis)
How does tamoxifen affect breast + endometrium? -Answer-Reduces
breast proliferation
Promotes endometrial proliferation
What drugs are used for ER +ve breast ca in post menopausal
women? -Answer-Anastrazole + letrezole
Describe the treatment ladder in psoriasis -Answer-1. Topical steroids
+ VitD analogues
,2. Coal tar
secondary care:
3. PUVA
4. Methotrexate, ciclosporin, oral retinoids
5. Biologics
Which rheumatological drug has a risk of demyelination? -Answer-
Entarecept
Identify side effects of:
- Entarecept
- Methotrexate
- Hydroxychloroquine -Answer-- Entarecept = demyelination
- Methotrexate = pneumonitis, cirrhosis, myelosupression
- Hydroxychloroquine = eye things
Which SSRIs are:
- best in adoloscents
- best in CVD
- most likely to prolong QTc
- highest incidence of withdrawal -Answer-best in adoloscents =
FLUOXETINE
- best in CVD = SERTRALINE
- most likely to prolong QTc = CITALOPRAM
- highest incidence of withdrawal = PAROXETINE
Describe the brief Rx for heart failure -Answer-1st line = ACEi +
bblocker
Add SGLT2 inhibitor if reduced ejection fraction
,T/F - SGLT2 inhibitors should be offered to CCF patients with
preserved EF? -Answer-False - only to those with reduced EF
Describe the Rx of DRY + WET macular degeneration -Answer-Dry =
no treatment, BUT, can slow it down with high dose vitamin C, zinc,
beta carotene
Wet = antiVEGF injections + laser photocoagulation
Spot diagnosis - 'drusen spots' -Answer-Dry macular degeneration
Identify some contraindications to the MMR vaccine -Answer-Pregnant
Immunosupressed
Live vaccine within 4 weeks
Neomycin allergy
What is required for amiodarone monitoring -Answer-TFT + LFT every
6 months
Baseline CXR
What can cause 'Rose Spots' on the abdomen -Answer-Salmonella
Typhi
Whats the treatment for Lyme's disease -Answer-14 days of
doxycycline
OR - ceftriaxone in disseminated disease
T/F - wernike's encephalopathy is associated with opthalmaplegia +
nystagmus? -Answer-True
How long should anticoagulation be offered in provoked VTE? -
Answer-3 MONTHS
, (6 months in cancer)
Spot diagnosis: eczema on palms + soles due to humidity and
sweating -Answer-Pompholyx eczema
T/F - CLL often presents with splenomegaly -Answer-False.
CML presents with splenomegaly
Name some facts about CML -Answer-Signs: nightsweats,
splenomegaly, anaemia, weight loss, fatigue
Rx: imatinib
Complications: transformation AML > ALL
Distinguish between somatisation and conversion disorder -Answer-
Somatisation = multiple symptoms with no organic cause causing
'significant distress'. Ongoing > 2 years. Not reassured by normal
tests.
Conversion = loss of 1 sensory or motor function
How do you diagnose diabetes?
Hint: symptomatic vs non symptomatic -Answer-Symptomatic =
1 x fasting BG > 7
1 x random BG >11.1
HbA1C >48
Asymptomatic
2 x readings of above criteria
HbA1C >48
