MSRA 2026 EXAM(ACTUAL EXAM) WITH
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2026
How is dumping syndrome post gastrectomy diagnosed?
Prologed glucose tolerance test
what is the investigation of choice for someone overdosing
on insulin?
Insulin and C peptide levels
there will be high insulin levels of hypoglycaemia but low C-
peptide levels, indicating suppression of endogenous insuline
secretion
12 yo boy presents with a 4h history of nausea, vomiting
and testicular pain. On examination, he has extreme point
tenderness of the right upper pole of his left testis. A small
point of blue discoloration can be seen through the scrotal
skin?
Tored Hydatid of Morgagni
management is expectant if diagnosis is clear but pain can be
,resolved more quickly if surgically excised
testicular torsion presents similar so urgent
urological/surgical opinion is needed.
what is bernard soulier syndrome?
autosomal recessive
platelets larger than normal
normaly platelets less than normal (thrombocytopenia)
presents as:
- bleeding
- nose bleeds
- bleeding gums
diagnosed with blood tests such as platelet aggregation and
flow cytometry
26 year old asian lady complains of back pain and
tenderness in her thighs. She also mentions she finds it
difficult to climb stairs. She has never smoked and does not
drink alcohol. ALP is 250 (normaal 40125) and plasma Ca is
low. Whats the most likely diagnosis and what features
would you see on pelvic radiograph?
Osteomalacia (vitamin D deficiency)
you will see transluscent bands (also described as
pseudofractures) on xray
,also known as rickets in children
what does the biochemistry look like in osteoporosis and
osteopenia?
normal ca, P04 and ALP
what does bone expansion and sun-ray appearance of xray
suggest?
Fast growing osteosarcoma
most common bone cancer in teenagers and young adults
tends to affect the distal femur or proximal tibia
other common affected areas include: hip, jaw and shoulder
what is the most likely cause of unconjugated
hyperbilirubinaemia 12h after birth?
ABO incompatability
a well newborn develops progressive conjugated
hyperbilirubinaemia with pale stools and dark urine. whats
the most likely dx?
Biliary atresia
dark urine and pale stools indicate an obstructive jaundice
, what is the first line investigation for acute intersitial
nephritis?
FBC, UE's
then maybe you would do a renal biopsy which is most
diagnostic
What is Creutzfeldt-Jakob disease?
characterized by rapidly progressive dementia associated
with:
- long tract signs
- myoclonic jerks
- severe rigidity
- abnormal EEG in 90% of cases (shows periodic sharp wave
complexes)
what is the most definitive step in diagnosis of CML?
Genotype study
How does a hydatidiform mole present in pregnancy?
exagerated symptoms of pregnancy
elevated Beta HCG
severe hyperemesis
first trimester pre-eclampsia
vaginal bleeding
What antibodies are associated with Limited cutaneous
systemic sclerosis (CREST syndrome)?
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2026
How is dumping syndrome post gastrectomy diagnosed?
Prologed glucose tolerance test
what is the investigation of choice for someone overdosing
on insulin?
Insulin and C peptide levels
there will be high insulin levels of hypoglycaemia but low C-
peptide levels, indicating suppression of endogenous insuline
secretion
12 yo boy presents with a 4h history of nausea, vomiting
and testicular pain. On examination, he has extreme point
tenderness of the right upper pole of his left testis. A small
point of blue discoloration can be seen through the scrotal
skin?
Tored Hydatid of Morgagni
management is expectant if diagnosis is clear but pain can be
,resolved more quickly if surgically excised
testicular torsion presents similar so urgent
urological/surgical opinion is needed.
what is bernard soulier syndrome?
autosomal recessive
platelets larger than normal
normaly platelets less than normal (thrombocytopenia)
presents as:
- bleeding
- nose bleeds
- bleeding gums
diagnosed with blood tests such as platelet aggregation and
flow cytometry
26 year old asian lady complains of back pain and
tenderness in her thighs. She also mentions she finds it
difficult to climb stairs. She has never smoked and does not
drink alcohol. ALP is 250 (normaal 40125) and plasma Ca is
low. Whats the most likely diagnosis and what features
would you see on pelvic radiograph?
Osteomalacia (vitamin D deficiency)
you will see transluscent bands (also described as
pseudofractures) on xray
,also known as rickets in children
what does the biochemistry look like in osteoporosis and
osteopenia?
normal ca, P04 and ALP
what does bone expansion and sun-ray appearance of xray
suggest?
Fast growing osteosarcoma
most common bone cancer in teenagers and young adults
tends to affect the distal femur or proximal tibia
other common affected areas include: hip, jaw and shoulder
what is the most likely cause of unconjugated
hyperbilirubinaemia 12h after birth?
ABO incompatability
a well newborn develops progressive conjugated
hyperbilirubinaemia with pale stools and dark urine. whats
the most likely dx?
Biliary atresia
dark urine and pale stools indicate an obstructive jaundice
, what is the first line investigation for acute intersitial
nephritis?
FBC, UE's
then maybe you would do a renal biopsy which is most
diagnostic
What is Creutzfeldt-Jakob disease?
characterized by rapidly progressive dementia associated
with:
- long tract signs
- myoclonic jerks
- severe rigidity
- abnormal EEG in 90% of cases (shows periodic sharp wave
complexes)
what is the most definitive step in diagnosis of CML?
Genotype study
How does a hydatidiform mole present in pregnancy?
exagerated symptoms of pregnancy
elevated Beta HCG
severe hyperemesis
first trimester pre-eclampsia
vaginal bleeding
What antibodies are associated with Limited cutaneous
systemic sclerosis (CREST syndrome)?
