Instructions

Thank you for taking the time to complete the Multi-Specialty Recruitment Assessment (MSRA) Practice Paper.

The Practice Paper is split into 2 sections.

• The Professional Dilemmas (PD) Paper.
• The Clinical Problem Solving (CPS) Paper.

The PD paper is designed to take 45 minutes and the CPS paper is designed to take 35 minutes.

The paper includes 70 questions in total.

Section 1 - The Professional Dilemmas (PD) Paper (22 questions)

In section 1 you will be presented with typical scenarios that F2 Doctors encounter, and you will be asked questions about dealing with them. Unless the scenario says otherwise, consider yourself to be a second year Foundation doctor (F2) working a rotation. When answering the questions, please answer based on what you should do as an F2 doctor.

There are 2 parts in the PD paper each with different types of questions.

Part 1a: Ranking questions (questions 1-11)

In this part you are presented with scenarios followed by a number of possible options. For each scenario you are required to rank each option in order from the most appropriate (ranked as 1) to the least appropriate (ranked as 4 or 5) given the circumstances described in the scenario. There are marks available for ‘near misses’.

Part 1b: Multiple Choice questions (questions 12-22)

In this part you are presented with scenarios followed by a number of possible options. For each scenario select the 3 options which together are the most appropriate responses to the situation given the circumstances described. You must only select 3 options.

Breakdown of section 1 available marks

You may sometimes feel you would like more information before answering, but please answer each question based only on the information provided.

For the PD paper, under each question, you are presented with the correct answer key and the expert rationale for this. The rationale statements have been written by subject matter experts (SMEs), which provide an explanation as to why the answer key represents an appropriate response to the given scenario.

Section 2 - The Clinical Problem Solving (CPS) paper (48 questions)

The CPS paper presents you with clinical scenarios that require you to exercise judgement and problem solving skills to determine appropriate diagnosis and management of patients.

There are 2 parts in the CPS paper, each with different types of questions.

Part 2a: Enhanced Matching Questions (EMQs) (questions 1-28)

You are presented with a list of 6-12 plausible response options and multiple, separate questions linked to this response set. This could be a set of 2, or 3, or 4. You will be required to select the most appropriate or likely answer for each clinical presentation. Each option in the response set may be selected once, more than once or not at all.

Part 2b: Single Best Answer (SBA) (questions 29-48)

You are required to select the single most appropriate answer out of 5-8 plausible responses for one clinical presentation.

Breakdown of section 2 available marks

You may sometimes feel you would like more information before answering, but please answer each question based only on the information provided. Under each question, you are presented with the correct answer key.

Notes

Definitions are available for terms which have been marked with an asterisk (*). These definitions are included in the glossary. You may find it useful to consult this if you do not understand a term.

There is an abbreviations list available with the abbreviations written out in their full term. You may find it useful to consult this.