Free MSRA Practice Questions & Answers
Question 1
B. Thyroid storm
C. Graves’ Disease
D. Thyroid cancer
E. Multinodular Goitre
Correct Answer: E. With the multiple nodules and thyrotoxic symptoms, multinodular goitre is the more likely diagnosis, compared to Graves’ Disease which usually presents with a smooth goitre. Whilst this may develop into a thyroid storm if not promptly treated, the current symptoms and observations do not suggest a thyroid storm.
Question 2
B. Myocarditis
C. Pleural Effusion
D. Myocardial Infarction
E. Costochondritis
Correct Answer: B This case demonstrates the challenge of the MSRA. A number of these options are plausible and reality further investigation (eg. ECG, Troponin and CXR) would be required in order to exclude a number of the causes. However, given the three day history and recent flu like symptoms, Myocarditis is the most likely diagnosis.
Question 3
B. Alpha blocker
C. Tricyclic Antidepressants
D. SSRI
E. SNRI
Correct Answer: A Following bladder training, should symptoms persist, antimuscarinic medications such as oxybutynin and tolterodine can be used.
Question 4
B. SNRI
C. Alpha Blocker
D. Antimuscarinics
E. 5-alpha reductase inhibitor
Correct Answer: C This is a relatively straightforward question that most candidates should feel confident answering without hesitation.
Question 5
B. Consolidation
C. Aspergilloma
D. Pulmonary Fibrosis
E. Pleural Effusion
Correct Answer: D The arguably conflicting information in this question can suggest multiple diagnoses, however the key information is the ‘fine’ crackles with a normal JVP. The AF is intended to misguide doctors. Hence, the most likely diagnosis is Pulmonary Fibrosis.
Question 6
B. IM Chlorpromazine
C. Oral Quatiepine
D. Rectal Diazepam
E. IM Diazepam
Question 7
B. Lose Weight
C. Increase Exercise
D. Reduce Alcohol Intake
E. Stop Smoking
Question 8
- FBC, ESR, CRP and Coeliac Screen
- No further investigation necessary
- FODMAP Dietary Advice
- Flexible Sigmoidoscopy
- OGD & Colonoscopy
Question 9
B. Skin prick test
C. Patch test
D. No further investigation required
E. ELISA test
Question 10
B. Avoid breastfeeding from the affected breast
C. Empirical Antibiotics
D. Empirical antibiotics and avoid breastfeeding from the affected breast
E. Urgent Hospital Admission