Get the Pastest Advantage!

Utilise over 1,950 Multi-Specialty Recruitment Assessment questions to maximise your chances of passing this important exam

MSRA Banner

Choose your MSRA resource

48-Hour Trial: Limited Access
Sep 2024 Exam
Access until 07/09/2024
Jan 2025 Exam
Access until 18/01/2025

Pastest Questions
1,950+ questions covering all MSRA exam specialties
Pastest Mock Exams
Mock Exams
Tests that reflect the content and difficulty of the MSRA exam
Pastest App
Mobile App
Practise Qbank questions & Mock Exams offline

Expanded Explanations

Efficiently access everything you need to know about the topic tested in the question vignette.

Each Expanded Explanation contains sub-sections so that you can quickly navigate to the information you need, such as Topic Overview, Clinical Presentation, Differential Diagnosis, Diagnosis/Investigation, Management, Prognosis and External Links.

MSRA Question Bank

1,950+ Multi-Specialty Recruitment Assessment questions

Practise MSRA questions carefully curated to closely reflect the real exam

Extensive Question Filters

Create custom question bank sessions to revise specific question types and specialties

Detailed, Dynamic Explanations

Prioritise the most relevant question explanations and learn from each answer choice

Contextual Clues

Highlight the key information in a question vignette and improve your question analysis skills

Mock Exams

Prepare using tests that closely reflect the content and difficulty of the real MSRA exam

Expert Feedback

Query our questions and receive detailed, timely feedback from our expert team

NEW FEATURE: More Questions Like This

Feel like a question has flagged a gap in your knowledge? Now, you can quickly test yourself by attempting some similar questions, before jumping back into your session. Just look out for the 'More Questions Like This' button alongside each question.

MSRA experts

At Pastest we know all there is to know about the MSRA - and how to help you pass! 

This expertise, developed through detailed analysis of each exam sitting and listening to our loyal customers, means we are able to produce the most accurate MSRA revision resource available.

Read our Exam Insights blog for a wrap up of the recent MSRA sitting. 

MSRA Experts

NEW Mobile App!

Our brand new, game-changing app is ready for download on iOS and Android!

Our apps enable users to power through 26% more questions than non-app users and this latest release is packed out with exam-format questions, topic-based content, greater performance, enhanced usability and so much more!

Download it today to get started - exam success is in your hands!

App Store Google Play

What our users say

About their Pastest product

I have used Pastest for a few years now, including to revise for my medical school finals, and most recently for the GP MSRA. I love how user-friendly it is as a website, and the realistic questions are of course valuable! The app came in handy for revising on the go, and using Pastest to revise helped me achieve a competitive score. Thanks to the Pastest team for creating and continually working to improve this handy resource!

Efi Andah

Pastest is very similar to actual MSRA. I am so glad I used Pastest! I scored a band 3 with only 3 weeks of revision. I would have never scored so well had I studied the traditional textbook way. Pastest's question content and layout is very similar to the actual MSRA and felt it adequately prepared me for the test.


I found Pastest an extremely useful resource in my preparation for the MRSA. I based essentially all my preparation around the Pastest question bank and was fortunate enough to score enough to achieve an offer for GP training via the Direct Offer Pathway.


Dermatology for Dark Skin

It's time for change. 95% of healthcare professionals do not feel confident diagnosing dermatology conditions across skin tones.

Medical education must evolve to meet the needs of patients. Discover how Black and Brown Skin; the NHS; and Pastest are spearheading transformative initiatives to diversify clinical practice.

Choose your MSRA resource

48-Hour Trial: Limited Access
Sep 2024 Exam
Access until 07/09/2024
Jan 2025 Exam
Access until 18/01/2025

What is the MSRA?

The Multi-Specialty Recruitment Assessment (MSRA) is a single exam assessed using a computer-based system. It is to be taken by individuals in their recruitment year who are applying into the following postgraduate medical training: General Practice, Surgery, Psychiatry, Radiology, Ophthalmology, Obstetrics and Gynaecology, Community and Sexual Reproductive Health, and Neurosurgery.  

MSRA Exam Format

The premise of the exam is to test the individual’s ability to apply their medical knowledge, not just recall their knowledge. It is split into two parts: Professional Dilemmas and Clinical Problem Solving, both independently timed.

The Professional Dilemmas section is limited to 95 minutes and is a ranking test, consisting of 50 scenarios. For each situation presented, the candidate will have to rate the appropriateness of 4-5 independent actions (from 1=most to 5=least appropriate).

Following a five-minute interval, the Clinical Problem Solving section will be undertaken, comprising 97 questions and lasting 75 minutes. It includes a mixture of two types of questions: Extended Matching Questions (EMQs) which involve 7-10 scenarios and require the candidate to select the single most appropriate option(s), and Single Best Answer questions (SBA), which ask the candidate to pick the most appropriate option for a single scenario.

There is no negative marking; marks can still be rewarded for answers that are not entirely correct but unanswered questions will be given no marks.

MSRA Marking Structure

For both the PD and CPS sections the candidate will be given a standardised score that comes under a specific band (1-4). For example, those who score <180 in each exam are limited to Band 1, which represents a ‘very poor level of performance’. Scoring over 291 in the exam puts the candidate in Band 4, illustrating a ‘very good level of performance’ in the exam. Additionally, 181-230 is Band 2, representing a ‘below average performance’ and 231-290 puts the candidate in Band 3 or a ‘good level of performance’ in the exam.