Find the official MSRA practice paper, sample questions, answer keys, rationales and guidance in one place — then learn how to use them properly for CPS and Professional Dilemmas revision.
Official papers show you the exam style. Passmedex helps you move from limited sample questions into structured practice, clearer explanations and weak-area revision.
Last reviewed: May 2026
A curated list of MSRA practice papers, answer keys, rationales, applicant guidance, blueprint documents and SJT-style resources — organised so you know what to open, when to use it and what to do next.
The official MSRA blueprint explains the structure of the exam and the broad areas tested.
Best used as a starting point, not as a replacement for active question practice.
A sample SJT paper that helps you practise professional judgement, prioritisation, patient safety and communication.
Useful for SJT-style reasoning, but remember it is not the same exam as the MSRA.
Official MSRA practice questions showing the style, level and clinical reasoning expected in the Clinical Problem Solving section.
Use this early to understand the exam style, then return to it later to check improvement.
A set of MSRA sample questions to help candidates understand the format and expected standard.
Good for orientation, but too limited in volume to be your only revision resource.
A worked SJT-style paper with rationales explaining why some responses are more appropriate than others.
Most useful when reviewed slowly, especially after you have attempted the paper first.
An additional SJT-style practice paper with answers for candidates who want more professional judgement practice.
Use it to strengthen judgement patterns, not to memorise answer orders.
A newer SJT-style practice paper with rationales to help you understand how professional judgement answers are weighed.
Strong for reasoning practice, but always combine it with MSRA-specific Professional Dilemmas preparation.
The aim is simple: learn the official style, understand the reasoning, then practise enough questions to become consistent.
One official paper is not enough to build exam confidence. Use it to understand the style, then practise wider clinical and SJT questions.
Continue with Passmedex MSRA practiceProfessional Dilemmas is SJT-style. It tests judgement, professional behaviour and decision-making rather than factual clinical recall.
The strongest candidates do not just memorise SJT answers. They learn the judgement pattern behind them. Official rationales are useful because they show why one response is safer, more professional or more appropriate than another.
The official sample is limited, so repeated practice matters. Focus on the main issue in the scenario, then ask why the best option is better than the tempting alternatives.
Use Passmedex SJT practice to recognise common themes, traps and professional judgement patterns.
Practise SJTClinical Problem Solving tests applied clinical knowledge and safe decision-making.
Use the official CPS sample to understand the question style, then practise across the wider clinical map until common presentations, red flags and first-line management become familiar.
MSRA CPS revision should cover medicine, surgery, paediatrics, obstetrics and gynaecology, psychiatry, pharmacology, emergency care and primary care.
Use the official paper to understand the format, then keep practising until the clinical patterns feel familiar.
Open MSRA revisionUse free tools for MSRA planning, SJT preparation, clinical calculations and practical doctor admin.
Estimate broad score bands and decide where to focus your next revision block.
Warm up your judgement before a longer SJT or Professional Dilemmas practice session.
Use quick clinical tools such as NEWS2, ABG interpretation and corrected calcium.
Plan leave, study leave and exam preparation around your rota.
Turn your exam date into clear revision milestones.
Use the broader medical school route when you need core clinical revision support.
Explore the full public toolkit for revision planning, clinical calculators and doctor admin tools.
Explore free toolsOfficial MSRA resources are essential for understanding the exam format, but they are limited in volume. Passmedex helps you move from reading official sample questions to repeated practice, clearer explanations and weak-area revision.
Official resources show how the exam is written and what the question style feels like.
The official sample is useful, but it is limited. Wider practice builds consistency.
Every missed question should become a topic to revise, not just a mark to forget.
Clear answers to common questions about official MSRA papers, SJT-style practice and how to use Passmedex alongside official resources.
Official MSRA practice material is usually published through official recruitment or NHS recruitment pages. Passmedex links to useful resources and helps you build a revision plan around them, but you should always check the official source for the latest version.
The MSRA blueprint helps you understand the structure of the exam and the broad areas tested. Use it at the start of revision so your preparation covers both Clinical Problem Solving and Professional Dilemmas.
Professional Dilemmas is SJT-style. It tests judgement, prioritisation, patient safety, communication and professionalism rather than clinical recall.
Yes, they can help with SJT-style reasoning and reviewing rationales. They are not the same exam as MSRA, so use them as supporting practice rather than as the main blueprint.
Yes. A sensible approach is to try official material early under timed conditions, review it properly, then use a question bank for wider practice and weak-area revision.
Most candidates benefit from doing it once early, reviewing it carefully, and repeating it later after revision. The aim is to understand the reasoning, not just remember the answers.
Look for the rule behind the answer. Ask what domain is being tested, why the best response is safest or most professional, and why the tempting alternatives are weaker.
Turn every wrong answer into a weak topic. Revise the presentation, first-line investigation, initial management, red flags and common distractors.
No. They are essential for understanding format and style, but the number of questions is limited. Most candidates need broader question practice to build consistency.
No. You should always check official MSRA resources directly. Passmedex is an independent revision platform built to support practice, explanations, weak-area review and structured preparation.
Passmedex gives you more practice beyond the limited official samples, with explanations, topic coverage and revision tools to help you identify and improve weak areas.
