Question 1
A 64-year-old man presents with central crushing chest pain for 40 minutes and diaphoresis. His ECG shows 2 mm ST elevation in leads II, III and aVF. What is the single most appropriate immediate management priority?
Correct Answer:
Arrange urgent primary percutaneous coronary intervention (PCI)
Question 2
A 72-year-old woman has an irregularly irregular pulse and ECG confirms atrial fibrillation. She has hypertension and diabetes (CHA2DS2-VASc score 4) and no bleeding risk factors. What is the single most appropriate long-term stroke-prevention treatment?
Correct Answer:
A direct oral anticoagulant (DOAC)
Question 3
A 55-year-old man with type 2 diabetes has a clinic blood pressure of 158/96 mmHg confirmed by ambulatory monitoring. He has no contraindications. According to NICE, what is the single most appropriate first-line antihypertensive?
Correct Answer:
An ACE inhibitor (e.g. ramipril)
Question 4
A 78-year-old man presents with progressive exertional breathlessness, bilateral basal crackles, raised JVP and pitting ankle oedema. Which single blood test is most useful to support a diagnosis of heart failure before echocardiography?
Correct Answer:
N-terminal pro-B-type natriuretic peptide (NT-proBNP)
Question 5
A 30-year-old woman presents with sudden pleuritic chest pain and breathlessness three weeks after a long-haul flight. She is tachycardic with a normal chest X-ray. Wells score for PE is 6 (likely). What is the single most appropriate next step?
Correct Answer:
Arrange a CT pulmonary angiogram (CTPA)
Question 1
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About this Exam

Prepare with the MSRA Practice Questions - Multi-Specialty Recruitment Assessment (MSRA) Exam practice quiz. This question bank includes 100 questions covering year-old, single, presents, woman, and pain. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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MSRA Practice Questions - Multi-Specialty Recruitment Assessment (MSRA) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, single, presents, woman, and pain. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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