MSRA (Multi-Specialty Recruitment Assessment (UK)) — Free Online Mock Test
CBT used to rank junior doctors for entry into GP, psychiatry, anaesthetics, paediatrics, obstetrics + other specialty training schemes. SJT + CPS sections. · Official language: English.
MSRA exam at a glance
MSRA full-length mock tests
Attempt 50 full-length MSRA mock tests, each a distinct question set built on the real 147-question, 170-minute pattern — with instant scoring and section-wise analysis. The first 3 are free.
See all 50 MSRA mock tests →MSRA key facts & eligibility
| Conducting body | NHS England (content developed by Work Psychology Group; delivered via Pearson VUE) |
|---|---|
| Official website | hee.nhs.uk ↗ |
| Mode | The Multi-Specialty Recruitment Assessment (MSRA) — a computer-based selection assessment used to rank applicants for entry into UK GP and several specialty training programmes. It is a ranking tool, not a pass/fail licensure exam. |
| Frequency | Held in recruitment windows at Pearson VUE test centres (and via online proctoring). |
| Scoring & marking | It has two computer-based papers — the Professional Dilemmas paper, a situational judgement test (95 minutes), and the Clinical Problem Solving paper, testing applied clinical knowledge with multiple-choice and extended-matching questions (75 minutes), about 170 minutes of testing in total. Each paper is scored separately and combined, and applicants are ranked by their total score rather than against a fixed pass mark. |
| Score validity | No certificate is issued; the score is used within the recruitment cycle in which it is taken. |
| Language | English. |
Who is eligible for MSRA?
Open to doctors who meet the person-specification eligibility criteria for the relevant UK specialty training programme; there is no coursework or supervised-hours requirement of its own.
Last verified July 2026 against NHS England — MSRA. Always confirm current details on the official website before you register.
MSRA section breakdown
The MSRA mock test on Wrexa Edge replicates the real exam's section structure — same names, same question count per section, same time limits. Inter-section breaks are enforced.
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Professional Dilemmas (50 Q)
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Clinical Problem Solving (97 Q)
MSRA scoring & marking scheme
Strategy: MSRA has no negative marking. Attempt every question — blank answers cost you potential marks but cannot pull your score down.
Scale: MSRA (% accuracy — ranked nationally per cohort).
How MSRA is conducted
- Mode
- Test format
- Backtracking
- Mark for review
Tools available during the MSRA exam
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Lab Values
Wrexa Edge renders these tools inside the mock test exactly as they appear on the real MSRA exam — same shortcuts, same behaviour.
MSRA time strategy
With 147 questions in 170 minutes, you have about 69 seconds per question on average. Successful candidates aim for the following pacing on each section:
- Professional Dilemmas (50 Q)
- Clinical Problem Solving (97 Q)
Wrexa Edge's analytics show your actual time-per-question after every mock so you can spot which sections you're losing time on.
MSRA topics covered
Across the 50 Wrexa Edge variants of MSRA, the following topics appear most often (sample distribution from one variant):
Professional Dilemmas (50 Q)
- SJT — Teamwork · 10
- SJT — Professionalism · 10
- SJT — Communication · 10
- SJT — Pressure · 8
- SJT — Service · 8
- SJT — Integrity · 4
Clinical Problem Solving (97 Q)
- Obstetrics · 10
- Neonatology · 9
- Respiratory · 7
- Schizophrenia & Psychosis · 7
- Cardiovascular · 7
- Gastroenterology · 6
- Hepatobiliary · 6
- Nephrology · 4
MSRA difficulty calibration
Advanced tier. Advanced-level: high-stakes exam with rigorous content depth. Expect 4-8 months of structured prep.
CBT used to rank junior doctors for entry into GP, psychiatry, anaesthetics, paediatrics, obstetrics + other specialty training schemes. SJT + CPS sections. · Official language: English.
Verified content — Wrexa Edge's MSRA bank has been deeply curated with real exam-aligned content (estimated 100% syllabus coverage).
How Wrexa Edge prepares you for MSRA
- Real test-day interface
- 50 distinct variants
- Detailed analytics
- Spaced repetition (Notebook)
- Optional proctoring
- Free to start
Expert take: what MSRA really tests
The Multi-Specialty Recruitment Assessment (MSRA), delivered for NHS England at Pearson VUE, is a computer-based selection assessment used to rank applicants for UK GP and specialty training. It has two papers — Professional Dilemmas, a situational judgement test (95 minutes), and Clinical Problem Solving, testing applied clinical knowledge with multiple-choice and extended-matching questions (75 minutes), about 170 minutes in total. Each paper is scored separately and combined, and applicants are ranked by total score rather than against a fixed pass mark; no certificate is issued.
Preparation tips
- Practise situational-judgement reasoning for Professional Dilemmas.
- Revise common clinical presentations for Clinical Problem Solving.
- Work on speed — timing is tight in both papers.
Common mistakes to avoid
- Treating it as pass/fail — it is a ranking assessment.
- Neglecting the situational-judgement paper for the clinical one.
MSRA study plan
A phase-by-phase roadmap from your first concept to test-ready. Stretch or compress each phase to fit the time you have before your attempt.
- Professional Dilemmas (SJT)
- Clinical Problem Solving
- It is a ranking assessment
- Common presentations
- Diagnosis and management
- Extended-matching questions
- Situational judgement scenarios
- Timed paper practice
- Balance both papers
Where MSRA can take you
A strong MSRA result opens up these careers and higher-study paths:
- UK specialty training entry
- Recruitment ranking
Best books & official prep for MSRA
- MSRA structure & practice materials — NHS England / Work Psychology Group
- MSRA question banks — Various
Official practice: Practise situational-judgement scenarios for the Professional Dilemmas paper and applied clinical knowledge for the Clinical Problem Solving paper under timed conditions.
Previous-year papers: NHS England publishes an MSRA structure guide and practice questions.
Frequently asked questions
- What is the MSRA exam pattern?
- Multi-Specialty Recruitment Assessment (UK) contains 147 questions across 2 sections: Professional Dilemmas (50 Q), Clinical Problem Solving (97 Q). Total duration is 170 minutes (about 69 seconds per question).
- Does MSRA have negative marking?
- No — MSRA has no negative marking. Each correct answer is worth 1 mark, so attempt every question.
- How is MSRA scored?
- Scaled score range: 0 to 100. MSRA (% accuracy — ranked nationally per cohort).
- How can I practise MSRA online for free?
- Wrexa Edge gives you 3 free full-length MSRA mock tests — with instant scoring, detailed explanations and analytics — plus 47 more with Pro. Start practising in under a minute, no card required.
- What is the difficulty level of MSRA?
- MSRA is rated Advanced difficulty on Wrexa Edge. Advanced-level: high-stakes exam with rigorous content depth. Expect 4-8 months of structured prep. CBT used to rank junior doctors for entry into GP, psychiatry, anaesthetics, paediatrics, obstetrics + other specialty training schemes. SJT + CPS sections. · Official language: English.
- How long is the MSRA exam?
- MSRA runs for 170 minutes total across 2 sections. On Wrexa Edge the timer is enforced exactly as on the real exam — including mandatory inter-section breaks.
- What topics are covered in MSRA?
- MSRA is split into: Professional Dilemmas (50 Q), Clinical Problem Solving (97 Q). Each section is timed and weighted separately. CBT used to rank junior doctors for entry into GP, psychiatry, anaesthetics, paediatrics, obstetrics + other specialty training schemes. SJT + CPS sections. · Official language: English.
- What tools or aids are allowed during MSRA?
- Built-in lab values reference table (USMLE-style).
- Is the MSRA test adaptive?
- No — MSRA is a fixed-form (linear) test. Every candidate sees the same number of questions per section.
- How many MSRA mock tests does Wrexa Edge offer?
- Wrexa Edge generates 50 distinct MSRA variants — each with different question content, not just shuffled options — the first 3 free for everyone and 47 more with Pro. That's 7350 unique practice questions in the real test-day interface.
- Is there a free MSRA test series 2026?
- Yes. The Wrexa Edge MSRA test series for 2026 gives you 3 free full-length mock tests (50 in total) plus subject-wise and topic-wise tests — instant scoring and detailed analysis, no card required.
- Are MSRA previous year question–style papers included?
- Every MSRA mock is modelled on the official exam pattern and the style of previous years' papers — the same 147-question structure, sections and marking — so your practice mirrors the real paper you'll sit.
- Which is the best free MSRA mock test online?
- Wrexa Edge's MSRA mock test replicates the real exam interface, timing and marking scheme, with instant score, section-wise analysis and 50 fresh variants — a strong free choice for 2026 preparation.
- Can I take the MSRA mock test on mobile?
- Yes. MSRA mock tests run in any browser on mobile, tablet or desktop — no app or download needed. Start on your phone and your progress and analytics sync when you sign in.
- What is the MSRA syllabus?
- The MSRA syllabus maps to its 2 sections: Professional Dilemmas (50 Q), Clinical Problem Solving (97 Q). Wrexa Edge's mock tests cover the complete syllabus topic by topic — see the topics-covered breakdown above — so you practise every area at real exam difficulty.
- What is the eligibility for MSRA?
- Open to doctors who meet the person-specification eligibility criteria for the relevant UK specialty training programme; there is no coursework or supervised-hours requirement of its own. Wrexa Edge focuses on realistic MSRA practice: 3 free full-length mocks in the exact exam pattern, ready whenever you are.
- When is the MSRA exam and how should I prepare?
- Official MSRA exam dates are announced by the conducting body for each cycle — check the latest notification for the current schedule. To be ready, follow a phased study plan and take full-length timed mocks; Wrexa Edge gives you 3 free MSRA mocks with instant scoring so you can track your readiness week by week.
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