The MSRA decides specialty shortlisting — and for GP and core psychiatry, ranking is based on it alone — so the bank you choose genuinely matters. It has two very different halves: a Clinical Problem Solving paper and a Situational Judgement Test, the Professional Dilemmas paper, and few banks cover both equally well. This guide compares the main MSRA resources in 2026 and notes which half each is strongest for. The Clinical Problem Solving paper is, in effect, a broad clinical-finals paper spanning everything from cardiology to dermatology to paediatrics, while the Professional Dilemmas paper tests judgement against the GMC's professional capabilities rather than clinical knowledge — so they reward entirely different preparation. The scoring matters too: there is no fixed pass mark, and your performance is ranked against other applicants, with some specialties combining it with an interview score and a few, such as certain GP and psychiatry routes, ranking on the MSRA alone. That makes a high score worth chasing, not just a pass, and it makes choosing a bank that targets your specific weak areas a higher-leverage decision than for many exams. Pricing is as of mid-2026 — confirm current rates on each provider's site.
Medibuddy — best adaptive clinical bank
Medibuddy is an AI-powered adaptive MSRA bank of over 4,000 questions written specifically for the exam, with iOS and Android apps and a mastery model that re-asks missed questions. Its strength is the clinical paper. Best for: candidates who want adaptive, personalised clinical-paper practice. It does not include a dedicated Situational Judgement bank, so most candidates pair it with separate SJT material.
Pass the MSRA — best for SJT and notes
Pass the MSRA is built around the whole exam: over 1,100 condition revision notes, 21,500-plus flashcards, a large question set including ten Clinical Problem Solving mock papers and a dedicated Situational Judgement bank, plus free podcasts. Best for: candidates who want explicit SJT preparation and varied study formats alongside questions. Its breadth of formats — notes, flashcards, accordions, quizzes and mocks — suits people who like to vary how they revise.
Revise MSRA — best for depth and mocks
Revise MSRA is a dedicated platform with a large bank, high-yield notes, a Professional Dilemmas bank and mock papers, backed by a money-back guarantee. Best for: candidates who want MSRA-specific depth and exam-mirroring mocks.
Quesmed — best all-in-one
Quesmed covers the MSRA alongside the UKMLA, PLAB and MRCP, with integrated notes and a polished app from around £14.99 a month. Best for: those who want one subscription spanning several exams.
Passmedicine — best for value volume
Passmedicine's MSRA bank offers reliable volume at a low price, commonly around £35 for four months. Best for: candidates who want cheap, high-volume clinical practice. It has no dedicated SJT bank and no adaptive engine, so it is best paired with both.
iatroX — best low-cost adaptive layer
iatroX is adaptive and reasoning-focused: an engine that targets your weakest clinical topics, a Socratic tutor that rebuilds the reasoning behind a wrong answer, spaced repetition, blueprint-mapped questions and native apps, grounded in NICE and CKS. Its strength is the clinical paper; it does not offer a dedicated SJT bank. The MSRA bank sits on one subscription at £29 a month or £99 a year — the same subscription covering UKMLA, PLAB and more, with free samples to try first. Best for: candidates who want adaptive clinical drilling and broad coverage at a low one-subscription price.
Worth knowing: taught crammer courses such as Emedica's exist at a few hundred pounds for those who want structure, and some platforms offer free MSRA questions — useful for a taster, though not a full bank. Treat those free questions as a way to sample the format rather than a substitute for sustained, structured practice.
Which is best for you?
For adaptive clinical practice, Medibuddy or iatroX. For dedicated SJT preparation, Pass the MSRA or Revise MSRA. For cheap volume, Passmedicine. For an all-in-one across exams, Quesmed.
The recommended setup
Because the MSRA has two distinct papers, the strongest setup usually pairs an adaptive clinical bank with dedicated SJT material. A common, economical approach is iatroX or Medibuddy for daily adaptive practice on the Clinical Problem Solving paper, plus a dedicated SJT bank such as Pass the MSRA or Revise MSRA for the Professional Dilemmas paper. Anchoring routine clinical drilling on a low-cost adaptive bank keeps any further spend targeted at the SJT and mocks, rather than paying twice for the clinical side. The most common and expensive mistake is treating the two papers as one — grinding clinical questions and assuming the Professional Dilemmas score will follow — when the dilemmas need their own format-specific practice. The second is buying several overlapping clinical banks in succession, when one adaptive bank plus a dedicated SJT resource covers both halves more cheaply. A realistic budget is one low-cost adaptive subscription for the clinical paper and one SJT-focused resource, with a taught crammer added only if you genuinely need the structure, since the exam is free to sit but decisive for recruitment and anxiety tempts candidates to over-buy.
A few common questions
What is the best MSRA question bank? The best MSRA question bank depends on the paper: Medibuddy and iatroX lead on adaptive clinical practice, while Pass the MSRA and Revise MSRA lead on SJT and notes. Most candidates combine a clinical bank with SJT material.
Is there a free MSRA bank? Some platforms offer free MSRA questions; iatroX offers free samples, with its MSRA bank on a £29/£99 subscription that also covers other exams.
How is the MSRA scored? By comparison with other applicants across the two papers; some specialties rank on it heavily, and a top score can bypass interview for a few.
Do I need an SJT-specific resource? Yes, if the Professional Dilemmas paper is your weak spot — clinical banks do not prepare you for it well.