MSRA question practice, Tutor and revision resources.

Choose a topic for focused revision and check your plan against the official specification.

• Cardiovascular
• Dermatology, ENT and eyes
• Endocrine and metabolic medicine
• Gastroenterology and nutrition
• Infection, haematology, immunology, allergy and genetics
• Musculoskeletal medicine
• Paediatrics
• Pharmacology and therapeutics
• Psychiatry and neurology
• Renal medicine and urology
• Reproductive health
• Respiratory medicine

Use your answers to identify topics and question formats that need more work.

• Clinical decisions: practise choosing an investigation, diagnosis, treatment or next management step from the information in the stem.
• Question formats: work through official EMQ and SBA examples as well as your question-bank sessions.
• Professional Dilemmas: practise ranking actions and selecting a combination of responses, then review the official rationale.
• Explanations: revisit a missed distinction with the Socratic Tutor, and check linked clinical guidance when a recommendation is unclear.
• Pacing: use timed practice to find where reading, calculations or uncertainty slow you down.

Build a revision routine that covers knowledge, reasoning and the assessment format.

Preparation suggestions from iatroX.

1. Only practising SBA questions. The official CPS paper also uses extended matching questions.
2. Treating every PD item as a ranking question. Some require three actions that work together.
3. Counting completed questions without reviewing why an answer was wrong.
4. Assuming a question-bank percentage predicts an MSRA score or a specialty offer.
5. Using a previous recruitment round's booking dates or score thresholds for a new application.

An example to adapt to your starting point, rota and assessment date.

1. Weeks 1–2

   Read the official format and sample paper. Start regular question practice across the CPS topics and include Professional Dilemmas.

2. Weeks 3–4

   Review errors by topic. Use Tutor to work through uncertain reasoning and return to questions you found difficult.

3. Weeks 5–6

   Add timed practice and official interface preparation. Use resources that support the official EMQ and PD response formats alongside SBA practice.

4. Weeks 7–8

   Revisit missed concepts, review official guidance and confirm your booking and admission requirements. Adjust the workload to leave time for rest.

Dedicated MSRA question practice with answer explanations, guided Tutor review and study planning.

• Focused question practice — Choose the relevant bank and use your answers to identify what to study next.
• Guided reasoning — Explore a difficult answer with Tutor, then apply the distinction independently.
• Review and timed practice — Return to important mistakes and choose a timed practice set where available.

Choose the relevant bank and use the official exam guidance to plan your preparation.

Full MSRA bank access is included in all-access. Up to 10 new sample questions per day are shared across exams, with no account required. A verified free account includes one guided Tutor session; continued Tutor use is included in all-access.

Compare coverage of CPS and Professional Dilemmas, the response formats you can practise, explanation quality, access duration and cost. Try samples before choosing. The resource comparison above links to official materials and provider details.

Booking windows vary by specialty and recruitment round. Follow the current NHS England recruitment guidance and your Oriel invitation for eligibility, dates and booking instructions.

The NHS England guide describes 86 CPS items, mixing EMQs and SBAs, and 50 PD scenarios using ranking and multiple-selection formats. The papers allow 75 and 95 minutes respectively.

Use iatroX for question practice, explanations and guided reasoning. Use NHS England materials to practise official item formats and check recruitment requirements. Timed iatroX question-bank sets show their own question count and duration.