Clinical Problem Solving · Professional Dilemmas
Both MSRA papers. One question bank.
Most banks treat the SJT as an afterthought and mark it right or wrong. This one scores every scenario the way the real paper does, with credit for every near miss — alongside a clinical bank written and explained by an NHS London GP who has sat and passed the exam.
25 free questions in each bank. No card required, nothing to cancel.
Overview
172Completed68%Average score8hStudy time
Your progress at a glance
Questions remaining
0remaining68% accuracy
172 of 500 attemptedWhat is genuinely left to do
Study streak
0 daysCurrent 6 · Best 11Current 6 · Best 11 · 12 of 14 daysCurrent 6 · Best 11 · 23 of 30 days
A study day counts from either paper
NoneFewUnder 60%60–69%70–79%80%+
365 of 365 site-local days · the live dashboard lets you select any day for its detail
Accuracy for every day of the year
Everything the MSRA asks, in one place
Switch between papers in one tap
- Separate dashboards, so neither paper's figures leak into the other
- Separate session builders and progress tracking
- One login, one subscription, one place
Question bank
Clinical Problem Solving4,346 questions · 16 specialties · Tutor and Test
Professional Dilemmas952 scenarios · Ranking and Selection · 10 papers
How a session works
- Choose a bank.Move between Clinical Problem Solving and Professional Dilemmas without losing your place.
- Build a session.Pick a specialty, a question type and a length from 5 to 100 — or sit a full paper.
- Learn from the answer.Every response shows the explanation, its references and your raw marks.
- Return with purpose.Unseen, Flagged, Incorrect and Needs review choose your next set for you.
Look around before you sign up
Eight views from inside the product. Click through them — this is what you get on day one.
Question bank
Clinical Problem Solving4,346 questions · 16 specialties · Tutor and Test
Professional Dilemmas952 scenarios · Ranking and Selection · 10 papers
Switch between both papers
TutorTest
5102550100
- All specialties4,346
- Cardiology193
- Respiratory39
Build a session
Resume session
Cardiology practice
7 of 20 answeredPick up mid-shift
Mixed clinical practice20 questions · 75% · TodayReview
Cardiology practice10 questions · 60% · YesterdayReview
Needs review8 questions · 63% · 4 days agoReview
Every session is saved
Ranking
Read down for the ideal position, across for yours. The ringed diagonal is an exact match.
Ideal ↓ / Yours →12345143210234321323432412343501234
Five actions, so 20 marks at most. An action one place out still earns 3.Ranking is scored by distance
SelectionSelecting more than three voids the question, however many were correct.
Choose three actions. Each correct action earns 4 marks.
3 correct actionsFull marks12
2 correct actionsPartial credit8
1 correct actionPartial credit4
0 correct actionsNo credit0
Selection is scored per action
None1–23–67+
365 of 365 site-local days · the live dashboard lets you select any day for its detail
How much you practised
Mixed clinical practice20 questions24 min
Mock paper 450 scenarios58 min
Median per questionAcross both banks68 s
How long sessions take
Performance by specialty
- Cardiology72%
- Respiratory64%
- Gastroenterology58%
- Neurology51%
- Endocrinology47%
- Paediatrics44%
16 specialties, tracked separately
Clinical Problem Solving
Know exactly what you have covered
Revision goes wrong when you cannot tell progress from repetition. Everything here counts distinct questions, so the number you see is the number you have actually done — and whatever you left half-finished is waiting where you left it.
Overview
Your progress at a glance
Questions completed, average score and total study time, updated as you go.
Overview
172Completed68%Average score8hStudy time
Questions remaining
Know what is genuinely left
Distinct-question coverage with accuracy alongside it, so you can plan rather than guess.
Questions remaining
0remaining68% accuracy
172 of 500 attemptedStudy streak
Small and often beats cramming
A study day counts from either paper. Switch the window to see 7, 14 or 30 days.
Study streak
0 daysCurrent 6 · Best 11Current 6 · Best 11 · 12 of 14 daysCurrent 6 · Best 11 · 23 of 30 days
Resume session
Pick up mid-shift
Sessions save automatically. Return to the exact question you left.
Resume session
Cardiology practice
7 of 20 answeredSession builder
Practise one specialty or the whole bank
Choose Tutor or Test, any specialty, and anything from 5 to 100 questions.
TutorTest
5102550100
- All specialties4,346
- Cardiology193
- Respiratory39
Session history
Every session is saved
Review the questions, marks and time from any completed session.
Mixed clinical practice20 questions · 75% · TodayReview
Cardiology practice10 questions · 60% · YesterdayReview
Needs review8 questions · 63% · 4 days agoReview
Professional Dilemmas
SJT marked properly, not pass/fail
Getting an action one place out is not the same as getting it wrong, and the real paper knows that. So does this. You will see exactly which marks you earned and where they went, for both question types.
Complete mock papers
Ten full 50-scenario papers, each with its own Ranking and Selection split and raw maximum.
Ten 50-scenario papers
- Paper 319 Ranking · 31 Selection182 / 236
- Paper 422 Ranking · 28 SelectionNot started
Focus on Ranking or Selection
They are different skills. Tracking them separately shows you which one to practise.
By question type
Ranking76%
218 of 473 attemptedSelection68%
196 of 479 attemptedRaw marks that reward near misses
Every placement is scored, not only the exact ones. Here two actions sit one position out and still earn 3 apiece.
Ranking · one scenario
- Placed 1st, ideal 1st4
- Placed 4th, ideal 5th3
- Placed 5th, ideal 4th3
Raw marks0of 20
See exactly how SJT scoring works
Both schemes are generated from the same rule the live runner uses.
Ranking scores every action you place, not only the ones you put exactly right. Selection scores each correct action you pick. Both are raw practice marks.
Ranking
Read down for the ideal position, across for yours. The highlighted diagonal is an exact match.
Ideal ↓ / Yours →12345143210234321323432412343501234
- 4 — exact
- 3 — one away
- 2 — two away
- 1 — three away
- 0 — four away
Place an action 2nd when its ideal position is 1st and you still score 3 of a possible 4. Five actions, so 20 marks maximum and 8 the practical floor.
Selection
Choose three actions. Each correct action earns 4 marks.
3 correct actionsFull marks12
2 correct actionsPartial credit8
1 correct actionPartial credit4
0 correct actionsNo credit0
Selecting more than three voids the question and scores 0, however many of them were correct.
These are raw practice marks. They cannot be converted into a predicted MSRA score.
Data that shows whether revision is working
A full year, day by day. Quiet days stay unscored rather than pretending one answer means something.
Activity
How much you practised each day, in both banks.
None1–23–67+
365 of 365 site-local days · the live dashboard lets you select any day for its detail
Accuracy
Green is a day you scored 80% or better, red is under 60%. Quiet days stay grey rather than counting against you, so a single unlucky answer never turns the year red.
NoneFewUnder 60%60–69%70–79%80%+
365 of 365 site-local days · the live dashboard lets you select any day for its detail
Select any day in the live dashboard to see the questions behind it.
Time per session
How long sessions actually take, so you can plan around a shift.
Mixed clinical practice20 questions24 min
Mock paper 450 scenarios58 min
Median per questionAcross both banks68 s
Coming soon
Performance by domain
Professional Integrity, Coping with Pressure, and Empathy and Sensitivity.
Professional Integrity 78%
Coping with Pressure 63%
Empathy and Sensitivity 71%
A question runner built for revision, not page turning
Try a real question
Answer it, then read the explanation you would get as a member.
Clinical Problem Solving
A 58-year-old man presents to his GP with a six-month history of central chest tightness. It comes on when he walks up the hill to his house or carries shopping, and settles within a few minutes of stopping. He has never had symptoms at rest. He has type 2 diabetes and hypertension, smokes 15 cigarettes a day, and his father had a myocardial infarction aged 61. Examination is unremarkable. Blood pressure is 148/86 mmHg. A resting ECG shows sinus rhythm with no ischaemic changes.
Which of the following is the most appropriate next investigation?
Explanation
This is typical stable angina: constricting chest discomfort, provoked by exertion, relieved by rest within minutes. All three features are present, and the risk factor profile — diabetes, hypertension, smoking, family history — raises the pre-test probability further.
CT coronary angiography is the first-line investigation for stable chest pain of suspected cardiac origin. It is non-invasive, has a high negative predictive value, and identifies coronary disease before functional testing is considered.
A normal resting ECG does not exclude stable angina and should not reassure. Exercise tolerance testing is no longer recommended for diagnosing stable angina because of poor sensitivity and specificity. Invasive coronary angiography carries procedural risk and is reserved for cases where non-invasive imaging is inconclusive or revascularisation is being planned. A resting echocardiogram assesses structure and function, useful if valvular disease or heart failure is suspected, but does not diagnose coronary disease. Ambulatory ECG monitoring investigates arrhythmia, not exertional angina. Troponin is for suspected acute coronary syndrome, and this history is stable over six months with no rest symptoms.
Alongside investigation, this man needs antianginal treatment, secondary prevention, and smoking cessation support.
Explanations name the action, never its letter, so they still read correctly once the options shuffle.
Professional Dilemmas · Ranking
You are an FY2 in a busy general practice. During a routine appointment, a 34-year-old woman mentions that the GP registrar who saw her last week told her that her recent blood results were “completely normal”. You check the record and see that her results showed a haemoglobin of 91 g/L, which has not been acted on and has not been communicated to her. She is asymptomatic and has come in about an unrelated skin problem.
Rank in order the following actions in response to this situation (1 = Most appropriate; 5 = Least appropriate).
1Review the full result yourself and check whether any action was taken elsewhere in the record before speaking to herIdeal 1
2Tell the patient that her blood test showed a low haemoglobin, explain what this means, and arrange the appropriate follow-upIdeal 2
3Discuss the missed result with the registrar directly so they are aware and can reflect on itIdeal 3
4Report the missed result through the practice’s significant event processIdeal 4
5Say nothing to the patient today and leave a task for her usual GP to contact herIdeal 5
Explanation · 20 / 20 raw marks
Reviewing the full result and checking whether anything was already actioned takes very little time and prevents you giving the patient incomplete or incorrect information. It comes first because it makes everything that follows safer.
Telling the patient about her low haemoglobin and arranging follow-up is the substantive duty of candour here and must happen at this appointment. It ranks second only because it is better done from a position of having checked the record.
Speaking to the registrar directly is appropriate and supports their learning, but it is about the colleague rather than the patient and does not need to happen before she is told.
The significant event process is the right route for a missed result and should be used, but it is a slower systems-level response and does not address today’s immediate clinical need.
Leaving the patient uninformed and passing the task on is the least appropriate action. It delays necessary care, leaves her believing a false reassurance she has already been given, and relies on a handover that has already failed once.
Find your weak areas and go back to them
Every pool is a session you can start in one tap. Select one to see what it holds.
Revision pools
Built from what you have actually done, and kept up to date as you answer.
Everything published in the clinical bank.
- Acute coronary syndromeCardiology · answered today · 4 of 5
- HyperkalaemiaRenal · answered today · 5 of 5
- Otitis mediaENT · not yet attempted
Questions you have not answered yet.
- Otitis mediaENT · not yet attempted
- Coeliac diseaseGastroenterology · not yet attempted
- Bell’s palsyNeurology · not yet attempted
Anything you marked to come back to.
- Warfarin reversalHaematology · flagged 2 days ago
- Thyroid function testsEndocrinology · flagged 5 days ago
- Paediatric fluid maintenancePaediatrics · flagged 1 week ago
Answered wrongly before, even if later correct.
- Aortic dissectionCardiology · wrong on first attempt
- Diabetic ketoacidosisEndocrinology · wrong on first attempt
- Subarachnoid haemorrhageNeurology · wrong twice
Your latest response earned less than full credit.
- Ranking · missed resultProfessional Dilemmas · 16 of 20
- Selection · colleague errorProfessional Dilemmas · 8 of 12
- Ranking · consentProfessional Dilemmas · 15 of 20
MSRA question bank: frequently asked questions
What is the MSRA?
The Multi-Specialty Recruitment Assessment is used in UK postgraduate specialty recruitment. It has two papers: Clinical Problem Solving, which tests applied clinical knowledge, and Professional Dilemmas, which tests professional judgement.
Confirm the current format and dates through official recruitment guidance.
How many questions are there?
4,346 published clinical questions and 952 Professional Dilemmas scenarios — 473 Ranking and 479 Selection.
The clinical bank grows as questions clear review. The figures on this page come from the live published count, not a marketing number.
Does it cover both papers?
Yes. Each paper has its own dashboard, session builder and progress figures, so neither set of numbers affects the other. Professional Dilemmas covers both Ranking and Selection.
How is the SJT scored?
Ranking awards 4 marks for an exact placement, then 3, 2, 1 or 0 as your answer moves further from the ideal position. Selection awards 4 marks per correct action up to 12, and selecting more than three actions voids the question.
Both schemes are set out in full further up this page. These are raw practice marks and cannot predict a cohort-normalised MSRA score.
Are there full mock papers?
Membership includes ten 50-scenario Professional Dilemmas papers. Mock papers are not part of the free tier. Clinical mock papers are in development.
Can I try it free?
Yes — 25 clinical questions and 25 Professional Dilemmas scenarios, with full explanations and every revision filter. No card required. Anything you attempt stays available to practise again.
Who writes the questions?
A practising NHS GP who holds MRCGP, CCT and an MSc in Medical Education, and who has sat and passed the MSRA. Every question is clinically reviewed before it is published.
Does it work on a phone?
Yes. Dashboards, session building, touch ranking, review screens and the theme and reading-size controls are all built for mobile as well as desktop.
How does it compare with other MSRA question banks?
Both papers sit behind one login, the SJT is marked with partial credit rather than right or wrong, and revision pools are built from what you have actually answered.
The right platform depends on how you revise. Our comparison pages set out the differences directly.
When should I start revising?
Early enough to find your weak areas and go back to them, rather than only to finish a question count. Start with a short diagnostic set, practise regularly, and add full papers closer to the assessment.
Start with 25 free questions in each bank
Full explanations, revision filters and progress tracking are included. No card required.
