MSRA 2025 | Questions With Correct
Answers 2026/2027 UPDATE | Verified
Solutions
/. Does smoking increase the risk of hyperemsis gravidarum?
No
What is the main risk factor for necrotising enterocolitis?
Prematurity
What is the most appropriate antidepressant can you give for someone who is
depressed with a bg of IBS?
TCA's (e.g. Amitriptyline is used often)
What is the treatment for H.pylori infection?
Triple therapy:
PPI + Amoxcillin + Clarithromycin
For pen. allergic: PPI + Metronidazole + Clarithromycin
What is the most appropriate management for febrile seizures?
Ibuprofen
What antiepileptics are first line for partial seizures?
,Lamotrigine
or
Carbamezapine
Small irregular pupils that don't react to light?
Argyll Robertson
What is a Marcus Gun pupil?
Eyes dilated. Afferant nerves don't work properly so that eye doesn't constrict to direct
light.
What test is used to investigate lung function in pulmonary fibrosis?
Lung Diffusion Test
What investigation can be used to differentiate between a bacterial/non-bacterial
exacerbation of COPD?
Procalcitonin
How might the presentation of spinal cord compression differ to cauda equina
syndrome?
With Spinal Cord Compression you usually have the lesion betwen T10 - L1 so you get
loss of flexion of lower limbs.
With Cauda Equina Syndrome, the compression is below L2 so you get weakness
usually in the feet and toes.
What is the most electrolyte abnormality if you have someone with headache,
nausea, vomiting and confusion but no bony pain?
,Hyponatraemia
What are the indications for emergency dialysis
3 out of 4 of the following:
1. Hyperkalaemia (>7)
2. Metabolic acidosis
3. Pulmonary Oedema
4. Uraemia
30 mins after starting a blood transfusion your patient develops itchiness and
fever. Whats the diagnosis?
Febrile non-haemolytic reaction.
Within the first 2 mins of starting a blood transfusion, your patient develops SOB,
chest pain and hypotension. Whats the diagnosis?
Haemolytic transfusion reaction
What Budd-Chiari Syndrome?
blockage of the hepatic veins
What is Arnold-Chiari malformation?
Herniation of the cerebellum through the foramen magnum.
Presents as vagua neuroligical symptoms e.g. headaches and worsening gait.
What is Von Hippel-Lindau disease?
Its a hereditary condition that predisposes to benign and malignant tumours
What is condition is Antithymocyte globulin used in?
, Aplastic Anaemia
What is Chloasma?
well demarcated areas of hyperpigmentation in the face/forehead of pregnant woman.
Generalised weakness, fever, malaise, joint aches, jaundice and markedly
deranged liver function tests on background of risky sexual behaviour?
Hep B
Ejection systolic murmur at left sternal edge but no radiation of murmur to
carotids?
Aortic Sclerosis
Which of the following are not normal signs of pregnancy?
1. peripheral oedema
2. AF
3. Ejection systolic murmur
4. Vigorously pulsating neck veins
5. Increase pulse volume
AF
When is a child born to HIV mother routinely tested for HIV?
48h of life
at 6 weeks
at 12 weeks
at 18 months
What is the management of uncomplicated gonorrhoea?
Ciprofloxacin
What is the management of polycythaemia vera in symptomatic patients?
Immunosupression
p.s. in asymptomatic patients its venesection (to keep haematocrit <50%) and aspirin as
these patients are at increased risk of stroke.
What is the management of myelofibrosis?
Answers 2026/2027 UPDATE | Verified
Solutions
/. Does smoking increase the risk of hyperemsis gravidarum?
No
What is the main risk factor for necrotising enterocolitis?
Prematurity
What is the most appropriate antidepressant can you give for someone who is
depressed with a bg of IBS?
TCA's (e.g. Amitriptyline is used often)
What is the treatment for H.pylori infection?
Triple therapy:
PPI + Amoxcillin + Clarithromycin
For pen. allergic: PPI + Metronidazole + Clarithromycin
What is the most appropriate management for febrile seizures?
Ibuprofen
What antiepileptics are first line for partial seizures?
,Lamotrigine
or
Carbamezapine
Small irregular pupils that don't react to light?
Argyll Robertson
What is a Marcus Gun pupil?
Eyes dilated. Afferant nerves don't work properly so that eye doesn't constrict to direct
light.
What test is used to investigate lung function in pulmonary fibrosis?
Lung Diffusion Test
What investigation can be used to differentiate between a bacterial/non-bacterial
exacerbation of COPD?
Procalcitonin
How might the presentation of spinal cord compression differ to cauda equina
syndrome?
With Spinal Cord Compression you usually have the lesion betwen T10 - L1 so you get
loss of flexion of lower limbs.
With Cauda Equina Syndrome, the compression is below L2 so you get weakness
usually in the feet and toes.
What is the most electrolyte abnormality if you have someone with headache,
nausea, vomiting and confusion but no bony pain?
,Hyponatraemia
What are the indications for emergency dialysis
3 out of 4 of the following:
1. Hyperkalaemia (>7)
2. Metabolic acidosis
3. Pulmonary Oedema
4. Uraemia
30 mins after starting a blood transfusion your patient develops itchiness and
fever. Whats the diagnosis?
Febrile non-haemolytic reaction.
Within the first 2 mins of starting a blood transfusion, your patient develops SOB,
chest pain and hypotension. Whats the diagnosis?
Haemolytic transfusion reaction
What Budd-Chiari Syndrome?
blockage of the hepatic veins
What is Arnold-Chiari malformation?
Herniation of the cerebellum through the foramen magnum.
Presents as vagua neuroligical symptoms e.g. headaches and worsening gait.
What is Von Hippel-Lindau disease?
Its a hereditary condition that predisposes to benign and malignant tumours
What is condition is Antithymocyte globulin used in?
, Aplastic Anaemia
What is Chloasma?
well demarcated areas of hyperpigmentation in the face/forehead of pregnant woman.
Generalised weakness, fever, malaise, joint aches, jaundice and markedly
deranged liver function tests on background of risky sexual behaviour?
Hep B
Ejection systolic murmur at left sternal edge but no radiation of murmur to
carotids?
Aortic Sclerosis
Which of the following are not normal signs of pregnancy?
1. peripheral oedema
2. AF
3. Ejection systolic murmur
4. Vigorously pulsating neck veins
5. Increase pulse volume
AF
When is a child born to HIV mother routinely tested for HIV?
48h of life
at 6 weeks
at 12 weeks
at 18 months
What is the management of uncomplicated gonorrhoea?
Ciprofloxacin
What is the management of polycythaemia vera in symptomatic patients?
Immunosupression
p.s. in asymptomatic patients its venesection (to keep haematocrit <50%) and aspirin as
these patients are at increased risk of stroke.
What is the management of myelofibrosis?
