MSRA 268 EXAM QUESTIONS AND ANSWERS UPDATED
2026 VERIFIED ANSWERS ACTUAL UPDATED PRACTICE
QUESTIONS HIGH YIELD STUDY GUIDE MEDICAL EXAM
PREPARATION PROFESSIONAL CERTIFICATION REVIEW
GRADED A+
268 questions and answers
What age is typical for labial adhesions? - CORRECT ANSWER -3 months -
3 years. Fusion of labia minora. Complication = UTI
Whats the treatment for labial adhesions? - CORRECT ANSWER -
Conservative --> oestrogen cream --> surgey
What cancer is particularly associated with immunosupression? - CORRECT
ANSWER -Squamous cell carcinoma. Particularly common in transplant
patients
Differentiate between chazalion + hordeolum externum - CORRECT
ANSWER -Chazalion = painLESS and no pus
Hordeolum = painFULL + pus
(both managed conservatively unless there is associated conjunctivitis)
How does tamoxifen affect breast + endometrium? - CORRECT ANSWER -
Reduces breast proliferation
Promotes endometrial proliferation
What drugs are used for ER +ve breast ca in post menopausal women? -
CORRECT ANSWER -Anastrazole + letrezole
,Describe the treatment ladder in psoriasis - CORRECT ANSWER -1. Topical
steroids + VitD analogues
2. Coal tar
secondary care:
3. PUVA
4. Methotrexate, ciclosporin, oral retinoids
5. Biologics
Which rheumatological drug has a risk of demyelination? - CORRECT
ANSWER -Entarecept
Identify side effects of:
- Entarecept
- Methotrexate
- Hydroxychloroquine - CORRECT ANSWER -- Entarecept = demyelination
- Methotrexate = pneumonitis, cirrhosis, myelosupression
- Hydroxychloroquine = eye things
Which SSRIs are:
- best in adoloscents
- best in CVD
- most likely to prolong QTc
- highest incidence of withdrawal - CORRECT ANSWER -best in adoloscents
= FLUOXETINE
- best in CVD = SERTRALINE
- most likely to prolong QTc = CITALOPRAM
- highest incidence of withdrawal = PAROXETINE
,Describe the brief Rx for heart failure - CORRECT ANSWER -1st line =
ACEi + bblocker
Add SGLT2 inhibitor if reduced ejection fraction
T/F - SGLT2 inhibitors should be offered to CCF patients with preserved EF? -
CORRECT ANSWER -False - only to those with reduced EF
Describe the Rx of DRY + WET macular degeneration - CORRECT
ANSWER -Dry = no treatment, BUT, can slow it down with high dose vitamin
C, zinc, beta carotene
Wet = antiVEGF injections + laser photocoagulation
Spot diagnosis - 'drusen spots' - CORRECT ANSWER -Dry macular
degeneration
Identify some contraindications to the MMR vaccine - CORRECT ANSWER
-Pregnant
Immunosupressed
Live vaccine within 4 weeks
Neomycin allergy
What is required for amiodarone monitoring - CORRECT ANSWER -TFT +
LFT every 6 months
Baseline CXR
What can cause 'Rose Spots' on the abdomen - CORRECT ANSWER -
Salmonella Typhi
, Whats the treatment for Lyme's disease - CORRECT ANSWER -14 days of
doxycycline
OR - ceftriaxone in disseminated disease
T/F - wernike's encephalopathy is associated with opthalmaplegia + nystagmus?
- CORRECT ANSWER -True
How long should anticoagulation be offered in provoked VTE? - CORRECT
ANSWER -3 MONTHS
(6 months in cancer)
Spot diagnosis: eczema on palms + soles due to humidity and sweating -
CORRECT ANSWER -Pompholyx eczema
T/F - CLL often presents with splenomegaly - CORRECT ANSWER -False.
CML presents with splenomegaly
Name some facts about CML - CORRECT ANSWER -Signs: nightsweats,
splenomegaly, anaemia, weight loss, fatigue
Rx: imatinib
Complications: transformation AML > ALL
Distinguish between somatisation and conversion disorder - CORRECT
ANSWER -Somatisation = multiple symptoms with no organic cause causing
'significant distress'. Ongoing > 2 years. Not reassured by normal tests.
Conversion = loss of 1 sensory or motor function
2026 VERIFIED ANSWERS ACTUAL UPDATED PRACTICE
QUESTIONS HIGH YIELD STUDY GUIDE MEDICAL EXAM
PREPARATION PROFESSIONAL CERTIFICATION REVIEW
GRADED A+
268 questions and answers
What age is typical for labial adhesions? - CORRECT ANSWER -3 months -
3 years. Fusion of labia minora. Complication = UTI
Whats the treatment for labial adhesions? - CORRECT ANSWER -
Conservative --> oestrogen cream --> surgey
What cancer is particularly associated with immunosupression? - CORRECT
ANSWER -Squamous cell carcinoma. Particularly common in transplant
patients
Differentiate between chazalion + hordeolum externum - CORRECT
ANSWER -Chazalion = painLESS and no pus
Hordeolum = painFULL + pus
(both managed conservatively unless there is associated conjunctivitis)
How does tamoxifen affect breast + endometrium? - CORRECT ANSWER -
Reduces breast proliferation
Promotes endometrial proliferation
What drugs are used for ER +ve breast ca in post menopausal women? -
CORRECT ANSWER -Anastrazole + letrezole
,Describe the treatment ladder in psoriasis - CORRECT ANSWER -1. Topical
steroids + VitD analogues
2. Coal tar
secondary care:
3. PUVA
4. Methotrexate, ciclosporin, oral retinoids
5. Biologics
Which rheumatological drug has a risk of demyelination? - CORRECT
ANSWER -Entarecept
Identify side effects of:
- Entarecept
- Methotrexate
- Hydroxychloroquine - CORRECT ANSWER -- Entarecept = demyelination
- Methotrexate = pneumonitis, cirrhosis, myelosupression
- Hydroxychloroquine = eye things
Which SSRIs are:
- best in adoloscents
- best in CVD
- most likely to prolong QTc
- highest incidence of withdrawal - CORRECT ANSWER -best in adoloscents
= FLUOXETINE
- best in CVD = SERTRALINE
- most likely to prolong QTc = CITALOPRAM
- highest incidence of withdrawal = PAROXETINE
,Describe the brief Rx for heart failure - CORRECT ANSWER -1st line =
ACEi + bblocker
Add SGLT2 inhibitor if reduced ejection fraction
T/F - SGLT2 inhibitors should be offered to CCF patients with preserved EF? -
CORRECT ANSWER -False - only to those with reduced EF
Describe the Rx of DRY + WET macular degeneration - CORRECT
ANSWER -Dry = no treatment, BUT, can slow it down with high dose vitamin
C, zinc, beta carotene
Wet = antiVEGF injections + laser photocoagulation
Spot diagnosis - 'drusen spots' - CORRECT ANSWER -Dry macular
degeneration
Identify some contraindications to the MMR vaccine - CORRECT ANSWER
-Pregnant
Immunosupressed
Live vaccine within 4 weeks
Neomycin allergy
What is required for amiodarone monitoring - CORRECT ANSWER -TFT +
LFT every 6 months
Baseline CXR
What can cause 'Rose Spots' on the abdomen - CORRECT ANSWER -
Salmonella Typhi
, Whats the treatment for Lyme's disease - CORRECT ANSWER -14 days of
doxycycline
OR - ceftriaxone in disseminated disease
T/F - wernike's encephalopathy is associated with opthalmaplegia + nystagmus?
- CORRECT ANSWER -True
How long should anticoagulation be offered in provoked VTE? - CORRECT
ANSWER -3 MONTHS
(6 months in cancer)
Spot diagnosis: eczema on palms + soles due to humidity and sweating -
CORRECT ANSWER -Pompholyx eczema
T/F - CLL often presents with splenomegaly - CORRECT ANSWER -False.
CML presents with splenomegaly
Name some facts about CML - CORRECT ANSWER -Signs: nightsweats,
splenomegaly, anaemia, weight loss, fatigue
Rx: imatinib
Complications: transformation AML > ALL
Distinguish between somatisation and conversion disorder - CORRECT
ANSWER -Somatisation = multiple symptoms with no organic cause causing
'significant distress'. Ongoing > 2 years. Not reassured by normal tests.
Conversion = loss of 1 sensory or motor function
