MSRA VERIFIED EXAM QUESTIONS AND ANSWERS -
LATEST VERSION 2026
1. Q: At what measurement is endometrial thickness associated with an
increased risk of pathology?
A: $>5$ mm.
2. Q: What is a major modifiable risk factor for rheumatoid arthritis?
A: Smoking.
3. Q: What are the indications and preferred method for endometrial
sampling?
A: It is indicated in any woman over 40 with irregular bleeding; the method is
hysteroscopy with dilation and curettage (D&C).
4. Q: What are the primary risk factors for idiopathic intracranial
hypertension?
A: Obesity, female sex, and use of the Oral Contraceptive Pill (OCP).
5. Q: What is the "SNOOP" mnemonic for headache red flags?
A: Systemic features; Neuro deficits; Older than 50 years; Oudden (Sudden)
and maximal; Progression or change in pattern.
6. Q: What are the components of the CHADS2-VASc score?
A: Congestive heart failure, Hypertension ($\ge 140/90$), Age $\ge 75$ (2
points), Diabetes, Stroke/TIA/Thromboembolism (2 points), Vascular disease
(prior MI/PAD), Age 65–74, and Sex category (female).
7. Q: A 27-year-old male develops a single vesico-bullous lesion on the
glans penis after taking paracetamol. It heals with
hyperpigmentation. What is the diagnosis?
A: Fixed drug eruption. It typically recurs at the same site if the medication
(e.g., paracetamol, tetracyclines, NSAIDs) is ingested again.
8. Q: What are the characteristic findings in presbyacusis regarding
audiogram, Rinne/Weber tests, and etiology?
, A: The audiogram shows a loss of high frequencies first; Rinne and Weber tests
are both normal (sensorineural). It is caused by the loss of hair cells in the
cochlea and neurons in the cochlear nerve.
9. Q: What are the examination findings for left-ear otosclerosis?
A: Weber's test lateralizes to the left, and Rinne's test is negative in the left ear
($BC > AC$), indicating conductive hearing loss.
10.Q: When should HbA1c be rechecked following a treatment change?
A: Every 3–6 months (reflecting the 120-day red blood cell lifespan).
11.Q: Which diabetic agent is contraindicated in heart failure?
A: Pioglitazone, as it can cause peripheral edema.
12.Q: Which drug reduces the incidence of MI and cardiac events in
stable angina pectoris?
A: Aspirin. (Note: Beta-blocker evidence is primarily established for post-MI).
13.Q: A 17-year-old boy presents with exertional syncope, a double apex
impulse, and an ESM at the left lower sternal edge. ECG shows
pathological Q waves. Diagnosis?
A: Hypertrophic cardiomyopathy (HOCM).
14.Q: What are the common causes of an ejection systolic murmur
(ESM)?
A: Aortic stenosis/sclerosis, flow murmurs (in children), HOCM, and
pulmonary stenosis.
15.Q: What are the common causes of a pansystolic murmur?
A: Mitral regurgitation/prolapse, tricuspid regurgitation, ASD, and VSD.
16.Q: Which conditions cause an early diastolic murmur?
A: Aortic regurgitation and pulmonary regurgitation.
17.Q: Which conditions cause a mid-diastolic murmur?
A: Mitral stenosis and aortic regurgitation (Austin Flint murmur).
18.Q: What are the signs and symptoms of aspirin overdose?
A: Encephalopathy, renal failure, hypoglycemia, and deranged coagulation.
19.Q: What are the common causes of hirsutism?
LATEST VERSION 2026
1. Q: At what measurement is endometrial thickness associated with an
increased risk of pathology?
A: $>5$ mm.
2. Q: What is a major modifiable risk factor for rheumatoid arthritis?
A: Smoking.
3. Q: What are the indications and preferred method for endometrial
sampling?
A: It is indicated in any woman over 40 with irregular bleeding; the method is
hysteroscopy with dilation and curettage (D&C).
4. Q: What are the primary risk factors for idiopathic intracranial
hypertension?
A: Obesity, female sex, and use of the Oral Contraceptive Pill (OCP).
5. Q: What is the "SNOOP" mnemonic for headache red flags?
A: Systemic features; Neuro deficits; Older than 50 years; Oudden (Sudden)
and maximal; Progression or change in pattern.
6. Q: What are the components of the CHADS2-VASc score?
A: Congestive heart failure, Hypertension ($\ge 140/90$), Age $\ge 75$ (2
points), Diabetes, Stroke/TIA/Thromboembolism (2 points), Vascular disease
(prior MI/PAD), Age 65–74, and Sex category (female).
7. Q: A 27-year-old male develops a single vesico-bullous lesion on the
glans penis after taking paracetamol. It heals with
hyperpigmentation. What is the diagnosis?
A: Fixed drug eruption. It typically recurs at the same site if the medication
(e.g., paracetamol, tetracyclines, NSAIDs) is ingested again.
8. Q: What are the characteristic findings in presbyacusis regarding
audiogram, Rinne/Weber tests, and etiology?
, A: The audiogram shows a loss of high frequencies first; Rinne and Weber tests
are both normal (sensorineural). It is caused by the loss of hair cells in the
cochlea and neurons in the cochlear nerve.
9. Q: What are the examination findings for left-ear otosclerosis?
A: Weber's test lateralizes to the left, and Rinne's test is negative in the left ear
($BC > AC$), indicating conductive hearing loss.
10.Q: When should HbA1c be rechecked following a treatment change?
A: Every 3–6 months (reflecting the 120-day red blood cell lifespan).
11.Q: Which diabetic agent is contraindicated in heart failure?
A: Pioglitazone, as it can cause peripheral edema.
12.Q: Which drug reduces the incidence of MI and cardiac events in
stable angina pectoris?
A: Aspirin. (Note: Beta-blocker evidence is primarily established for post-MI).
13.Q: A 17-year-old boy presents with exertional syncope, a double apex
impulse, and an ESM at the left lower sternal edge. ECG shows
pathological Q waves. Diagnosis?
A: Hypertrophic cardiomyopathy (HOCM).
14.Q: What are the common causes of an ejection systolic murmur
(ESM)?
A: Aortic stenosis/sclerosis, flow murmurs (in children), HOCM, and
pulmonary stenosis.
15.Q: What are the common causes of a pansystolic murmur?
A: Mitral regurgitation/prolapse, tricuspid regurgitation, ASD, and VSD.
16.Q: Which conditions cause an early diastolic murmur?
A: Aortic regurgitation and pulmonary regurgitation.
17.Q: Which conditions cause a mid-diastolic murmur?
A: Mitral stenosis and aortic regurgitation (Austin Flint murmur).
18.Q: What are the signs and symptoms of aspirin overdose?
A: Encephalopathy, renal failure, hypoglycemia, and deranged coagulation.
19.Q: What are the common causes of hirsutism?
