MSRA ULTIMATE EXAM PREP - VERIFIED ANSWERS
AND QUESTIONS - MOST RECENT EDITION 2026
1. Q: How much do NRT and varenicline (Champix) increase the rate
of smoking cessation?
ANSWER They double the rate of smoking cessation compared to GP advice
alone.
2. Q: What is the effect of smoking on fertility?
ANSWER It reduces both male and female fertility and can lead to early
menopause.
3. Q: Define conversion disorder.
ANSWER Loss of physical function (e.g., paralysis, blindness) due to
unconscious mechanisms in the absence of an organic cause.
4. Q: What characterizes the somatic type of delusional disorder?
ANSWER It is similar to hypochondriasis, but the beliefs are more fixed and
delusional.
5. Q: Define factitious disorder and how it differs from malingering.
ANSWER An individual deliberately produces symptoms to seek medical
attention; in malingering, symptoms are fabricated for external incentives (e.g.,
financial gain, avoiding work).
6. Q: When is menopause officially diagnosed and what is the average
age?
ANSWER After 12 months of amenorrhea; the average age is 50.
7. Q: What is the classic presentation and most common organisms for
Pelvic Inflammatory Disease (PID)?
ANSWER Typically a patient <25 with multiple partners in a high-prevalence
area; most common organisms are N. gonorrhoeae and Chlamydia.
8. Q: List the components of the CHA2DS2-VASc score.
, ANSWER Congestive heart failure (1), Hypertension (1), Age ≥75 (2),
Diabetes (1), Stroke/TIA (2), Vascular disease (1), Age 65-74 (1), Sex (Female)
(1).
9. Q: What is the management threshold for a CHA2DS2-VASc score?
ANSWER A score ≥2 generally warrants warfarin or a NOAC (DOAC).
10.Q: What is the eGFR cutoff for using nitrofurantoin?
ANSWER It is contraindicated in adults with an eGFR <45.
11.Q: What is the classic presentation of Guillain-Barré syndrome?
ANSWER Progressive, bilateral, ascending weakness, often following a
Campylobacter or viral infection.
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12.Q: Define mononeuritis multiplex.
ANSWER Neuropathy of two or more unrelated peripheral or cranial nerves,
presenting with asymmetrical weakness evolving at different times.
13.Q: What is the key clinical feature of myasthenia gravis?
AND QUESTIONS - MOST RECENT EDITION 2026
1. Q: How much do NRT and varenicline (Champix) increase the rate
of smoking cessation?
ANSWER They double the rate of smoking cessation compared to GP advice
alone.
2. Q: What is the effect of smoking on fertility?
ANSWER It reduces both male and female fertility and can lead to early
menopause.
3. Q: Define conversion disorder.
ANSWER Loss of physical function (e.g., paralysis, blindness) due to
unconscious mechanisms in the absence of an organic cause.
4. Q: What characterizes the somatic type of delusional disorder?
ANSWER It is similar to hypochondriasis, but the beliefs are more fixed and
delusional.
5. Q: Define factitious disorder and how it differs from malingering.
ANSWER An individual deliberately produces symptoms to seek medical
attention; in malingering, symptoms are fabricated for external incentives (e.g.,
financial gain, avoiding work).
6. Q: When is menopause officially diagnosed and what is the average
age?
ANSWER After 12 months of amenorrhea; the average age is 50.
7. Q: What is the classic presentation and most common organisms for
Pelvic Inflammatory Disease (PID)?
ANSWER Typically a patient <25 with multiple partners in a high-prevalence
area; most common organisms are N. gonorrhoeae and Chlamydia.
8. Q: List the components of the CHA2DS2-VASc score.
, ANSWER Congestive heart failure (1), Hypertension (1), Age ≥75 (2),
Diabetes (1), Stroke/TIA (2), Vascular disease (1), Age 65-74 (1), Sex (Female)
(1).
9. Q: What is the management threshold for a CHA2DS2-VASc score?
ANSWER A score ≥2 generally warrants warfarin or a NOAC (DOAC).
10.Q: What is the eGFR cutoff for using nitrofurantoin?
ANSWER It is contraindicated in adults with an eGFR <45.
11.Q: What is the classic presentation of Guillain-Barré syndrome?
ANSWER Progressive, bilateral, ascending weakness, often following a
Campylobacter or viral infection.
Shutterstock
Explore
12.Q: Define mononeuritis multiplex.
ANSWER Neuropathy of two or more unrelated peripheral or cranial nerves,
presenting with asymmetrical weakness evolving at different times.
13.Q: What is the key clinical feature of myasthenia gravis?
