MSRA overview and arrangements
Current examination arrangements, specialties using the MSRA, testing information and candidate requirements.
Open the official MSRA overview →Your MSRA
resource hub.
Official exam information, authoritative UK clinical guidance, professional standards and practical revision tools—organised around the two MSRA papers.
Start here
Essential official MSRA resources
Use these sources first to understand the current assessment, question formats and expected standard.
Practice paper with rationales
Official Clinical Problem Solving and Professional Dilemmas examples, answer keys, glossary and explanations.
Open the official practice paper →Professional Dilemmas paper
Target competencies, item formats, F2 context and the official explanation of how responses are scored.
Read the PD specification →Important: Recruitment rules and testing arrangements can change between application rounds. Always confirm the latest information on the NHS England Medical Hub and your chosen specialty’s recruitment page.
Paper one
Clinical Problem Solving resources
Prioritise commonly encountered UK presentations, safe initial management, investigations, prescribing, prevention and escalation.
NICE guidance and CKS
Evidence-based guidance for diagnosis, investigation, first-line management, referral and safety-netting.
Browse NICE conditions and diseases →Acute Medical Take
Structured acute-medicine pathways supporting clinical reasoning, assessment, immediate management and escalation across common acute presentations. Use alongside current national and local guidance.
Explore Acute Medical Take →BNF and BNFC
Indications, contraindications, interactions, cautions, monitoring, adverse effects and prescribing in adults and children.
Open the BNF →UKHSA Green Book
UK vaccination schedules, contraindications, special groups and management of vaccine-preventable disease.
Open the Green Book →Resuscitation Council UK
Current adult, paediatric and newborn resuscitation guidance, including special circumstances and emergency care.
Open the 2025 guidelines →NHS screening and prevention
Revise screening programmes, health promotion, contraception, safeguarding and common public-health decisions.
Review NHS screening information →Concise clinical handbook
A current concise clinical handbook can support background revision, but current UK guidance should take precedence where recommendations differ.
See the high-yield topic map →Clinical topic map
High-yield areas to revise
Build breadth first, then use question performance to target weak systems and recurring decision errors.
Core clinical systems
- Cardiovascular medicine
- Respiratory medicine
- Endocrinology and diabetes
- Gastroenterology
- Renal medicine
- Neurology
- Psychiatry
- Infectious diseases
Cross-cutting and population care
- Paediatrics
- Obstetrics and gynaecology
- Dermatology
- ENT and ophthalmology
- Emergency medicine
- Prescribing and medicines safety
- Prevention and screening
- Safeguarding and capacity
Paper two
Professional Dilemmas resources
Approach scenarios from the perspective of an F2 doctor: protect patients, work within competence, communicate respectfully, escalate proportionately and take responsibility.
GMC Good medical practice 2024
The core source for safe care, partnership with patients, collaboration, workplace culture, integrity and professionalism.
Read Good medical practice →Ethical and professional guidance
Review confidentiality, consent, raising concerns, duty of candour, professional boundaries and conflicts of interest.
Browse GMC professional standards →UK Foundation Programme syllabus
Professional capabilities and expected behaviours relevant to the F2 role used in Professional Dilemmas scenarios.
Open the UKFP syllabus →Rank four or five independent actions from most to least appropriate. Judge each action on its own merits rather than treating the list as a chronological plan.
Select the three actions that, taken together, most appropriately address the situation. The official paper uses plausible options rather than obviously absurd distractors.
Exam technique: There is no negative marking in the Professional Dilemmas paper, so attempt every question.
Use resources effectively
A practical revision cycle
Reading alone is not enough. Combine guidance with deliberate question practice and structured review.
Understand the format
Read the official specification and complete the official practice questions before relying on third-party banks.
Build broad coverage
Work across clinical systems and alternate Clinical Problem Solving with Professional Dilemmas.
Review every option
Identify why the correct answer is best and why each alternative is unsafe, incomplete or lower priority.
Measure and repeat
Track accuracy and timing, revisit weak topics and complete timed mixed mock examinations.
AMT MSRA
Put the guidance into practice.
AMT MSRA combines clinically reviewed questions with concise explanations, incorrect-alternative rationales, guideline references and performance analysis.
- 2,500 Clinical Problem Solving and Professional Dilemmas questions
- Concise correct-answer explanations
- Explanations for incorrect alternatives
- Relevant guideline references
- Timed practice and performance trends
- Continuously reviewed educational content
Independent educational resource. AMT MSRA is not affiliated with, endorsed by or an official product of NHS England, the GMC, NICE, UKHSA, Resuscitation Council UK or the UK Foundation Programme. External links are provided for educational convenience. Always check the source website for the latest version of guidance. This resource supports exam preparation and is not clinical decision support.