Choosing a bank
The best MSRA question banks, compared honestly
There are more MSRA question banks than most candidates ever compare properly, and one of the honest facts about this list is that the strongest option for many people is free. Here is what each actually publishes about itself, in one place.
Last reviewed 2 September 2026
The seven, one by one
PassMedicine
PassMedicine's MSRA product is priced at £20–£35, with an entry price around £25, as listed on iatroX's and Pass the MSRA's own comparison pages (2 September 2026). It suits a candidate who wants an MSRA-only bank and has no other royal college exam to prepare for at the same time.
Emedica
Emedica claims 2,380+ questions covering clinical and situational-judgement content, with a reputation specifically for its SJT material, as listed in iatroX's comparison of MSRA banks (2 September 2026). That figure is the vendor's own published claim, relayed via iatroX's comparison rather than confirmed on Emedica's own site, and it is not an independently verified count. It suits a candidate whose main concern is Professional Dilemmas rather than clinical knowledge.
Medibuddy
Medibuddy claims 4,000+ MSRA questions through an adaptive engine, per its own site (2 September 2026) — again, the vendor's own published figure. It suits a candidate who wants the largest claimed question count on this list and an algorithm that adjusts to performance.
Pass the MSRA
Pass the MSRA is priced from £30 for a single month of access, as published on its own comparison page (2 September 2026). It suits a candidate close to their sitting who wants a short, flexible commitment rather than a longer one.
Pastest
Pastest's MSRA product is listed at £0.00–£79.99 on its own collections page (2 September 2026). It suits a candidate already using Pastest for another exam — MRCP Part 1 or MRCS Part A, say — who wants one account across both.
iatroX (quiz iatroX)
Worth saying plainly, and first rather than buried at the end: quiz iatroX is entirely free for MSRA, with no question limit, and describes itself as adaptive exam preparation, per iatroX's own site (2 September 2026). The same free, unlimited access covers MRCP Part 1 and 2, MRCGP AKT, PLAB 1, UKMLA AKT, MRCEM, PSA and PANE. Elsewhere on iatrox.com a separate £29 or £99 subscription is advertised, so it's worth knowing which part of the site a link lands you on — quiz iatroX itself carries no charge. For a candidate on a tight budget, or simply testing whether question-bank revision suits them before paying for anything, it is a genuinely free way to start.
SpecialityMCQs
SpecialityMCQs is an all-access plan covering MSRA alongside MRCS, MRCOG, MRCPCH, MRCPsych, MRCEM and Final FRCR Part A in one subscription. Against a free option, price isn't the argument. The case is Professional Dilemmas practised in the ranking and select-three formats the paper actually uses, marked on how close an answer is to the reference rather than right-or-wrong, and Clinical Problem Solving sessions that cover all twelve of the CPS topics NHS England publishes rather than a comfort-zone subset (NHS England names the topics but publishes no weighting across them), tilted toward whichever topic is currently costing the most marks. Every answer names the source it rests on, and content is written and fact-checked with AI assistance against named sources, not individually signed off by a physician.
Picking between them
If cost is the only constraint, start with quiz iatroX — it is free and covers MSRA without limit. If Professional Dilemmas is the paper worrying you most, Emedica's reputation there is worth weighing. If you are also sitting another royal college exam this year, an all-access plan that already includes it is worth more than its MSRA content alone suggests.
Common questions
Is there a free MSRA question bank?
Yes. quiz iatroX is free for MSRA, with no question limit, alongside several other exams, per iatroX's own site (2 September 2026). A separate £29/£99 subscription is advertised elsewhere on iatrox.com, but quiz iatroX itself carries no charge. It's a legitimate way to start revising before paying for anything.
Which MSRA bank claims the most questions?
Medibuddy publishes the largest claimed figure, at 4,000+, per its own site; Emedica claims 2,380+, as listed in iatroX's comparison. Both dated 2 September 2026, both are published claims rather than independently verified counts, and neither is the same question as which bank suits you best.
What makes SpecialityMCQs different for MSRA?
Professional Dilemmas practised in the exact ranking and select-three formats the paper uses, marked on closeness to the reference answer, and Clinical Problem Solving sessions that cover all twelve of NHS England's published CPS topics, tilted toward your weakest one — plus every other royal college exam in the same plan.
Revise on the exam's own blueprint, weakest subject first.
SpecialityMCQs weights each session to your exam's published blueprint, tilts it toward the subject currently costing you marks, and brings anything you miss back before you would forget it. Five new questions a day are free, with no card required.
Related guides
SpecialityMCQs is an independent revision tool. It is not affiliated with, endorsed by, or accredited by any royal college, NHS England, or other exam authority, and it makes no pass-rate guarantee. No question is presented as being from a past paper.