Situational Judgement Question Bank 1 Instructions

Use this question bank to practice Situational Judgement questions.

You will be presented by a set of hypothetical scenarios based in a clinical or educational setting and may involve a student or clinician at their center. You will be asked to make judgments as to the appropriateness or the importance of a series of statements in response to the scenario.

It is in your best interest to answer all questions as there is no penalty for guessing. All unanswered questions will be scored as incorrect.

Click the Next (N) button to proceed.

Max is a CT1 (core training year 1) working in an intensive care unit. One of Max’s jobs is to prescribe pain relief to an elderly woman who is in severe pain. Max decides to prescribe morphine to help relieve her pain. However, after Max gives her the drug, she has a reaction, and he realises he has given the wrong dose of the drug. Max is able to stabilise the patient and she will not suffer any long-term consequences are a result. Whilst she is unable to communicate, her son is waiting to speak to her doctor. 

How appropriate are each of the following responses by Max in this situation?

1. Do not inform her son about the incident
  • 3
    4

    Explanation

    The correct answer is D.

    The duty of candour is a key principle in medical ethics. The duty of candour requires doctors to inform patients if they have made a mistake. This is outlined in Good Medical Practice which states “You must be open and honest with patients if things go wrong. If a patient under your care has suffered harm or distress, you should: a) put matters right (if that is possible) b) offer an apology c) explain fully and promptly what has happened and the likely short-term and long-term effects” (Good Medical Practice, p18). Therefore, by failing to inform the patient’s next of kin about the mistake you are violating Good Medical Practice, so this action is very inappropriate.

    Top Tip: Remember, actions are not taken in isolation. Multiple actions can be very appropriate as you are not ranking options.

    Post Comment

    Max is a CT1 (core training year 1) working in an intensive care unit. One of Max’s jobs is to prescribe pain relief to an elderly woman who is in severe pain. Max decides to prescribe morphine to help relieve her pain. However, after Max gives her the drug, she has a reaction, and he realises he has given the wrong dose of the drug. Max is able to stabilise the patient and she will not suffer any long-term consequences are a result. Whilst she is unable to communicate, her son is waiting to speak to her doctor. 

    How appropriate are each of the following responses by Max in this situation?

    2. Inform the son that a mistake has been made and give an apology
  • 1
    4

    Explanation

    The correct answer is A.

    By informing the patient’s next of kin about the mistake and offering an apology, you are complying with the duty of candour. This is outlined in Good Medical Practice which states “You must be open and honest with patients if things go wrong. If a patient under your care has suffered harm or distress, you should: a) put matters right (if that is possible) b) offer an apology c) explain fully and promptly what has happened and the likely short-term and long-term effects” (Good Medical Practice, p18). Therefore, this action is very appropriate.

    Top Tip: Remember, actions are not taken in isolation. Multiple actions can be very appropriate as you are not ranking options.

    Post Comment

    Max is a CT1 (core training year 1) working in an intensive care unit. One of Max’s jobs is to prescribe pain relief to an elderly woman who is in severe pain. Max decides to prescribe morphine to help relieve her pain. However, after Max gives her the drug, she has a reaction, and he realises he has given the wrong dose of the drug. Max is able to stabilise the patient and she will not suffer any long-term consequences are a result. Whilst she is unable to communicate, her son is waiting to speak to her doctor. 

    How appropriate are each of the following responses by Max in this situation?

    3. Report the mistake as a clinical incidence through the hospital’s procedures
  • 3
    2

    Explanation

    The correct answer is A.

    If you make any mistakes or notice any clinical incidents you should report them through the appropriate procedures. This is outlined in Good Medical Practice which states “To help keep patients safe you must: contribute to adverse event recognition”. Therefore, by reporting the incident you are complying with Good Medical Practice, so this action is very appropriate. Remember, these options are not done in isolation, so it would still be possible to seek advice and inform the medical school at the same time.

    Top Tip: Remember, actions are not taken in isolation. Multiple actions can be very appropriate as you are not ranking options.

    Post Comment

    Max is a CT1 (core training year 1) working in an intensive care unit. One of Max’s jobs is to prescribe pain relief to an elderly woman who is in severe pain. Max decides to prescribe morphine to help relieve her pain. However, after Max gives her the drug, she has a reaction, and he realises he has given the wrong dose of the drug. Max is able to stabilise the patient and she will not suffer any long-term consequences are a result. Whilst she is unable to communicate, her son is waiting to speak to her doctor. 

    How appropriate are each of the following responses by Max in this situation?

    4. Inform the son that a mistake has been made
  • 2
    42

    Explanation

    The correct answer is A.

    By informing the patient’s next of kin about the mistake and offering an apology, you are complying with the duty of candour. This is outlined in Good Medical Practice which states “You must be open and honest with patients if things go wrong. If a patient under your care has suffered harm or distress, you should: a) put matters right (if that is possible) b) offer an apology c) explain fully and promptly what has happened and the likely short-term and long-term effects” (Good Medical Practice, p18). Therefore, this action is very appropriate.

    Top Tip: Remember, actions are not taken in isolation. Multiple actions can be very appropriate as you are not ranking options.

    Post Comment
    Faith Medicmind Tutor

    Sat, 03 Jul 2021 09:55:36

    Hi, Just wondering how this is very appropriate because there was no effort to apologise for the accident? Thank you

    Maddy Medicmind Tutor

    Sun, 08 Aug 2021 19:31:16

    There was no apology given or effects explained so would the answer not be appropriate but not ideal? thank you

    s Medicmind Tutor

    Wed, 18 Aug 2021 14:26:55

    Would the answer not be B since no reason or apology was given for the incident? the incident was not even explained to the son properly

    A Medicmind Tutor

    Tue, 24 Aug 2021 07:39:50

    I agree with the comments below. previously, and effort was made to apologise to the next of kin which was "very appropriate". however, the statement stated is just about informing the next of kin, not apologising, so it would make sense for the answer to be answer option B.

    anon Medicmind Tutor

    Sun, 29 Aug 2021 20:45:57

    can you please update some of these answers a lot of them seem to be wrong? surely b would be is the answer?

    Fatima Medicmind Tutor

    Wed, 08 Sep 2021 15:05:19

    Are you sure the answer would be very appropriate? because no apology has been made therefore i think it should be considered as appropriate but not ideal

    Chi Medicmind Tutor

    Mon, 13 Sep 2021 14:21:41

    I agree with everyone else on this one. The statement before said he told her son and apologised but this one says that he just told her son, no apology so wouldn't this be less appropriate than the other?

    Yopi Medicmind Tutor

    Fri, 17 Sep 2021 20:05:12

    The apology although it is kind to add it is not necessary because him informing them there was a mistake is more important than him apologising for it

    Max is a CT1 (core training year 1) working in an intensive care unit. One of Max’s jobs is to prescribe pain relief to an elderly woman who is in severe pain. Max decides to prescribe morphine to help relieve her pain. However, after Max gives her the drug, she has a reaction, and he realises he has given the wrong dose of the drug. Max is able to stabilise the patient and she will not suffer any long-term consequences are a result. Whilst she is unable to communicate, her son is waiting to speak to her doctor. 

    How appropriate are each of the following responses by Max in this situation?

    5. Ask the FY2 to apologise to the son about the error
  • 4
    4

    Explanation

    The correct answer is D.

    The duty of candour is outlined in Good Medical Practice which states “You must be open and honest with patients if things go wrong. If a patient under your care has suffered harm or distress, you should: a) put matters right (if that is possible) b) offer an apology c) explain fully and promptly what has happened and the likely short-term and long-term effects” (Good Medical Practice, p18). The key term is “you”, as Max has made the mistake, he should make every effort to be the doctor explaining this mistake. Furthermore, it is usually inappropriate to delegate these difficult conversations to more junior colleagues without direct supervision. Therefore, this action is very inappropriate.

    Top Tip: Remember, actions are not taken in isolation. Multiple actions can be very appropriate as you are not ranking options.

    Post Comment

    Jonathan is a 27-year-old cancer patient who has been diagnosed with an osteosarcoma. His doctor Dr Mike has recommended chemotherapy and radiotherapy which he believes is Jonathan’s best chance to survive the cancer. However, Jonathan has been involved in online discussion boards and tells Dr Mike that he wants to use alternative medicine. Jonathan believes that a combination of a vegan diet, essential oils and alkaline water. Dr Mike is deeply concerned as he knows Jonathan is very likely to die if he does not undergo his recommended treatment. 

    How important is it to take into account are the following considerations for Dr Mike when deciding how to respond to the situation?

    6. Jonathan’s right to make decisions about his own health
  • 3
    1

    Explanation

    The correct answer is A.

    Autonomy (the right to have control over your own treatment) is one of the four pillars of medical ethics. This principle is also found in Good Medical Practice which states “You must work in partnership with patients, sharing with them the information they will need to make decisions about their care” (Good Medical Practice, p16). Therefore, you must consider Jonathan’s right to autonomy, so this consideration is very important.

    Top Tip: Even if a patient’s views do not appear rational to you, you still have a responsibility to respect their views and work with them to ensure they get the best care. 

    Post Comment

    Jonathan is a 27-year-old cancer patient who has been diagnosed with an osteosarcoma. His doctor Dr Mike has recommended chemotherapy and radiotherapy which he believes is Jonathan’s best chance to survive the cancer. However, Jonathan has been involved in online discussion boards and tells Dr Mike that he wants to use alternative medicine. Jonathan believes that a combination of a vegan diet, essential oils and alkaline water. Dr Mike is deeply concerned as he knows Jonathan is very likely to die if he does not undergo his recommended treatment. 

    How important is it to take into account are the following considerations for Dr Mike when deciding how to respond to the situation?

    7. That there is no evidence to suggest alternative medicine works
  • 3
    13

    Explanation

    The correct answer is B.

    Dr Mike has a responsibility to use the best evidence to provide patient’s with the best quality of treatment, this principle is contained in Good Medical Practice which states “In providing clinical care you must: provide effective treatments based on the best available evidence” (Good Medical Practice, p8). The reason this factor is not very important is because Dr Mike knows this is clearly not the most appropriate treatment option. Therefore, this consideration is important.

    Top Tip: Even if a patient’s views do not appear rational to you, you still have a responsibility to respect their views and work with them to ensure they get the best care. 

    Post Comment
    Arshiya Medicmind Tutor

    Sun, 19 Sep 2021 14:16:39

    Considering the lack of medical trials, and licensing, surely there would be contraindications? Hence, very important? I'm just confused because this answer contradicts the MHRA

    Jonathan is a 27-year-old cancer patient who has been diagnosed with an osteosarcoma. His doctor Dr Mike has recommended chemotherapy and radiotherapy which he believes is Jonathan’s best chance to survive the cancer. However, Jonathan has been involved in online discussion boards and tells Dr Mike that he wants to use alternative medicine. Jonathan believes that a combination of a vegan diet, essential oils and alkaline water. Dr Mike is deeply concerned as he knows Jonathan is very likely to die if he does not undergo his recommended treatment. 

    How important is it to take into account are the following considerations for Dr Mike when deciding how to respond to the situation?

    8. That Dr Mike knows that Jonathan may die without proper treatment
  • 1
    1

    Explanation

    The correct answer is A.

    Dr Mike’s key concern must be the best interest of the patient. This is the principle of beneficence which is one of the four pillars of medical ethics. Doctors must also use the best evidence to provide patient’s with the best quality of treatment, this principle is contained in Good Medical Practice which states “In providing clinical care you must: provide effective treatments based on the best available evidence” (Good Medical Practice, p8). Therefore, as Dr Mike knows Jonathan is not receiving the care which is in his best interests, he must consider this factor. Therefore, this consideration is very important.

    Top Tip: Even if a patient’s views do not appear rational to you, you still have a responsibility to respect their views and work with them to ensure they get the best care. 

    Post Comment

    Jonathan is a 27-year-old cancer patient who has been diagnosed with an osteosarcoma. His doctor Dr Mike has recommended chemotherapy and radiotherapy which he believes is Jonathan’s best chance to survive the cancer. However, Jonathan has been involved in online discussion boards and tells Dr Mike that he wants to use alternative medicine. Jonathan believes that a combination of a vegan diet, essential oils and alkaline water. Dr Mike is deeply concerned as he knows Jonathan is very likely to die if he does not undergo his recommended treatment. 

    How important is it to take into account are the following considerations for Dr Mike when deciding how to respond to the situation?

    9. That Jonathan is 27 years old
  • 2
    17

    Explanation

    The correct answer is C.

    You should never treat patients differently based on their age or any other protected characteristics. This principle is contained in Good Medical Practice which states “You must not unfairly discriminate against patients or colleagues by allowing your personal views [This includes your views about a patient’s or colleague’s lifestyle, culture or their social or economic status, as well as the characteristics protected by legislation: age, disability, gender reassignment, race, marriage and civil partnership, pregnancy and maternity, religion or belief, sex and sexual orientation] to affect your professional relationships or the treatment you provide or arrange” (Good Medical Practice, p20). However, this factor might be considered as his age may affect what treatment is appropriate. Therefore, this factor could be considered but it does not have to be. So, this factor is of minor importance. 

    Top Tip: Even if a patient’s views do not appear rational to you, you still have a responsibility to respect their views and work with them to ensure they get the best care. 

    Post Comment

    Jonathan is a 27-year-old cancer patient who has been diagnosed with an osteosarcoma. His doctor Dr Mike has recommended chemotherapy and radiotherapy which he believes is Jonathan’s best chance to survive the cancer. However, Jonathan has been involved in online discussion boards and tells Dr Mike that he wants to use alternative medicine. Jonathan believes that a combination of a vegan diet, essential oils and alkaline water. Dr Mike is deeply concerned as he knows Jonathan is very likely to die if he does not undergo his recommended treatment. 

    How important is it to take into account are the following considerations for Dr Mike when deciding how to respond to the situation?

    10. The side effects of chemotherapy and radiotherapy
  • 2
    4

    Explanation

    The correct answer is B.

    Taking into accounts the benefits and risks (including side effects) is a key principle of medicine. This principle is outlined in Good Medical Principle which states “You must work in partnership with patients, sharing with them the information they will need to make decisions about their care, including: their condition, its likely progression and the options for treatment, including associated risks and uncertainties” (Good Medical Practice, p16). However, the reason this factor is not very important is because Dr Mike’s professional judgement is that this is the most appropriate treatment option. Therefore, this consideration is important.

    Top Tip: Even if a patient’s views do not appear rational to you, you still have a responsibility to respect their views and work with them to ensure they get the best care. 

    Post Comment

    Dr Murphy is a GP partner working in a London GP Practice. One of her long-term patients is an elderly man called James. James has multiple health conditions including COPD, heart failure and BPH. He is on multiple different medications and requires multiple GP consultations a month. As a sign of appreciation for what Dr Murphy has done, James buys Dr Murphy a bottle of champagne. Dr Murphy is unsure whether she should accept this gift. 

    How important is it to take into account are the following considerations for Dr Murphy when deciding how to respond to the situation?

    11. The value of the Champagne
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    22

    Explanation

    The correct answer is A.

    The decision to accept a gift depends on several factors. The value of a gift must influence a decision regarding whether to accept it for example, it would usually be appropriate to accept a box of chocolates but inappropriate to accept a car because you must not accept any gift which would affect your decision making. A more valuable gift is more likely to influence your clinical decisions or give the appearance of influencing your clinical decisions. This principle is outlined in Good Medical Practice which states “You must not ask for or accept – from patients, colleagues or others – any inducement, gift or hospitality that may affect or be seen to affect the way you prescribe for, treat or refer patients or commission services for patients. You must not offer these inducements” (Good Medical Practice, p24). Therefore, you must consider the value of the champagne, so this consideration is very important.

    Top Tip: Remember, you are not ranking the options by importance, multiple actions can be very important as in some decisions you must consider multiple factors. 

    Post Comment
    dr murphy Medicmind Tutor

    Fri, 30 Jul 2021 18:58:14

    dis is gay

    Anonymous Medicmind Tutor

    Tue, 03 Aug 2021 11:19:17

    dis is very gay

    ya Medicmind Tutor

    Tue, 10 Aug 2021 10:16:53

    very very. agreed

    chungus Medicmind Tutor

    Tue, 10 Aug 2021 11:55:29

    considering one of the questions just before this was about discrimination im not sure how you thought describing this as gay was a good idea lol

    A Medicmind Tutor

    Tue, 24 Aug 2021 07:45:40

    I don't think writing something discriminative is appropriate considering this is SJT. kinda ironic lol

    P Medicmind Tutor

    Sat, 28 Aug 2021 17:44:47

    Writing discriminative comments is really inappropriate and harmful. I don't see the reason why you really needed to.

    s Medicmind Tutor

    Sun, 19 Sep 2021 21:03:48

    dis hella gay

    Josh Medicmind Tutor

    Wed, 22 Sep 2021 14:18:53

    This is fucking gay

    Dr Murphy is a GP partner working in a London GP Practice. One of her long-term patients is an elderly man called James. James has multiple health conditions including COPD, heart failure and BPH. He is on multiple different medications and requires multiple GP consultations a month. As a sign of appreciation for what Dr Murphy has done, James buys Dr Murphy a bottle of champagne. Dr Murphy is unsure whether she should accept this gift. 

    How important is it to take into account are the following considerations for Dr Murphy when deciding how to respond to the situation?

    12. How refusing the gift would affect the doctor-patient relationship
  • 1
    12

    Explanation

    The correct answer is A.

    The decision to accept a gift depends on several factors. Doctors have a responsibility to maintain a good doctor-patient relationship with all their patients. This principle is outlined in Good Medical Practice which states “Patients need good doctors. Good doctors make the care of their patients their first concern… [they] establish and maintain good relationships with patients” (Good Medical Practice, p4). Therefore, you must consider the effect of your decision on the doctor-patient relationship, so this consideration is very important.

    Top Tip: Remember, you are not ranking the options by importance, multiple actions can be very important as in some decisions you must consider multiple factors. 

    Post Comment
    ano Medicmind Tutor

    Wed, 28 Jul 2021 22:37:41

    isnt it C??

    dr mike Medicmind Tutor

    Fri, 30 Jul 2021 18:59:21

    i agree dr ano this is meant to be D

    A Medicmind Tutor

    Tue, 24 Aug 2021 07:49:41

    I think the answer is A considering the fact the patient is a long-term patient of Dr Murphy and wants to show appreciation, so is more of a kind gesture.

    Dr Murphy is a GP partner working in a London GP Practice. One of her long-term patients is an elderly man called James. James has multiple health conditions including COPD, heart failure and BPH. He is on multiple different medications and requires multiple GP consultations a month. As a sign of appreciation for what Dr Murphy has done, James buys Dr Murphy a bottle of champagne. Dr Murphy is unsure whether she should accept this gift. 

    How important is it to take into account are the following considerations for Dr Murphy when deciding how to respond to the situation?

    13. Dr Murphy likes Champagne
  • 6
    0

    Explanation

    The correct answer is D.

    Regardless of whether Dr Murphy likes champagne or not, this should not influence his decision. His decision must only be based on how it affects his care for his patients. Therefore, you must not consider this factor, so this consideration is not important at all.

    Top Tip: Remember, you are not ranking the options by importance, multiple actions can be very important as in some decisions you must consider multiple factors. 

    Post Comment

    Dr Murphy is a GP partner working in a London GP Practice. One of her long-term patients is an elderly man called James. James has multiple health conditions including COPD, heart failure and BPH. He is on multiple different medications and requires multiple GP consultations a month. As a sign of appreciation for what Dr Murphy has done, James buys Dr Murphy a bottle of champagne. Dr Murphy is unsure whether she should accept this gift. 

    How important is it to take into account are the following considerations for Dr Murphy when deciding how to respond to the situation?

    14. What was said during the rest of the consultation
  • 5
    2

    Explanation

    The correct answer is B.

    The decision to accept a gift depends on several factors. The contents of the consultation may affect Dr Murphy’s decision on whether to accept the gift for example, if James had just requested opiates (strong pain killers) the gift might be or might be seen as an inducement which would violate Good Medical Practice. This principle is outlined in Good Medical Practice which states “You must not ask for or accept – from patients, colleagues or others – any inducement, gift or hospitality that may affect or be seen to affect the way you prescribe for, treat or refer patients or commission services for patients. You must not offer these inducements” (Good Medical Practice, p24). The reason, this consideration is not very important is because the contents of the consultation will not always be important, it will only be important in some specific circumstances. Therefore, Dr Murphy should consider this factor, so this consideration is important.

    Top Tip: Remember, you are not ranking the options by importance, multiple actions can be very important as in some decisions you must consider multiple factors. 

    Post Comment

    Dr House is a consultant nephrologist currently leading a ward round of the nephrology ward. One of his patients is a 67-year-old woman who has end-stage renal disease and requires haemodialysis. Unfortunately, as her condition has declined, she is no longer eligible for a transplant. On the ward round, she asks Dr House whether she is going to die. Dr House knows her condition is now likely terminal.  

    How appropriate are each of the following responses by Dr House in this situation?

    15. Tell the patient that she will be fine
  • 4
    0

    Explanation

    The correct answer is D.

    By informing the patient that she is fine whilst knowing her condition is terminal, Dr House would be knowingly providing false information to his patient. This violates Good Medical Practice which states “You must listen to patients, take account of their views, and respond honestly to their questions” (Good Medical Practice, p17). Therefore, this action would be very inappropriate.

    Top Tip: Remember, a “very inappropriate” action is an action which could cause harm and an “inappropriate but not awful” action is an action that does not cause harm but provides not benefit.

    Post Comment
    M Medicmind Tutor

    Sun, 26 Sep 2021 18:07:26

    Wouldn't it be C as the action isn't causing any real harm.

    Dr House is a consultant nephrologist currently leading a ward round of the nephrology ward. One of his patients is a 67-year-old woman who has end-stage renal disease and requires haemodialysis. Unfortunately, as her condition has declined, she is no longer eligible for a transplant. On the ward round, she asks Dr House whether she is going to die. Dr House knows her condition is now likely terminal.  

    How appropriate are each of the following responses by Dr House in this situation?

    16. Tell the patient that they will take good care of her
  • 4
    27

    Explanation

    The correct answer is C.

    By not informing the patient of the truth about her condition, Dr House is not providing truthful information to his patient. This violates Good Medical Practice which states “You must listen to patients, take account of their views, and respond honestly to their questions” (Good Medical Practice, p17). However, the reason this action is not very inappropriate is because Dr House does not directly lie to the patient. Therefore, this action would be inappropriate but not awful.

    Top Tip: Remember, a “very inappropriate” action is an action which could cause harm and an “inappropriate but not awful” action is an action that does not cause harm but provides not benefit.

    Post Comment
    Mahad yusuf Medicmind Tutor

    Tue, 06 Jul 2021 05:11:06

    After informing the patient the patient there condition is terminal is not a very appropriate thing to say that they will take good care of her after all they are doctors & nurses, she is in the best place possible to be sent off into the afterlife painlessly

    the Medicmind Tutor

    Sat, 18 Sep 2021 09:52:41

    I think I'd rather hear "Yeah, you have end-stage renal disease and will probably die, but we're going to take good care of you while you're still here" than "you're going to die lol". The latter is an exaggeration, but saying the former does somewhat provide the benefit of comfort to an extent, no?

    Dr House is a consultant nephrologist currently leading a ward round of the nephrology ward. One of his patients is a 67-year-old woman who has end-stage renal disease and requires haemodialysis. Unfortunately, as her condition has declined, she is no longer eligible for a transplant. On the ward round, she asks Dr House whether she is going to die. Dr House knows her condition is now likely terminal.  

    How appropriate are each of the following responses by Dr House in this situation?

    17. Sensitively explain the prognosis to her
  • 3
    0

    Explanation

    The correct answer is A.

    This action would be the ideal course of action. By sensitively explaining her prognosis, Dr House is being both honest and respectful. These principles are outlined in Good Medical Practice which states “You must listen to patients, take account of their views, and respond honestly to their questions” (Good Medical Practice, p17) and “You must treat patients as individuals and respect their dignity and privacy” (Good Medical Practice, p16). Therefore, this action would be very appropriate.

    Top Tip: Remember, a “very inappropriate” action is an action which could cause harm and an “inappropriate but not awful” action is an action that does not cause harm but provides not benefit.

    Post Comment

    Dr House is a consultant nephrologist currently leading a ward round of the nephrology ward. One of his patients is a 67-year-old woman who has end-stage renal disease and requires haemodialysis. Unfortunately, as her condition has declined, she is no longer eligible for a transplant. On the ward round, she asks Dr House whether she is going to die. Dr House knows her condition is now likely terminal.  

    How appropriate are each of the following responses by Dr House in this situation?

    18. Tell the patient that he will come back later and explain
  • 3
    16

    Explanation

    The correct answer is B.

    This action may be appropriate because by coming back later, Dr House will have sufficient time to explain her prognosis whilst not in the time-pressured environment of a ward round. However, the reason this action is not very appropriate is because it does not immediately address the issue. Therefore, this action would be appropriate but not ideal.

    Top Tip: Remember, a “very inappropriate” action is an action which could cause harm and an “inappropriate but not awful” action is an action that does not cause harm but provides not benefit.

    Post Comment
    a Medicmind Tutor

    Tue, 10 Aug 2021 10:19:17

    why on earth would u leave ur patient under suspense like that omg

    sissi Medicmind Tutor

    Sat, 14 Aug 2021 11:32:25

    THATS WHAT I WAS THINKING its so mean but i guess seeing as its a ward round it I kinda get it

    steve Medicmind Tutor

    Wed, 18 Aug 2021 14:34:26

    are you going to die? find out after the break

    the Medicmind Tutor

    Sat, 18 Sep 2021 09:53:35

    LMAO

    Dr House is a consultant nephrologist currently leading a ward round of the nephrology ward. One of his patients is a 67-year-old woman who has end-stage renal disease and requires haemodialysis. Unfortunately, as her condition has declined, she is no longer eligible for a transplant. On the ward round, she asks Dr House whether she is going to die. Dr House knows her condition is now likely terminal.  

    How appropriate are each of the following responses by Dr House in this situation?

    19. Ask of the F1s to explain her prognosis while he continues with the ward round
  • 1
    2

    Explanation

    The correct answer is D.

    As a doctor, you have the responsibility to supervise more junior colleagues and medical students. This principle is outlined in Good Medical Practice which states “You should be prepared to contribute to teaching and training doctors and students [and] you must make sure that all staff you manage have appropriate supervision” (Good Medical Practice, p14). Furthermore, it is usually inappropriate to delegate these difficult conversations to more junior colleagues without direct supervision. Therefore, this action would be inappropriate because Dr House is delegating a very difficult conversation to a first-year doctor without supervision. Therefore, this action is very inappropriate.

    Top Tip: Remember, a “very inappropriate” action is an action which could cause harm and an “inappropriate but not awful” action is an action that does not cause harm but provides not benefit.

    Post Comment
    sulaiman asghar Medicmind Tutor

    Fri, 13 Aug 2021 15:45:30

    omg i got this one wrong lmao yolo :)

    Dr Ahmed is a general surgery specialist trainee (ST4) working in the general surgery department of a major tertiary centre. One of the patients on the ward is Robert Jenkins who is the Secretary of State for Health. He is one of three patients who is on the surgical list and will require an HDU bed. However, there is only one HDU bed available. The consultant informs Dr Ahmed that Mr Jenkins will be the patient who gets the HDU bed and the other operations will be cancelled. However, Dr Ahmed knows that Mr Jenkins’ condition is the least serious of the three patients awaiting surgery and is unsure what to do. 

    You will not receive any marks for this question unless you select both the most and least appropriate actions

    20. Choose both the one most appropriate action and the one least appropriate action that Dr Ahmed should take in response to this situation.
    Most Appropriate
    Least Appropiate
    Tell the consultant about his concerns
    Do nothing
    Inform the lead consultant about his concern
    12
    10

    Explanation

    Most Appropriate – Tell the consultant about his concerns

    Least Appropriate – Do nothing

    Option 1 is the least appropriate option. Dr Ahmed has a responsibility to raise concerns if he believes Good Medical Practice is being breached. This is outlined in Good Medical Practice which states “If patients are at risk because of inadequate premises, equipment or other resources, policies or systems, you should put the matter right if that is possible. You must raise your concern in line with our guidance and your workplace policy. You should also make a record of the steps you have taken.” (Good Medical Practice, p11). Furthermore, by doing nothing, Dr Ahmed is allowing discrimination to take place which violates Good Medical Practice which states “You must not unfairly discriminate against patients or colleagues by allowing your personal views [This includes your views about a patient’s or colleague’s lifestyle, culture or their social or economic status, as well as the characteristics protected by legislation: age, disability, gender reassignment, race, marriage and civil partnership, pregnancy and maternity, religion or belief, sex and sexual orientation] to affect your professional relationships or the treatment you provide or arrange” (Good Medical Practice, p20). Therefore, this is the least appropriate option.

    Option 2 is the most appropriate option as Dr Ahmed is raising his concerns which is consistent with Good Medical Practice which states “If patients are at risk because of inadequate premises, equipment or other resources, policies or systems, you should put the matter right if that is possible. You must raise your concern in line with our guidance and your workplace policy. You should also make a record of the steps you have taken.” (Good Medical Practice, p11). Therefore, this is the most appropriate option.

    Option 3 is neither the most appropriate nor the least appropriate option. Whilst Dr Ahmed is raising his concerns which is consistent with Good Medical Practice, he is unnecessarily escalating the situation before talking to the consultant responsible. Therefore, this is neither the most appropriate nor the least appropriate option.

    Top Tip: You must always raise your concerns through the appropriate channels if you believe Good Medical Practice is not being adhered to. 

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