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The dataset generation failed
Error code: DatasetGenerationError
Exception: ArrowInvalid
Message: Float value 3.5 was truncated converting to int64
Traceback: Traceback (most recent call last):
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 2011, in _prepare_split_single
writer.write_table(table)
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/arrow_writer.py", line 585, in write_table
pa_table = table_cast(pa_table, self._schema)
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2302, in table_cast
return cast_table_to_schema(table, schema)
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2261, in cast_table_to_schema
arrays = [cast_array_to_feature(table[name], feature) for name, feature in features.items()]
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2261, in <listcomp>
arrays = [cast_array_to_feature(table[name], feature) for name, feature in features.items()]
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 1802, in wrapper
return pa.chunked_array([func(chunk, *args, **kwargs) for chunk in array.chunks])
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 1802, in <listcomp>
return pa.chunked_array([func(chunk, *args, **kwargs) for chunk in array.chunks])
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2025, in cast_array_to_feature
casted_array_values = _c(array.values, feature[0])
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 1804, in wrapper
return func(array, *args, **kwargs)
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2020, in cast_array_to_feature
arrays = [_c(array.field(name), subfeature) for name, subfeature in feature.items()]
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2020, in <listcomp>
arrays = [_c(array.field(name), subfeature) for name, subfeature in feature.items()]
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 1804, in wrapper
return func(array, *args, **kwargs)
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 2116, in cast_array_to_feature
return array_cast(
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 1804, in wrapper
return func(array, *args, **kwargs)
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/table.py", line 1963, in array_cast
return array.cast(pa_type)
File "pyarrow/array.pxi", line 996, in pyarrow.lib.Array.cast
File "/src/services/worker/.venv/lib/python3.9/site-packages/pyarrow/compute.py", line 404, in cast
return call_function("cast", [arr], options, memory_pool)
File "pyarrow/_compute.pyx", line 590, in pyarrow._compute.call_function
File "pyarrow/_compute.pyx", line 385, in pyarrow._compute.Function.call
File "pyarrow/error.pxi", line 154, in pyarrow.lib.pyarrow_internal_check_status
File "pyarrow/error.pxi", line 91, in pyarrow.lib.check_status
pyarrow.lib.ArrowInvalid: Float value 3.5 was truncated converting to int64
The above exception was the direct cause of the following exception:
Traceback (most recent call last):
File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 1529, in compute_config_parquet_and_info_response
parquet_operations = convert_to_parquet(builder)
File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 1154, in convert_to_parquet
builder.download_and_prepare(
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 1027, in download_and_prepare
self._download_and_prepare(
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 1122, in _download_and_prepare
self._prepare_split(split_generator, **prepare_split_kwargs)
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 1882, in _prepare_split
for job_id, done, content in self._prepare_split_single(
File "/src/services/worker/.venv/lib/python3.9/site-packages/datasets/builder.py", line 2038, in _prepare_split_single
raise DatasetGenerationError("An error occurred while generating the dataset") from e
datasets.exceptions.DatasetGenerationError: An error occurred while generating the datasetNeed help to make the dataset viewer work? Make sure to review how to configure the dataset viewer, and open a discussion for direct support.
question int64 | scenario string | type string | options list | answer_rational string | instruction string | prompt null |
|---|---|---|---|---|---|---|
1 | Your consultant Dr Jackson has asked you to prescribe a second antibiotic for a patient who has a chest infection which has been slow to respond to initial treatment. Later that day, a pharmacist informs you that the new antibiotic is not in the hospital formulary. She tells you that the new antibiotic should not be us... | ranking | [
{
"answer": 4,
"labels": "A",
"responses": "Prescribe what the pharmacist advises"
},
{
"answer": 2,
"labels": "B",
"responses": "Explain that Dr Jackson requested the antibiotic and he would be the best person to speak to about the prescription"
},
{
"answer": 1,
"labels": "... | This question assesses your professionalism and how to manage your working relationships. The most appropriate action to take would be to contact your consultant (C). As Dr Jackson, your consultant, made the decision about the antibiotics, it is courteous and also in the patient’s best interest to inform him of the pha... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
2 | On the morning ward round, your specialty trainee* said that Mrs Anderson is medically fit following her total knee replacement and could be discharged if Occupational Therapy* feel it is appropriate. The occupational therapist has assessed Mrs Anderson and believes it is safe for her to go home with a care package tha... | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "Ask Mrs Anderson about her concerns"
},
{
"answer": 3,
"labels": "B",
"responses": "Ask a senior colleague to speak with Mrs Anderson"
},
{
"answer": 4,
"labels": "C",
"responses": "Ask the bed manager if he can find another bed... | This question looks at your ability to cope with pressure but also maintain a patient focus Your primary duty is to alleviate the concerns that Mrs Anderson has in relation to her discharge and reassure her that it is safe for her to go home (A). Understanding her concerns will be the first step to reassuring her that ... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
3 | You are working on a busy paediatric ward. Your shift was meant to finish at 7pm, but it is now 9pm on a Friday, and you are still trying to complete some of your routine tasks from the day. This has happened on a number of occasions in the last month and you feel exhausted as a result. Your workload is also having a n... | ranking | [
{
"answer": 2,
"labels": "A",
"responses": "The impact on your own wellbeing if you are not able to take time to rest"
},
{
"answer": 1,
"labels": "B",
"responses": "The risk to patient safety if working whilst tired"
},
{
"answer": 3,
"labels": "C",
"responses": "Your ri... | This scenario is about maintaining a good work life balance to work effectively and provide good patient care. As a doctor, the care of the patient is your main concern (B). Your own health has to be looked after in order to provide good patient care (A). Finishing on time is suggestive of an appropriate and achievable... | Rank in order the importance of the following considerations in the management of this situation (1= Most important; 5= Least important). | null |
4 | You are working on the Surgical ward and you are about to attend theatre to observe your consultant undertake a complicated procedure. This will be a good learning opportunity for you and you anticipate being in theatre for about two hours. As you are about to leave the ward, one of the nurses tells you that a patient ... | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "Review the patient’s dose, as requested by the nurse"
},
{
"answer": 2,
"labels": "B",
"responses": "Respond to the patient’s immediate question or query"
},
{
"answer": 3,
"labels": "C",
"responses": "Attend the theatre to obse... | Preventing a potential medication error and ensuing patient harm should be the absolute first priority (A). The patient beckoning you may have a very valid and important question and therefore this should be acknowledged as a priority (B). Attending theatre is a good learning opportunity which will help you deliver bet... | Rank the order in which the following tasks should be undertaken (1= Do first; 5= Do last). | null |
5 | It is 6pm and you are clerking a patient who is to undergo an elective splenectomy the next morning. Before he left, your consultant asked you to prescribe the antibiotics and immunisations that need to be given that evening so that surgery can proceed tomorrow. You now cannot find the folder containing the pre-operati... | ranking | [
{
"answer": 2,
"labels": "A",
"responses": "Seek advice from the on-call microbiologist"
},
{
"answer": 3,
"labels": "B",
"responses": "Look in the British National Formulary* and prescribe what is suggested"
},
{
"answer": 5,
"labels": "C",
"responses": "Refer to nationa... | This question is assessing your ability to safely and responsibly clarify important clinical information and select how and where to get help. In this scenario, the antibiotics and immunisations clearly need to be administered that evening. The most logical person to contact would be a senior member of your own team wh... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
6 | You are looking after Mr Kucera who has previously been treated for prostate carcinoma. Preliminary investigations are strongly suggestive of a recurrence. As you finish taking blood from a neighbouring patient, Mr Kucera leans across and says “tell me honestly, is my cancer back? | ranking | [
{
"answer": 4,
"labels": "A",
"responses": "Explain to Mr Kucera that it is likely that his cancer has come back"
},
{
"answer": 5,
"labels": "B",
"responses": "Reassure Mr Kucera that he will be fine"
},
{
"answer": 2,
"labels": "C",
"responses": "Explain to Mr Kucera th... | This question places you in a challenging situation and explores your communication skills. It is not an FY1’s responsibility to break bad news to a patient in this context with incomplete information as the full results are not available yet. It would be most appropriate for a senior colleague to speak to Mr Kucera wi... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
7 | At your morning handover/briefing you are reminded by Infection Control* that all hospital staff should wear shirts with short sleeves. When wearing long sleeves, they must be rolled up and secured, particularly when having clinical interaction with patients. During your shift, you notice that your FY1 colleague always... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Tell Infection Control that your colleague is not complying with their policy"
},
{
"answer": 1,
"labels": "B",
"responses": "Speak directly to your FY1 colleague about your observation"
},
{
"answer": 2,
"labels": "C",
"respons... | This question is looking at your communication with team members and patient focus. All doctors have a duty to raise concerns where they believe that patient safety is being compromised by the practice of colleagues. However, doctors strive to provide the best care possible to their patients and this situation may have... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
8 | You recently discharged two patients from your ward with similar names, who had undergone similar procedures. Arrangements have been made for both patients to receive follow up care in the community. When checking the patient records, you realise that you mixed up their discharge letters and sent each letter to the wro... | ranking | [
{
"answer": 2,
"labels": "A",
"responses": "Inform the consultant of the mix up"
},
{
"answer": 3,
"labels": "B",
"responses": "Seek advice from an FY1 colleague about what you should do"
},
{
"answer": 4,
"labels": "C",
"responses": "Adjust the original letters in the pa... | Although the patients have had similar procedures, we can be sure that they are very different individuals. Their subsequent need for information and management may be very different. The mix up with the letters causes two significant problems – the potential for the occurrence of inappropriate clinical management base... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
9 | You are working on a surgical ward and are on your way to check the discharge of a postoperative patient, Joan, who is due to be transferred to a rehabilitation hospital. You have been advised by the ward manager that Joan’s bed is needed urgently for a newly arrived patient. When you arrive at Joan’s cubicle, her daug... | ranking | [
{
"answer": 3,
"labels": "A",
"responses": "Ask the ward nurse to inform the rehabilitation hospital that Joan’s condition needs assessing on arrival"
},
{
"answer": 4,
"labels": "B",
"responses": "Inform Allie that she should insist on a further review of Joan’s condition when she arriv... | This scenario is about understanding roles and responsibility, communication skills and understanding of the wider teams in the NHS. As an FY1 the roles and responsibilities include decision making with assistance. The FY1 should seek an opinion of a senior colleague, if not a consultant, when there is uncertainty whet... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
10 | You joined a new team three months ago, and you work with two specialty trainees*, Anne and Emma, and an FY2 colleague, Malakai. You notice that the team works well when Anne is present, but when Anne is on leave or absent from the workplace, Emma and Malakai become very dominant and often undermine your decisions in f... | ranking | [
{
"answer": 2,
"labels": "A",
"responses": "Seek advice from a more senior colleague on how to improve team relations"
},
{
"answer": 1,
"labels": "B",
"responses": "Discuss your concerns with all team members"
},
{
"answer": 5,
"labels": "C",
"responses": "Request to be ... | This question is about effective teamwork and how you should communicate in a professional manner with other team members if and when you feel that your contributions, decisions and confidence are being undermined. The most appropriate option is to discuss your feelings with the whole team; some team members may need t... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
11 | You work on the Breast Surgery unit. Because of recent advances in surgical techniques, inpatient stay has dropped from five days to an overnight stay. This means that you seem to spend all your time c | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Take on a position of responsibility as part of the junior doctors’ committee"
},
{
"answer": 4,
"labels": "B",
"responses": "Ask the Foundation Programme Director if you can move to work at another unit"
},
{
"answer": 1,
"labels":... | This question is about demonstrating a commitment to professionalism that benefits both yourself and patients. Asking to be scheduled for outpatient clinics and theatre sessions is an active approach to learning which also enables you to contribute and may improve the value of the post for future doctors if that activi... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
12 | It has come to the end of your shift, but you have agreed to stay on the ward for another hour due to unforeseen circumstances. A patient, Mr Griffin, is admitted to the ward from the Acute Admissions Unit* (AAU). You notice that Mr Griffin does not have a drug chart or management plan, which should have been completed... | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "Contact the AAU to discuss Mr Griffin’s management plan and drug chart"
},
{
"answer": 3,
"labels": "B",
"responses": "Ask the nurse in charge to request the management plan and drug chart from the AAU as soon as possible"
},
{
"answer"... | This question is about putting the patient first whilst understanding the extent, and boundaries, of your professional responsibilities. Contacting the admitting unit to discuss the patient’s management plan and drug chart allows you to make a clinical judgement as to whether it would be safer for the patient if you st... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
13 | You are working on a respiratory ward. This ward is attached to a nationally acclaimed academic department. There are posters advertising research projects in all patient care areas. You overhear a patient telling a relative that he is concerned that his personal information will be used in research and made available ... | ranking | [
{
"answer": 4,
"labels": "A",
"responses": "Tell a nurse what you overheard and ask if she can reassure the patient regarding his concerns"
},
{
"answer": 3,
"labels": "B",
"responses": "Ask the ward manager if communication can be provided to patients explaining that patients’ involveme... | This question is about addressing the concerns of a patient and providing reassurance. By asking the patient what his ideas and concerns are you can provide specific and relevant reassurance (C). Giving reassurance without discussion may result in you not gaining a full understanding of the patient’s concerns leading t... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
14 | It is 8am and you have just finished a busy night shift on the Acute Admissions Unit* (AAU). Mr Dean, a patient on your ward with acute renal failure, needs his blood tests to be rechecked in four hours’ time. You approach Gerard, your FY1 colleague, who is starting his shift on your ward. You attempt to hand over the ... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Stay on the ward to do Mr Dean’s blood tests yourself"
},
{
"answer": 1,
"labels": "B",
"responses": "Explain to Gerard that he is now responsible for attending to patients on the ward so should accept your handover"
},
{
"answer": 2,
... | This question is about assertiveness and ensuring the completion of tasks. Clarifying responsibilities with your colleagues enhances communication and demonstrates appropriate assertiveness (B). Handing the task to another doctor ensures the task will be completed in the patient’s best interests but would mean another ... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
15 | You are admitting a patient who does not speak fluent English for an elective operation. He does not have a translator or a relative present. You know from his notes that the patient speaks Urdu. It is apparent that his pain has worsened since his clinic appointment. You ask the patient how long he has been suffering f... | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "Ask a doctor who speaks Urdu to attempt to communicate with the patient"
},
{
"answer": 5,
"labels": "B",
"responses": "Continue trying to communicate with the patient to ask about his symptoms"
},
{
"answer": 2,
"labels": "C",
... | There are clear NHS guidelines about communicating with patients whose first language is not English; you should always consult these (e.g. on your hospital’s intranet) as an FY1. If an Urdu-speaking doctor was available, asking for assistance would be most appropriate as she/he would be communicating directly and flue... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
16 | The specialty trainee* on your ward, Dr Kitson, is a good friend of yours. She has just sent you a text saying she is running 30 minutes late for work and asks you to cover for her. One of the patients on the ward, Mr Bradley, informs you that Dr Kitson was supposed to be discharging him first thing that morning and it... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Sign Mr Bradley’s discharge paperwork yourself"
},
{
"answer": 3,
"labels": "B",
"responses": "Explain to Mr Bradley that Dr Kitson has been delayed so he may want to contact his work and let them know the situation"
},
{
"answer": 2,
... | This question is trying to ascertain your decision making as a professional who puts the patient first. An alternative senior colleague in the team who would be familiar with Mr Bradley’s case would be the most appropriate person to authorise discharge (D). If senior supervision is not available on site then it would b... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
17 | A patient, Mrs Mathews, has been admitted for investigation of abdominal pain, which her husband is aware of. You are asked to take a telephone call from him (Mr Mathews), who is asking for an update on his wife’s condition. You have just found out from a urine test that Mrs Mathews is pregnant. | ranking | [
{
"answer": 3,
"labels": "A",
"responses": "Tell Mr Mathews that he will need to speak to Mrs Mathews directly about her condition"
},
{
"answer": 1,
"labels": "B",
"responses": "Tell Mr Mathews that you would like to obtain Mrs Mathews’ permission to speak to him first"
},
{
"an... | This question is about patient confidentiality and your duty of care towards your patient while preserving their confidentiality and maintaining good communication with the patient’s family. Informing the patient’s family member that you need to seek the patient’s permission before divulging any clinical information (B... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
18 | You are on the ward round with your consultant and attend to a patient who is complaining of a severe headache and neck stiffness. Before the consultation has finished, a nurse interrupts to inform the consultant that he is needed urgently to see another patient. The consultant asks you to conduct a lumbar puncture whi... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Conduct the procedure to the best of your ability"
},
{
"answer": 2,
"labels": "B",
"responses": "Find another colleague to conduct the procedure whilst you observe"
},
{
"answer": 4,
"labels": "C",
"responses": "Telephone the n... | This question is about realising your limitations, seeking senior advice appropriately and assessing your ability to safely and responsibly manage the patient. The preferred conduct would be to inform the consultant responsible for the patient/supervising consultant and seek advice (D). The next best option is to seek ... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
19 | You are checking drugs chart on a general medical ward and you notice that the diabetes specialty trainee* has prescribed double the dose of a tablet for a patient with diabetes. You are aware that sometimes double the dose of this tablet is given to patients. The patient is stable and the specialty trainee is due on t... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Assume the dosage is correct as you know that sometimes the dose is doubled"
},
{
"answer": 1,
"labels": "B",
"responses": "Call the specialty trainee to check the dosage with him"
},
{
"answer": 4,
"labels": "C",
"responses": "... | This question is assessing how you manage issues of patient safety and how you maintain working relationships. The preferred conduct would be to contact the diabetes registrar/specialty trainee immediately and clarify the reason for the double dose. This behaviour is likely to result in the safe, simple and rapid resol... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
20 | Albert, a 70 year old patient, was admitted mid-morning to the General Medical ward where you are working. Albert was recently diagnosed with a brain tumour and has come back to hospital for further tests. When he was admitted, you advised Albert and his family that an MRI* scan would be arranged within a few hours. Th... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Inform Albert and his family that the delay is the responsibility of the radiology department"
},
{
"answer": 1,
"labels": "B",
"responses": "Apologise for the delay, listening to the family’s concerns"
},
{
"answer": 2,
"labels": "... | It is most appropriate to apologise as Albert’s family is worried about him and upset that the scan will not take place as quickly as the family was originally told (B). Explaining the cause of delay may help relatives to understand the rationale behind it, but the first step is to apologise and listen to their concern... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
21 | You and another FY1, Katrina, are working together as part of a surgical team. The ward is very busy and you are taking a blood test from a patient. You notice that Katrina has left the ward without telling you. A nurse tells you that she has gone to assist a surgeon in theatre. Katrina has had her bleeps* redirected t... | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "Contact the operating theatre to request that Katrina returns to the ward"
},
{
"answer": 2,
"labels": "B",
"responses": "Ask Katrina, when she returns to the ward, to speak to you in future when she needs to leave the ward"
},
{
"answe... | It is most appropriate to contact Katrina and ask her to return to the ward. She has not discussed this with you and has left you with an unmanageable workload (A). To address the situation in a longer term, it is appropriate to ask that she hands over to you if she is going to leave the ward especially when the ward i... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
22 | You are on your way to add a patient to an emergency theatre list urgently when a nurse approaches you and says that he is concerned about one of your patients, Mr Benn. Mr Benn’s catheter is showing a very low urine output following his surgery earlier that morning. You had already checked on Mr Benn during your ward ... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Reassure the nurse that you reviewed Mr Benn's urine output on the ward round earlier that morning"
},
{
"answer": 3,
"labels": "B",
"responses": "Go straight to Mr Benn to review his clinical condition"
},
{
"answer": 4,
"labels": ... | This is about prioritisation and delegation. Option (E) is the preferred option as it can provide more detail about recent changes. Option (D) is acceptable as urine output does not change suddenly and you are asking her to gather more data in the interim whilst you deal with the theatre list which could be crucial. Op... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
23 | You are working on a medical ward. You notice that one of your FY1 colleagues on the ward, Bashar, is not completing his assigned tasks. You often find him in the staff room on his mobile phone when he should be completing his tasks on the ward. | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Accept that it is not your place to intervene"
},
{
"answer": 3,
"labels": "B",
"responses": "Ensure that you cover any tasks Bashar fails to complete"
},
{
"answer": 4,
"labels": "C",
"responses": "Discuss this with your educat... | This is about supporting your colleague in difficulty. Option (D) is most appropriate as you have given Bashar a chance to explain and also you find out the real reason giving you an opportunity to rectify and support your colleague in difficulty. Option (E) is less appropriate than (D) in the first instance but this w... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
24 | You are an FY1 working on a general medical ward. As you return to the ward from your break you overhear your FY1 colleague, Clare, speaking to one of the healthcare assistants, Melissa, in the corridor. Clare tells Melissa angrily that she needs to improve her skills if she is ever to be any good at her job. Melissa l... | ranking | [
{
"answer": 4,
"labels": "A",
"responses": "Melissa needs to learn to accept feedback from other members of the team"
},
{
"answer": 5,
"labels": "B",
"responses": "It is not your responsibility to speak to Clare about her behaviour"
},
{
"answer": 1,
"labels": "C",
"resp... | This situation is a familiar one to doctors working in teams and busy, stressful clinical areas. The first step is to determine your reaction to this event and it is clear that your colleague should not be speaking to a member of the team in this manner (C). In doing this, you form a judgement on the accountabilities f... | Rank in order the extent to which you agree with the following statements in this situation (1= Most agree with; 5= Least agree with). | null |
25 | One of the FY1 doctors working in your team, Haman, had a seizure whilst at a social event that you attended a few days ago. You have known him for some time and are aware that he is on medication for epilepsy. Today another FY1 colleague, who also knows about Haman’s medical condition, tells you that she saw Haman dri... | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "Advise your FY1 colleague to speak to Haman about what she observed"
},
{
"answer": 2,
"labels": "B",
"responses": "Advise your FY1 colleague to seek advice from a senior colleague"
},
{
"answer": 3,
"labels": "C",
"responses": ... | As your colleague saw Haman driving it is the colleague’s duty to act. They have directly witnessed the driving and therefore are in a better position to describe what they saw. In the first instance it is better that Haman is given the opportunity to act and this is why Option (A) is a better answer than (B). Option (... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
26 | You are on duty at night and see a patient, Mrs Penn. Mrs Penn has developed sudden shortness of breath and signs consistent with acute pulmonary oedema. You have managed this condition successfully before. However, the nurse in charge of the ward wants you to call the specialty trainee* to come to see Mrs Penn. You ar... | ranking | [
{
"answer": 3,
"labels": "A",
"responses": "Explain to the nurse that you have managed this condition before and can care for Mrs Penn"
},
{
"answer": 1,
"labels": "B",
"responses": "Make an initial assessment of the patient, administer appropriate treatment and then inform the specialty... | This question is about providing good patient care while working appropriately as a member of a multi-disciplinary team. Initiating treatment and then seeking advice about how to escalate if needed ensures that the patient gets help in a timely fashion (B). Seeking telephone advice from a senior doctor increases the co... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
27 | Mr Farmer has been a patient on the ward for six months; he has a tracheostomy and he breathes with the aid of a ventilator following a traumatic brain injury. As you make your rounds, you notice Mr Farmer appears to be experiencing breathing problems. Both the consultant and specialty trainee* are dealing with a patie... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Call the crash team to attend to Mr Farmer as a matter of urgency"
},
{
"answer": 3,
"labels": "B",
"responses": "Seek advice from the physiotherapy team who are on the ward and have experience in managing Mr Farmer’s case"
},
{
"answer... | This question is assessing your ability to make appropriate decisions in a pressurised situation. It is important to assess Mr Farmer’s status immediately. The ward nurse is most likely to be the health professional available to help and have the skills, knowledge and ability to access help if needed. It is important n... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
28 | You are working on an elderly care ward. During the ward round, your consultant asks you to request a CT* scan for Mrs Roberts. You overhear the specialty trainee* saying to another colleague that there is no indication that a CT scan is needed for Mrs Roberts and that it is inappropriate to request one. The consultant... | ranking | [
{
"answer": 3,
"labels": "A",
"responses": "Request the CT scan, as asked by your consultant"
},
{
"answer": 4,
"labels": "B",
"responses": "Discuss the case and difference of opinion with the consultant radiologist"
},
{
"answer": 1,
"labels": "C",
"responses": "Discuss ... | This question is about ensuring good patient care while dealing with conflict within a team. A discussion about the reasons for the CT scan will mean that the request form can be completed accurately and the most information gained from the scan. It will also allow differing views within the team to be explored (C). A ... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
29 | During a consultant ward round, you see a patient who needs to undergo a minor operation. The consultant asks the specialty trainee* to obtain consent, which he does. Later the nurse tells you that she is concerned because the patient does not seem to understand fully what is happening to him, although he is aware he i... | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "Check the patient’s understanding of the operation"
},
{
"answer": 5,
"labels": "B",
"responses": "Advise the patient to withdraw his consent until he has further details of the operation"
},
{
"answer": 4,
"labels": "C",
"respo... | This question involves knowledge of the mental capacity act: in brief to give informed consent the patient should be able to understand the information, retain the information, use or weigh the information and be able to communicate the information. By checking the patient’s understanding of the operation (A) you could... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
30 | A locum senior doctor* has asked you to prescribe a drug for a patient, Mr Singh. You have seen on Mr Singh’s charts that he is allergic to a similar drug and you are concerned that a reaction may occur if you prescribe the suggested drug. The locum doctor does not know the patients on the ward well and recently reacte... | ranking | [
{
"answer": 2,
"labels": "A",
"responses": "Speak with the on-call pharmacist about whether you should prescribe the drug to Mr Singh"
},
{
"answer": 1,
"labels": "B",
"responses": "Explain to the locum doctor that you are concerned about prescribing the drug to Mr Singh"
},
{
"a... | This question is about acting in the best interests of the patient and patient safety. If you have concerns regarding a drug you have been asked to prescribe then you should highlight it to the doctor who has asked you to prescribe it (B). If you are unsure if there is a reaction then speaking to the on-call pharmacist... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
31 | It is 8am and you are beginning a New Year’s Day shift. A fellow FY1 colleague has called in sick for the same shift; stating that she has food poisoning. The following day you learn that your absent colleague had posted pictures on a social networking site from a New Year’s Eve party that she had attended the night be... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Make other colleagues on the rota aware of the photos from the party"
},
{
"answer": 3,
"labels": "B",
"responses": "Suggest to your FY1 colleague that she remove the photos from the social networking site"
},
{
"answer": 2,
"labels... | This question is assessing your ability to work effectively in a team and act in a professional manner. Respect for colleagues is important and there may well be a good explanation for her absence. Indeed she may have got food poisoning at the party; therefore asking your colleague for an explanation is an appropriate ... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
32 | You are working on a care of the elderly ward. Mrs Singh is dying and her family have requested a single room to provide her with some privacy. Another patient, Mr Green is currently in a single room but is well enough to be moved to the four-bed ward. All other single rooms are occupied with patients that cannot be mo... | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "Mrs Singh and her family have a right to privacy"
},
{
"answer": 2,
"labels": "B",
"responses": "That another single room is unlikely to become available in the near future"
},
{
"answer": 5,
"labels": "C",
"responses": "That Mr... | This question is all about the most appropriate allocation of resources on the ward. Maintaining the dignity and privacy of a patient is always a priority and promoting this is the focus of the question for both patients involved. Mrs Sobic has a greater medical and social need and recognising her right to privacy is t... | Rank in order the importance of the following considerations in the management of this situation (1= Most important; 5= Least important) | null |
33 | You work on a busy ward with an FY1 colleague. There are many tasks to be completed and the specialty trainee* has said that you and your colleague can go home once the tasks are complete. You have nearly completed your tasks when you are called to another ward on the other side of the hospital. Your FY1 colleague sugg... | ranking | [
{
"answer": 2,
"labels": "A",
"responses": "Continue to telephone your ward until someone answers"
},
{
"answer": 3,
"labels": "B",
"responses": "Ask a nurse to contact your ward to say that you have gone home"
},
{
"answer": 4,
"labels": "C",
"responses": "Send a text me... | This question is about practicalities of safe hospital working. Particularly ensuring the clearest form of communication possible, that ward jobs are not missed and keeping patients under your care safe and uncompromised when you leave. Having failed to obtain an answer from the ward by phone, going to the ward would b... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
34 | Your consultant has to attend to a patient on another ward. In her absence she asks you to liaise with the radiology department to arrange an urgent CT* scan for Mrs Lewis. You request to book the test but are contacted by the radiologist a few hours later. He informs you that he has rejected your request on the basis ... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Send the CT scan request to another radiologist"
},
{
"answer": 1,
"labels": "B",
"responses": "Ask the radiologist to explain in more detail what was missing from the request"
},
{
"answer": 2,
"labels": "C",
"responses": "Ask ... | Patient care is of prime importance and this question assesses your ability to make the right decisions to support this. The most appropriate route to obtaining a scan is via a radiologist, therefore talking to them is the most appropriate action. You are likely to also gain important learning for subsequent patient ca... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
35 | Mr Reese has end-stage respiratory failure and needs continuous oxygen therapy. While you are taking an arterial blood gas sample, he confides in you that he knows he is dying and he really wants to die at home. He has not told anyone else about this as he thinks it will upset his family, and the nursing staff who are ... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Tell Mr Reese that whilst he is on oxygen therapy he will need to stay in hospital"
},
{
"answer": 1,
"labels": "B",
"responses": "Reassure Mr Reese that the team will take account of his wishes"
},
{
"answer": 2,
"labels": "C",
... | This question is focusing on effective communication with patients. Ensuring that patients’ informed wishes are met in relation to their care is central to your approach to patient care and this needs to be communicated to the patient in a reassuring manner even in situations relating to end of life care (B).These wish... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
36 | You and another FY1, Robert, are working together on a hospital ward and are sharing ward tasks. After a couple of weeks, it becomes clear that Robert has been taking most of the quicker and easier tasks, and has been leaving you with longer and more difficult tasks. This has allowed Robert to spend additional time col... | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "Speak with Robert about your concerns regarding the distribution of work tasks"
},
{
"answer": 2,
"labels": "B",
"responses": "Discuss the distribution of work tasks with your educational supervisor"
},
{
"answer": 5,
"labels": "C",... | This question is all about team working and equity of workload. Discussing directly with your colleague is the most appropriate answer as they may be unaware of your perception. Speaking directly allows your colleague to reflect on their behaviour whilst attempting to resolve this informally (A). Discussion with your e... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
37 | At the end of your shift you ordered a blood test and CT* scan for one of your patients, Mrs Tao, who was complaining of feeling faint and confused following surgery. The investigation results need to be reviewed tonight, otherwise Mrs Tao’s treatment may be delayed. You have just arrived home and realise you forgot to... | ranking | [
{
"answer": 2,
"labels": "A",
"responses": "Telephone the ward nursing staff and ask them to get the FY1 taking over your shift to look up the investigation results"
},
{
"answer": 1,
"labels": "B",
"responses": "Contact the on-call specialty trainee* and explain the situation"
},
{
... | This question is all about putting the patient first whilst understanding the extent, and boundaries, of your professional responsibilities. Contacting the on-call registrar/specialty trainee to explain the situation enables you to ensure that the patient will be looked after, with reliable handover of the problem (B).... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
38 | A patient with a complex medical history dies on the ward after a prolonged period of investigation and treatment. Although enough is known to be able to complete a death certificate, your consultant is keen to arrange a post-mortem to find out more. He gains the consent of the patient’s family for this. However, short... | ranking | [
{
"answer": 2,
"labels": "A",
"responses": "Refer the family’s request back to your consultant and ask him to speak to them again"
},
{
"answer": 4,
"labels": "B",
"responses": "Ask your consultant for his reasons for requesting the post-mortem"
},
{
"answer": 3,
"labels": "C... | This question is assessing how you respond to the pressure of a stressful situation and communicate effectively in doing so. This is likely to be a very upsetting time for the family and you should respond sensitively to the needs of the bereaved (D). Whilst the medical profession is always keen to learn from practice,... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
39 | You are working on a busy surgical ward and are on your way to speak to a patient on another ward about their elective surgery. Mrs Hill, who is the wife of one of your patients, approaches you. She tells you that her husband was meant to be discharged today but that no-one seems to be doing anything. She is very upset... | ranking | [
{
"answer": 3,
"labels": "A",
"responses": "Ask your specialty trainee* to explain to Mrs Hill why her husband is not being discharged today"
},
{
"answer": 4,
"labels": "B",
"responses": "Tell Mrs Hill that you will speak to her when you return to the ward"
},
{
"answer": 2,
... | This question is about professional attitudes to relatives/ carers and good communication skills. As long as the patient on the other ward is not ill then you should apologise for any confusion caused around the discharge plans and explain to Mrs Hill and her husband why the discharge has been cancelled (D). As Mrs Hil... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
40 | It is 5pm and you are on-call. A nurse from another ward brings you a prescription chart. She tells you that one of her patients has not opened her bowels for five days and, because of this, is very uncomfortable and disturbing other patients. She asks you to sign a laxative prescription as the FY1 doctor on her ward h... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Agree to prescribe a laxative"
},
{
"answer": 2,
"labels": "B",
"responses": "Attend to the patient and make an assessment"
},
{
"answer": 4,
"labels": "C",
"responses": "Explain to the nurse that if another doctor has told her ... | This question is about ensuring the best possible care for the patient, with appropriate attention to safety. Speaking to the other FY1 doctor about why he refused to prescribe a laxative (D) is likely to provide relevant background information, of which you may have been unaware. It is safe practice to assess the pati... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
41 | You work on a ward with a nurse, Suzanne, who is also your friend. Suzanne’s mother, Belinda, is a hospital outpatient, whom you have examined previously. Following a discussion with the consultant, you are aware that the results of Belinda’s recent CT* scan suggest pancreatic cancer. The consultant told you that he ha... | ranking | [
{
"answer": 3,
"labels": "A",
"responses": "Explore with Suzanne any anxiety she may have about her mother’s results"
},
{
"answer": 5,
"labels": "B",
"responses": "Confirm the results, advising Suzanne not to tell her mother before the meeting"
},
{
"answer": 1,
"labels": "C... | This question is about confidentiality. It is our duty as doctors to respect confidentiality of all our patients. Breaking confidentiality is a serious error, and could lead to disciplinary action by the General Medical Council. Reminding Suzanne of the requirement for confidentiality (C) is the most appropriate option... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
42 | A pharmacist approaches you on the ward and queries the dose prescribed to a patient. The dose is twice the normal dosage for that particular drug. You know that the drug was prescribed by the consultant, but do not know the reason why. The pharmacist explains that he has seen the dose prescribed at that level for part... | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "Telephone the consultant to find out the reason why the dose is higher than normal"
},
{
"answer": 2,
"labels": "B",
"responses": "Explain to the pharmacist that you do not know why the dose is higher and politely request that he checks with th... | This question is about putting the patient’s safety first and understanding the responsibility that comes with prescribing. The ultimate responsibility for any drug or device lies with the prescriber/user and therefore any queries should be posed directly to this individual. Rather than being worried about what may app... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
43 | You are working on the ward with a nurse, Penny, when you observe that she is not completing hygiene procedures correctly. You have seen Penny check dressings without putting on gloves and neglecting to use hand disinfectant before entering the ward. Penny is a senior nurse with many years of experience. | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "The risk to patient safety if correct hygiene procedures are not followed"
},
{
"answer": 3,
"labels": "B",
"responses": "Patients’ potential anxiety if they notice that she is neglecting to use gloves and hand disinfectant"
},
{
"answe... | This question is about putting patient care first and making this the first priority for every member of the multi-disciplinary team (MDT)*. Hand washing and infection-control policies are evidence-based and are set to ensure that iatrogenic harm to patients is minimised (A). It is important to always maintain the high... | Rank in order the importance of the following considerations in the management of this situation (1= Most important; 5= Least important). | null |
44 | You are working on a weekend and are providing cover for two other wards in additional to your usual ward. You are due to finish in 15 minutes. You are contacted by a nurse from one of the other wards, James, who asks you to speak to the relatives of Elizabeth, a patient who has recently been diagnosed with cancer. Jam... | ranking | [
{
"answer": 2,
"labels": "A",
"responses": "The risk of miscommunication with the family as you are unfamiliar with the patient, her diagnosis and management plan"
},
{
"answer": 4,
"labels": "B",
"responses": "The potential conflict with James that will be caused if you do not comply wi... | This question is about the various aspects of your responsibility towards the care of your patient, Elizabeth. The requirement for confidentiality (D) must be the highest priority. Speaking directly to Elizabeth, and asking her permission to disclose information to her relatives, will ensure that confidentiality is not... | Rank in order the importance of the following considerations in the management of this situation (1= Most important; 5= Least important). | null |
45 | You are just finishing a busy shift on the Acute Admissions Unit* (AAU). Your FY1 colleague who is due to replace you for the evening shift leaves a message with the nurse in charge that she will be 15 to 30 minutes late. There is only a 30 minute overlap between your timetables to handover to your colleague. You need ... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Make a list of the patients under your care on the AAU, detailing their outstanding issues, leaving this in the doctors’ office when your shift ends and then leave at the end of your shift"
},
{
"answer": 4,
"labels": "B",
"responses": "Quickly... | This question asks you to demonstrate your commitment to patient care. Although it is not appropriate for trainees to stay for an extensive period of time after their shift ends, or do this on a regular basis, staying an extra 30 minutes on this occasion is important to ensure an effective handover (E). It is more appr... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
46 | On a ward round, the specialty trainee* tells you to write a drug prescription for a patient, Mrs Smith. Before prescribing the drug, you realise that this medicine is contra-indicated with Mrs Smith’s other treatments. The specialty trainee has now left the ward. | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Write up the drug as requested but omit the start date for the drug until you are able to speak to the specialty trainee"
},
{
"answer": 2,
"labels": "B",
"responses": "Ask another senior colleague for advice on whether a different drug should ... | This question is assessing how you manage issues of patient safety and how you maintain working relationships. The preferred conduct would be to contact the registrar/specialty trainee (E). This behaviour is likely to result in the safe, simple and rapid resolution of the problem. It will also provide feedback to the r... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
47 | You have been working on the surgical team for four weeks. One of the nurses, Jill, has undermined your decisions several times, and has twice called you incompetent in front of patients and staff. You have mainly ignored Jill’s comments, though you did try to speak to her once about your concerns without success. More... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Continue to ignore Jill’s comments"
},
{
"answer": 3,
"labels": "B",
"responses": "Inform the nurse in charge about Jill’s comments"
},
{
"answer": 4,
"labels": "C",
"responses": "Find Jill when she is on a break and ask what he... | This question is about working relationships among healthcare professionals. Every member of the multi-disciplinary team has a duty not to undermine colleagues. Such behaviour is destructive to individual professionals, and also destructive to the relationship of trust between patient and carer. Jill is behaving unprof... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
48 | You are an FY1 doctor working in the Emergency Department. A 48 year old patient presents with an ankle injury. He is intoxicated, loud and demands immediate medical treatment. There are four patients waiting ahead of him. He is upsetting the other patients and at one point, threatens another patient with physical viol... | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Ask one of the nurses to try and calm the patient down"
},
{
"answer": 1,
"labels": "B",
"responses": "Call security for assistance"
},
{
"answer": 1,
"labels": "C",
"responses": "Tell the patient that his behaviour is inappropr... | This question asks you to make decisions in a stressful situation that ensure safety and are communicated effectively. Violence against patients and healthcare professionals is not acceptable. Staff and patients should be protected and hospital security can offer assistance (B). Other staff should not be asked to confr... | Choose the THREE most appropriate actions to take in this situation. | null |
49 | At lunch an FY1 colleague bursts into tears. She says she feels she is not coping with the job. She thinks that her consultant is too demanding and the nurses are annoyed because she is not keeping up with the workload. | multiple choice | [
{
"answer": 1,
"labels": "A",
"responses": "Talk to her about the circumstances of her distress"
},
{
"answer": 1,
"labels": "B",
"responses": "Suggest she discusses the issues with her specialty trainee*"
},
{
"answer": 0,
"labels": "C",
"responses": "Advise her to take ... | The situation is only described in brief and is likely to be very complicated. It assesses how you work with colleagues and your communication skills. Spending time talking with a colleague can offer much clearer insight as well as often being therapeutic in its own right (A). Similarly, advising talking to a more seni... | Choose the THREE most appropriate actions to take in this situation. | null |
50 | You are on a busy colorectal team and regularly need to work late to complete all of your tasks. Your FY1 colleague, Jenny, works on the breast team and usually finishes all her jobs by lunchtime. You have 20 new patients this morning and a long list of jobs, including checking blood results. You will need to work late... | multiple choice | [
{
"answer": 1,
"labels": "A",
"responses": "Ask Jenny if she would mind helping you today"
},
{
"answer": 1,
"labels": "B",
"responses": "Inform your specialty trainee in theatre that you are extremely busy and need some help"
},
{
"answer": 0,
"labels": "C",
"responses":... | This question looks at your team working, communication and planning skills. The first priority is to ensure delivery of care to the patients you have been allocated. Workloads vary and there will be occasions when colleagues should help each other out (A). In addition it is also important that your team is aware of ho... | Choose the THREE most appropriate actions to take in this situation. | null |
51 | A confused patient has intra-abdominal infection and acute renal failure after a procedure. Instructions to the nursing staff are clearly written in the notes regarding what action to take in response to a change in the patient’s urine output. On the morning ward round, you find these instructions were not followed by ... | multiple choice | [
{
"answer": 1,
"labels": "A",
"responses": "Inform the nurse in charge of the ward of the incident"
},
{
"answer": 0,
"labels": "B",
"responses": "Explain to the patient that there was an error with the management of her condition"
},
{
"answer": 1,
"labels": "C",
"respon... | This question assesses your ability to work well in a team and communicate effectively. Senior nursing and medical staff need to be aware of the incident so that the incident can be logged, investigated and any action taken (A, C). Instructions had been formulated so it needs clarification as to whether these were comm... | Choose the THREE most appropriate actions to take in this situation. | null |
52 | You are walking through your ward when you notice that a patient has two tablets in his hands that he is about to consume. The medication was prescribed to him earlier this morning and his case notes clearly state ‘take one tablet twice daily’. The patient in question does not speak English | multiple choice | [
{
"answer": 1,
"labels": "A",
"responses": "Arrange for a translator to ask the patient if he knows how he is supposed to take the medication"
},
{
"answer": 1,
"labels": "B",
"responses": "Prevent him from taking both tablets now"
},
{
"answer": 0,
"labels": "C",
"respon... | This question looks at communication with patients and your ability to make sensitive decisions. Every patient should be offered a translator wherever possible. It is morally and ethically imperative that patients understand the medical information that is given to them (A). Preventing the patient from taking both tabl... | Choose the THREE most appropriate actions to take in this situation. | null |
53 | You are working on a surgical ward and have been asked by the consultant to do a number of tasks: blood from four patients; chase up results from the ward patients and also from patients in yesterday’s clinic; and to sort out infusion prescriptions for two patients due in this morning. You are approximately half way th... | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Explain to your consultant that it is unrealistic to expect all of the tasks to be completed by now"
},
{
"answer": 1,
"labels": "B",
"responses": "Tell the consultant that the tasks will be completed as soon as possible"
},
{
"answer":... | This question is about your professionalism and your communication skills. It is important to communicate with your consultant, making it clear what you have done and to reassure them that you are completing tasks efficiently and will complete them as soon as you are able (B, C). This discussion should be done in a pro... | Choose the THREE most appropriate actions to take in this situation. | null |
54 | You have just started your shift. You have not met one of the patients, Mrs Gordon but you know from the handover that she is being treated for a fractured knee and is recovering well. Her husband has noticed that she has lots of bruising around her knee. He angrily approaches you claiming her doctor is not doing her j... | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Ask a senior colleague to speak to Mr Gordon"
},
{
"answer": 0,
"labels": "B",
"responses": "Ask the nurse who has been caring for Mrs Gordon to speak with him"
},
{
"answer": 0,
"labels": "C",
"responses": "Ask Mr Gordon to low... | This question examines your professionalism, communication and empathy. The priorities in this scenario are clearly excluding any new medical pathology (H) and being open, honest and attentive to Mr Gordon’s concerns. Angry patients are often just scared, upset and afraid. Mr Gordon needs to know that you are not his w... | Choose the THREE most appropriate actions to take in this situation. | null |
55 | You have worked on a ward with another FY1 colleague, Ben, for the last three weeks. You have noticed that Ben seems to avoid writing prescriptions and filling in drug charts. The nurses appear to be getting frustrated with Ben because of this. When you speak to Ben about it, he tells you that he is dyslexic but has no... | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Make the nursing staff aware of the situation"
},
{
"answer": 0,
"labels": "B",
"responses": "Check all the drug charts and prescriptions Ben has recently written"
},
{
"answer": 1,
"labels": "C",
"responses": "Explain to Ben th... | This question asks you to make professional and patient-focused decisions. This is indeed a potential safety issue, although it should have been picked up before applying to the Foundation Programme. Ben really should discuss this with a senior colleague himself and you have a duty to the patients, and to him, to do so... | Choose the THREE most appropriate actions to take in this situation. | null |
56 | You have been prescribed codeine for persistent back pain which has become worse in the last few weeks. You have noticed that during shifts you are becoming increasingly tired, finding it difficult to concentrate and your performance, as a result, has been less effective. | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Ask a colleague to assist with your workload until you finish your codeine prescription"
},
{
"answer": 0,
"labels": "B",
"responses": "Make an effort to increase the number of breaks during your next shift"
},
{
"answer": 0,
"label... | This question looks at how you demonstrate commitment to professionalism and selfawareness. The essential problem is that as an FY1 doctor the level of your clinical performance is dropping. This constitutes a risk to the patients you are caring for and will impose a greater workload on your colleagues. In this circums... | Choose the THREE most appropriate actions to take in this situation. | null |
57 | You become aware that one of your FY1 colleagues, Daniel, is consistently not doing his fair share of the ward work. His night shift colleague has told you that he leaves much of the routine work for her and provides poor handover information. However, he is personally very likeable and always performs jobs diligently ... | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Discuss Daniel’s behaviour with his clinical supervisor*"
},
{
"answer": 0,
"labels": "B",
"responses": "Suggest to the nursing staff that they ask Daniel directly to complete the routine work"
},
{
"answer": 1,
"labels": "C",
"... | This question assesses how you manage your professional working relationships and with suboptimal conduct of your colleagues. The most appropriate action is to discuss the issues with Daniel himself (C). Alongside this, it would also be appropriate to offer to help him with his handover (E) as you are therefore attempt... | Choose the THREE most appropriate actions to take in this situation. | null |
58 | You are working in the Emergency Department (ED). Mrs Gersbach, a 65 year old female patient, is admitted with chest pain. This is her fifth attendance with chest pain in the last two weeks. She has been extensively investigated over this time, and a cardiologist has documented that all investigations have been normal ... | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Admit Mrs Gersbach to the Acute Admissions Unit* (AAU) for further investigations"
},
{
"answer": 0,
"labels": "B",
"responses": "Write to Mrs Gersbach’s GP*, asking her to dissuade Mrs Gersbach from attending the ED"
},
{
"answer": 0,
... | It is always appropriate to reassure patients (D) who are concerned. It is also appropriate for a senior colleague to speak with Mrs Gersbach (E) in order to provide additional reassurance, and to ensure that there are no new causes for concern in her diagnosis. Eliciting the true cause of repeated attendance (F) will ... | Choose the THREE most appropriate actions to take in this situation. | null |
59 | An FY1 colleague, Lewis, arrives late into work on a frequent basis. You think you may have smelt alcohol on his breath previously, but were not sure. This morning Lewis smells strongly of alcohol and is unsteady when walking. | multiple choice | [
{
"answer": 1,
"labels": "A",
"responses": "Ask Lewis if he has been drinking alcohol"
},
{
"answer": 1,
"labels": "B",
"responses": "Tell Lewis that he should go home immediately if he is unfit to work"
},
{
"answer": 0,
"labels": "C",
"responses": "Inform the consultant... | The suspicion that your colleague has been drinking alcohol is strong, and this should be confirmed first-hand (A). Your first concern should be for the patients under his care, so it is essential that he does not remain at work if his judgement and ability are impaired (B). It is also appropriate to ask for senior hel... | Choose the THREE most appropriate actions to take in this situation. | null |
60 | You are in the canteen and are joined by an FY1 colleague, Amadi, who is not on shift. Amadi tells you that his girlfriend was involved in a serious road accident last week and is now in the Intensive Care Unit* (ICU). He tells you that he is very stressed and has barely slept in the last week. He thinks that he is goi... | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Advise Amadi to see his GP*"
},
{
"answer": 0,
"labels": "B",
"responses": "Suggest to Amadi that sleeping tablets may help"
},
{
"answer": 0,
"labels": "C",
"responses": "Advise Amadi to contact the Trust’s counselling service"... | There are two aspects here: the first is the duty of care and compassion towards a colleague in a time of difficulty; the second is a duty of care towards patients in recognising a colleague who is unlikely to be able to fulfil their duties adequately and safely. Option (D) is clearly appropriate in that the situation ... | Choose the THREE most appropriate actions to take in this situation. | null |
61 | You are treating Mrs Taylor for a urinary infection. You receive the antibiotic sensitivity results. You inform your consultant that the E coli causing Mrs Taylor’s urinary infection is sensitive to amoxicillin. As a result, this antibiotic is then started. You realise later that day that you have misread the result an... | multiple choice | [
{
"answer": 1,
"labels": "A",
"responses": "Inform your consultant of the correct result"
},
{
"answer": 0,
"labels": "B",
"responses": "Record the incident as a learning point in your learning portfolio*"
},
{
"answer": 0,
"labels": "C",
"responses": "Contact microbiolog... | This question asks you to make decisions that demonstrate your professionalism. Your consultant might want to know that a change to the management is required, and the patient needs to know that an error (albeit minor) has occurred (A, D). Changing the antibiotic is required to treat the patient (F). Repeating the urin... | Choose the THREE most appropriate actions to take in this situation. | null |
62 | You review a patient on the surgical ward who has had an appendicectomy done earlier on the day. You write a prescription for strong painkillers. The staff nurse challenges your decision and refuses to give the medication to the patient. | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Instruct the nurse to give the medication to the patient"
},
{
"answer": 1,
"labels": "B",
"responses": "Discuss with the nurse why she disagrees with the prescription"
},
{
"answer": 1,
"labels": "C",
"responses": "Ask a senior... | Ensuring patient safety is key to this scenario. It is important to discuss the nurse’s decision with her as there may be something that you have missed when first reviewing the patient (B). Therefore it would also be important to review the patient again (H). Also relating to this is the importance of respecting the v... | Choose the THREE most appropriate actions to take in this situation. | null |
63 | You have been approached by an FY1 colleague, James, who has been on shifts with another FY1 doctor, Mark, for the last two weeks. James tells you that Mark has become increasingly careless in monitoring and documenting patient records. On three occasions, James tells you that he has found Mark asleep in the common roo... | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Tell James that you have never witnessed such behaviour from Mark"
},
{
"answer": 1,
"labels": "B",
"responses": "Suggest to James that he speaks to Mark directly about his concerns"
},
{
"answer": 0,
"labels": "C",
"responses":... | This scenario presents a number of conflicts between professional and personal concerns. James should speak directly to Mark about his concerns (B). James has a professional duty to share his concerns with a senior colleague (G), and must do so immediately if he has evidence of patient safety concerns (H). It will be i... | Choose the THREE most appropriate actions to take in this situation. | null |
64 | It is the end of your shift and on your way out of the ward you remind one of the nurses that Mr Baker, who has been admitted to the hospital with chest pains, needs his blood taken within the hour for cardiac markers. The nurse tells you that the ward has now got very busy so Mr Baker will have to wait. She is very ab... | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Ask the nurse for further details about the other urgent tasks that need to be completed on the ward"
},
{
"answer": 1,
"labels": "B",
"responses": "Ask the FY1 taking over your shift to take Mr Baker’s blood"
},
{
"answer": 1,
"lab... | This question looks at your communication skills. The first priority is that the patient is looked after, so asking a colleague on duty to do this is appropriate (B). Having said this, the underlying cause needs to be addressed after some information gathering (C), which can then be transmitted to the nurse sensitively... | Choose the THREE most appropriate actions to take in this situation. | null |
65 | You are working on a busy medical ward and you have one hour left of your shift. During that time you have to complete paperwork, which will take approximately 45 minutes, and see three patients who may take 15 minutes each. A healthcare assistant asks you to speak to a relative of a patient on the ward, who has called... | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Ask a nurse on the ward to assist you with seeing the patients"
},
{
"answer": 1,
"labels": "B",
"responses": "Ask the healthcare assistant if he or she can ask a nurse who knows the patient to speak with the relative"
},
{
"answer": 0,... | The issue here is the recognition of priorities. There is a clear distinction between clinical and operational priorities. Paperwork is part of the latter. Reviewing patients is the priority before handing over. Option (B) is appropriate as it appropriately deflects this new additional demand on your time. Option (D) i... | Choose the THREE most appropriate actions to take in this situation. | null |
66 | You are reading some medical magazines in the hospital canteen, whilst on a break. In one magazine, you come across an advertisement for private specialist services bearing the picture and name of Simon, a fellow FY1. You are aware that providing such services is not allowed for FY1 doctors as full registration has not... | multiple choice | [
{
"answer": 1,
"labels": "A",
"responses": "Suggest to Simon that he tells his educational supervisor* about the advertisement"
},
{
"answer": 1,
"labels": "B",
"responses": "Suggest to Simon that he stops providing this service immediately"
},
{
"answer": 0,
"labels": "C",
... | This question looks at dealing with a colleague in difficulty. It is not your role as a fellow junior doctor to deal with this problem on your own and it is important that Simon seeks help and advice from a senior colleague (A). It is important to let Simon know that it would be best to stop providing this service imme... | Choose the THREE most appropriate actions to take in this situation. | null |
67 | During a ward round, your consultant loses his temper and shouts at the other FY1 doctor on your team for not having ordered blood tests for a patient. This incident is overheard by the patient concerned, the nursing staff and the rest of the medical team. | multiple choice | [
{
"answer": 1,
"labels": "A",
"responses": "Once away from the bedside suggest to the consultant that the situation felt uncomfortable and you were worried that the patient had been upset"
},
{
"answer": 0,
"labels": "B",
"responses": "Tell the consultant later in private that you think ... | This question deals with communication issues. Patient care is the most important thing and as such you do have a duty to initiate further discussion and this is best done in a nonconfrontational manner (A). It is important that the FY1 involved with the issue is provided with someone to discuss the incident with, to f... | Choose the THREE most appropriate actions to take in this situation. | null |
68 | You are reviewing one of your patients, Mrs Hobbs, who is on your ward being treated for an infection in her toe. During a routine examination, you notice that in Mrs Hobbs’ drug chart the FY2 has prescribed her penicillin and the administration is due in 45 minutes’ time. You remember your consultant informing you ear... | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Inform the FY2 that they have made an error"
},
{
"answer": 1,
"labels": "B",
"responses": "Cross out the prescription on Mrs Hobbs’ drug chart, dating and initialling the amendment"
},
{
"answer": 0,
"labels": "C",
"responses":... | In this situation you have spotted a possible prescribing error with the potential to result in a fatality or serious injury. Your first duty is to ensure that this danger is eradicated (B). The next priority is to try and establish the facts of the matter by taking a history from the patient (F) and looking for furthe... | Choose the THREE most appropriate actions to take in this situation. | null |
69 | A 45 year old alcoholic is admitted in the afternoon with delirium tremens after stopping drinking two days previously. During the night, you are called to see him as he has become very aggressive and is demanding to be allowed home. As you arrive on the ward he punches one of the nurses. He is confused, shouting and t... | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Prescribe extra sedation for the patient"
},
{
"answer": 1,
"labels": "B",
"responses": "Ask the nursing staff to call hospital security"
},
{
"answer": 1,
"labels": "C",
"responses": "Attempt to talk to the patient to try and c... | This question assesses your ability to cope with pressure and ensure the safety of yourself and other patients. Violence against health professionals (and patients) is not acceptable, but for this patient it is in the context of delirium tremens, in which the patient is confused and agitated, so he would not have insig... | Choose the THREE most appropriate actions to take in this situation. | null |
70 | You share the responsibility for the patients on the Cardiology ward with your FY1 colleague, Sam. He has previously confided in you that he is finding his FY1 role very difficult. It is the end of Sam’s shift and he informs you that he has been unable to complete all his tasks and once again passes them on to you to f... | multiple choice | [
{
"answer": 0,
"labels": "A",
"responses": "Speak to your fellow FY1s to see whether they think that his conduct is acceptable"
},
{
"answer": 1,
"labels": "B",
"responses": "Suggest to Sam that he may want to discuss his difficulties with his clinical supervisor*"
},
{
"answer":... | This question deals with a colleague in difficulty. It is appropriate that you guide Sam to speak to his clinical supervisor to discuss these issues (B). It is important that patient care does not suffer and so it is appropriate that you suggest to Sam an alternative approach to ensuring completion of the urgent tasks ... | Choose the THREE most appropriate actions to take in this situation. | null |
1 | You are attending to Harry, an 89 year old long-term patient requiring palliative care. It has been recorded in Harry’s medical notes that he will be transferred from the hospital to a nursing home within the next few days and he has agreed to this management plan. Later on during the day, Harry informs you that he has... | ranking | [
{
"answer": 4,
"labels": "A",
"responses": "Explain to Harry that a nursing home is better suited to his needs"
},
{
"answer": 1,
"labels": "B",
"responses": "Ask Harry why he has changed his mind"
},
{
"answer": 5,
"labels": "C",
"responses": "Explain to Harry that the n... | This question is about maintaining the patient as the central focus of care and hence the first thing that should be done is to understand why Harry has changed his mind (B). It would be important to understand his situation and this should be the priority, which may also inform any future action. It would be important... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
2 | Mrs Jenson has arthritis and works in the pharmaceutical industry. She appears very well informed about her arthritis medication. She tells you that she can show you evidence that using double the recommended dose of her current medication will be safe for her and will allow her to return to her job more quickly. She a... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Advise Mrs Jenson that if she chooses to self-administer the double dose she is going against medical advice"
},
{
"answer": 1,
"labels": "B",
"responses": "Tell Mrs Jenson that you cannot prescribe more than the recommended dose without senior... | This question tests your ability to respond to an inappropriate request from a patient for an inappropriate dose of a medication. (B) is the most appropriate answer - whilst senior doctors occasionally provide alternative doses of level, as a foundation doctor it is neither safe nor appropriate to make that decision yo... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
3 | You and an FY1 doctor, Lorraine, are on your first rotation at the hospital. Since beginning this rotation three weeks ago, you have noticed that Lorraine is always eager to undertake additional ward tasks that are delegated by the consultant. As a result of completing too many tasks, Lorraine is staying several hours ... | ranking | [
{
"answer": 2,
"labels": "A",
"responses": "The likelihood of effectively improving Lorraine’s quality of work by speaking to her for a second time"
},
{
"answer": 1,
"labels": "B",
"responses": "Maintaining the quality of patient care"
},
{
"answer": 4,
"labels": "C",
"r... | This is about maintaining the quality of care for patients on your ward (B) and helping Lorraine improve the quality of her work (A). Lorraine may not appreciate that her tiredness could affect patient safety and this should be discussed tactfully so that she is aware of the impact this may have (E). Timely completion ... | Rank in order the importance of the following considerations in the management of this situation (1= Most important; 5= Least important). | null |
4 | Your FY1 colleague, Amirah, has been working alongside you during a busy night shift. You have both been on-call for the last seven hours without a break or meal. Amirah has complained about feeling dizzy throughout the shift. Amirah tells you that she needs to go and lie down but suddenly she faints in the middle of t... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Discuss with Amirah whether she will be able to undertake her remaining tasks for the day"
},
{
"answer": 1,
"labels": "B",
"responses": "Ask a nurse to help you transfer Amirah onto an available bed"
},
{
"answer": 3,
"labels": "C"... | Just as you would approach an unwell patient, the first step here is to ensure your colleague is stable and that they are in a safe and appropriate place, therefore moving her onto a bed (B) is the first priority. Making her comfortable and addressing any possible causes for her faint (dehydration etc) would be the nex... | Rank the order in which the following tasks should be undertaken (1= Do first; 5= Do last). | null |
5 | You are working on a busy ward, completing some administrative tasks for your consultant, Dr Findlay. She has asked you to complete some discharge letters which should have been sent out a week ago. A new patient is admitted to the ward and the senior nurse asks you to assess him, as your colleagues are all busy comple... | ranking | [
{
"answer": 2,
"labels": "A",
"responses": "The medical student's confidence to assess the patient independently"
},
{
"answer": 1,
"labels": "B",
"responses": "The medical student's level of clinical competence to assess the patient effectively"
},
{
"answer": 4,
"labels": "... | This question is about prioritisation. The medical student's competence to assess the patient should first be established (B) as not only would it impact patient safety but the medical student's initial findings could help you to establish the urgency for a full assessment of the patient. The medical student's level of... | Rank in order the importance of the following considerations in the management of this situation (1= Most important; 5= Least important). | null |
6 | You are observing your specialty trainee*, Allan, in an operating theatre, working with a large team on a complex procedure. The patient begins to deteriorate unexpectedly and the team is under pressure to resolve the situation quickly. As all members of the team are working, Allan begins to use some extremely bad lang... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Allan's likely intention to be offensive given that he is under pressure to resolve the situation quickly"
},
{
"answer": 4,
"labels": "B",
"responses": "The team member's reason for not responding to Allan's remarks"
},
{
"answer": 3,
... | This question tests your ability to respond to unprofessional behaviour in a clinical situation. The most important consideration in management of your response here is the right for colleagues to work in a respectful environment, thinking about the impact that Alan’s outburst may have on this environment (D). This is ... | Rank in order the importance of the following considerations in the management of this situation (1= Most important; 5= Least important). | null |
7 | You are browsing your social media page in the evening and notice that your FY1 doctor colleague and good friend, Neal, has written a post. Neal writes that he has had a very long day in theatre today, with a patient who had a big bleed. Although there are no direct patient details in Neal's post, you are aware that it... | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "Contact Neal, advising him to remove the social media post"
},
{
"answer": 3,
"labels": "B",
"responses": "When you next see Neal, suggest that he removes the social media post"
},
{
"answer": 2,
"labels": "C",
"responses": "Tel... | In this case the post should be removed as a priority (A) and Neal needs to be reminded that this kind of post is unprofessional (C). Waiting to see Neal in person could take time so it is less effective (B). It may be appropriate for Neal to discuss this with his clinical supervisor but involving the on call consultan... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
8 | Your fellow FY1 doctor, Katrina, regularly arrives at work late and, consequently, often misses morning ward rounds. During these ward rounds, the consultant provides direction to the team regarding the tasks to be completed for the day. You and members of the healthcare team make notes and discuss the allocation of th... | ranking | [
{
"answer": 5,
"labels": "A",
"responses": "Ask the consultant to delay the ward round until Katrina arrives"
},
{
"answer": 3,
"labels": "B",
"responses": "Make separate notes for Katrina to refer to when she arrives, regarding the tasks assigned to her"
},
{
"answer": 1,
"l... | As is often the case, the most appropriate method to address this problem is to discuss your concerns directly with the individual involved (C). If you can offer any advice that may help, then that should be your first approach. It would also be appropriate to escalate your concerns to a senior colleague for their inpu... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
9 | You have been completing an audit with another FY1 doctor, Zara. You are near the end of your rotation and have only collected half of the data; there are two wards remaining to collect data from. You and Zara have both observed that a general trend has emerged in the data that you have collected so far. One morning, Z... | ranking | [
{
"answer": 2,
"labels": "A",
"responses": "Inform Dr Hadi that the data was fabricated by Zara"
},
{
"answer": 4,
"labels": "B",
"responses": "Tell Dr Hadi that you did not have any input into the audit so Zara should attend the conference alone"
},
{
"answer": 3,
"labels": ... | This question tests your probity. (E) addresses the probity issue and is the most appropriate response as it allows the individual responsible to take ownership and responsibility for their behaviour. (A) addresses the probity issue but doesn't create the opportunity for Zara to admit her mistakes which is the preferre... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
10 | You are working on a surgical ward and are due to assist your consultant in theatre with a gallbladder removal. The consultant has completed seven hours of a shift without eating or drinking anything. During a conversation with him shortly before the surgery, you notice that he appears to be having difficulty concentra... | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "Explain your concerns to the consultant"
},
{
"answer": 4,
"labels": "B",
"responses": "Raise your concerns in the surgical team’s pre-operative discussion"
},
{
"answer": 5,
"labels": "C",
"responses": "Continue with the surger... | (A) is the most appropriate response as this involves speaking to the person directly. (D) is also appropriate as this raises an appropriate concern and ensures senior, supportive input. It is also most likely to achieve the desired outcome with the least potential difficulty. (E) addresses patient safety but is less d... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
11 | In your hospital, if members of staff make more than three errors when labelling blood bottles, they are required to attend training to learn how to do this correctly. Your FY1 doctor colleague, Declan, has been required to attend this training three times as he has made repeated labelling errors. Despite this, Declan ... | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "Inform Declan that incorrectly labelling blood bottles could have an adverse impact on patients"
},
{
"answer": 5,
"labels": "B",
"responses": "Offer to label blood bottles for Declan in future"
},
{
"answer": 4,
"labels": "C",
... | This question addresses professionalism. All doctors have to complete mundane but patient safety critical tasks. In this case pointing out that errors in this task may affect patient safety would be a good start (A). Advising Declan to discuss his concerns with his clinical supervisor allows him to address what might b... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
12 | You are the only doctor on a ward. A patient, who is talking to one of the nurses, starts to raise his voice. He tells the nurse that he is hungry, as he has not eaten for two days due to his surgery being delayed. He is being very loud and beginning to disturb the other patients on the ward. You do not know the histor... | ranking | [
{
"answer": 3.5,
"labels": "A",
"responses": "Suggest to the nurse that she should attempt to calm the patient as he is disturbing other patients"
},
{
"answer": 2,
"labels": "B",
"responses": "Explain to the patient that you are sorry that he is hungry but he cannot eat as he is due to ... | This question tests your ability to respond to an agitated patient admitted to hospital. The most appropriate option is (D) as this is the only one that addresses directly the patient's legitimate concerns. Whilst (B) is similar, it is only a partial response to the issues. It explains why the patient cannot eat but do... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
13 | One of your patients, Roisin, who you have been looking after on the Cardiology ward, invites you to attend her birthday party at her home next weekend. You have been on the medical team that has been looking after Roisin for the past two months, and she is due to be discharged tomorrow. You do not have any plans for n... | ranking | [
{
"answer": 1,
"labels": "A",
"responses": "Thank Roisin for the invitation but explain that it would not be appropriate for you to attend"
},
{
"answer": 5,
"labels": "B",
"responses": "Invite other individuals from the medical team that has looked after Roisin to attend the party with ... | This question explores professional boundaries between a doctor and their patient. The most appropriate action is to maintain an appropriate professional boundary and give Roisin an explanation as to why you cannot attend (A). Declining to attend without an explanation (C) would maintain the required boundary, but with... | Rank in order the appropriateness of the following actions in response to this situation (1= Most appropriate; 5= Least appropriate). | null |
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