UCAT SJT ACTUAL EXAM PAPER
QUESTIONS WITH SOLUTIONS
GRADED A PLUS
◉ The availability of a more senior colleague to assist with a
difficult/agitated patient. Answer: Important (helps patient safety)
◉ When there has been a breach of confidentiality, the fact that a certain
factor such as the identity of the placement organisation has not been
revealed. Answer: Not important at all (confidentiality is very important)
◉ An upset patient's reputation for being very emotional. Answer: Not
important at all (assuming the reason for being upset may compromise
patient safety)
◉ A consultant talking about clinical details loudly in a public area
making a patient worried, and a medical student responding "I can
reassure you that your details will remain confidential ". Answer:
Inappropriate but not awful (not a lie, however it may not be true either.
Best not to make promises like this in medicine)
◉ Suggesting that a patient follows the hospital complaints procedure if
they wish to make a complaint. Answer: A very appropriate thing to do
(the patient has the right to complain about this as it should not happen.
,Breaches of confidentiality should be taken to the highest level and
treated formally)
◉ Saying "it is your choice whether you take the medication" to a
patient who is in a substantial amount of pain and is worried they may
have an allergic reaction to the medication. Answer: Inappropriate but
not awful (whilst this is true, it does not help the situation or make the
patient less worried when they should really take the medication)
◉ Asking "why do you think that you will have another allergic
reaction?" As a medical student. Answer: A very appropriate thing to say
(makes the ream aware of the patient's concerns so that they can be
addressed, my make the patient feel better to talk about it too)
◉ "Can you please calm down; you may be disturbing the other patient "
to a patient. Answer: A very inappropriate thing to say (the patient is in
pain and it may agitate the, more, it isn't polite and it is not his fault that
he is distressed or in pain)
◉ Asking a patient "did you express your concern to the doctor when
you were prescribed the paracetamol?". Answer: Appropriate but not
awful (whilst not a bad thing to say, it does not really solve the problem)
◉ A group of students doing a presentation, presenting their individual
sections as a run through, One member thinks another is struggling and
didn't think she was very good but the rest of the group said it was
, "fine", asking the group if they have any further feedback on this
student's presentation. Answer: Appropriate but not ideal (makes it seem
as though there is a problem where there perhaps isn't one, may make
her feel bad about her presentation)
◉ One student complains to their group leader that another is not
dedicated enough. He takes no action unless further complaints are
received from other members of the group. Answer: Inappropriate but
not awful (shows the team are listening to each other and not functioning
properly , discredits one student's concerns)
◉ A medical student and a junior doctor are at a home visit and the
doctor gets bitten by the patient's dog. The doctor angrily shouts at the
patient "when will you people learn to control your pets? I don't know
why we bother trying to help you". The medical student asks the patient
if he is offended by the doctor's remarks. Answer: Inappropriate but not
awful ( med student overriding the doctor, suggests a lack of confidence,
however not awful because the doctor was rude)
◉ The same medical student suggests to the doctor that he steps outside
the house for a short time. Answer: A very appropriate thing to do (this
allows the doctor to calm down so that he can do his job properly and be
level headed and neutral towards the patient, to avoid any biases and
ensure patient safety)
◉ Asking the patient with the dog to remove the dog from the room.
Answer: Appropriate but not ideal (it may help the situation, however
QUESTIONS WITH SOLUTIONS
GRADED A PLUS
◉ The availability of a more senior colleague to assist with a
difficult/agitated patient. Answer: Important (helps patient safety)
◉ When there has been a breach of confidentiality, the fact that a certain
factor such as the identity of the placement organisation has not been
revealed. Answer: Not important at all (confidentiality is very important)
◉ An upset patient's reputation for being very emotional. Answer: Not
important at all (assuming the reason for being upset may compromise
patient safety)
◉ A consultant talking about clinical details loudly in a public area
making a patient worried, and a medical student responding "I can
reassure you that your details will remain confidential ". Answer:
Inappropriate but not awful (not a lie, however it may not be true either.
Best not to make promises like this in medicine)
◉ Suggesting that a patient follows the hospital complaints procedure if
they wish to make a complaint. Answer: A very appropriate thing to do
(the patient has the right to complain about this as it should not happen.
,Breaches of confidentiality should be taken to the highest level and
treated formally)
◉ Saying "it is your choice whether you take the medication" to a
patient who is in a substantial amount of pain and is worried they may
have an allergic reaction to the medication. Answer: Inappropriate but
not awful (whilst this is true, it does not help the situation or make the
patient less worried when they should really take the medication)
◉ Asking "why do you think that you will have another allergic
reaction?" As a medical student. Answer: A very appropriate thing to say
(makes the ream aware of the patient's concerns so that they can be
addressed, my make the patient feel better to talk about it too)
◉ "Can you please calm down; you may be disturbing the other patient "
to a patient. Answer: A very inappropriate thing to say (the patient is in
pain and it may agitate the, more, it isn't polite and it is not his fault that
he is distressed or in pain)
◉ Asking a patient "did you express your concern to the doctor when
you were prescribed the paracetamol?". Answer: Appropriate but not
awful (whilst not a bad thing to say, it does not really solve the problem)
◉ A group of students doing a presentation, presenting their individual
sections as a run through, One member thinks another is struggling and
didn't think she was very good but the rest of the group said it was
, "fine", asking the group if they have any further feedback on this
student's presentation. Answer: Appropriate but not ideal (makes it seem
as though there is a problem where there perhaps isn't one, may make
her feel bad about her presentation)
◉ One student complains to their group leader that another is not
dedicated enough. He takes no action unless further complaints are
received from other members of the group. Answer: Inappropriate but
not awful (shows the team are listening to each other and not functioning
properly , discredits one student's concerns)
◉ A medical student and a junior doctor are at a home visit and the
doctor gets bitten by the patient's dog. The doctor angrily shouts at the
patient "when will you people learn to control your pets? I don't know
why we bother trying to help you". The medical student asks the patient
if he is offended by the doctor's remarks. Answer: Inappropriate but not
awful ( med student overriding the doctor, suggests a lack of confidence,
however not awful because the doctor was rude)
◉ The same medical student suggests to the doctor that he steps outside
the house for a short time. Answer: A very appropriate thing to do (this
allows the doctor to calm down so that he can do his job properly and be
level headed and neutral towards the patient, to avoid any biases and
ensure patient safety)
◉ Asking the patient with the dog to remove the dog from the room.
Answer: Appropriate but not ideal (it may help the situation, however
