Situational Judgement Test (Online Proctored)
Exam
Question 1. Which of the following is the most appropriate initial
action when a patient shows signs of acute respiratory distress in a
busy ward?
A) Continue current management and monitor
B) Escalate immediately to senior staff and call emergency team
C) Administer a sedative to calm the patient
D) Refer the patient to outpatient services
Answer: B
Explanation: Recognizing acute respiratory distress as a critical sign
requires immediate escalation to senior staff and activation of
emergency protocols to ensure timely intervention and patient safety.
Question 2. During a busy clinic, you are asked to review a patient’s
blood results and notice a significantly elevated troponin level. What
is your best course of action?
A) Document the result and wait for the scheduled review
B) Inform the supervising doctor immediately and prepare for possible
urgent intervention
C) Ignore it if the patient is asymptomatic
, UKFP-SJT-OP UK Foundation Programme
Situational Judgement Test (Online Proctored)
Exam
D) Repeat the test in 24 hours
Answer: B
Explanation: An elevated troponin indicates possible myocardial
injury. Immediate escalation and preparation for urgent management
are essential to prevent deterioration.
Question 3. A patient becomes unresponsive during a ward round.
What is the first step you should take?
A) Call for help and start basic life support
B) Wait for senior staff to arrive before acting
C) Move the patient to a quieter area
D) Record the event in the notes
Answer: A
Explanation: If a patient is unresponsive, the priority is to initiate
immediate life-saving measures such as calling for help and starting
CPR if indicated.
Question 4. You are managing multiple tasks and your workload is
overwhelming. Which of the following strategies is most appropriate?
, UKFP-SJT-OP UK Foundation Programme
Situational Judgement Test (Online Proctored)
Exam
A) Complete tasks in order of convenience
B) Delegate tasks to appropriate team members and seek support
C) Ignore some tasks to reduce workload
D) Wait until you are less busy to address all tasks
Answer: B
Explanation: Effective prioritization involves delegating tasks
appropriately and seeking support, ensuring patient safety and
workflow efficiency.
Question 5. When faced with a medical emergency beyond your
current competence, what is the most appropriate action?
A) Attempt to manage independently to gain experience
B) Call senior staff and follow established emergency protocols
C) Wait for the patient to stabilize naturally
D) Transfer the patient to another department without informing
senior staff
Answer: B
, UKFP-SJT-OP UK Foundation Programme
Situational Judgement Test (Online Proctored)
Exam
Explanation: Recognizing your limitations and involving senior staff
ensures patient safety and appropriate management during
emergencies.
Question 6. Which of the following best exemplifies respectful
collaboration within a multidisciplinary team?
A) Ignoring team members' input
B) Clearly communicating handovers and respecting roles
C) Taking over tasks without discussion
D) Working in isolation from nurses and therapists
Answer: B
Explanation: Effective teamwork involves clear communication,
proper handovers, and respecting each team member’s role to ensure
coordinated care.
Question 7. How should a junior doctor respond if a senior colleague
gives an instruction that conflicts with clinical guidelines?
A) Follow the instruction without question