UCAT - Situational Judgement - Pre Medical School

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Q1: You are a junior doctor and notice a senior colleague prescribing medication without checking the patient’s allergy status.

Option 1: Report them to the GMC
Option 2: Raise the issue with the colleague privately
Option 3: Ignore it — they’re experienced
Option 4: Mention it to the nurse and ask them to check

Q2: A patient becomes aggressive in the waiting room and starts shouting at staff.

Option 1: Call security immediately
Option 2: Try to calm the patient and understand their frustration
Option 3: Ask them to leave the premises
Option 4: Ignore it and continue working

Q3: You are a medical student and overhear a peer discussing a patient’s case loudly in a public café.

Option 1: Join the conversation to learn more
Option 2: Remind them that patient confidentiality must be maintained
Option 3: Report them to the university
Option 4: Say nothing — it’s not your responsibility

Q4: A colleague is visibly upset after receiving negative feedback from a supervisor.

Option 1: Tell them to ignore it — everyone gets criticised
Option 2: Offer to talk and listen if they want support
Option 3: Make a joke to lighten the mood
Option 4: Tell the supervisor they were too harsh

Q5: You are a foundation doctor and notice a colleague documenting patient observations they did not perform.

Option 1: Report them to the clinical lead immediately
Option 2: Speak to the colleague privately and express concern
Option 3: Ignore it — it’s not your responsibility
Option 4: Ask another colleague if they noticed the same

Q6: A patient complains that they were not given enough information before consenting to a procedure.

Option 1: Apologise and explain the procedure yourself
Option 2: Refer the concern to the responsible clinician
Option 3: Tell the patient they signed the consent form
Option 4: Advise the patient to raise a formal complaint

Q7: You are shadowing a GP and notice they are visibly fatigued and making minor errors.

Option 1: Offer to help with admin tasks
Option 2: Speak to the practice manager about your concerns
Option 3: Say nothing — it’s not your place
Option 4: Ask the GP if they’re okay and offer support

Q8: A colleague shares a patient’s mental health history in a group chat intended for rota coordination.

Option 1: Remind them that the chat should not include clinical details
Option 2: Leave the chat to avoid involvement
Option 3: Report the breach to the Caldicott Guardian
Option 4: Ignore it — it was probably accidental

Q9: You are a junior doctor and notice a colleague skipping hand hygiene between patients.

Option 1: Report them to infection control
Option 2: Remind them politely about hand hygiene
Option 3: Say nothing — they probably forgot
Option 4: Tell the nurse to remind them

Q10: A patient asks you to keep their diagnosis secret from their family, who are waiting outside.

Option 1: Respect the patient’s wishes and say nothing
Option 2: Tell the family gently to prepare them
Option 3: Ask the patient to reconsider and explain the risks
Option 4: Inform the family discreetly

Q11: You are a pharmacist and notice a prescription error that could lead to overdose.

Option 1: Dispense the medication and flag it later
Option 2: Contact the prescriber immediately
Option 3: Refuse to dispense and escalate to management
Option 4: Ask the patient if they’ve taken it before

Q12: A colleague shares a patient’s ethnicity and diagnosis in a teaching session without consent.

Option 1: Challenge them publicly
Option 2: Speak to them privately after the session
Option 3: Report it to the education lead
Option 4: Say nothing — it’s for learning purposes

Q13: You are a junior doctor and a patient asks you to change the date on a sick note to cover additional time off.

Option 1: Refuse and explain why it’s inappropriate
Option 2: Change the date to help the patient
Option 3: Refer the request to your supervisor
Option 4: Ignore the request and move on

Q14: You notice a colleague has posted a photo from inside a clinical area on social media.

Option 1: Report it to the hospital’s media team
Option 2: Speak to the colleague privately about confidentiality
Option 3: Comment publicly to warn others
Option 4: Ignore it — it’s their personal account

Q15: A patient refuses a blood test that is clinically indicated.

Option 1: Respect their decision and document it
Option 2: Try to persuade them by emphasising the risks
Option 3: Perform the test anyway
Option 4: Ask a colleague to convince them

Q16: You are a student nurse and witness a senior nurse being verbally aggressive to a patient.

Option 1: Report the incident to the ward manager
Option 2: Speak to the senior nurse directly
Option 3: Support the patient and document what happened
Option 4: Say nothing — it’s not your role

Q17: You are a junior doctor and a patient asks you to explain their test results, which you are not familiar with.

Option 1: Say you’re unsure and will check with the team
Option 2: Guess based on what you’ve seen before
Option 3: Tell them to wait until discharge
Option 4: Avoid answering and change the subject

Q18: You see a colleague taking clinical supplies home without permission.

Option 1: Report it to the ward manager
Option 2: Speak to the colleague privately
Option 3: Ignore it — they probably had a reason
Option 4: Mention it to another colleague

Q19: A patient tells you they are being pressured by family to refuse treatment.

Option 1: Encourage them to follow their family’s wishes
Option 2: Explore their concerns and reassure them
Option 3: Tell the family to back off
Option 4: Refer to safeguarding immediately

Q20: You are a student and notice a consultant making a factual error during a teaching session.

Option 1: Correct them publicly
Option 2: Speak to them privately after the session
Option 3: Ask another student if they noticed
Option 4: Say nothing — they’re the expert

Q21: You are a junior doctor and notice a colleague consistently arriving late for ward rounds.

Option 1: Report them to the consultant
Option 2: Speak to them privately and ask if everything is okay
Option 3: Ignore it — it’s not your responsibility
Option 4: Mention it to the nurse in charge

Q22: A patient asks you to explain a diagnosis that you are not qualified to interpret.

Option 1: Give a general explanation based on your understanding
Option 2: Tell them you’ll ask a senior colleague to explain
Option 3: Avoid the question and change the subject
Option 4: Tell them to wait until discharge

Q23: You overhear a colleague making inappropriate jokes about patients during a break.

Option 1: Laugh along to avoid awkwardness
Option 2: Challenge them directly in front of others
Option 3: Speak to them privately about professionalism
Option 4: Report them to the clinical lead

Q24: A patient is distressed after receiving a serious diagnosis.

Option 1: Tell them to stay strong and not worry
Option 2: Offer to sit with them and listen
Option 3: Refer them to a support service
Option 4: Leave them alone to process

Q25: You notice a colleague taking extended breaks and leaving others short-staffed.

Option 1: Report them to the manager
Option 2: Speak to them privately and ask if they’re okay
Option 3: Ignore it — they probably need the break
Option 4: Complain to other colleagues

Q26: A patient refuses to take medication that is clinically indicated.

Option 1: Respect their decision and document it
Option 2: Try to persuade them by emphasising the risks
Option 3: Administer the medication anyway
Option 4: Ask a colleague to convince them

Q27: You are a student and notice a colleague falsifying documentation.

Option 1: Report them immediately
Option 2: Speak to them privately and express concern
Option 3: Ignore it — it’s not your responsibility
Option 4: Tell another student

Q28: A patient becomes tearful during a routine consultation.

Option 1: Ignore it and continue with the consultation
Option 2: Ask if they’d like to talk about what’s upsetting them
Option 3: Refer them to mental health services immediately
Option 4: Tell them to stay strong

Q29: You notice a colleague sharing patient details in a public café.

Option 1: Join the conversation to learn more
Option 2: Remind them about confidentiality
Option 3: Report them to the hospital
Option 4: Say nothing — it’s not your role

Q30: A patient asks you to change the wording on a medical report to help with insurance.

Option 1: Refuse and explain why it’s inappropriate
Option 2: Change the wording to help them
Option 3: Refer the request to your supervisor
Option 4: Ignore the request

Q31: You are a junior doctor and notice a colleague being dismissive toward a patient’s concerns.

Option 1: Report them to the clinical lead
Option 2: Speak to them privately and express concern
Option 3: Ignore it — they’re experienced
Option 4: Mention it to the nurse

Q32: A patient asks you to explain a complex procedure you are unfamiliar with.

Option 1: Give a general overview
Option 2: Tell them you’ll find someone qualified to explain
Option 3: Avoid the question
Option 4: Tell them to wait until discharge

Q33: You overhear a colleague making disrespectful comments about a patient’s background.

Option 1: Laugh along to avoid awkwardness
Option 2: Challenge them publicly
Option 3: Speak to them privately about professionalism
Option 4: Report them to the manager

Q34: A patient is visibly anxious before a procedure.

Option 1: Tell them not to worry
Option 2: Offer to explain the procedure and answer questions
Option 3: Refer them to mental health services
Option 4: Ignore it — it’s not your role

Q35: You notice a colleague consistently avoiding difficult tasks.

Option 1: Report them to the supervisor
Option 2: Speak to them privately and offer support
Option 3: Ignore it — they probably have a reason
Option 4: Complain to other colleagues

Q36: A patient refuses a procedure that is clinically indicated.

Option 1: Respect their decision and document it
Option 2: Try to persuade them
Option 3: Perform the procedure anyway
Option 4: Ask a colleague to convince them

Q37: You are a student and notice a colleague exaggerating their clinical experience.

Option 1: Report them immediately
Option 2: Speak to them privately and express concern
Option 3: Ignore it — it’s not your responsibility
Option 4: Tell another student

Q38: A patient becomes emotional during a routine check-up.

Option 1: Ignore it and continue
Option 2: Ask if they’d like to talk
Option 3: Refer them to support services
Option 4: Tell them to stay strong

Q39: You notice a colleague discussing patient details in a public space.

Option 1: Join the conversation
Option 2: Remind them about confidentiality
Option 3: Report them to the hospital
Option 4: Say nothing

Q40: A patient asks you to adjust a report to help with legal proceedings.

Option 1: Refuse and explain why it’s inappropriate
Option 2: Make the adjustment
Option 3: Refer the request to your supervisor
Option 4: Ignore the request

Q41: You are a junior doctor and notice a colleague ignoring a patient’s request for pain relief.

Option 1: Report them to the clinical lead
Option 2: Speak to them privately and express concern
Option 3: Ignore it — they’re experienced
Option 4: Mention it to the nurse

Q42: A patient asks you to explain a diagnosis that you are not qualified to interpret.

Option 1: Give a general explanation
Option 2: Tell them you’ll ask a senior colleague to explain
Option 3: Avoid the question
Option 4: Tell them to wait until discharge

Q43: You overhear a colleague making inappropriate comments about a patient’s appearance.

Option 1: Laugh along to avoid awkwardness
Option 2: Challenge them publicly
Option 3: Speak to them privately about professionalism
Option 4: Report them to the manager

Q44: A patient is visibly distressed before a procedure.

Option 1: Tell them not to worry
Option 2: Offer to explain the procedure and answer questions
Option 3: Refer them to mental health services
Option 4: Ignore it — it’s not your role

Q45: You notice a colleague avoiding complex tasks during ward rounds.

Option 1: Report them to the supervisor
Option 2: Speak to them privately and offer support
Option 3: Ignore it — they probably have a reason
Option 4: Complain to other colleagues

Q46: A patient refuses a clinically indicated investigation.

Option 1: Respect their decision and document it
Option 2: Try to persuade them
Option 3: Perform the investigation anyway
Option 4: Ask a colleague to convince them

Q47: You are a student and notice a colleague exaggerating their role in patient care.

Option 1: Report them immediately
Option 2: Speak to them privately and express concern
Option 3: Ignore it — it’s not your responsibility
Option 4: Tell another student

Q48: A patient becomes emotional during a routine consultation.

Option 1: Ignore it and continue
Option 2: Ask if they’d like to talk
Option 3: Refer them to support services
Option 4: Tell them to stay strong

Q49: You see a colleague skip hand hygiene between patients.

Option 1: Remind them politely
Option 2: Report them to infection control
Option 3: Say nothing
Option 4: Tell the nurse to remind them

Q50: You are shadowing a consultant who shares patient details loudly in a public corridor.

Option 1: Say nothing — they know what they’re doing
Option 2: Report them to the hospital board
Option 3: Raise the issue privately after the ward round
Option 4: Interrupt and correct them immediately

Q51: A patient asks you to keep their diagnosis secret from their family.

Option 1: Respect their request and document it
Option 2: Tell the family discreetly
Option 3: Encourage the patient to share it
Option 4: Inform your supervisor immediately

Q52: You notice a colleague documenting patient notes without having seen the patient.

Option 1: Speak to them privately and express concern
Option 2: Report them to the clinical lead
Option 3: Ignore it — they’re probably busy
Option 4: Tell another colleague

Q53: A patient refuses to be treated by a junior doctor due to their ethnicity.

Option 1: Respect their preference
Option 2: Explain that discrimination is not tolerated
Option 3: Refer to another doctor without comment
Option 4: Report the patient to security

Q54: You are asked to perform a procedure you have not been trained for.

Option 1: Attempt it under supervision
Option 2: Refuse and explain your lack of training
Option 3: Watch a colleague and try next time
Option 4: Ask for written instructions

Q55: You notice a colleague visibly upset after a difficult consultation.

Option 1: Ignore it — they’ll recover
Option 2: Offer to talk privately
Option 3: Tell the supervisor
Option 4: Make a joke to lighten the mood

Q56: A patient asks if they can record their consultation.

Option 1: Allow it without comment
Option 2: Explain the policy and seek consent
Option 3: Refuse immediately
Option 4: Tell them it’s inappropriate

Q57: You see a colleague taking medication from the ward without documentation.

Option 1: Report them immediately
Option 2: Speak to them privately
Option 3: Ignore it — they probably have permission
Option 4: Tell the pharmacist

Q58: A patient complains that a nurse was rude during care.

Option 1: Tell them to speak to the nurse directly
Option 2: Report it to the nurse manager
Option 3: Document the concern and escalate appropriately
Option 4: Apologise and move on

Q59: You notice a colleague consistently arriving late to ward rounds.

Option 1: Report them to the supervisor
Option 2: Speak to them privately
Option 3: Ignore it — it’s not your concern
Option 4: Mention it to other colleagues

Q60: A patient asks for a second opinion after receiving a diagnosis.

Option 1: Discourage them — it’s unnecessary
Option 2: Support their request and document it
Option 3: Tell them it’s disrespectful
Option 4: Ignore the request

Q61: You see a colleague taking a phone call during a sterile procedure.

Option 1: Report them immediately
Option 2: Remind them of sterile protocol after the procedure
Option 3: Say nothing
Option 4: Tell the nurse to intervene

Q62: A patient asks you to keep their diagnosis secret from their employer.

Option 1: Respect their request and document it
Option 2: Tell the employer discreetly
Option 3: Encourage the patient to disclose
Option 4: Inform occupational health

Q63: You observe a colleague rushing through consent without checking understanding.

Option 1: Speak to them privately
Option 2: Report them to the clinical lead
Option 3: Ignore it — they’re experienced
Option 4: Repeat the consent process yourself

Q64: A patient expresses concern about a medication side effect they read online.

Option 1: Dismiss their concern
Option 2: Explore their concern and provide evidence-based information
Option 3: Tell them not to trust the internet
Option 4: Refer them to a pharmacist

Q65: You are asked to sign off a procedure you did not witness.

Option 1: Refuse and explain why
Option 2: Sign it to avoid delay
Option 3: Ask a colleague if it was done
Option 4: Report the request

Q66: A patient becomes angry during a consultation.

Option 1: Ignore it and continue
Option 2: Acknowledge their frustration and explore the cause
Option 3: Tell them to calm down
Option 4: End the consultation early

Q67: You notice a colleague prescribing without checking allergies.

Option 1: Remind them immediately
Option 2: Report them to the prescribing lead
Option 3: Say nothing
Option 4: Tell the pharmacist to check

Q68: A patient asks for a treatment that is not clinically indicated.

Option 1: Explain why it’s not appropriate and offer alternatives
Option 2: Prescribe it to satisfy them
Option 3: Refer them to another doctor
Option 4: Ignore the request

Q69: You are asked to help with a procedure you’ve never seen before.

Option 1: Assist under supervision
Option 2: Refuse and explain your inexperience
Option 3: Watch and try next time
Option 4: Ask for written instructions

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