CASPer (Computer-based Assessment for Sampling Personal characteristics) — Questions and Answers
Question 1: Which behavior MOST undermines team cohesion in a CASPer professional scenario?
- Asking for help when you are struggling
- Advocating for a minority viewpoint respectfully
- Sharing credit for team successes
- Taking sole credit for collaborative outcomes (Correct answer)
Correct answer: Taking sole credit for collaborative outcomes
Taking sole credit for shared work erodes trust and motivation within a team.
Question 2: You are given an opportunity to participate in a research study that would benefit your career but requires you to collect data in a way you consider ethically questionable. What do you do?
- Decline to participate and, if appropriate, raise your ethical concern with the research ethics board (Correct answer)
- Participate only if you can modify the data collection method without telling the principal investigator
- Participate and overlook the ethical concern because the career benefit is significant
- Participate but document your objections privately without raising them
Correct answer: Decline to participate and, if appropriate, raise your ethical concern with the research ethics board
Research ethics cannot be compromised for personal gain, and raising concerns through proper channels protects all participants.
Question 3: In CASPer, effective workload distribution in a team requires:
- Letting members self-select tasks to avoid conflict
- Assigning equal tasks to everyone regardless of skill or availability
- Matching tasks to individual strengths while maintaining equitable effort (Correct answer)
- Delegating all difficult tasks to the most capable member
Correct answer: Matching tasks to individual strengths while maintaining equitable effort
Aligning tasks with strengths optimizes performance while equitable effort distribution prevents burnout and resentment.
Question 4: A CASPer scenario presents a patient who cannot afford prescribed medications. An empathic and equitable response is to:
- Explore pharmaceutical assistance programs, generic alternatives, and community resources (Correct answer)
- Document non-compliance in the patient's chart
- Dismiss the concern as outside your professional role
- Tell the patient to follow the prescription and find a way to afford it
Correct answer: Explore pharmaceutical assistance programs, generic alternatives, and community resources
Proactive resource navigation addresses cost barriers and demonstrates commitment to equitable access to care.
Question 5: When a CASPer scenario involves an urgent problem with time pressure, effective critical thinking means:
- Delegating the decision to avoid making an error under pressure
- Prioritizing the most critical information quickly while acknowledging what remains uncertain (Correct answer)
- Delaying until more information is available to ensure accuracy
- Making the fastest decision to demonstrate decisiveness
Correct answer: Prioritizing the most critical information quickly while acknowledging what remains uncertain
Time-pressured critical thinking focuses on the most critical available information to reach the best possible decision within constraints.
Question 6: A medical student witnesses their supervising resident falsify a lab result in a patient's chart. The student is worried about repercussions. What should the student do?
- Confront the resident directly and demand they correct the record
- Report the incident to the program director or appropriate authority (Correct answer)
- Say nothing since they are only a student with no authority
- Correct the chart themselves without notifying anyone
Correct answer: Report the incident to the program director or appropriate authority
Falsifying medical records is a serious ethical and legal violation; all healthcare team members, including students, have a duty to report it through proper channels.
Question 7: Which of the following BEST defines equity in a CASPer healthcare context?
- Ensuring everyone has access to the same services
- Treating all patients identically regardless of their needs
- Providing additional resources to those who need them to achieve equal health outcomes (Correct answer)
- Prioritizing patients who have waited the longest
Correct answer: Providing additional resources to those who need them to achieve equal health outcomes
Equity means allocating resources based on need, not uniformity, to achieve fair and just outcomes for all patients.
Question 8: The CASPer exam is an online assessment used by which programs to assess applicants’ interpersonal skills?
- Law schools
- Medical schools and other health science programs (Correct answer)
- Business schools
- Engineering schools
Correct answer: Medical schools and other health science programs
The CASPer exam is an online assessment predominantly used by medical schools and other health science programs. This includes fields like dentistry, nursing, pharmacy, and veterinary medicine. Its purpose is to evaluate applicants' interpersonal skills and other non-cognitive attributes that are essential for success and ethical practice across various healthcare professions.
Question 9: In a CASPer scenario where a supervisor gives unclear instructions, the BEST action is to:
- Guess and proceed to avoid looking incompetent
- Wait indefinitely until clear instructions are provided
- Ask a clarifying question before starting the task (Correct answer)
- Complete the task your own way and hope it is correct
Correct answer: Ask a clarifying question before starting the task
Asking for clarification prevents wasted effort and demonstrates professional communication initiative.
Question 10: You are working in a community clinic and a patient asks you to falsify their work absence note. What should you do?
- Falsify the note since the patient clearly needs the time off
- Refuse without explanation and end the appointment
- Explain why you cannot falsify documentation and explore legitimate options (Correct answer)
- Report the patient to their employer
Correct answer: Explain why you cannot falsify documentation and explore legitimate options
Falsifying medical documents is illegal and unethical; offering legitimate alternatives maintains the therapeutic relationship.
Question 11: Which of the following best describes active listening in a CASPer context?
- Only responding when you disagree
- Maintaining eye contact, nodding, and paraphrasing what was said (Correct answer)
- Preparing your response while the other person is speaking
- Waiting silently until the other person finishes
Correct answer: Maintaining eye contact, nodding, and paraphrasing what was said
Active listening combines physical cues and verbal confirmation to demonstrate full engagement and understanding.
Question 12: Maintaining patient confidentiality in a CASPer scenario means:
- Sharing patient information only with immediate family members
- Informing supervisors of all patient details automatically
- Discussing cases with colleagues in public spaces if no names are used
- Disclosing patient information only when legally or ethically required (Correct answer)
Correct answer: Disclosing patient information only when legally or ethically required
Confidentiality is legally and ethically protected, with disclosure permitted only under specific defined circumstances.
Question 13: A CASPer scenario involves a peer who frequently dominates group conversations. To communicate your concern professionally, you should:
- Tell the group to exclude them from discussions
- Send a group email criticizing their behavior
- Ignore the behavior and adapt
- Speak with the peer privately using specific examples of the behavior (Correct answer)
Correct answer: Speak with the peer privately using specific examples of the behavior
Private, example-based conversations about behavior are more constructive and less humiliating than public or written criticism.
Question 14: When integrating a new team member in a CASPer scenario, effective collaboration includes:
- Assigning them the most challenging tasks to accelerate learning
- Providing orientation, mentorship, and a welcoming team environment (Correct answer)
- Leaving them to figure out the team dynamics on their own
- Withholding information to protect institutional knowledge
Correct answer: Providing orientation, mentorship, and a welcoming team environment
Structured orientation and mentorship integrates new members effectively and accelerates their contribution to the team.
Question 15: In a CASPer interprofessional healthcare scenario, a role conflict arises between two professions. The best approach is to:
- Refer the conflict to a patient who can decide
- Use the patient's best interest as the guiding principle for resolution (Correct answer)
- Avoid the situation by limiting interprofessional interaction
- Insist your profession's approach takes priority
Correct answer: Use the patient's best interest as the guiding principle for resolution
Centering the patient's best interest provides an objective basis for resolving professional role conflicts.
Question 16: In CASPer, what is the MOST important characteristic of an effective team player?
- Avoiding any disagreement to maintain harmony
- Completing only your assigned tasks and nothing more
- Being willing to adapt your role to support the team's overall goal (Correct answer)
- Dominating discussions to ensure quality outcomes
Correct answer: Being willing to adapt your role to support the team's overall goal
Flexibility and willingness to support broader team goals over individual roles is a hallmark of high-performing team members.
Question 17: In CASPer, cultural humility differs from cultural competency in that cultural humility:
- Is a one-time training outcome
- Assumes mastery of specific cultural knowledge
- Is an ongoing practice of self-reflection and openness to learning from others (Correct answer)
- Requires memorizing cultural norms for each patient group
Correct answer: Is an ongoing practice of self-reflection and openness to learning from others
Cultural humility is a lifelong process of learning and self-critique, not a fixed set of knowledge.
Question 18: In a CASPer video response about equity, which framing BEST demonstrates genuine understanding?
- 'Everyone deserves the same treatment, full stop.'
- 'Certain groups simply make choices that lead to worse outcomes.'
- 'Structural barriers create unequal starting points that require targeted responses to address.' (Correct answer)
- 'Fairness means not considering race or background in any professional decision.'
Correct answer: 'Structural barriers create unequal starting points that require targeted responses to address.'
Recognizing structural barriers as the root of inequity is more accurate and actionable than individual-focused or colorblind framing.
Question 19: In a CASPer group scenario, decision-making by consensus means:
- The most senior person decides and others agree publicly
- Decisions are delayed indefinitely until full agreement is reached
- The majority votes and the minority must comply silently
- All members discuss until they reach a decision everyone can support (Correct answer)
Correct answer: All members discuss until they reach a decision everyone can support
Consensus decision-making ensures all voices are heard and increases commitment to the outcome, though it requires more time.
Question 20: You are preparing a research abstract and realize a co-author included data points you believe are selectively chosen to exaggerate results. What should you do?
- Submit the abstract since you did not choose the data yourself
- Remove the suspicious data without telling the co-author
- Raise the concern with the co-author directly and, if unresolved, consult a supervisor or research integrity office (Correct answer)
- Add a disclaimer in the abstract that the data was chosen by another author
Correct answer: Raise the concern with the co-author directly and, if unresolved, consult a supervisor or research integrity office
All co-authors share responsibility for research integrity, requiring direct engagement and escalation if necessary.
Question 21: A CASPer scenario shows a team member who consistently misses deadlines. The best collaborative approach is to:
- Have a supportive conversation to understand the barrier and offer solutions (Correct answer)
- Complete their work for them without discussion
- Escalate to a supervisor without speaking to them first
- Exclude them from future projects
Correct answer: Have a supportive conversation to understand the barrier and offer solutions
Understanding the root cause of missed deadlines allows the team to provide meaningful support and maintain accountability.
Question 22: A CASPer prompt shows two team members in open conflict during a meeting. As a peer, your best action is to:
- Take sides with whoever you agree with more
- Ignore the conflict and hope it resolves itself
- Report both members to a supervisor immediately
- Suggest a brief recess and facilitate a calmer follow-up discussion (Correct answer)
Correct answer: Suggest a brief recess and facilitate a calmer follow-up discussion
Suggesting a pause de-escalates tension and creates space for more productive dialogue.
Question 23: A dying patient tells you in confidence that they want to donate their organs but their family is opposed. The patient has not completed an advance directive. What should guide the decision?
- The family's wishes, since they are the legal decision-makers after death
- Hospital policy, which defaults to family consent for organ donation
- A court order to resolve the conflict
- The patient's expressed wish, and encourage completion of an advance directive or donor registration (Correct answer)
Correct answer: The patient's expressed wish, and encourage completion of an advance directive or donor registration
A competent patient's expressed wish to donate organs should be honored; the physician should help the patient formalize this through registration or advance directive.
Question 24: In a CASPer scenario involving a patient with limited health literacy, an equitable approach includes:
- Shortening the appointment to minimize confusion
- Using plain language, visual aids, and checking for understanding (Correct answer)
- Asking them to bring a family member to explain things for them
- Using full medical terminology to respect their intelligence
Correct answer: Using plain language, visual aids, and checking for understanding
Plain language and comprehension checks are evidence-based strategies for reducing health disparities related to literacy.
Question 25: CASPer assessors look for professionalism partly because:
- Technical skills alone predict success in professional programs
- Professionalism is easier to evaluate than academic ability
- Interpersonal and ethical competencies are critical to safe, effective practice (Correct answer)
- Professional behavior is only important in leadership roles
Correct answer: Interpersonal and ethical competencies are critical to safe, effective practice
Research consistently shows that interpersonal and ethical competencies are as predictive of professional success as technical skill.
Question 26: A student realizes they are more impatient with patients from different cultural backgrounds. The most constructive response is to:
- Assume the impatience is natural and unavoidable given cultural differences
- Only disclose the bias if it directly leads to a medical error
- Avoid those patients when possible to prevent harm
- Recognize the bias, seek education about cultural differences, and monitor future interactions (Correct answer)
Correct answer: Recognize the bias, seek education about cultural differences, and monitor future interactions
Acknowledging bias and proactively addressing it through education and self-monitoring is the foundation of self-aware professional development.
Question 27: Which response demonstrates constructive disagreement in a CASPer team scenario?
- 'Your idea is completely wrong and will not work.'
- 'I will try your approach but I want it on record that I disagree.'
- 'Let's just go with whatever the group decides; it does not matter.'
- 'I see it differently — here is what concerns me about that approach and an alternative.' (Correct answer)
Correct answer: 'I see it differently — here is what concerns me about that approach and an alternative.'
Constructive disagreement acknowledges the other's perspective, explains concerns, and offers an alternative for discussion.
Question 28: Professional dress and presentation in a healthcare CASPer context reflect:
- Respect for patients, colleagues, and the profession (Correct answer)
- Personal expression that should override any institutional expectations
- A superficial concern unrelated to competence
- A requirement only for patient-facing roles
Correct answer: Respect for patients, colleagues, and the profession
Professional presentation signals respect and competence, contributing to patient trust and institutional culture.
Question 29: What is CASPer and why is it important in medical school admissions?
- CASPer is a written test that evaluates a candidate's knowledge of medical science. It is becoming increasingly important in medical school admissions.
- CASPer is a physical fitness test that measures a candidate's stamina and endurance. It is becoming increasingly important in medical school admissions.
- CASPer is a test that evaluates a candidate's soft skills beyond grades and extracurricular activities. It is becoming increasingly important in medical school admissions. (Correct answer)
- CASPer is an interview that assesses a candidate's communication skills. It is becoming increasingly important in medical school admissions.
Correct answer: CASPer is a test that evaluates a candidate's soft skills beyond grades and extracurricular activities. It is becoming increasingly important in medical school admissions.
CASPer is an online assessment that evaluates a candidate's soft skills, such as empathy, communication, and ethical decision-making, which are not typically measured by grades or extracurricular activities. It is increasingly important in medical school admissions because it provides a standardized way to assess these crucial non-cognitive attributes. These skills are vital for success in the demanding and patient-centered field of medicine, helping identify well-rounded applicants.
Question 30: Intersectionality, as it applies to a CASPer equity scenario, refers to:
- The overlap between medical specialties
- Scheduling conflicts in interprofessional teams
- How multiple aspects of identity (race, gender, class) interact to shape unique experiences of discrimination (Correct answer)
- The intersection of healthcare policy and clinical practice
Correct answer: How multiple aspects of identity (race, gender, class) interact to shape unique experiences of discrimination
Intersectionality recognizes that overlapping marginalized identities create compounded, unique experiences that cannot be addressed by examining each identity separately.
Question 31: During a CASPer video scenario, a colleague interrupts you repeatedly in a meeting. What is the best response?
- Stay silent and let them speak over you
- Interrupt them back to assert dominance
- After the meeting, calmly address the behavior privately (Correct answer)
- Complain to your supervisor immediately
Correct answer: After the meeting, calmly address the behavior privately
Addressing the behavior privately and calmly preserves the professional relationship and allows for honest dialogue.
Question 32: In a CASPer scenario, a colleague makes a racist comment. The most empathic and professional response is to:
- Laugh along to avoid social tension
- Ignore it and hope others did not hear
- Address the comment calmly and explain its harmful impact (Correct answer)
- Report to HR without speaking to the colleague first
Correct answer: Address the comment calmly and explain its harmful impact
Calmly naming the harm of discriminatory comments in the moment is more effective and immediate than reporting alone.
Question 33: Which response best demonstrates empathic communication in a CASPer healthcare scenario?
- 'I understand this must be very difficult for you — let's talk about your concerns.' (Correct answer)
- 'Many patients have this condition; it is not as serious as you think.'
- 'You need to follow the treatment plan exactly as prescribed.'
- 'I will forward your questions to the specialist.'
Correct answer: 'I understand this must be very difficult for you — let's talk about your concerns.'
Acknowledging the patient's emotional experience before problem-solving validates their feelings and builds trust.
Question 34: In a CASPer scenario where team members disagree on an approach, the most effective collaborative response is to:
- Side with the most senior member to maintain hierarchy
- Push your own view firmly until others agree
- Let the group decide without sharing your own perspective
- Facilitate a discussion where all perspectives are heard before deciding (Correct answer)
Correct answer: Facilitate a discussion where all perspectives are heard before deciding
Structured discussion that includes all voices leads to more informed decisions and stronger team buy-in.
Question 35: Which type of question is MOST useful when gathering information in a CASPer-style professional scenario?
- Rhetorical questions
- Closed yes/no questions
- Open-ended questions (Correct answer)
- Leading questions
Correct answer: Open-ended questions
Open-ended questions encourage elaboration and provide richer, more nuanced information.
Question 36: Non-verbal communication in CASPer video responses is important because:
- It conveys empathy, attentiveness, and professionalism alongside your words (Correct answer)
- It is scored separately from verbal content
- It replaces the need for verbal explanation
- Assessors only evaluate what you say, not how you say it
Correct answer: It conveys empathy, attentiveness, and professionalism alongside your words
Assessors evaluate the whole communication package, including body language, eye contact, and tone, as signals of interpersonal competence.
Question 37: Structural determinants of health, relevant to a CASPer equity scenario, include:
- Individual lifestyle choices only
- Patient adherence to treatment plans
- Income, housing, education, and systemic racism (Correct answer)
- Genetics and family history only
Correct answer: Income, housing, education, and systemic racism
Social determinants like income, housing, education, and systemic racism are among the most powerful drivers of health inequity.
Question 38: Empathy in a CASPer scenario differs from sympathy in that empathy:
- Involves understanding and sharing the other person's perspective and feelings (Correct answer)
- Focuses on your own emotional response to their situation
- Requires a personal experience similar to the other person's
- Involves feeling sorry for someone
Correct answer: Involves understanding and sharing the other person's perspective and feelings
Empathy involves actively working to understand another's perspective, while sympathy is a reaction focused on one's own emotional response.
Question 39: Implicit bias in a CASPer healthcare scenario can MOST directly harm patients by:
- Making practitioners too cautious with all patients equally
- Leading to differential quality of care based on race, gender, or socioeconomic status (Correct answer)
- Causing practitioners to over-document clinical encounters
- Increasing administrative burden for marginalized patients
Correct answer: Leading to differential quality of care based on race, gender, or socioeconomic status
Implicit bias leads to systemic disparities in diagnosis, treatment, and pain management across patient populations.
Question 40: When composing a CASPer typed response, you should:
- Use professional language while being concise and direct (Correct answer)
- Use casual language to appear approachable
- Copy typical template phrases to save time
- Write as long as possible to show thoroughness
Correct answer: Use professional language while being concise and direct
Professional, concise responses signal clear thinking and respect for the evaluator's time.
CASPer (Computer-based Assessment for Sampling Personal characteristics)
CASPer is a situational judgment test used in health professions admissions that evaluates 10 core behavioral competencies—including collaboration, communication, empathy, fairness, ethics, and professionalism—through 11 video and typed scenario responses.
Exam Rules
- You can skip questions and return to them later
- Flag questions for review before submitting
- No feedback shown until you submit the entire exam
- Unanswered questions count as wrong — answer everything
- 10 pretest questions are mixed in and don't affect your score
- Timer auto-submits when time runs out
- Your progress is auto-saved every 30 seconds