HPAT — Health Professions Admissions Test — Questions and Answers

Question 1: A hospital administrator states: 'We recently installed hand sanitiser dispensers at the entrance of every ward. Over the following three months, we observed a 20% reduction in the rate of hospital-acquired infections compared to the three months prior. Therefore, the new dispensers are the cause of this improved patient safety.' Which of the following, if true, would most weaken this argument?

A patient satisfaction survey conducted during the same period showed a slight increase in overall patient happiness.
The previous three-month period had an unusually high rate of infections due to a rare viral outbreak.
The cost of the hand sanitiser was higher than the cost of the infections it was intended to prevent.
The hospital also implemented a mandatory staff hand-washing training program at the same time the dispensers were installed. (Correct answer)

Correct answer: The hospital also implemented a mandatory staff hand-washing training program at the same time the dispensers were installed.

The correct answer weakens the argument by introducing a confounding variable. If a mandatory hand-washing program was started at the same time, it is impossible to attribute the reduction in infections solely to the new dispensers. This alternative explanation challenges the administrator's direct causal link.

Question 2: Which logical reasoning skill involves identifying assumptions and evaluating their validity?

Critical reasoning (Correct answer)
Numerical reasoning
Analytical reasoning
Spatial reasoning

Correct answer: Critical reasoning

Critical reasoning involves assessing the validity of assumptions and arguments.

Question 3: While on a ward round, a third-year medical student observes a senior consultant examining a patient's abdomen. The student is certain the consultant, who has an intimidating manner, forgot to wash their hands upon entering the room. The consultant proceeds to touch the patient.

Say nothing to avoid damaging their relationship with the senior consultant.
Wait until the ward round is over and then report the consultant to the head of the department.
Discreetly pick up a nearby bottle of hand sanitizer and offer it, saying, 'Doctor, I thought you might need this.' (Correct answer)
Interrupt the examination and say, 'Doctor, you need to wash your hands.'

Correct answer: Discreetly pick up a nearby bottle of hand sanitizer and offer it, saying, 'Doctor, I thought you might need this.'

This action is the most appropriate because it addresses the immediate patient safety issue in a timely and effective manner. It is a non-confrontational, polite prompt that allows the consultant to correct the oversight without being publicly admonished or undermined in front of the patient and team. It is more effective than waiting until later, as the immediate risk is mitigated. It avoids direct confrontation (Option A), inaction (Option B), and unnecessary escalation (Option C).

Question 4: A pattern is established in the first two rows of the grid below. Which of the answer figures logically completes the third row?

A dot
A triangle with a cross inside
An empty triangle (Correct answer)
A triangle with a vertical line

Correct answer: An empty triangle

The pattern across each row is subtraction. The figure in the third column is the result of removing the elements of the figure in the second column from the figure in the first column. For row 1, removing the cross from the square containing a cross leaves an empty square. For row 2, removing the vertical line from the circle containing a vertical line leaves an empty circle. Therefore, for row 3, removing the dot from the triangle containing a dot leaves an empty triangle.

Question 5: A hospital ward manager has a small budget for one new piece of equipment. The head nurse advocates for a new bladder scanner, citing frequent care delays and the need to borrow from other wards. A senior doctor requests an additional mobile ECG machine, pointing to a recent increase in cardiac patients and the risks associated with waiting for a machine to become available. Both requests are well-justified.

Data on the frequency of negative patient outcomes or care delays directly attributable to the lack of each item. (Correct answer)
Which piece of equipment has a lower overall purchase price.
The personal preferences of the nursing staff versus the medical staff.
The manufacturer's warranty and service agreement for each item.

Correct answer: Data on the frequency of negative patient outcomes or care delays directly attributable to the lack of each item.

The most responsible decision-making in a healthcare setting prioritizes patient safety and quality of care. By investigating the data on adverse events, risks, or delays caused by the absence of each machine, the manager can most objectively assess which purchase would have the greatest positive impact on patient outcomes. The other factors are either secondary logistical concerns (price, warranty) or unprofessional (personal preference).

Question 6: Two medical students, Liam and Chloe, are discussing an upcoming exam. Liam says, 'I'm really worried. I've been studying for weeks, but I feel like I'm not retaining anything.' Chloe replies, 'Well, I feel pretty confident. I guess some people just have a harder time with this subject.' How is Liam most likely to feel after Chloe's response?

Dismissed and somewhat patronised. (Correct answer)
Motivated to study in a different way.
Grateful for Chloe's honesty and insight.
Reassured that his feelings are normal.

Correct answer: Dismissed and somewhat patronised.

Chloe's response lacks empathy. Instead of validating Liam's feelings of anxiety, she contrasts her own confidence and frames his difficulty as a personal shortcoming ('some people just have a harder time'). This is likely to make Liam feel dismissed and as if he is being talked down to.

Question 7: A family member asks a nurse to withhold a serious diagnosis from an elderly patient 'to protect them.' What ethical principle is most directly in conflict with this request?

Beneficence—acting in the patient's best interest
Justice—fair distribution of healthcare resources
Fidelity—keeping promises to family members
Patient autonomy—the patient's right to be informed about their own health (Correct answer)

Correct answer: Patient autonomy—the patient's right to be informed about their own health

Patient autonomy includes the right to be fully informed about one's medical condition to make personal decisions. Withholding information from a competent adult violates this fundamental right regardless of family wishes.

Question 8: A medical student observes a senior colleague making a minor but clear procedural error during a routine examination. What is the most ethically appropriate action?

Ignore the error since the colleague is more experienced
Privately and respectfully bring the error to the colleague's attention after the examination (Correct answer)
Report the colleague directly to the medical board immediately
Publicly correct the colleague in front of the patient

Correct answer: Privately and respectfully bring the error to the colleague's attention after the examination

Addressing errors privately and respectfully upholds patient safety while maintaining professional relationships. Medical ethics requires speaking up about errors, but the approach should be proportionate and constructive.

Question 9: A patient is visibly anxious before a minor procedure. Which of the following statements by a healthcare professional demonstrates the most empathy?

"There's really nothing to be afraid of, it will be over quickly."
"I need you to calm down so we can get started."
"Don't worry, thousands of people have this done every year."
"You seem quite nervous. Can you tell me what's on your mind?" (Correct answer)

Correct answer: "You seem quite nervous. Can you tell me what's on your mind?"

This response validates the patient's feelings ('You seem quite nervous') and opens a dialogue ('Can you tell me what's on your mind?'). It shows the professional is paying attention to the patient's emotional state and is willing to listen, which is the core of an empathetic response. The other options dismiss or minimize the patient's feelings.

Question 10: Read the following dialogue between a mother and her teenage son, Alex. Mother: "Your room is a complete mess, Alex! I can't even see the floor." Alex (without looking up from his phone): "Yeah, I know." Mother: "I'm serious. We have guests coming tomorrow. It needs to be cleaned today." Alex: "Fine, I'll do it later." From Alex's responses, what can most likely be inferred about his attitude?

He is diligently planning the most efficient way to clean his room.
He is feeling overwhelmed and doesn't know where to start cleaning.
He is secretly pleased that guests are coming to the house.
He is disengaged and is likely dismissing his mother's request. (Correct answer)

Correct answer: He is disengaged and is likely dismissing his mother's request.

Alex's verbal and non-verbal cues point to disengagement. His short answers ('Yeah, I know,' 'Fine'), lack of eye contact ('without looking up from his phone'), and procrastination ('I'll do it later') all suggest he is not prioritizing his mother's request and is dismissing her concern at that moment.

Question 11: A senior doctor advises a junior colleague: 'You should prescribe the new medication, 'Cardiocure,' for Mr. Smith's heart condition. It's the most recently approved drug on the market, so it's bound to be the most effective option available.' The senior doctor's argument depends on which of the following assumptions?

Cardiocure is significantly more expensive than other available options.
The newest medication available is always the most effective treatment. (Correct answer)
Mr. Smith has previously had adverse reactions to older medications.
The junior colleague is not familiar with the latest cardiovascular drugs.

Correct answer: The newest medication available is always the most effective treatment.

The argument leaps from the premise ('Cardiocure' is the newest drug) to the conclusion (it is the most effective). This leap only works if one assumes that newness is a direct indicator of effectiveness. This unstated belief is the core assumption of the argument.

Question 12: A surgeon informs a patient's daughter, 'The operation went exactly as planned, with no complications.' The daughter replies with a quiet, flat tone, 'Okay. That's good to hear, I suppose.' Based on her response, the daughter is most likely feeling:

Apprehensive and not yet fully relieved. (Correct answer)
Anger that the surgery was necessary in the first place.
Indifference, as the outcome was expected.
Pure relief and happiness that the operation is over.

Correct answer: Apprehensive and not yet fully relieved.

While the news is positive, the daughter's response is subdued. The quiet, flat tone combined with the qualifier 'I suppose' indicates that her relief is tempered by lingering worry or anxiety. She has processed the good news but is not yet ready to be fully optimistic, likely still concerned about the recovery process.

Question 13: A medical journal extract reads: 'Patient adherence to Treatment X, a new once-daily medication, was recorded at 85% in our six-month study. This contrasts with the 60% adherence rate typically observed for Treatment Y, the older standard treatment which requires twice-daily administration. A subgroup analysis revealed that in patients over 65, adherence to Treatment X was 92%. The primary reported reason for non-adherence to Treatment Y was forgetfulness.' What can be inferred from this passage?

All patients prefer Treatment X over Treatment Y.
Treatment X is clinically more effective than Treatment Y.
Elderly patients find once-daily medication schedules easier to follow. (Correct answer)
Forgetfulness is not an issue for patients taking Treatment X.

Correct answer: Elderly patients find once-daily medication schedules easier to follow.

The text states that adherence to the once-daily Treatment X was significantly higher overall and even higher in the elderly subgroup (92%). It also mentions that the primary reason for missing doses of the twice-daily Treatment Y was forgetfulness. The most logical inference is that the simpler, once-daily schedule of Treatment X is easier for elderly patients to adhere to. The text discusses adherence, not clinical effectiveness (A). It doesn't claim forgetfulness is completely eliminated with Treatment X (C), nor does it make a statement about all patients' preferences (D).

Question 14: What is the primary goal of assessing logical reasoning in the Health Professions Admissions Test (HPAT)?

Measuring artistic talents
Testing advanced mathematical skills
Evaluating problem-solving abilities (Correct answer)
Assessing memory retention

Correct answer: Evaluating problem-solving abilities

Logical reasoning in the HPAT evaluates candidates' abilities to analyze and solve complex problems.

Question 15: Which type of logical reasoning involves inferring conclusions based on similarities between different situations or objects?

Deductive reasoning
Abductive reasoning
Analogical reasoning (Correct answer)
Inductive reasoning

Correct answer: Analogical reasoning

Analogical reasoning draws parallels between different scenarios to infer conclusions.

Question 16: A dialogue between two colleagues, Sarah and Tom, is presented. Sarah says, 'I'm not sure about this new workflow. It seems to add three extra steps to what was a simple process. I'm concerned it will slow down our team's output significantly.' Tom replies, 'I see your point about the extra steps, but the project manager assured us that these checks will reduce the error rate by over 50%, which has been a major issue. Maybe we should give it a try for a week?' Which of the following best describes Tom's response?

A criticism of the project manager's decision-making.
A dismissal of Sarah's concerns.
A suggestion to abandon the new workflow immediately.
An acknowledgement of the concern, coupled with a counterargument and a proposed solution. (Correct answer)

Correct answer: An acknowledgement of the concern, coupled with a counterargument and a proposed solution.

Tom's response is balanced. He starts by validating Sarah's point ('I see your point about the extra steps'), then introduces a counterargument (the benefit of reducing errors, as stated by the project manager), and finishes with a constructive, temporary solution ('Maybe we should give it a try for a week?'). This structure directly matches option B. He does not dismiss her concerns (A), criticize the manager (C), or suggest abandoning the plan (D).

Question 17: In a team meeting for a university project, Liam says, "I've done my part of the research, so I'm done." Maria replies, "That's great, but we need to integrate our sections and make sure the whole report flows. Maybe we could all review it together?" What is Maria most likely trying to achieve?

To take credit for completing the project.
To foster a collaborative approach and ensure team success. (Correct answer)
To prove that her section of the research is the most important.
To criticize Liam's limited view of the project.

Correct answer: To foster a collaborative approach and ensure team success.

Maria is gently redirecting the focus from individual tasks to the collective goal. Her suggestion to 'review it together' is a clear attempt to promote teamwork and ensure the final product is cohesive and of high quality, which benefits the entire team.

Question 18: How can effective problem-solving skills assessed in the HPAT contribute to quality healthcare delivery?

By limiting collaboration among healthcare professionals
By increasing administrative bureaucracy
By improving patient outcomes and safety (Correct answer)
By reducing access to medical services

Correct answer: By improving patient outcomes and safety

Strong problem-solving skills enhance healthcare quality by facilitating effective diagnosis, treatment, and patient care, ultimately improving outcomes and safety.

Question 19: Hospital admissions increased from 800 per month to 1,100 per month over one year. What is the percentage increase in admissions?

25.0%
37.5% (Correct answer)
43.5%
32.5%

Correct answer: 37.5%

Percentage increase = (1100 − 800) ÷ 800 × 100 = 300 ÷ 800 × 100 = 37.5%.

Question 20: A doctor is speaking with an elderly patient about his persistent cough. Doctor: 'So the cough has been bothering you for about three months?' Patient: 'Oh, it's nothing really. Just a bit of a tickle. My wife insisted I come in, you know how she fusses.' Doctor: 'And you've been getting short of breath going up stairs?' Patient: 'Well, I'm not as young as I used to be, am I? It's probably just age.' What is the most likely reason the patient is behaving this way?

He has a personal dislike for the doctor and wants to end the appointment quickly.
He genuinely believes his symptoms are a normal part of aging.
He is afraid of what the diagnosis might be and is using denial as a coping mechanism. (Correct answer)
He is trying to avoid being prescribed expensive medication.

Correct answer: He is afraid of what the diagnosis might be and is using denial as a coping mechanism.

The patient's language consistently minimizes the severity of his symptoms ('it's nothing,' 'just a tickle') and deflects responsibility for the visit onto his wife ('she insisted'). This pattern of downplaying and deflecting is strongly indicative of denial and fear. By framing his symptoms as insignificant or normal, he is psychologically attempting to avoid confronting the possibility of a serious and frightening diagnosis. While he may also believe some of what he says, the overall pattern points to a deeper emotional cause.

Question 21: How does logical reasoning contribute to effective decision-making in healthcare settings?

By facilitating evidence-based analysis (Correct answer)
By focusing on physical strength
By prioritizing artistic abilities
By emphasizing memorization of medical facts

Correct answer: By facilitating evidence-based analysis

Logical reasoning supports evidence-based decision-making by evaluating information and drawing valid conclusions.

Question 22: Which logical reasoning approach involves identifying the most probable cause of an observed phenomenon?

Inductive reasoning
Deductive reasoning
Abductive reasoning (Correct answer)
Analogical reasoning

Correct answer: Abductive reasoning

Abductive reasoning infers the most likely explanation for observed phenomena based on available evidence.

Question 23: A doctor asks a new patient, 'On a scale of 1 to 10, how would you rate the pain you've been experiencing?' The patient, who has been visibly limping, replies, 'Oh, it's nothing really, maybe a 2 or a 3. I'm just getting older. I shouldn't even be wasting your time with it.'

To provide the doctor with an accurate and objective pain rating.
To minimize their symptoms to avoid being perceived as a complainer. (Correct answer)
To conceal a dependency on pain medication.
To question the doctor's use of a numerical pain scale.

Correct answer: To minimize their symptoms to avoid being perceived as a complainer.

There is a clear disconnect between the patient's non-verbal cue (limping) and their verbal report. The language they use ('nothing really,' 'wasting your time') strongly indicates that they are downplaying their symptoms, likely because they don't want to be seen as a burden or someone who complains about minor issues.

Question 24: A patient's white blood cell count (×10³/μL) over 4 weeks: Week 1: 4.5, Week 2: 6.2, Week 3: 5.8, Week 4: 7.5. What is the mean count over this period?

6.5
5.5
5.8
6.0 (Correct answer)

Correct answer: 6.0

Mean = (4.5 + 6.2 + 5.8 + 7.5) ÷ 4 = 24.0 ÷ 4 = 6.0 ×10³/μL.

Question 25: How does logical reasoning contribute to effective communication among healthcare professionals?

By emphasizing physical strength
By promoting teamwork and collaboration (Correct answer)
By focusing on artistic talents
By enhancing problem-solving abilities

Correct answer: By promoting teamwork and collaboration

Logical reasoning supports effective communication and collaboration among healthcare professionals by facilitating clear and structured discussions.

Question 26: Four of the following figures are alike in some way. Which figure is the odd one out? [Image shows five options, labeled A, B, C, D. Each option contains a large outer shape and a smaller, shaded inner shape.] A) A large pentagon (5 sides) containing a small, shaded square (4 sides). B) A large square (4 sides) containing a small, shaded triangle (3 sides). C) A large hexagon (6 sides) containing a small, shaded circle (infinite/0 sides). D) A large heptagon (7 sides) containing a small, shaded hexagon (6 sides).

D
C (Correct answer)
A
B

Correct answer: C

The rule connecting four of the figures is that the number of sides of the outer shape is exactly one more than the number of sides of the inner shape. A: 5 sides outer, 4 sides inner (+1). B: 4 sides outer, 3 sides inner (+1). D: 7 sides outer, 6 sides inner (+1). C breaks this pattern, as a hexagon has 6 sides and a circle has none in this context. Therefore, C is the odd one out.

Question 27: A medication dosage is 0.05 mg per kg of body weight. What is the correct dose for a patient weighing 72 kg?

2.8 mg
3.6 mg (Correct answer)
3.2 mg
4.0 mg

Correct answer: 3.6 mg

Dose = 0.05 × 72 = 3.6 mg for a 72 kg patient.

Question 28: In logical reasoning, what does "inductive reasoning" entail?

Using analogies to draw conclusions
Making educated guesses based on intuition
Applying logical rules to derive valid conclusions
Moving from specific observations to general conclusions (Correct answer)

Correct answer: Moving from specific observations to general conclusions

Inductive reasoning involves making generalizations based on specific observations or patterns.

Question 29: Which of the following figures correctly fits in the middle of the sequence? [Image shows a sequence of five boxes, with the third box empty. 1. A single vertical line. 2. A vertical line with a horizontal line crossing its top (like a T). 3. ? 4. The 'T' shape from box 2, with a second horizontal line crossing its middle. 5. The shape from box 4, with a third horizontal line crossing its bottom.]

A vertical line with a horizontal line crossing its middle. (Correct answer)
A vertical line with a horizontal line crossing its bottom.
The 'T' shape from box 2, with a second horizontal line crossing its bottom.
A single horizontal line.

Correct answer: A vertical line with a horizontal line crossing its middle.

The pattern involves adding one horizontal line to the central vertical line in each step. The position of the added line moves downwards. In step 1, there is only a vertical line. In step 2, a horizontal line is added at the top. The logical third step is to add a horizontal line to the middle. Step 4 confirms this progression by showing lines at the top and middle. Step 5 completes the pattern with lines at the top, middle, and bottom.

Question 30: In this sequence, the third figure of a set is derived from the preceding two. Following this rule, which figure should replace the question mark? [Sequence: Figure A (a large circle), Figure B (a large cross), Figure C (the circle and cross are superimposed, with the overlapping area shaded black). This is followed by Figure D (a large pentagon), Figure E (a large triangle), and a question mark.]

A pentagon superimposed over a triangle, with the non-overlapping parts of the pentagon shaded black.
A triangle superimposed over a pentagon, with the overlapping area shaded black. (Correct answer)
A pentagon with a smaller triangle inside.
A pentagon and a triangle side-by-side.

Correct answer: A triangle superimposed over a pentagon, with the overlapping area shaded black.

The pattern established by Figures A, B, and C is that the third figure is a superposition of the first two, and the area where they intersect is shaded black. To find the missing figure, we must apply this same rule to Figures D and E. This means superimposing the triangle and the pentagon, and then shading the area where they overlap.

Question 31: What problem-solving skill is essential for effective collaboration with healthcare teams, as assessed in the HPAT?

Teamwork and cooperation (Correct answer)
Empathy
Leadership ability
Communication skills

Correct answer: Teamwork and cooperation

Healthcare professionals must collaborate effectively with diverse teams, requiring strong teamwork and cooperation skills.

Question 32: A public health report states: 'In the first year of the new traffic calming measures, pedestrian injuries in the city center decreased by 30%. However, in the same period, cycling accidents rose by 15%. The adjacent suburban district, which did not implement the new measures, saw a 5% decrease in both pedestrian injuries and cycling accidents.' Which of the following is the most valid conclusion based on this text?

The traffic calming measures may have had a mixed effect on road user safety in the city center. (Correct answer)
The increase in cycling accidents in the city center is a direct result of fewer pedestrian injuries.
The suburban district's road safety approach is superior to the city center's.
The traffic calming measures are entirely detrimental to road safety.

Correct answer: The traffic calming measures may have had a mixed effect on road user safety in the city center.

The text provides data showing both a significant positive outcome (decreased pedestrian injuries) and a negative outcome (increased cycling accidents) following the implementation of traffic calming measures in the city center. This suggests a mixed or complex impact. The other options are too extreme or make unsupported causal links. Option A is incorrect because of the 30% decrease in pedestrian injuries. Option B is an overstatement, as the changes in the suburb are minor and there could be many other influencing factors. Option D presents a causal link that is not stated or implied in the text.

Question 33: A clinical study reports a mean recovery time of 8 days with a standard deviation of 2 days. What is the coefficient of variation (CV)?

4%
25% (Correct answer)
16%
40%

Correct answer: 25%

CV = (standard deviation ÷ mean) × 100 = (2 ÷ 8) × 100 = 25%.

Question 34: An excerpt from a patient information leaflet reads: 'Take one tablet in the morning. The most common side effect is mild drowsiness. It is imperative that you do not operate heavy machinery if you feel drowsy. Most patients find that any drowsiness disappears within the first week, so it is important to continue taking the medication as prescribed.' Which aspect of this text is most likely to cause confusion for a patient?

The text does not specify whether the tablet should be taken with or without food.
It doesn't explain what to do if the drowsiness persists for more than one week.
The phrase 'operate heavy machinery' is vague and doesn't specify if driving a car is included.
It advises continuing the medication even if a potentially dangerous side effect occurs, creating conflicting instructions. (Correct answer)

Correct answer: It advises continuing the medication even if a potentially dangerous side effect occurs, creating conflicting instructions.

The core confusion arises from the conflicting messages. The leaflet stresses the danger of drowsiness ('imperative that you do not operate heavy machinery') but also instructs the patient to 'continue taking the medication as prescribed' even if they experience this side effect. A patient could reasonably be confused about whether to prioritize their immediate safety or their adherence to the treatment plan, creating significant uncertainty.

Question 35: A medical researcher is presenting their findings: 'Our study followed 500 patients with a history of migraines. We found that every patient who adopted a gluten-free diet reported a decrease in migraine frequency. Therefore, we conclude that a gluten-free diet is an effective treatment for reducing migraine frequency in all patients.' Which type of reasoning is primarily used to reach this conclusion?

Abductive Reasoning
Deductive Reasoning
Analogical Reasoning
Inductive Reasoning (Correct answer)

Correct answer: Inductive Reasoning

This is an example of inductive reasoning. The researcher is moving from specific observations (500 patients in the study) to a broad generalization (all patients). Inductive reasoning creates a probable conclusion based on evidence, but it does not guarantee the conclusion's truth in all cases, unlike deductive reasoning.

Question 36: Figure A is to Figure B as Figure C is to...? [Image shows three figures. A: A large circle containing a small, black square. B: A large square containing a small, black circle. C: A large pentagon containing a small, white triangle.]

A large pentagon containing a small, black triangle.
A large triangle containing a small, white pentagon. (Correct answer)
A large pentagon containing a small, white circle.
A large triangle containing a small, black pentagon.

Correct answer: A large triangle containing a small, white pentagon.

The relationship from Figure A to Figure B is that the outer and inner shapes swap their roles. The large outer circle becomes the small inner circle, and the small inner square becomes the large outer square. The shading of the inner shape does not change. Applying this same transformation to Figure C, the large outer pentagon must become the small inner pentagon, and the small inner triangle must become the large outer triangle. The inner shape's white fill remains the same.

Question 37: Which of the following is a key problem-solving skill assessed in the Health Professions Admissions Test (HPAT)?

Ability to think critically and analytically (Correct answer)
Speed of handwriting
Memorization of medical terminology
Knowledge of specific medical procedures

Correct answer: Ability to think critically and analytically

The HPAT evaluates candidates' problem-solving abilities, including critical thinking and analytical reasoning.

Question 38: A research team hypothesises that a new mindfulness app can reduce stress levels in medical students. They conduct a study where one group uses the app for 15 minutes daily for a month, and a control group does not. Which of the following findings would most strongly support their hypothesis?

Several students in the control group started their own independent mindfulness practices during the study period.
Both the app group and the control group showed a slight decrease in self-reported stress levels by the end of the month.
The app group showed a statistically significant decrease in cortisol (a stress hormone) levels, while the control group showed no change. (Correct answer)
Students in the app group reported enjoying the app's user interface and design.

Correct answer: The app group showed a statistically significant decrease in cortisol (a stress hormone) levels, while the control group showed no change.

This finding provides the strongest support because it uses a measurable, objective biological marker (cortisol) to demonstrate a physiological change directly related to stress. The fact that the control group showed no change isolates the app as the likely cause of the decrease, strengthening the causal link proposed in the hypothesis.

Question 39: A junior doctor, Sarah, is explaining a diagnosis to a patient, Mr. Evans, who is 78 years old and hard of hearing. Sarah is speaking quickly and using complex medical terminology. Mr. Evans is nodding along, but his brow is furrowed and he avoids eye contact. When Sarah asks, "Do you have any questions?", he quietly says, "No, I don't think so, dear." Which of the following best describes the core issue in this interaction?

The doctor's comprehensive medical knowledge.
A lack of effective communication from the doctor. (Correct answer)
The patient's disinterest in his own health.
The patient's refusal to accept the diagnosis.

Correct answer: A lack of effective communication from the doctor.

The primary issue is Sarah's failure to communicate effectively. She is not adapting her communication style to the patient's needs (age, hearing impairment). Her fast pace and use of jargon, combined with the patient's non-verbal cues (furrowed brow, avoiding eye contact), indicate a communication breakdown. The patient's response is likely one of confusion or intimidation, not disinterest or refusal.

Question 40: A physiotherapist explains a complex series of home exercises to an elderly patient. The patient smiles and says, 'Yes, that all seems perfectly clear.' However, as the physiotherapist speaks, the patient repeatedly wrings their hands and does not ask for the instructional diagrams being offered. What is the most likely motivation behind the patient's verbal response?

A desire to avoid appearing difficult or unintelligent. (Correct answer)
A genuine belief that they have fully understood the instructions.
Confidence in their ability to remember all the steps without aids.
Impatience to end the appointment and return home.

Correct answer: A desire to avoid appearing difficult or unintelligent.

The patient's verbal affirmation ('perfectly clear') is at odds with their non-verbal cues (wringing hands) and their passive refusal of help (not asking for diagrams). This discrepancy suggests they are not actually confident but are reluctant to admit their confusion, likely out of a desire not to seem like a 'bad' patient or to take up more of the professional's time.

Question 41: A pie chart shows hospital bed distribution: Surgery 30%, Cardiology 25%, Oncology 20%, Pediatrics 15%, Other 10%. If the hospital has 400 beds, how many are in Cardiology?

100 (Correct answer)
60
120
80

Correct answer: 100

25% of 400 beds = 400 × 0.25 = 100 beds in Cardiology.

Question 42: Which figure is the logical next step in the sequence? [Image shows a sequence of four boxes. 1. A clock face showing 3:00. 2. The same clock face showing 1:30. 3. The same clock face showing 12:00. 4. The same clock face showing 10:30.]

9:00 (Correct answer)
8:00
10:00
9:30

Correct answer: 9:00

The pattern is based on subtracting a progressively smaller amount of time in each step. From 3:00 to 1:30 is a subtraction of 1 hour and 30 minutes. From 1:30 to 12:00 is a subtraction of 1 hour and 30 minutes. Oh, wait, let me re-evaluate. 3:00 to 1:30 is -1h 30m. 1:30 to 12:00 is -1h 30m. 12:00 to 10:30 is -1h 30m. The pattern is a consistent subtraction of 1 hour and 30 minutes. Therefore, the next step is 10:30 minus 1 hour 30 minutes, which is 9:00.

Question 43: In a debate about public health policy, one speaker argues, 'We must increase funding for preventative health screenings.' Their opponent replies, 'So you're saying we should bankrupt our healthcare system by throwing money at endless tests while ignoring patients who are currently sick and in need of immediate treatment? That's irresponsible.' The opponent's response is an example of which logical fallacy?

Appeal to Authority
False Dichotomy
Straw Man (Correct answer)
Ad Hominem

Correct answer: Straw Man

The opponent is using a 'Straw Man' fallacy. They are not addressing the actual argument (increasing funding for preventative screenings). Instead, they are misrepresenting and exaggerating it into an extreme and easy-to-attack position (bankrupting the system, ignoring all sick patients) and then arguing against that distorted version.

Question 44: In a sequence, Figure 1 shows a black square. Figure 2 shows the black square from Figure 1, with a smaller white circle placed on its right side. Figure 3 shows the contents of Figure 2, with an even smaller black triangle placed on the right of the white circle. Figure 4 shows the contents of Figure 3, with a yet smaller white star placed on the right of the black triangle. Which of the following describes Figure 5?

C) The sequence from Figure 4, with a smaller black square added to the right of the star.
D) Only a black pentagon is shown.
B) The sequence from Figure 4, with a smaller white square added to the right of the star.
A) The sequence from Figure 4, with a smaller black pentagon added to the right of the star. (Correct answer)

Correct answer: A) The sequence from Figure 4, with a smaller black pentagon added to the right of the star.

This is an accumulative sequence with two alternating patterns. First, a new shape is added to the right in each step. Second, the properties of the added shape follow a pattern. The shape pattern is: square (4 sides), circle, triangle (3 sides), star (assuming a 5-pointed star, but the key is the number of sides progression if we treat the circle as an exception or infinite sides). A more consistent pattern is the number of sides of the polygonal shapes: 4, 3, (next polygon should have 5). The color alternates: black, white, black, white. The next added shape should be black. Combining these, the next shape to be added should be a black polygon with 5 sides (a pentagon). This shape is added to the right of the existing sequence of shapes.

Question 45: Each figure in a sequence contains a large circle with a single line inside it, like the hand of a clock. In Figure 1, the line points to the 12 o'clock position. In Figure 2, it points to the 3 o'clock position. In Figure 3, it points to the 7 o'clock position. In Figure 4, it points to the 12 o'clock position. Which figure logically follows in the sequence?

C) A circle with the line pointing to the 10 o'clock position. (Correct answer)
B) A circle with the line pointing to the 11 o'clock position.
A) A circle with the line pointing to the 9 o'clock position.
D) A circle with the line pointing to the 1 o'clock position.

Correct answer: C) A circle with the line pointing to the 10 o'clock position.

The pattern is the number of hours the line moves forward (clockwise) on a clock face. From Figure 1 (12) to Figure 2 (3), it moves forward 3 hours. From Figure 2 (3) to Figure 3 (5), it moves forward 2 hours. From Figure 3 (5) to Figure 4 (8), it moves forward 3 hours. The pattern of movement is an alternating sequence of adding 3 hours, then adding 2 hours. The last movement was +3, so the next movement must be +2. Starting from the 8 o'clock position in Figure 4, moving forward 2 hours results in the line pointing to the 10 o'clock position.

Question 46: During a ward round, a junior nurse is updating a senior consultant about a patient. She says, 'The patient's stats are stable.' The consultant replies, 'I don't want to know that they are 'stable'. I want the specific numbers for their blood pressure, heart rate, and oxygen saturation from the last two hours. 'Stable' is a conclusion, not data.' What is the primary motivation for the consultant's response?

To test the junior nurse's ability to recall specific patient data under pressure.
To enforce a high standard of precision in medical reporting for patient safety. (Correct answer)
To express personal frustration with the hospital's training program.
To belittle the junior nurse's communication skills in front of others.

Correct answer: To enforce a high standard of precision in medical reporting for patient safety.

The consultant's correction focuses on the difference between a subjective summary ('stable') and objective data (specific numbers). In a medical context, precise data is essential for making informed decisions and ensuring patient safety. The motivation is therefore pedagogical and professional, aimed at instilling a rigorous standard of communication.

Question 47: In problem-solving scenarios on the HPAT, what does the term "triage" refer to?

Conducting laboratory tests
Administering medication
Sorting patients based on urgency of care (Correct answer)
Performing surgical procedures

Correct answer: Sorting patients based on urgency of care

Triage involves prioritizing patient care based on the severity of their condition, a critical skill in healthcare settings.

Question 48: A medication causes a side effect in 3 out of every 25 patients. In a group of 300 patients, how many would be expected to experience this side effect?

12
36 (Correct answer)
48
24

Correct answer: 36

(3 ÷ 25) × 300 = 0.12 × 300 = 36 patients expected to experience the side effect.

Question 49: A patient is speaking to a nurse. 'I know the doctor said the procedure is routine, and I've been nodding along, but honestly, my stomach is in knots. Everyone keeps saying 'don't worry,' which somehow makes me worry more. I'm just picturing all the things that could go wrong.' Based on the text, which of the following is the patient most likely feeling?

Frustration with the repetitive advice.
Anxiety despite the reassurances given. (Correct answer)
Anger at the doctor's dismissiveness.
Confusion about the procedural details.

Correct answer: Anxiety despite the reassurances given.

The patient explicitly mentions their 'stomach is in knots' and that they are 'picturing all the things that could go wrong,' which are classic descriptions of anxiety. They also state that the reassurances ('don't worry') are paradoxically increasing their worry. While there might be a hint of frustration (B), the core emotion described is anxiety. There is no evidence of anger (A) or confusion about the procedure itself (D); the fear is about potential negative outcomes.

Question 50: A local health authority launches a campaign to increase fruit and vegetable consumption. The campaign involves placing posters in doctors' offices and running advertisements on local radio. The slogan is: 'Eat 5-a-day, the healthy way!' The campaign will run for three months, after which its success will be measured by surveying residents about their awareness of the '5-a-day' message.

The plan measures awareness of the message, not the actual change in dietary behavior. (Correct answer)
Using only posters and radio ads excludes key demographics in the community.
The campaign slogan is not memorable enough to be effective.
The three-month duration of the campaign is too short to change long-term habits.

Correct answer: The plan measures awareness of the message, not the actual change in dietary behavior.

The primary goal of the campaign is to 'increase fruit and vegetable consumption,' which is a behavioral outcome. However, the proposed method for measuring success is a survey of 'awareness of the message,' which is a cognitive outcome. It is a significant flaw to assume that awareness automatically translates to behavior change. The plan lacks a mechanism to measure if the actual goal was achieved, creating a mismatch between the stated objective and the success metric.

Question 51: What is the purpose of assessing logical reasoning in the context of healthcare admissions?

To test physical endurance
To assess problem-solving abilities (Correct answer)
To measure musical talents
To evaluate creative thinking skills

Correct answer: To assess problem-solving abilities

Logical reasoning skills are essential for analyzing healthcare scenarios and making informed decisions.

Question 52: A customer at a pharmacy presents a new prescription and says, 'I read on a blog that this drug has terrible side effects and doesn't even work for half the people. I'm not sure I want to take it.' Which of the following is the most appropriate initial response from the pharmacist?

"You shouldn't believe everything you read online; your doctor wouldn't have prescribed it if it wasn't safe."
"I understand your concern. Let's talk about what you read, and I can provide you with information from reliable medical sources about this medication." (Correct answer)
"It's a very popular and effective medication. I'm sure you'll be fine once you start taking it."
"If you're that worried, you should go back to your doctor. I can only dispense what is on the prescription."

Correct answer: "I understand your concern. Let's talk about what you read, and I can provide you with information from reliable medical sources about this medication."

This response is the most effective because it first validates the customer's concern ('I understand your concern'), which builds trust and opens communication. It then proposes a constructive, collaborative path forward by offering to discuss the specific fears and provide evidence-based information from reliable sources. This empowers the patient with accurate knowledge rather than dismissing their feelings or deferring responsibility.

Question 53: Which figure belongs in the empty box to complete the grid's pattern? [Image shows a 3x3 grid with the bottom-right box empty. Row 1: A circle with no fill; A circle with horizontal stripes; A black circle. Row 2: A square with no fill; A square with horizontal stripes; A black square. Row 3: A triangle with no fill; A triangle with horizontal stripes; ?]

A triangle with vertical stripes.
A square with no fill.
A black circle.
A black triangle. (Correct answer)

Correct answer: A black triangle.

The grid follows two rules. Rule 1 (Rows): The shape remains the same across each row (Row 1 is circles, Row 2 is squares, Row 3 is triangles). Rule 2 (Columns): The fill pattern changes down each column (Column 1 is no fill, Column 2 is horizontal stripes, Column 3 is black fill). To complete the grid, the figure in Row 3, Column 3 must be a triangle (following the row rule) and have a black fill (following the column rule).

Question 54: Consider a sequence of figures. Figure 1 is a regular pentagon (5 sides). Figure 2 is a regular hexagon (6 sides). Figure 3 is a regular heptagon (7 sides). Inside each figure, there is an arrow. In Figure 1, the arrow points to the top vertex. In Figure 2, the arrow points to the vertex immediately to the right of the top vertex (clockwise). In Figure 3, the arrow points to the second vertex, clockwise from the top. Which figure logically continues the sequence?

C) A nonagon where the arrow points to the third vertex clockwise from the top.
B) An octagon where the arrow points to the fourth vertex clockwise from the top.
D) An octagon where the arrow points to the third vertex clockwise from the top. (Correct answer)
A) An octagon where the arrow points to the second vertex clockwise from the top.

Correct answer: D) An octagon where the arrow points to the third vertex clockwise from the top.

The sequence has two rules. First, the main shape increases its number of sides by one at each step (5 -> 6 -> 7), so the next shape must be an octagon (8 sides). Second, the arrow's position follows a progression. It moves clockwise around the vertices. The number of vertices it moves forward increases by one each time: from Figure 1 to 2, it moves 1 vertex clockwise. From Figure 2 to 3, it moves 2 vertices clockwise. Therefore, from Figure 3 to 4, it must move 3 vertices clockwise. Starting from the second vertex from the top in the heptagon, moving 3 vertices clockwise in an octagon would land it on the third vertex from the top (original position + 3). The correct answer is an octagon with the arrow pointing to the third vertex clockwise from the top.

Question 55: Which figure is the logical next step in the sequence? [Image shows a sequence of four squares. 1. A square with a small black circle in the top-left corner. 2. The square is rotated 90 degrees clockwise, now with black circles in the top-right and bottom-right corners. 3. The square is rotated another 90 degrees clockwise, with black circles in the bottom-left, bottom-right, and top-right corners. 4. The square is rotated another 90 degrees clockwise, with black circles in all four corners.]

A square rotated 90 degrees clockwise from box 4, with black circles in the top-right, bottom-right, and bottom-left corners. (Correct answer)
A square in the same orientation as box 1, with a black circle in the top-left corner.
A square in the same orientation as box 4, with black circles in the top-left, top-right, and bottom-right corners.
A square rotated 90 degrees clockwise from box 4, with a black circle only in the top-left corner.

Correct answer: A square rotated 90 degrees clockwise from box 4, with black circles in the top-right, bottom-right, and bottom-left corners.

The pattern has two rules operating simultaneously. First, the entire square rotates 90 degrees clockwise with each step. Second, a black circle is removed from a corner in a clockwise fashion, starting from the top-left corner. In step 4, all corners are filled. The next logical step would be to rotate the square 90 degrees and remove the top-left circle, leaving three circles. Answer C correctly shows the rotation and the removal of the top-left circle relative to the new orientation.

Question 56: Two junior doctors, Mark and David, are discussing a recent diagnostic challenge. Mark, who correctly identified the rare condition, explains his reasoning. David listens and then says, 'Well, that was a lucky guess. I was going down the more conventional, evidence-based route.' What is David's primary motivation for his comment?

To emphasize the importance of following conventional protocols.
To genuinely inquire if Mark's diagnosis was based on luck.
To diminish Mark's achievement and protect his own ego. (Correct answer)
To offer constructive criticism on Mark's diagnostic process.

Correct answer: To diminish Mark's achievement and protect his own ego.

David's comment serves to reframe the situation. By attributing Mark's success to 'luck' and his own incorrect path to being 'conventional' and 'evidence-based,' he minimizes his colleague's skill and justifies his own error. This is a common defense mechanism to protect one's ego in a competitive environment.

Question 57: Argument: 'Allergic reactions are a type of immune response. Anaphylaxis is a severe allergic reaction. Therefore, anaphylaxis is a type of immune response.' Which of the following best describes this argument?

A valid deductive argument where the conclusion logically follows from the premises. (Correct answer)
An inductive argument based on specific observations.
A flawed argument because it contains a circular reasoning fallacy.
A weak analogy based on similar-sounding terms.

Correct answer: A valid deductive argument where the conclusion logically follows from the premises.

This is a classic example of a valid deductive argument, specifically a categorical syllogism. If the two premises ('All A are B' and 'C is a type of A') are true, the conclusion ('C is a type of B') must necessarily be true. The conclusion logically and inescapably follows from the given statements.

Question 58: During a group discussion, one team member consistently interrupts others. Which response demonstrates the best interpersonal skills?

Stay silent and let the person dominate the discussion
Complain about the person to other team members after the meeting
Interrupt the person back to assert dominance
Wait for a natural pause and say 'I'd like to make sure everyone has a chance to share their perspective' (Correct answer)

Correct answer: Wait for a natural pause and say 'I'd like to make sure everyone has a chance to share their perspective'

This response is assertive without being aggressive, redirects the conversation constructively, and promotes inclusive participation—all key interpersonal skills valued in healthcare team settings.

Question 59: Which logical reasoning skill involves drawing valid conclusions based on given premises?

Inductive reasoning
Analogical reasoning
Deductive reasoning (Correct answer)
Abductive reasoning

Correct answer: Deductive reasoning

Deductive reasoning involves deriving specific conclusions from general principles or premises.

Question 60: The sequence of figures below follows a specific pattern of reflection and movement. Which figure should come next in the sequence? [Sequence shows three figures, each with a large square divided by a central vertical dashed line. Fig 1: An arrow pointing left (←) is in the top-left quadrant; its reflection (→) is in the top-right quadrant. Fig 2: The arrow has moved to the bottom-left quadrant (←); its reflection is in the bottom-right quadrant (→). Fig 3: The arrow has moved back to the top-left quadrant (←); its reflection is in the top-right quadrant (→).]

Arrow in bottom-left (→), reflection in bottom-right (←).
Arrow in bottom-left (←), reflection in bottom-right (→). (Correct answer)
Arrow in top-right (→), reflection in top-left (←).
Arrow in top-left (←), reflection in top-right (→).

Correct answer: Arrow in bottom-left (←), reflection in bottom-right (→).

The pattern consists of two rules. Rule 1: The shape on the right side of the dashed line is always a mirror reflection of the shape on the left. Rule 2: The primary shape on the left side alternates its position between the top-left quadrant and the bottom-left quadrant in each step. In Figure 1 it is top-left, Figure 2 it is bottom-left, Figure 3 it is top-left. Therefore, in Figure 4, it must move to the bottom-left quadrant. Its reflection will consequently appear in the bottom-right quadrant.

Question 61: After a stressful and unsuccessful emergency procedure, a junior nurse says to her supervisor, 'I just kept going over the checklist in my head. Making sure I did step one, then step two.' What is the most likely reason for the nurse to make this statement?

To complain that the procedure's protocol is too simplistic.
To seek reassurance that she performed her duties correctly despite the outcome. (Correct answer)
To suggest a better way to organise the emergency checklist.
To express confidence in her ability to handle future emergencies.

Correct answer: To seek reassurance that she performed her duties correctly despite the outcome.

In a high-stress situation with a negative outcome, healthcare professionals often mentally review their actions. By stating that she followed the protocol step-by-step, the junior nurse is verbalising this process, likely because she feels anxious about her performance and is seeking implicit validation from her supervisor that she did everything she was supposed to do correctly.

Question 62: Which problem-solving strategy is particularly important in emergency medical situations, as evaluated in the HPAT?

Situational awareness (Correct answer)
Budget planning
Time management
Consensus-building

Correct answer: Situational awareness

Situational awareness involves being alert and responsive to changing circumstances, crucial in emergency medical scenarios.

Question 63: How does the HPAT assess candidates' adaptability in problem-solving?

By measuring typing speed
By evaluating responses to unexpected challenges (Correct answer)
By testing rote memorization of medical procedures
By assessing theoretical knowledge of anatomy

Correct answer: By evaluating responses to unexpected challenges

Adaptability in problem-solving is demonstrated through the ability to adjust strategies and responses to unforeseen circumstances.

Question 64: What role does critical thinking play in the problem-solving section of the HPAT?

Applying logical reasoning to evaluate information (Correct answer)
Performing routine medical procedures
Recalling historical medical cases
Memorizing medical terminology

Correct answer: Applying logical reasoning to evaluate information

Critical thinking involves analyzing and interpreting information to arrive at logical conclusions, a skill evaluated in the HPAT.

Question 65: What ethical considerations may be embedded in problem-solving scenarios on the HPAT?

Respect for patient confidentiality (Correct answer)
Prioritizing cost-efficiency over patient care
Avoiding patient interaction
Following strict procedural guidelines

Correct answer: Respect for patient confidentiality

Problem-solving scenarios on the HPAT may include ethical dilemmas related to patient privacy and confidentiality.

Question 66: What does 'empathy' mean in the context of healthcare communication?

Feeling sorry for a patient's situation
Experiencing the exact same emotions as the patient
Understanding and sharing the feelings of another person while maintaining professional boundaries (Correct answer)
Agreeing with everything a patient says

Correct answer: Understanding and sharing the feelings of another person while maintaining professional boundaries

Empathy in healthcare involves cognitively understanding and emotionally connecting with a patient's experience while maintaining the professional objectivity needed to provide effective care.

Question 67: What does the HPAT assess through its problem-solving section?

Knowledge of pharmacology
Capacity to analyze and evaluate complex scenarios (Correct answer)
Fine motor skills
Ability to follow procedural guidelines

Correct answer: Capacity to analyze and evaluate complex scenarios

The HPAT challenges candidates to analyze and respond to complex problems commonly encountered in healthcare settings.

Question 68: Two friends, Chloe and Ben, are discussing a movie they just saw. Chloe says, "I just didn't find the main character believable at all." Ben, who loved the movie, replies with a slight laugh, "Well, I guess you just don't appreciate complex character development." What is the most likely subtext of Ben's comment?

He is genuinely trying to help Chloe understand the film better.
He is seeking Chloe's validation for his opinion.
He is defensively dismissing her opinion by subtly questioning her judgment. (Correct answer)
He is playfully teasing her for her differing taste.

Correct answer: He is defensively dismissing her opinion by subtly questioning her judgment.

Ben's response is a form of passive aggression. Instead of engaging with Chloe's specific critique, he dismisses it by implying she lacks the ability to appreciate the film's supposed complexity. The laugh makes it seem light-hearted, but the underlying message is a defense of his own opinion at the expense of hers.

Question 69: Which of the following best describes the purpose of problem-solving questions on the HPAT?

Testing candidates' ability to recite medical facts
Assessing candidates' ability to navigate complex healthcare scenarios (Correct answer)
Evaluating candidates' aptitude for multitasking
Measuring candidates' proficiency in manual dexterity

Correct answer: Assessing candidates' ability to navigate complex healthcare scenarios

Problem-solving questions on the HPAT simulate real-world healthcare challenges, assessing candidates' readiness to address complex scenarios.

Question 70: A patient tells a dentist, 'I'm sorry, I haven't been flossing as much as I should. It's just so time-consuming.' Which of the following responses from the dentist best demonstrates an understanding of the patient's perspective?

You're right, it can be a hassle to fit it in. Maybe we can brainstorm some ways to make it easier, like trying floss picks you can use while watching TV. (Correct answer)
If you don't floss, you will almost certainly develop gum disease. It's a critical part of your health.
Everyone has time to floss. It only takes two minutes out of your day if you do it properly.
I understand. Just try to do better before your next appointment in six months.

Correct answer: You're right, it can be a hassle to fit it in. Maybe we can brainstorm some ways to make it easier, like trying floss picks you can use while watching TV.

This response is the most effective because it starts by validating the patient's feeling ('You're right, it can be a hassle'). It then moves to collaborative, non-judgmental problem-solving ('maybe we can brainstorm'). This approach respects the patient's perspective and is more likely to encourage a positive change in behaviour than responses that use threats, dismissal, or generic advice.

Question 71: Each figure in the sequence contains a circle, a square, and a triangle, which change position and layering according to a consistent rule. Which figure logically continues the sequence?

Top layer: Circle (top-left), Middle layer: Square (center), Back layer: Triangle (bottom-right).
Top layer: Square (bottom-right), Middle layer: Circle (center), Back layer: Triangle (top-left).
Top layer: Circle (bottom-right), Middle layer: Square (center), Back layer: Triangle (top-left). (Correct answer)
Top layer: Triangle (bottom-right), Middle layer: Square (center), Back layer: Circle (top-left).

Correct answer: Top layer: Circle (bottom-right), Middle layer: Square (center), Back layer: Triangle (top-left).

The sequence of shapes (Circle, Square, Triangle) follows a cyclical pattern through the three layers/positions. In each step: 1. The shape that was on the top layer moves to the back layer and the top-left position. 2. The shape that was in the middle layer moves to the top layer and the bottom-right position. 3. The shape that was at the back layer moves to the middle layer and the center position. Following this rule from Figure 3 (Top: Triangle, Mid: Circle, Back: Square), the Triangle moves to the back, the Circle moves to the top, and the Square moves to the middle. This configuration matches Figure 1, indicating the pattern repeats every three steps. Thus, Figure 4 is identical to Figure 1.

Question 72: An excerpt from a patient's journal reads: 'My daughter visited today. She was so bright and cheerful, telling me all about her promotion at work and the funny thing the dog did. She didn't once ask about the test results or how I was really feeling. She just kept saying, 'You look so much better!' I know she means well, but it felt like I was behind a glass wall.' Which of the following best describes the daughter's likely motivation?

She is using forced cheerfulness to cope with her own anxiety about the situation. (Correct answer)
She was instructed by the medical staff to avoid stressful topics.
She is self-absorbed and uninterested in her parent's condition.
She believes that positive conversation is the most effective form of medicine.

Correct answer: She is using forced cheerfulness to cope with her own anxiety about the situation.

The daughter's relentless positivity and avoidance of the actual medical situation ('test results,' 'how I was really feeling') suggest she is uncomfortable confronting the reality of her parent's illness. This forced cheerfulness is likely a way for her to manage her own fear and anxiety, creating the 'glass wall' the patient perceives.

Question 73: A sequence shows a 3x3 grid in each figure. In Figure 1, the top row contains three X's. In Figure 2, the middle row contains three O's. In Figure 3, the bottom row contains three X's. In Figure 4, the left column contains three O's. What would Figure 5 be?

B) The right column contains three O's.
D) The middle column contains three O's.
A) The middle column contains three X's. (Correct answer)
C) The top row contains three O's.

Correct answer: A) The middle column contains three X's.

The sequence involves filling a line of the grid in a specific order and alternating the symbol used. The pattern of filled lines is: top row, middle row, bottom row, left column. This is a logical progression around the grid. The next logical step would be the middle column. The symbols used are also in a pattern: X, O, X, O. Therefore, the next symbol to be used should be X. Combining these two rules, Figure 5 must show the middle column filled with three X's.

Question 74: Each figure in a sequence consists of a large triangle. In Figure 1, there is 1 small black dot inside the triangle. In Figure 2, there are 3 small black dots and the entire large triangle is shaded grey. In Figure 3, there are 5 small black dots and the triangle is white (unshaded). In Figure 4, there are 7 small black dots and the triangle is shaded grey. What is the correct next figure in the sequence?

B) A white triangle with 9 dots. (Correct answer)
C) A grey triangle with 9 dots.
A) A grey triangle with 8 dots.
D) A white triangle with 11 dots.

Correct answer: B) A white triangle with 9 dots.

This sequence follows two patterns. The first pattern is the number of black dots: 1, 3, 5, 7. This is a simple arithmetic progression, increasing by 2 each time. The next number in the sequence is 7 + 2 = 9. The second pattern is the shading of the large triangle, which alternates between white and grey (white -> grey -> white -> grey). The next shading in the sequence must be white. Therefore, the correct figure is a white triangle containing 9 black dots.

Question 75: A hospital treats 240 patients per week. If 35% are emergency cases, how many are non-emergency patients treated per week?

84
156 (Correct answer)
140
180

Correct answer: 156

65% are non-emergency (100% − 35%), and 240 × 0.65 = 156 patients.

Question 76: A hospital manager is addressing the nursing staff: 'I know the new digital charting system has a steep learning curve and has caused some initial delays. I really appreciate everyone putting in the extra hours to get up to speed. Management sees your commitment, and it's crucial for our long-term goal of improving data accuracy and patient handovers.' Which of the following best describes the manager's motivation for this statement?

To warn staff that their performance on the new system is being monitored.
To suggest that the hospital will be offering overtime pay for the extra hours.
To acknowledge staff struggles while reinforcing the necessity of the change. (Correct answer)
To announce that no further training on the new system will be provided.

Correct answer: To acknowledge staff struggles while reinforcing the necessity of the change.

The manager is performing a balancing act. They start by acknowledging the negative aspects of the change ('steep learning curve,' 'delays') to show empathy and validate the staff's experience. Then, they frame this effort as a valuable contribution towards a crucial long-term goal, thereby motivating the staff to continue adapting to the new system.

Question 77: A hospital memo reads: 'To enhance patient recovery, the standard visiting hours of 2 PM to 8 PM will be replaced by a new 'Quiet Time' policy from 1 PM to 4 PM, during which no visitors will be permitted. Family members will be encouraged to visit during the revised hours of 4 PM to 7 PM. This change is based on feedback suggesting that the afternoon is a critical period for patient rest and that interruptions from visitors can be disruptive.' What is the primary purpose of the new policy described in the text?

To shorten the workday for hospital staff.
To make visiting hours more convenient for patients' families.
To provide patients with a dedicated, uninterrupted rest period. (Correct answer)
To reduce the overall number of visitors to the hospital.

Correct answer: To provide patients with a dedicated, uninterrupted rest period.

The memo explicitly states the change is to implement a 'Quiet Time' because feedback suggests the afternoon is a 'critical period for patient rest' and visitor interruptions are 'disruptive.' The main goal is clearly to create a protected time for patients to rest without interruption to 'enhance patient recovery.' While the total visiting hours are reduced, the primary stated goal is not to reduce visitor numbers (A). The memo does not mention staff workdays (C). The new hours (4 PM to 7 PM) may actually be less convenient for some families than the old ones (2 PM to 8 PM), so D is unlikely.

Question 78: A sequence of five figures is presented. Each figure contains a large square divided into four equal quadrants. In Figure 1, a black circle is in the top-left quadrant. In Figure 2, the black circle has moved to the top-right quadrant, and a small white square has appeared in the top-left quadrant. In Figure 3, the black circle is in the bottom-right quadrant, and the white square is in the top-right. In Figure 4, the black circle is in the bottom-left quadrant, and the white square is in the bottom-right. Which of the following is the correct Figure 5 in the sequence?

A) The black circle is in the top-left quadrant, and the white square is in the bottom-left. (Correct answer)
C) The black circle is in the top-left quadrant, and the white square is in the bottom-right.
B) The black circle is in the top-right quadrant, and the white square is in the bottom-left.
D) The black circle and the white square are both in the top-left quadrant.

Correct answer: A) The black circle is in the top-left quadrant, and the white square is in the bottom-left.

There are two independent patterns. The black circle moves one quadrant clockwise in each step (top-left -> top-right -> bottom-right -> bottom-left). The next step for the circle is to return to the top-left quadrant. The white square is introduced in Figure 2 and follows the position that the black circle occupied in the *previous* figure. In Figure 2, the square is where the circle was in Figure 1 (top-left). In Figure 3, the square is where the circle was in Figure 2 (top-right). In Figure 4, the square is where the circle was in Figure 3 (bottom-right). Therefore, in Figure 5, the white square must move to the position the black circle occupied in Figure 4, which is the bottom-left quadrant. The correct answer combines these two patterns: the black circle in the top-left and the white square in the bottom-left.

Question 79: What role does logical reasoning play in understanding and interpreting complex medical literature?

Enhancing problem-solving skills (Correct answer)
Focusing on musical composition
Minimizing critical thinking
Emphasizing physical agility

Correct answer: Enhancing problem-solving skills

Logical reasoning skills are crucial for analyzing medical research and interpreting scientific findings.

Question 80: A patient, who has been waiting in the examination room for 40 minutes past their scheduled appointment time, is greeted by a doctor who says, 'Thank you for your patience.' The patient replies without making eye contact, 'I was just about to send out a search party.' What is the patient most likely communicating?

Confusion about whether they were waiting in the correct location.
A genuine concern that the doctor was lost or in trouble.
Frustration and annoyance about the long wait, expressed through sarcasm. (Correct answer)
An attempt at lighthearted humour to ease the doctor's stress.

Correct answer: Frustration and annoyance about the long wait, expressed through sarcasm.

The patient's response uses sarcasm to indirectly express their frustration. A 'search party' is a dramatic exaggeration, highlighting the excessive length of time they have been waiting. The lack of eye contact further suggests displeasure rather than genuine concern or humour.

Question 81: Which principle of medical ethics requires healthcare professionals to act in the best interest of the patient?

Beneficence (Correct answer)
Autonomy
Justice
Non-maleficence

Correct answer: Beneficence

Beneficence is the ethical principle that obligates healthcare professionals to act for the benefit of the patient, actively promoting their well-being and health outcomes.

Question 82: A nurse notices that a colleague has been consistently late for their shifts over the past two weeks and seems distracted and tired at work. The colleague's work has started to become less thorough. What is the most appropriate initial action for the nurse to take?

Report the colleague's behavior directly to the hospital management.
Confront the colleague angrily in front of other staff members.
Ignore the situation as it is a personal matter for the colleague.
Speak to the colleague privately and express concern for their well-being. (Correct answer)

Correct answer: Speak to the colleague privately and express concern for their well-being.

A private, concerned conversation is the most professional and empathetic first step. It allows the nurse to express concern, offer support, and understand the situation without escalating it unnecessarily. Reporting to management or public confrontation would be premature and damaging, while ignoring it could pose a risk to patient safety.

Question 83: Which logical reasoning skill involves evaluating the strength of arguments and identifying logical fallacies?

Analytical reasoning
Verbal reasoning
Critical reasoning (Correct answer)
Spatial reasoning

Correct answer: Critical reasoning

Critical reasoning assesses the validity of arguments and identifies flaws in reasoning.

Question 84: During a performance review, a senior physiotherapist tells a junior colleague, 'Your clinical notes are consistently detailed and accurate. However, I've noticed you sometimes conclude patient sessions the moment the scheduled time is up, even if they are in the middle of asking a question.' Which of the following is the senior physiotherapist most likely trying to convey?

That patients are taking advantage of the junior colleague's time.
That the junior colleague's time management skills are excellent.
That the junior colleague should prioritise patient rapport over rigid scheduling. (Correct answer)
That the junior colleague needs to write more concise clinical notes.

Correct answer: That the junior colleague should prioritise patient rapport over rigid scheduling.

The senior physiotherapist starts with positive feedback (good notes) but then provides a specific example of poor practice. The core message is that cutting off a patient to adhere strictly to a schedule is detrimental to patient care and communication. This implies a need to improve patient-centeredness and rapport.

Question 85: A patient tells their doctor they feel fine but appears anxious and avoids eye contact. What is the most appropriate initial response from the healthcare professional?

Ignore the nonverbal cues and document that the patient reports feeling well
Gently acknowledge the discrepancy by saying 'I notice you seem a bit uneasy—would you like to talk about how you're really feeling?' (Correct answer)
Tell the patient they are clearly lying about feeling fine
Accept the patient's verbal statement and move on with the examination

Correct answer: Gently acknowledge the discrepancy by saying 'I notice you seem a bit uneasy—would you like to talk about how you're really feeling?'

Acknowledging the discrepancy between verbal and nonverbal communication in a gentle, non-judgmental way demonstrates interpersonal sensitivity and creates space for the patient to share genuine concerns.

Question 86: An excerpt from a research summary on sleep patterns states: 'Our study, involving 500 office workers, found a strong negative correlation between hours of screen time after 9 PM and self-reported sleep quality. For every additional hour of late-night screen time, the average sleep quality score decreased by 0.5 points on a 10-point scale. Interestingly, the type of screen (phone, tablet, or laptop) did not significantly alter this outcome. However, participants who engaged in non-screen-related activities, such as reading a physical book, reported stable sleep quality scores.' Which statement is best supported by the text?

Late-night screen time is negatively associated with sleep quality. (Correct answer)
All office workers suffer from poor sleep.
Using a laptop after 9 PM is less harmful to sleep than using a phone.
Reading a physical book improves sleep quality for office workers.

Correct answer: Late-night screen time is negatively associated with sleep quality.

The text explicitly states a 'strong negative correlation' between screen time after 9 PM and sleep quality, and provides specific data to support this. Option C is a direct and accurate summary of this main finding. Option A is an overstatement; the text says reading was associated with 'stable' scores, not necessarily improved ones. Option B is directly contradicted by the text, which says the type of screen did not significantly alter the outcome. Option D is a generalization that is not supported by the information given.

Question 87: Which problem-solving approach is valuable in the context of healthcare scenarios assessed in the HPAT?

Intuitive decision-making
Rote memorization
Trial and error
Evidence-based reasoning (Correct answer)

Correct answer: Evidence-based reasoning

Healthcare professionals rely on evidence-based practices and reasoning to solve problems and make informed decisions.

Question 88: A sequence of figures shows a shape changing in two ways. Which of the following figures is the correct fifth figure in the sequence?

A hexagon with six dots in two vertical rows and a thick outline.
A hexagon with five dots arranged like the pips on a '5' die and a thick outline.
A hexagon with five dots arranged in a pentagon shape and a thin outline. (Correct answer)
A hexagon with four dots in a square and a thin outline.

Correct answer: A hexagon with five dots arranged in a pentagon shape and a thin outline.

There are two concurrent patterns. First, the number of dots inside the hexagon increases by one in each step (1, 2, 3, 4, ...), so the fifth figure must have five dots. The arrangement of the dots mimics the vertices of a shape corresponding to the number of dots (3 dots form a triangle, 4 dots form a square), so five dots should be arranged in the shape of a pentagon. Second, the outline of the hexagon alternates between thin and thick. Since Figure 4 has a thick outline, Figure 5 must have a thin outline.

Question 89: A sequence of figures shows a shape rotating and an internal element changing. Which figure is the correct next step in the sequence?

A C-shape open at the top, with an internal filled square.
A C-shape open at the left, with an internal filled line segment.
A C-shape open at the top, with an internal filled line segment. (Correct answer)
A C-shape open at the bottom, with an internal filled circle.

Correct answer: A C-shape open at the top, with an internal filled line segment.

There are two independent patterns. First, the main C-shape rotates 90 degrees clockwise in each step. Starting from open-right, it goes to open-bottom (Fig 2), then open-left (Fig 3), so the next step is open-top. Second, the internal element changes by reducing its complexity or number of sides: a filled circle (approximated as infinite sides or a single curved boundary) is followed by a filled square (4 sides), then a filled triangle (3 sides). The next logical step in this progression is a filled line segment (2 sides). Therefore, the correct answer is a C-shape open at the top with a filled line segment inside.

HPAT — Health Professions Admissions Test

The HPAT Ireland is a 2.5-hour admissions test for entry into health professional programmes in Irish universities, assessing logical reasoning, interpersonal understanding, and non-verbal reasoning.

114

Questions

150 min

Time Limit

50%

To Pass

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These practice questions were written with AI tools. They are not real exam questions. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy

Sources & references

Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy

hpat-ireland.acer.org — Fees, retake policy, test delivery, exam format, time limit, exam information · verified Oct 2026
www2.cao.ie — Eligibility, fees, late registration, registration deadline, registration, score release, score validity · verified Oct 2026