MSRA MSRA Situational Judgement

Question 1

You are an FY2 doctor and you notice that a nurse has administered 10-fold the prescribed dose of a medication to a patient who is currently asymptomatic. What should you do first?

Accepted Answer

Assess the patient immediately, inform the nurse and senior, and complete an incident form

Answer

Patient safety requires immediate clinical assessment, transparent escalation to seniors, and formal incident reporting — delay or concealment are never appropriate.

Question 2

During a busy night shift, a colleague asks you to co-sign a drug chart for a medication you did not administer or check. What should you do?

Accepted Answer

Decline to sign and explain that co-signing implies you verified the medication was given correctly

Answer

Co-signing a drug chart implies verification of administration; signing for something you did not witness is dishonest and constitutes a serious documentation and patient safety breach.

Question 3

A patient asks you directly whether the operation they are about to have carries a risk of death. The consultant has not discussed this. What is the appropriate response?

Accepted Answer

Confirm that significant risks exist and ensure the consultant discusses them with the patient before proceeding

Answer

Patients have a right to information about material risks; if consent is inadequate the clinician must ensure it is corrected before surgery — deceiving the patient breaches the duty of candour.

Question 4

You are called to see a patient who is clearly in pain but the nurse says no analgesia has been prescribed. The consultant is in theatre and not answering bleep. What should you do?

Accepted Answer

Prescribe appropriate analgesia within your competence and escalate through the registrar

Answer

Providing timely analgesia is a patient safety and dignity obligation; if the responsible consultant is unavailable, the registrar or on-call senior should be contacted to authorise appropriate treatment.

Question 5

A medical student asks you to teach them a clinical skill on a patient who has not been asked for consent to be involved in student teaching. What should you do?

Accepted Answer

Obtain explicit consent from the patient before involving the student in any clinical interaction

Answer

Patients have the right to decline involvement in teaching; explicit consent must be obtained before any student interaction with a patient, even for observation.

MSRA Exam (Multi-Specialty Recruitment Assessment) Practice Test

MSRA Exam (Multi-Specialty Recruitment Assessment) Practice Test

MSRA MSRA Situational Judgement