MSRA Professional Dilemmas 2

Question 1

A consultant asks you to prescribe a medication for a patient you have not assessed and whose notes you cannot access. What is the most appropriate first action?

Accepted Answer

Politely decline and explain you must review the patient before prescribing

Answer

You remain personally accountable for any prescription, so you must assess the patient and review information before signing.

Question 2

You notice a colleague has documented observations in the notes that you are certain were never taken. What should you do first?

Accepted Answer

Speak to the colleague directly to understand what happened

Answer

Raising the concern directly first allows clarification and gives the colleague a chance to explain or correct it.

Question 3

A patient becomes acutely unwell on the ward while you are mid-way through a non-urgent discharge summary. What is the most appropriate response?

Accepted Answer

Stop the summary and attend to the acutely unwell patient

Answer

Clinical urgency takes priority, so an acutely unwell patient must be attended before non-urgent paperwork.

Question 4

You are running an hour behind in clinic and patients are visibly frustrated. What is the most appropriate action?

Accepted Answer

Apologise to waiting patients and ask reception to keep them updated

Answer

Honest communication and updates maintain trust without compromising the quality of each consultation.

Question 5

A nurse tells you a drug chart you wrote contains a dose she believes is too high. You think it is correct. What should you do?

Accepted Answer

Recheck the dose against guidelines and discuss it with the nurse

Answer

A raised safety concern warrants rechecking the evidence and open discussion before the drug is given.

MSRA Exam (Multi-Specialty Recruitment Assessment) Practice Test

MSRA Exam (Multi-Specialty Recruitment Assessment) Practice Test

MSRA Professional Dilemmas 2