MSRA Professional Dilemmas 4

Question 1

You witness a senior colleague being rude and dismissive to a patient. What is the most appropriate action?

Accepted Answer

Raise your concern with the colleague privately at an appropriate time

Answer

A private, professional conversation addresses the behaviour without escalating the situation in front of the patient.

Question 2

A patient who lacks capacity needs an urgent decision and no relatives are available. What should guide your action?

Accepted Answer

Act in the patient's best interests using available information

Answer

When a patient lacks capacity and no representative is available, urgent care proceeds in their best interests.

Question 3

You are asked by a friend, who is not your patient, to prescribe antibiotics for them informally. What is the best response?

Accepted Answer

Decline and advise them to see their own GP

Answer

Prescribing for friends without a proper clinical assessment is inappropriate and they should consult their own doctor.

Question 4

You make a drug error that causes no harm to the patient. What is the most appropriate action?

Accepted Answer

Report it through the incident system and inform a senior

Answer

Near-miss and no-harm errors should still be reported so the system can learn and improve safety.

Question 5

A patient asks you whether a treatment error made by another doctor caused their complication. What should you do?

Accepted Answer

Be honest, explain what you know, and escalate appropriately

Answer

Duty of candour requires honesty with patients about what happened while escalating to those responsible.

MSRA Exam (Multi-Specialty Recruitment Assessment) Practice Test