BMJ SJT Questions

Hii sir, I wants to get the list of the BMJ Sequential Judgement questions will you please provide it ?

[Pathak]

As you asking for the BMJ Sequential Judgement questions here I am giving you the list of questions of the BMJ Sequential Judgement the question is given below :


Question:

A patient attends the the Emergency department where you are working as a foundation year 2 doctor.

He has been involved in a dispute with a stranger, who stabbed him in the leg with a kitchen knife. Fortunately, the knife wound has not injured any important neurovascular structures. He states that he does not want you to talk to the police about what has happened and claims that he does not know his attacker.

Choose the three most appropriate actions to take in this situation:
(Please select 3 options)
Advise the patient that you have a duty to inform the police about the incident as other members of the public may be at risk
Advise the patient that you will not pass on any information about the incident to the police but try and persuade him to do so himself
After you have acted, make sure you let the supervising the Emergency department consultant know what steps you have taken
Discuss the case with the the Emergency department consultant before acting
Do not report the incident to the police as doing so would breach the patient's confidentiality
Do not tell the patient that you have spoken to the police as he maybe dangerous and could react in such a way as to endanger your safety or the safety of other staff and patients
Report the incident to the police but do not pass on the patient's name or address without his consent
Report the incident to the police, including the patient's name and address


Question:

You are working for a consultant in gastroenterology who is due to start teaching you to perform endoscopies.

On several occasions, you have been concerned about your consultant's behaviour and have detected the odour of whisky.

Choose the three most appropriate options:
(Please select 3 options)
Ask the specialist nurses if they have had any concerns
Confront the consultant in front of other colleagues
Discuss the matter privately with your consultant
Discuss the matter privately with another consultant whom you trust
Discuss the matter with the senior nurse on your ward
Suggest that the consultant lets you do the endoscopy
Wait for another few weeks until you have gathered more evidence
Discuss the matter with your educational supervisor


Question:

You are working as the medical ST3 on call.

You are having your lunch when the foundation year (FY1) doctor on your team telephones you for advice about the management of a patient. Having listened to all of the details, you outline a plan of action with a recommendation for urgent treatment. To your surprise, the foundation doctor disagrees with your advice and refuses to give the treatment that you have suggested.

Choose the three most appropriate actions to take in this situation:
(Please select 3 options)
Accept the FY1 doctor's refusal so that they can learn from their mistakes
Discuss this with the FY1's education supervisor at the next oppurtunity
Do not deal with the matter further but raise the issue with the FY1's clinical supervisor at a later date
Find out the reasons for the FY1's objections and explain your reasoning
If the FY1 will not administer the treatment then finish your meal and proceed to the ward to take over the patient's management
If the FY1 will not administer treatment despite your reassurance then immediately go to the ward to assess the patient
Tell the FY1 to administer the treatment immediately
Wait for the medical registrar to become available so that she can back up your decision

Question:

You are a foundation year two surgical doctor assisting your consultant gynaecologist in theatre. You have consented a young nulliparous lady for a left oophrectomy which is performed.

However, on inspection, the right ovary looks inflamed and has multiple cysts. Your consultant informs you that he is going to remove the right ovary as it is in the patient's "best interests".

Choose the three most appropriate actions:
(Please select 3 options)
Ask one of the theatre staff to check the consent form
Assume the consultant knows what is best
Continue assisting the consultant without raising any concerns
Raise your concerns about consent but allow the consultant to carry on
Raise your concerns with your consultant about the patient's consent for the further treatment
Stop the operation and ask consent from the patient's husband before continuing
Tell the anaesthetist that the operation should be stopped
Tell the consultant to stop as you think what they are doing is wrong



Question:

You are relaxing at home one evening watching the television, when your partner comes in to the room to say that your brother is on the phone. Your brother lives a few miles away and is worried about a rash that has developed on his daughter's abdomen and would like your advice.

Select the three most appropriate options:
(Please select 3 options)
Ask to speak to your brother to obtain further details
Ask your partner to suggest that he contacts the out of hours GP
Offer to speak to his GP to arrange a priority appointment the next working day
Refuse to get involved because he is a relative
Suggest that he drives to your home so that you can look at the rash
Suggest that he sends a picture message of the rash to your smartphone
Tell him that you will visit them to view the rash
Tell him to visit Accident and Emergency if he is very worried
Tell your partner that he should take her to the emergency department

Question:

You are a foundation doctor on your GP attachment when you see a 14-year-old girl with her mother.

The daughter wants you to prescribe the oral contraceptive pill (OCP) and you know that she is in a sexual relationship with her 13-year-old boyfriend. The mother says that she does not want her daughter to be sexually active and tells you she does not want the OCP to be given to her daughter.

Choose the three most appropriate actions:
(Please select 3 options)
Ask to see the daughter alone to take an in depth sexual history
Assess if the daughter has Fraser competence
Go through the risks and benefits with the mother before prescribing the OCP
If competent, explain risks and benefits with daughter before prescribing OCP
Prescribe the OCP to the daughter and move onto your next appointment
Refuse to prescribe the OCP as it is against parental wishes
Report the girl to the child protection agency for sexual abuse
Report the mother to the child protection agency

Question:

A patient attends the e Emergency department where you are working as a foundation year 2 doctor.

He has been involved in a dispute with a stranger, who stabbed him in the leg with a kitchen knife. Fortunately, the knife wound has not injured any important neurovascular structures. He states that he does not want you to talk to the police about what has happened and claims that he does not know his attacker.

Choose the three most appropriate actions to take in this situation:
(Please select 3 options)
Advise the patient that you have a duty to inform the police about the incident as other members of the public may be at risk

Advise the patient that you will not pass on any information about the incident to the police but try and persuade him to do so himself

After you have acted, make sure you let the supervising the Emergency department consultant know what steps you have taken

Discuss the case with the the Emergency department consultant before acting
Do not report the incident to the police as doing so would breach the patient's confidentiality

Do not tell the patient that you have spoken to the police as he maybe dangerous and could react in such a way as to endanger your safety or the safety of other staff and patients

Report the incident to the police but do not pass on the patient's name or address without his consent

Report the incident to the police, including the patient's name and address