You are at a famous bar in Dublin enjoying your Guinness after hectic hospital routine on Friday night and you hear a group of doctors and nurses from your hospital loudly joking about identifiable patients in their ward.

Rank the following actions in order of appropriateness (1 = Most appropriate; 5 = Least appropriate).

You notice that a colleague is not performing clinical tasks appropriately and is not following correct procedures. You have raised your concerns with the colleague, but they have not changed their behaviour.

Rank in order the following actions in response to this situation (1 = Most appropriate; 5 = Least appropriate)

You are an intern working in a busy hospital ward in Cork. A patient has been admitted with a rare condition that you have read about in textbooks but have never seen before. Your SHO offers to let you perform a procedure on the patient that you have not previously attempted, but you are unsure if you are qualified to do so.

Choose the THREE most appropriate actions to take in this situation.

You are an on-call intern at a regional hospital. A colleague approaches you in private, appearing visibly distressed. They confess they misread a patient’s chart and administered a bolus dose of a medication that should have been given as a slow infusion over the course of the day. They implore you to check on the patient but ask you to keep their mistake a secret.

Choose the THREE most appropriate actions to take in this situation:

A 45-year-old man presents with ongoing left-sided sciatica for 4 weeks, described as sharp pain radiating from the lower back to the posterior thigh and calf. He has no red flag features such as bladder dysfunction, saddle anaesthesia, or significant weakness. He has already tried regular paracetamol and NSAIDs without adequate relief. The pain is now interfering with his sleep and ability to work. Examination shows no neurological deficit.

What is the most appropriate next step in management?

A 76-year-old woman with a 4-week history of bilateral shoulder pain and morning stiffness lasting over an hour is being treated for polymyalgia rheumatica with oral prednisolone 15 mg daily. She reports significant improvement in her stiffness and systemic symptoms after 5 days. However, on her 2-week follow-up visit, she now complains of a new onset of right-sided temporal headache and scalp tenderness. She also reports pain in the jaw while chewing.

What is the most appropriate next step in management?

A 27-year-old man presents with multiple painful ulcers in the genital area, which began as small blisters a few days ago. He also reports fever, body aches, and painful urination. He recently returned from a trip abroad and is concerned about the diagnosis.

What is the most likely cause?