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).

As the on-call first-year GP-Trainee, your shift is supposed to end at 9 p.m., and then you should hand over to the incoming night doctor. However, one particular night doctor consistently refuses to take on tasks that they believe should have been finished during your shift. As a result, you often find yourself leaving at midnight whenever this doctor is on the night shift.

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

You are coming to the end of 1st year GP training and are being shadowed by a final-year medical student intended to replace you. You notice the student is frequently late and appears disinterested during ward rounds. After five weeks, the student asks you to complete a feedback form for their medical school.

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

You are a newly qualified doctor working as Senior House Officer in a busy hospital. One day, you notice that your consultant has left their login credentials on their computer, which is logged in to the electronic patient records system. You are curious and want to look up a patient’s records to learn more about their medical history and treatment plan.

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

Dr. Patterson, a 49-year-old woman, comes to your clinic complaining of a few months of discomfort in her hands and wrists. She describes the pain as a numb, tingling sensation that is worse at night and often wakes her from sleep. She also mentions that she has been dropping objects more frequently and feels her grip strength has weakened. Dr. Patterson works as a secretary and spends a significant amount of her workday typing. She is also overweight with a BMI of 32.

Which of the following is the most likely risk factor contributing to Dr. Patterson’s symptoms?

A 65-year-old woman named Mrs. Davis has been diagnosed with type 2 diabetes. Her recent HbA1c level was 8.5%. She has made significant lifestyle changes, including a healthier diet and increased physical activity, but her glucose levels remain high. Her BMI is 29. She has a history of heart disease. Her kidney function is normal. The physician is considering starting her on medication for her diabetes.

Which of the following would be the most appropriate next step in managing Mrs. Davis’s diabetes?

6. Edward, a 60-year-old man, visits Dr. Roberts for a routine check-up. During the visit, Dr. Roberts reviews Edward’s medical history, lifestyle, and family history. Edward has been a heavy smoker for the past 40 years, is overweight, and works in a factory where he’s regularly exposed to asbestos. His father died of lung cancer at the age of 65.

Based on Edward’s profile, which of the following is not a risk factor for developing lung cancer?