Q.1 A doctor must decide whether to admit a patient to the ICU or monitor them in the general ward. The patient shows mild symptoms but has a history of heart disease. What is the best decision?
Admit to ICU immediately
Send home with medicines
Monitor in general ward with regular checkups
Ask the patient to come back if symptoms worsen
Explanation - The patient has mild symptoms, so immediate ICU admission is not required. Monitoring in the general ward ensures patient safety while not overusing ICU resources.
Correct answer is: Monitor in general ward with regular checkups
Q.2 A medical lab receives two urgent samples but only one technician is available. Which should be processed first?
Sample from a critical patient
Sample from a routine checkup
Sample from an outpatient clinic
Randomly select one sample
Explanation - Samples from critical patients should always be prioritized to save lives.
Correct answer is: Sample from a critical patient
Q.3 A hospital must decide on allocating a limited number of ventilators during a pandemic. Which decision is most ethical?
First come, first served
Prioritize younger patients with higher survival chances
Prioritize wealthy patients
Allocate randomly
Explanation - Ethically, ventilators should be allocated to those most likely to survive, maximizing lives saved.
Correct answer is: Prioritize younger patients with higher survival chances
Q.4 A nurse notices that two patients need immediate attention, but can only attend one. One is a child with mild fever, and the other is an adult with chest pain. What should she do?
Attend the child first
Attend the adult first
Call another nurse to help
Ignore both temporarily
Explanation - Chest pain indicates a potentially life-threatening condition; immediate attention is required.
Correct answer is: Attend the adult first
Q.5 A patient refuses treatment that is crucial for recovery. The doctor must decide the next step. What should be done?
Force the treatment
Respect patient’s decision and provide alternatives
Discharge the patient immediately
Ignore the refusal
Explanation - Doctors should respect patient autonomy but offer alternative safe options and counsel them on risks.
Correct answer is: Respect patient’s decision and provide alternatives
Q.6 A hospital administrator must cut costs. Should non-emergency elective surgeries be postponed or continued?
Postpone non-emergency elective surgeries
Continue all surgeries
Cancel all surgeries including emergencies
Postpone only minor surgeries
Explanation - Postponing non-emergency procedures reduces costs without compromising urgent care.
Correct answer is: Postpone non-emergency elective surgeries
Q.7 A medical team has only one dose of a life-saving medicine for two patients. One patient is younger and healthier; the other is older with multiple illnesses. What is the best decision?
Give to the older patient
Give to the younger patient
Split the dose between both
Decide randomly
Explanation - The patient with higher survival probability should be prioritized to save the maximum number of lives.
Correct answer is: Give to the younger patient
Q.8 A hospital receives a donation for a new department. The administration must decide whether to start a cardiology or oncology wing. Which is a rational approach?
Start the cardiology wing because heart disease is common
Start oncology without analysis
Analyze local disease prevalence and start the department with greater need
Use the donation for salaries instead
Explanation - Decision-making should be based on need and impact rather than assumptions.
Correct answer is: Analyze local disease prevalence and start the department with greater need
Q.9 A doctor must choose between two diagnostic tests: one is faster but less accurate, the other slower but more accurate. Patient is stable. Which should be preferred?
Faster test
Slower, accurate test
Do both simultaneously
Do neither
Explanation - When patient is stable, accuracy is more important than speed to ensure correct diagnosis.
Correct answer is: Slower, accurate test
Q.10 A patient requests an experimental therapy not approved by authorities. What is the best decision?
Provide the therapy
Refuse and explain risks and legality
Offer it secretly
Refer to another hospital without explanation
Explanation - Patient safety and legal compliance are paramount; educating the patient is essential.
Correct answer is: Refuse and explain risks and legality
Q.11 A hospital must decide whether to extend visiting hours. Which factor is most important in making this decision?
Patient satisfaction only
Staff convenience only
Impact on patient care and safety
Hospital popularity
Explanation - Patient care and safety should guide policy decisions in hospitals.
Correct answer is: Impact on patient care and safety
Q.12 A surgeon finds a tumor during an operation that was not detected in pre-op scans. What is the immediate decision?
Remove tumor if safe
Close and schedule another operation
Leave it untreated
Consult family immediately in the OR
Explanation - If removal is safe during surgery, it prevents another operation and improves patient outcome.
Correct answer is: Remove tumor if safe
Q.13 A patient missed several appointments for chronic disease management. The doctor must decide next step. Which is appropriate?
Discharge the patient
Call patient and counsel on importance of adherence
Ignore missed appointments
Prescribe higher doses to compensate
Explanation - Engaging the patient and emphasizing adherence is the correct and responsible approach.
Correct answer is: Call patient and counsel on importance of adherence
Q.14 A hospital has limited beds. Should a patient with a minor fracture be admitted or treated as outpatient?
Admit immediately
Treat as outpatient
Wait until another bed is free
Send home without treatment
Explanation - Minor injuries that do not require inpatient care should be managed outpatient to save resources.
Correct answer is: Treat as outpatient
Q.15 A doctor needs to decide whether to continue expensive treatment with minimal effect. What is the best course?
Continue treatment regardless
Stop treatment and suggest palliative care
Switch to alternative experimental therapy without evidence
Discharge patient
Explanation - When treatment is futile, palliative care improves quality of life while avoiding unnecessary interventions.
Correct answer is: Stop treatment and suggest palliative care
Q.16 During a vaccination drive, vaccine stock is limited. Which decision ensures maximum benefit?
Vaccinate healthy adults first
Prioritize children and high-risk groups
Give to anyone who comes first
Hold stock for future use
Explanation - Prioritizing vulnerable populations maximizes public health benefits.
Correct answer is: Prioritize children and high-risk groups
Q.17 A hospital must choose between investing in new equipment or hiring more staff. Which is the rational decision?
Invest in equipment only
Hire staff only
Assess needs and choose what maximizes patient care
Do nothing
Explanation - Resource allocation should be guided by patient care priorities and hospital needs.
Correct answer is: Assess needs and choose what maximizes patient care
Q.18 A patient in ICU is stable, but ventilator needs to be freed for a new critical patient. What is the correct decision?
Keep current patient on ventilator
Transfer stable patient to regular ward
Remove ventilator without alternative
Call family to decide randomly
Explanation - Stable patients can be moved to a lower dependency unit, freeing critical resources for those in immediate need.
Correct answer is: Transfer stable patient to regular ward
Q.19 A patient requests treatment that is not covered by insurance. What should the doctor do?
Deny the treatment completely
Discuss alternative options and costs transparently
Provide treatment secretly
Refer to another doctor without explanation
Explanation - Doctors should provide guidance while respecting patient preferences and financial limitations.
Correct answer is: Discuss alternative options and costs transparently
Q.20 During a natural disaster, a field hospital has more patients than resources. How should care be prioritized?
Treat first arrivals
Treat patients with highest chance of survival first
Randomly select patients
Focus on minor injuries
Explanation - Triage in disaster situations focuses on maximizing survival outcomes.
Correct answer is: Treat patients with highest chance of survival first
Q.21 A patient is allergic to a prescribed drug. What is the correct decision?
Administer drug anyway
Switch to a safe alternative
Delay treatment without alternatives
Ignore allergy
Explanation - Patient safety requires avoiding allergens and choosing a safe effective alternative.
Correct answer is: Switch to a safe alternative
Q.22 A hospital faces a strike by nurses. Elective procedures are scheduled. What should administration do?
Cancel all procedures
Proceed regardless
Postpone non-emergency procedures and maintain critical care
Close the hospital
Explanation - Maintaining critical care while postponing elective procedures balances patient care and operational constraints.
Correct answer is: Postpone non-emergency procedures and maintain critical care
Q.23 A patient presents conflicting symptoms. Should the doctor:
Treat the most obvious symptom only
Order additional tests before deciding treatment
Prescribe general medication without diagnosis
Discharge patient
Explanation - Accurate diagnosis requires comprehensive evaluation before treatment.
Correct answer is: Order additional tests before deciding treatment
Q.24 A patient cannot afford the most effective drug. Doctor must decide:
Provide the less effective but affordable alternative
Do nothing
Prescribe the expensive drug anyway
Refer to another hospital secretly
Explanation - Doctors must balance treatment effectiveness with patient affordability to ensure care adherence.
Correct answer is: Provide the less effective but affordable alternative
Q.25 Two patients need surgery urgently, but only one operating theater is available. One has high survival chances, the other low. Decision?
Operate on patient with higher survival chances first
Operate on patient with lower survival chances first
Decide randomly
Wait for more resources
Explanation - Prioritizing patients with higher survival chances maximizes outcomes under limited resources.
Correct answer is: Operate on patient with higher survival chances first