Ethics1. A patient’s employer emails requesting her full record ‘because we pay for occupational health’. She has not consented. What is the default GMC stance?A. Implied consent for direct NHS care covers employersB. Do not disclose identifiable records without consent or another legal basisC. Any paying third party may read the recordD. Employers have an automatic right under UK GDPR to full GP notesCheck
Ethics2. Which sharing is most likely to rely on implied consent for direct care?A. A journalist writing a practice newsletterB. A university researcher building a commercial modelC. A community physiotherapist treating the same musculoskeletal problem, with the patient aware of the referralD. The patient’s neighbour who gives liftsCheck
Ethics3. A 14-year-old girl understands contraception, retains the information, and weighs the consequences. Her parents are unaware. Which concept applies in England? The most appropriate action is: She cannot be competent under 16 in any circumstancesTRUE. TrueFALSE. FalseCheck
Ethics4. A capacitous 45-year-old refuses recommended anticoagulation in AF after a documented discussion. What is most appropriate?A. Treat him as lacking capacity because the decision is unwiseB. Respect the refusal, explain consequences, safety-net, and documentC. Covertly crush apixaban into his teaD. Remove him from the list for non-complianceCheck
Ethics5. A 10-week-old non-mobile infant has unexplained bruising on the ear. What is the most appropriate action?A. Treat as a safeguarding child-protection emergency: refer to paediatrics/children’s social care per local multi-agency procedures the same dayB. Review in 4 weeks if the bruise has fadedC. Accept a delayed story from a neighbour as complete closureD. Post on social media to find the assailantCheck
Ethics6. A registrar waits for ‘proof’ of neglect before referring a toddler with faltering growth and a chaotic home. What is the correct principle? The most appropriate action is: Referral is only legal after a criminal convictionTRUE. TrueFALSE. FalseCheck
Ethics7. Which statute frames adult safeguarding duties for local authorities in England?A. The Mental Capacity Act 2005 alone, with no Care Act roleB. Gillick competenceC. The Care Act 2014D. A NICE technology appraisalCheck
Ethics8. After a heated consult, a GP wants to write ‘this patient is a liar’. What is most appropriate?A. Record factual, relevant, non-abusive language; opinions should be justifiedB. Enter insults because records are never seen by patientsC. Delete the whole consult to avoid SARD. Write in a parallel unofficial notebook onlyCheck
Ethics9. Fraser guidelines are most specifically used when advising which group about contraception/sexual health without parental involvement?A. All adults in care homesB. Gillick-competent under-16s, provided safeguarding concerns are addressedC. Only men who have sex with menD. Anyone over 18 refusing a statinCheck
Ethics10. The stem is a surgery in Glasgow. Which error should you avoid?A. Applying the Mental Capacity Act 2005 as if it were Scots lawB. Considering Adults with Incapacity (Scotland) principlesC. Considering GMC confidentiality, which still appliesD. Documenting capacity-related decisionsCheck