Professional Dilemmas
SJT practice
The real Professional Dilemmas paper has 50 questions, split evenly between Ranking and Selection. Selection means choosing the three most appropriate actions from eight. These practice papers vary.
Results below are raw practice marks. They cannot be converted into the cohort-normalised MSRA score.
| Ideal ↓ / Your position → | 1 | 2 | 3 | 4 | 5 |
|---|---|---|---|---|---|
| 1 (Most appropriate) | 4 | 3 | 2 | 1 | 0 |
| 2 | 3 | 4 | 3 | 2 | 1 |
| 3 | 2 | 3 | 4 | 3 | 2 |
| 4 | 1 | 2 | 3 | 4 | 3 |
| 5 (Least appropriate) | 0 | 1 | 2 | 3 | 4 |
Formula: max(0, 4 − |your position − ideal position|)
| Correct selections | Marks | Outcome |
|---|---|---|
| 3 of 3 | 12 | Full credit |
| 2 of 3 | 8 | Partial |
| 1 of 3 | 4 | Partial |
| 0 of 3 | 0 | No credit |
| More than 3 selected | 0 | Question voided |
Under-selection still earns credit for each correct choice made.
Preparing your question bank…
For MSRA exam preparation only. Not clinical guidance — always follow current UK guidelines and local policy when treating patients.

