MFFLM Part 1 and DLM Sample Questions

Format

The format for the MFFLM Part 1 and DLM examinations is Single Best Answer. Each question contains five possible answers, of which there is only one single best answer.

Candidates should note that the answers to questions were correct at the time the examination question was used but legislation may have subsequently changed such that some questions/answers may not reflect current legislation/practice.

During the GMC’s Fitness to Practise procedures, the following statement is correct:

  1. The Registrar may decide to proceed no further if he/she considers a complaint vexatious.
  2. A suspended doctor may still practice under supervision.
  3. Erasure (removal) of a doctor from the medical register so that he/she will not be able to work as a doctor in Great Britain or anywhere in Europe.
  4. Requires a majority of doctors on the panel with at least one who is from the same specialty as the defendant.
  5. The chairman of a Fitness to Practise Panel must always be a medically qualified person.

Answer: 1

 

Responsibility for the operation of the NHS lies in the hands of which of the following:

  1. The Prime Minister.
  2. An NHS Corporation.
  3. The Secretary of State for Health.
  4. The Chancellor of the Exchequer.
  5. Parliament.

Answer: 3

 

You are called to ITU to perform a forensic examination on a patient who is in a coma having been seriously assaulted. Which of the following must be present in order for you to proceed with the examination?

  1. The doctor should obtain consent for the forensic examination from the patient’s next of kin.
  2. The doctor may proceed with the forensic examination if it is in the best interests of the individual patient.
  3. The hospital consultant does not have to be informed.
  4. The police must be informed of any forensic examination.
  5. Appropriate police authorisation must be obtained for any samples to be taken.

Answer: 2

 

After full investigation by the GMC Fitness to Practise panel, which of the following options does the GMC have within its legal power to force a doctor to undertake when a doctor is found at fault:

  1. Direct the doctor to apologise to a patient
  2. Direct the doctor to make a financial payment to a patient
  3. Direct the doctor to provide specific treatment to a patient
  4. Direct the doctor to pay a fine directly to the GMC
  5. Direct the doctor to undertake further work only under supervision

Answer: 5

 

 

A 45-year-old male patient attends a doctor’s surgery requesting a new medication for blood pressure. The medication is contraindicated in asthma because it may trigger a severe episode of that condition. The patient has moderate asthma. The patient offers to sign a disclaimer waiving any legal rights against the doctor.  The doctor refuses to prescribe because of the risk that the patient may suffer a severe asthma attack. Which of the following principles of medical ethics best supports the doctor’s decision-making:

  1. Respect for autonomy
  2. Distributive justice
  3. Aristotle’s formal principle of justice
  4. Non-maleficence
  5. Respect for persons

Answer: 4

 

Advance Decisions (Refusal of Treatment) in England and Wales are  valid in the following circumstances:

  1. The patient is 17 years old
  2. The patient is unduly influenced when making a decision
  3. Where it relates to treatment that prolongs life if in writing and signed by the patient
  4. The patient had adequate information to make their decision
  5. The patient has since appointed an attorney to make decisions on their behalf

Answer: 4

 

When taking consent prior to planned surgical treatment:

  1. Doctors should work on the presumption that every adult has the capacity to decide to consent or refuse proposed surgical intervention
  2. If the patient’s choice appears irrational to the doctor this means that the patient lacks capacity
  3. The next of kin may consent to surgical treatment on behalf of a mentally incapacitated patient
  4. Children under 16 years lack the capacity to consent to surgical procedures
  5. Consent is not required for those detained under the Mental Health Act 1983

Answer: 1

 

The Mental Health Act (1983) specifies a hierarchy of kinship (re nearest relative) for signing the form for recommendation for medical assessment. Which of the following relatives is highest in the hierarchy as directed by the act:

  1. Son
  2. Father
  3. Brother
  4. Husband or Civil Partner
  5. Nephew

Answer: 4

 

In the case of deaths in Scotland where the medical practitioner is considering reporting the death to the Procurator Fiscal, which of the following statements is true?

  1. A death within 24 hours of admission to hospital must be reported
  2. In the case of an accident which occurs in Edinburgh and the death of the patient in a specialist unit in Glasgow, the death should be notified to the Procurator Fiscal in Glasgow
  3. The notifying practitioner should complete form F 79 for the Procurator Fiscal
  4. The Procurator Fiscal will request a police report only in criminal cases
  5. The Procurator Fiscal must be notified if a complaint has been received by the Health Board or NHS Trust relating to the medical treatment of the deceased, where there is a suggestion in the complaint that the medical treatment contributed to the death

Answer: 5

 

Within the framework of Good Medical Practice published by the GMC, If you know that you have, or think that you might have, a serious condition that you could pass on to patients, or if your judgement or performance could be affected by a condition or its treatment, which of the following courses of action is required?

  1. You must immediately stop practising upon exposure to a potential infectious disease
  2. You must report it immediately to your own GP
  3. You must rely on your own clinical assessment as to the risk posed to patients
  4. You must consult a suitably qualified colleague for advice
  5. You must immediately contact your medical indemnity company

Answer: 4

 

Which of the following is true in relation to negligence?

  1. The case law of Bolam applies in all the countries in the UK
  2. Causation alone is required to prove negligence
  3. The burden of proof is beyond reasonable doubt
  4. An error of judgement is not necessarily negligence
  5. A doctor does not have a duty of care to warn of a foreseeable but unavoidable risk

Answer: 4

 

You are called to ITU to perform a forensic examination on a patient who is in a coma having been seriously assaulted. Which of the following must be present in order for you to proceed with the examination?

  1. The doctor should obtain consent for the forensic examination from the patient’s next of kin
  2. The doctor may proceed with the forensic examination if it in the best interests of the individual patient
  3. The hospital consultant does not have to be informed
  4. The police must be informed of any forensic examination
  5. Appropriate police authorisation must be obtained for any samples to be taken

Answer: 2

 

A doctor may  legitimately disclose information gained about a patient without their  consent when requested to by:

  1. The police
  2. The patient’s solicitor
  3. An employer when the doctor is employed by that agency in occupational health
  4. Social services
  5. Their spouse

Answer: 4

 

When deciding if a child or young person under the age of 16 can consent to treatment what must you do?

  1. Involve their parents
  2. Be satisfied that the young person wants the treatment proposed
  3. Provide the information required to make the decision and discuss this information thoroughly
  4. Omit information likely to cause upset to the child
  5. Comply with the religious beliefs of the family

Answer: 3

 

In which of the following is NICE [National Institute for Health and Clinical Excellence] not involved?

  1. Managing a National Database
  2. Prevention of patients’ ill health
  3. Advice to pharmaceutical companies
  4. Guidance on new procedures
  5. Legislating for cost efficiency savings

Answer: 3

 

In relation to the detention of a mentally ill person under the Mental Health Act 1983, which of the following is correct?

  1. Detention may be made following recommendations by one or more clinical psychologists
  2. Detention may be made for orthopaedic treatment
  3. Detention may include an application by a civil partner
  4. Detention may allow a patient to displace a nearest relative through application to a Magistrates’ court
  5. Detention may occur where there is dependence on alcohol or drugs in the absence of any other disorder or disability of the mind

Answer: 3

 

The tort of negligence contains four elements which must all be proven to attain this finding. Which one of the following is NOT an essential element?

  1. There was a duty of care owed
  2. The doctor owing the duty did an action of commission
  3. The care provided did not meet the standard of care required
  4. Breach of the standard of care harm/injury
  5. There were compensatable damages as a direct result of the harm/injury suffered

Answer: 2

 

A 55-year-old male patient with capacity decides to refuse a further orthopaedic procedure which he is advised may offer a good outcome, as he is concerned regarding post-operative pain and has undergone multiple procedures in the past.  Which ethical principle is best demonstrated in this scenario?

  1. Kantian Theory
  2. Consequentialism
  3. Virtue Ethics
  4. Deontology
  5. Principalism

Answer: 5

 

Regarding The Data Protection Act (1998) and subordinate legislation, which is true?

  1. It applies to all medical records
  2. A doctor keeping electronic records must be registered as a data controller
  3. Patients can only access the stored information by a court order
  4. The Act allows police access to these records
  5. Allows information to be disclosed only with consent of the person(s) involved

Answer: 2

 

According to the GMC Guidance, in what circumstances may it be permissible to prescribe a controlled drug to someone close to you?

  1. Where that treatment is immediately necessary to avoid serious deterioration in the patient’s health
  2. Where that treatment may avoid patient’s unnecessary suffering
  3. Where the patient states that they immediately require controlled drugs to relieve uncontrollable pain
  4. Where the patient is suffering from opiate withdrawal
  5. Where the patient’s closest relative has given consent on their behalf

Answer: 1

 

An appeal from a matter heard in the Crown Court in Wales will be dealt with by:

  1. The High Court of Justice
  2. The Court of Appeal
  3. The County Court
  4. The Supreme Court
  5. The Central Criminal Court

Answer: 2

 

Section 47 of the Offences against the Person Act 1861 refers to:

  1. Common Assault
  2. Attempt murder
  3. Malicious wounding
  4. Assault Occasioning Actual Bodily Harm
  5. Causing Grievous Bodily Harm with Intent

Answer: 4

 

A 17-year-old has been accused of raping his 10 year old step-sister. In which court will his trial take place?

  1. Magistrate’s Court
  2. Crown Court
  3. Family Court
  4. Supreme Court
  5. Juvenile Court

Answer: 2

 

Which of the following phrases exemplifies a teleological ethical system?

  1. Lying is always wrong
  2. Doctors should abide by the Hippocratic oath
  3. The ends justify the means
  4. Autonomy over-rides beneficence
  5. Human life is sacred

Answer: 3

 

A medicine can be prescribed off-label if:

  1. a suitably licensed medicine is too expensive
  2. a suitably licensed medicine has more side effects
  3. a suitably licensed medicine would not meet the patient’s need
  4. a suitably licensed medicine is declined by the patient
  5. a suitably licensed medicine is not available at the local chemist

Answer: 3

 

In response to a police request for information to identify a patient alleged to have committed an offence, a doctor has a statutory obligation to provide the information in which circumstances?

  1. Under the Misuse of Drugs Act 1971
  2. Under the Road Traffic Act 1988
  3. Under the Sexual Offences Act 2003
  4. Under the Data Protection Act 1998 Section 29 (1)
  5. Under the Female Genital Mutilation Act 2003

Answer: 2

 

Which of the following organisations does NOT have regulatory powers?

  1. The Care Quality Commission
  2. Her Majesty’s Inspectorate of Prisons
  3. The Health and Care Professions Council
  4. The General Medical Council
  5. The Nursing and Midwifery Council

Answer: 2

 

Beauchamp and Childress in their textbook Principles of Biomedical Ethics, are considered by many as the standard theoretical framework from which to analyse ethical situations in medicine.  Which of the below are not part of these principles of Biomedical Ethics.

  1. Autonomy – The right for an individual to make his or her own choice.
  2. Beneficence – The principle of acting with the best interest of the other in mind.
  3. Non-maleficence – The principle that “above all, do no harm” as stated in the Hippocratic Oath.
  4. Justice – A concept that emphasizes fairness and equality among individuals.
  5. deontological – the idea that some things are just wrong

Answer: 5

 

Which of the following statements is true regarding parental responsibility?

  1. Both parents regardless of whether they are married have parental responsibility even if they are not registered on the birth certificate of a child born in the UK on 01 December 2006.
  2. When a child is adopted the adoptive parents only acquire parental responsibility if the birth parents give their signed consent.
  3. A testamentary guardian will acquire parental responsibility if no-one with parental responsibility survives the testator.
  4. For a child born under a surrogacy agreement the surrogate mother automatically relinquishes parental responsibility when the child is born.
  5. For births registered outside of the UK, parental responsibility is determined by the rules of the country in which the child was born.

Answer: 3