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133 real interview questions for medical, PA, dental and other health programs, with sample answer outlines for 48 of them. Filter, open an answer, then practice it out loud.
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PA · Autonomy and consent · With sample answers6
Clear filters- Practice this question nowEthicsAdvancedMMI station MD, DO, PA
A 9-year-old with measles begs you for the vaccine. The parents still refuse. Do you vaccinate?
Autonomy and consent · Communication
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Sample answer outline
- Spot the clinical detail: a child who already has measles won't be helped by the measles vaccine now. The priority is treating them, isolating them and protecting contacts.
- Explain the frame: a 9-year-old can't consent alone; parents decide unless their choice puts the child at serious risk.
- Explore the parents' reasons with respect and correct misinformation. The illness is a natural moment to revisit vaccines for the child's siblings and the child's other vaccines.
- Keep the child's voice in the room: acknowledge their fear and explain what will happen.
- Notify public health as required.
What makes it work
- Catching the clinical premise shows careful reading, which interviewers love.
- It respects parents while still protecting children and the public.
Avoid
- Vaccinating against the parents' wishes without legal grounds.
- Lecturing the parents.
- Practice this question nowEthicsAdvancedMMI station MD, DO, PA
A patient with Down syndrome is pregnant and wants to keep the baby. Her mother and husband want her to have an abortion. What do you do?
Autonomy and consent · Communication · Equity and access
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Sample answer outline
- Start from a presumption of capacity: Down syndrome alone does not mean she can't make this decision.
- Assess capacity for this specific choice, with supports: plain language, time, visual aids, a trusted advocate.
- Meet with her alone to hear her wishes free of pressure, and screen for coercion.
- Acknowledge the family's worries and bring them into planning support for her, not into overriding her.
- If capacity is truly lacking, follow legal surrogate processes and involve ethics, still centered on her values.
What makes it work
- It avoids the common trap of assuming disability means incapacity.
- It treats the family as partners without handing them the decision.
Avoid
- Siding with the family because they seem more "reasonable".
- Practice this question nowEthicsIntermediateMMI station MD, DO, PA, Nursing, Residency
A Jehovah's Witness patient refuses a blood transfusion they need to survive. What do you do?
Autonomy and consent · Cultural humility · Communication
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Sample answer outline
- A competent adult can refuse even life-saving treatment. Your job is to make sure the refusal is informed, voluntary and consistent with their values.
- Talk with them privately to check for pressure from family or community.
- Explore what they will accept: bloodless surgery techniques, cell salvage, iron, medicines that boost blood production.
- Document the conversation and their decision clearly, and keep caring for them fully.
- Note how it differs for a child or for an unconscious patient without an advance directive.
What makes it work
- It respects autonomy while doing everything else possible.
- Showing the contrast with a child proves you understand the limits.
Avoid
- Trying to persuade them out of their faith.
- Treating the refusal as a reason to step back from their care.
- Practice this question nowEthicsAdvancedMMI station MD, DO, PA, Nursing, Residency
A mother refuses a life-saving blood transfusion for her 4-year-old because of her religious beliefs. What do you do?
Autonomy and consent · Cultural humility · Patient safety
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Sample answer outline
- The child's best interests come first. Parents' right to refuse has limits when a child's life is at risk.
- Approach the mother with empathy, explore her beliefs and offer every acceptable alternative that is medically safe.
- Involve the senior physician, ethics and the hospital's legal team early. Courts can authorize treatment.
- In a true emergency, treat to save the child's life as the law allows.
- Protect the relationship: this family will still care for the child afterward.
What makes it work
- It shows exactly where autonomy ends: a parent deciding for a child.
- It handles the family with compassion, not force alone.
- Practice this question nowCurveballBeginnerMMI station MD, DO, PA
A pregnant patient wants her C-section a week early because she "can't raise a Gemini." What do you do?
Communication · Autonomy and consent · Patient safety
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Sample answer outline
- Take her seriously and ask what's behind it. There may be anxiety, family pressure or cultural meaning.
- Explain in plain words why an early delivery without a medical reason carries risks for the baby, such as breathing and feeding problems.
- Find the shared goal: a healthy start for her child.
- If there's no medical reason, decline kindly, offer what you can, and document the conversation.
What makes it work
- Respect without mockery turns a funny prompt into a test of communication.
- Autonomy has limits when a request causes harm without benefit.
Avoid
- Laughing it off or lecturing.
- Practice this question nowEthicsIntermediateMMI station MD, DO, PA
A family begs you not to tell their grandmother she has cancer because "it'll kill her faster." What do you do?
Autonomy and consent · Cultural humility · Communication
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Sample answer outline
- Listen to the family first: their fear and any cultural norms around sharing bad news.
- Explain that the information belongs to the patient, and that you won't lie to her.
- Ask the grandmother how much she wants to know and who she wants involved. Some people choose to let family decide.
- Share news at her pace, with the family present if she wishes, and plan support together.
What makes it work
- Asking the patient what she wants resolves the dilemma respectfully.
- It honors culture without giving up honesty.
Avoid
- Telling her bluntly against the family's wishes without asking her first.
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