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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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Ethical dilemma · MMI station · Intermediate9
Clear filtersCompeting duties with no perfect answer: consent, confidentiality, fairness.
- Practice this question nowEthicsIntermediateMMI station MD, DO, PA, Nursing, Residency
Before a shift, you notice your senior resident smells of alcohol. What do you do?
Professionalism · Patient safety
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Sample answer outline
- State the priority: patient safety. If the resident may be impaired, they should not see patients until that is resolved.
- Don't assume. Speak to them privately and calmly, say what you noticed, and ask how they are.
- If the concern stands, tell the attending or supervisor before the shift starts. You don't need proof to raise a safety concern.
- Show care for the colleague: impairment can signal illness or crisis. Point to physician health and support programs.
- Acknowledge your position as a trainee and follow the hospital's reporting policy.
What makes it work
- It balances safety, fairness and compassion instead of picking one.
- Escalation is proportionate and quick, because patients are at stake.
Avoid
- Saying nothing because they are senior.
- Confronting them in front of the team.
- 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 nowEthicsIntermediateMMI station MD, DO, PA, Nursing, Residency
A convicted child molester comes to your ER needing emergency surgery. Do you treat him the same as everyone else?
Professionalism · Equity and access
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Sample answer outline
- Answer clearly: yes. Care is based on medical need, not moral worth. Justice and the duty to treat apply to everyone.
- Acknowledge that discomfort is human; professionalism means not letting it change the care.
- Handle the practical side: security and staff safety, and letting a colleague step in if someone truly can't give good care, as long as treatment isn't delayed.
- Note that punishment belongs to the justice system, not the hospital.
What makes it work
- A clear position up front, then nuance.
- Honesty about feelings makes the commitment believable.
- 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.
- Practice this question nowEthicsIntermediateMMI station MD, DO, PA, Nursing, Residency
During rotations, you see one of your closest friends cover up a medical error they made with a patient. What do you do?
Integrity · Patient safety · Professionalism
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Sample answer outline
- First check on the patient: are they at risk right now? If so, alert the team immediately.
- Speak to your friend promptly and privately. Encourage them to disclose and offer to go with them.
- If they won't, take it to your supervisor yourself. Patient safety outranks loyalty.
- Acknowledge the pull of friendship and their fear, and point out that errors are reported to fix systems, not only to punish people.
What makes it work
- It gives your friend the chance to do the right thing first.
- Clear priorities: patient, honesty, then the friendship.
Avoid
- Staying quiet to protect the friendship.
- Practice this question nowEthicsIntermediateMMI station Dental
A patient insists on a cosmetic procedure you believe is unnecessary and could damage healthy teeth. They've already paid in full. What do you do?
Autonomy and consent · Integrity · Communication
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Sample answer outline
- Understand their goal: what do they want to change about their smile, and why now?
- Explain the risks honestly: removing healthy tooth structure is irreversible.
- Offer conservative alternatives that meet the goal, such as whitening, bonding or orthodontics.
- If you still believe it causes harm, decline and refund. Payment doesn't change your duty.
- Document the discussion.
What makes it work
- It separates the patient's goal from the procedure they asked for.
- Being clear about the payment shows integrity.
- Practice this question nowEthicsIntermediateMMI station Dental, MD, DO, PA
A patient asks you not to document their smoking habit because they don't want their insurance company to know. What do you do?
Integrity · Confidentiality
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How to approach ethical dilemma questions
- Clarify the facts and what you would want to know before acting.
- Name who is affected and the principles in tension: autonomy, doing good, avoiding harm, fairness, confidentiality.
- Walk through realistic options, starting with the least drastic.
- Choose a course of action, explain why, and say who you would involve.
We haven't written a sample answer for this one yet. Practice it out loud and the AI interviewer gives you feedback on your own answer.
- Practice this question nowEthicsIntermediateMMI station Nursing, PA, MD, DO
A patient confides they stopped taking prescribed medications due to religious beliefs, but asks you not to tell the physician. Their condition is worsening. How do you respond?
Confidentiality · Autonomy and consent · Patient safety
How to approach itHide
How to approach ethical dilemma questions
- Clarify the facts and what you would want to know before acting.
- Name who is affected and the principles in tension: autonomy, doing good, avoiding harm, fairness, confidentiality.
- Walk through realistic options, starting with the least drastic.
- Choose a course of action, explain why, and say who you would involve.
We haven't written a sample answer for this one yet. Practice it out loud and the AI interviewer gives you feedback on your own answer.
- Practice this question nowEthicsIntermediateMMI station Vet
A cat needs emergency surgery to survive, but the owner can't afford it and declines treatment. The cat will suffer without intervention. How do you handle this?
Empathy · Equity and access · Communication
How to approach itHide
How to approach ethical dilemma questions
- Clarify the facts and what you would want to know before acting.
- Name who is affected and the principles in tension: autonomy, doing good, avoiding harm, fairness, confidentiality.
- Walk through realistic options, starting with the least drastic.
- Choose a course of action, explain why, and say who you would involve.
We haven't written a sample answer for this one yet. Practice it out loud and the AI interviewer gives you feedback on your own answer.
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