UMAT Section Two Sample Questions

Sample Question 1

You are a receptionist working in a small rural doctor's surgery. It has been a very busy day. There are already six patients who are waiting to see the doctor and they have made appointments. The next appointment is Mrs. Yarra, who comes in with a friend and asks for her friend to be seen by the doctor after her for a check-up. The friend does not have an appointment.

What do you think is the best option?
A) You tell her that the friend will see the doctor once he has attended to the six patients who have been waiting, even if it means that the friend has to wait a while.
B) You tell her that as she does not have an appointment, the doctor can not see her.
C) You tell her that the doctor is all booked out for now, and as all she requires is a check-up you will have to give her the earliest appointment the very next morning.
D) Tell her to not worry and just go home and take an aspirin.

The correct answer is (C) . The receptionist is prioritising and describes the difficulty with the friend seeing the doctor at present, especially since all she requires is a check-up.

Sample Question 2

A patient has arrived at his doctor's clinic to receive his test results.

Dr: We have found that the lung patch we had checked out isn't an infection after all. It appears to be a cancerous growth.

Patient: I have cancer? Is this the end for me?

Dr: Is this what cancer means to you? That it is the end for you?

Patient: Well it's cancer

Doctor: Not necessarily. Different people view cancer in different ways. How do you understand it?

In his response, the doctor has

A)not addressed the patient's emotional reactions.
B)lied to the patient about what his results signify.
C)expressed an understanding of how the diagnosis sounds and feels to the patient.
D)provided the patient with sufficient explanation of his results, while failing to include the patient's own ideas

The correct answer is (C) .Failing to explore the patient's combination of ideas about the diagnosis, symptoms and therapy will only weaken any further discussion with the patient. It is your responsibility to listen to the patient and to show that you understand his response to the diagnosis.

Consider the following approach for revealing a diagnosis:

Dr: So, to get to the point, the test results show that you have cancer.

Patient: What? Oh God, oh no, please, God no!

Dr: But don't worry, we have some extremely effective chemotherapy for your cancer.

Patient: Oh no, this can't be happening. Oh God, please no!

In his method of approach, the doctor has:

A)saved time on the consultation.
B)been honest with the patient regarding the diagnosis.
C)reassured the patient that he will receive the best possible care for his illness.
D)ineffectively conveyed the patient's diagnosis and has failed to respond to his emotions.

The correct answer is (D) . The reassurance the doctor provided shows that he has ignored the patient's shock and fear. He has not taken time in giving the bad news and has not elicited the patient's deepest sense of loss and grief.

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