Comparison of two questions

The first question is one from paper C, the second is one from the UKFPO paper. Why are the answers so different?
Scroll down to see the answer below. Zoom out if the questions are not side by side.

From: Meeran, Karim
Sent: 13 October 2016 17:18
Subject: RE: SJT query

This illustrates the difference caused by minor changes in language. Most of the marks (best and worst options) are the same, so as always it is the middle three that are different. You need to read the question carefully, and these small differences in wording cause the middle three options to apparently change.

The best option is always to discuss this with the doctor concerned to see whether they know. The worst option is to go to infection control. (same for both questions).

In our question, discussing with her clinical supervisor is similar to reporting her to a higher authority (should be fourth). In the UKFPO question, that option is represented by discussing it with YOUR registrar. This is not someone who has any jurisdiction over the person (also a junior doctor) and so it is basically getting someone who is also a junior doctor to have a chat with her, in the same way that you could, so it is similar to talking to the F1 herself. (hence second).

The middle option is the same in both (discuss with the nurse in charge).

In our question, the wording for observation and then act (second) is more appropriate that the wording in the UKFPO paper which says “do nothing” (fourth). However it is the position of these compared to the others that makes this order the most appropriate.

There is also a further question that is troubling some of you that I have added to paper B (in the same way that the real exam has some “trial” questions), and I will add that on to the end of paper B (from a commercial website).

One of the problems with doing too many questions is that you will come across explanations that you do not agree with. The differences are the difference between 18/20 and 20/20. Whether these websites are right or wrong is not known. They are all judgements. For things like Gillick competency, bear in mind that it took three court cases and an appeal with even “experts” disagreeing on the correct answers. We need to hope that the experts who write these questions have the same judgements as us. We are trying our best to find answers that experts all agree on, but there are some questions that no one can agree on. However much “studying” you do, you can’t improve your mark for these, because the web answers are not necessarily correct. Please thus don’t let the SJT distract you from finals. If you do papers A, C and B, and then the UKFPO one, you will be fully prepared and any further SJT bookwork is a waste of time (and possibly money).

Hope this helps.