10 Free DFT SJT Questions and Answers

DFT Application Specialists

You find out that a colleague has been falsifying patient records for personal gain. You are working in a large, city-centre practice, and the colleague is your senior. You are a first year dentist.

Choose the THREE responses most appropriate to this situation:

A. Directly confront the colleague involved.
B. Report the matter to your Educational Supervisor.
C. Gather evidence of the falsification without informing anyone.
D. Notify the General Dental Council about the incident.
E. Seek advice from your legal defence organisation.
F. Discuss the matter discreetly with another trusted colleague.
G. Take no action as it’s not your responsibility.
H. Document your findings and the actions you have taken.

Answer: BEH

  • Correct Options:
    • B: Reporting to your supervisor is critical when faced with ethical violations. This is complex issue and therefore one that you require input with. 
    • E: Legal advice is essential due to the severity of the issue.
    • H: Documentation is vital for an accurate record of events.
  • Incorrect Options:
    • A, C, G: These options either escalate the situation, are unethical, or shirk responsibility.
    • D, F: These are either premature or less immediate priorities.

You've noticed that a colleague, who is also a good friend, has been increasingly unfocused and dishevelled. Today, you've found them in the staff room with glassy eyes and an incoherent speech pattern. You strongly suspect substance abuse.

Choose the THREE responses most appropriate to this situation:

  1. Discreetly take photographs as evidence of your colleague’s condition.
    B. Confront your colleague directly and ask if they’re okay.
    C. Discuss your observations confidentially with your Educational Supervisor.
    D. Ignore the situation, assuming it’s a personal issue your colleague needs to handle.
    E. Report the situation to the General Dental Council immediately.
    F. Document your observations in a confidential report.
    G. Speak to other colleagues to confirm if they’ve observed similar behaviour.
    H. Refer your colleague to a support program designed for healthcare professionals facing substance abuse issues.

Answer: CFG

  • Correct Options:
    • C: Addressing this serious issue confidentially with a supervisor is important for all parties involved.
    • F: Documenting your observations confidentially aids future action.
    • G: Confirming observations with other colleagues can substantiate your concerns, leading to more focused intervention.
  • Incorrect Options:
    • A, D, E: These options either exacerbate the situation or do not deal with it adequately.
    • B, H: While well-intentioned, confronting the colleague directly or suggesting a specific support program without proper consultation might not be beneficial.
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A parent refuses fluoride treatment for their child, citing articles they've read about potential harms. The child has had multiple fillings in the past year. You are therefore concerned about the possible impact to the child’s ongoing dental health.

Choose the THREE responses most appropriate to this situation:

  1. Politely listen to the parent’s concerns and offer evidence-based information on fluoride use.
    B. Proceed with the treatment against the parent’s wishes, believing it’s in the child’s best interest.
    C. Document the conversation and the parent’s decision to refuse treatment.
    D. Report the parent for medical neglect.
    E. Discuss alternative preventative treatments that may be acceptable to the parent.
    F. Suggest that the parent seek a second opinion from another dentist.
    G. Contact social services to report parental negligence.
    H. Recommend follow-up appointments to closely monitor the child’s oral health.

Answer: ACH

  • Correct Options:
    • A: Providing evidence-based information allows the parent to make an informed decision.
    • C: Documenting the situation creates an official record.
    • H: Recommending follow-ups ensures ongoing monitoring, allowing for timely intervention if needed.
  • Incorrect Options:
    • B, D, G: These options are overly confrontational and could escalate the situation unnecessarily.
    • E, F: While these are positive actions, they are not as immediately important as the correct options.

You discover that your dental practice has received several negative online reviews. They specifically mention long wait times and unclean facilities, but no individual staff members are named.

Choose the THREE responses most appropriate to this situation:

  1. Respond to the reviews apologising for the inconvenience and promising to look into the issues.
    B. Ignore the reviews, considering them an inevitable part of the profession.
    C. Conduct an internal audit to investigate the validity of the claims.
    D. Share the reviews with staff during a meeting to motivate them to improve.
    E. Post positive reviews anonymously to offset the negative ones.
    F. Discuss the reviews with your Educational Supervisor.
    G. Implement a patient feedback system in the practice.
    H. Report the reviews to the website administrator, requesting removal.

Answer: ACF

  • Correct Options:
    • A: Directly addressing the issues raised can show the practice’s commitment to improvement.
    • C: An internal audit can validate the concerns and help formulate an action plan.
    • F: Discussing the reviews with an Educational Supervisor can offer additional perspectives on how to address the concerns.
  • Incorrect Options:
    • B, E, H: These options avoid addressing the issues constructively and could exacerbate the situation.
    • D, G: While potentially helpful, these are not as immediately critical as the correct options.

While performing a tooth extraction, the dental chair malfunctions, leaving the patient in an uncomfortable position. The chair cannot be adjusted. The patient makes it clear that they are in a degree of pain due to the malfunction.

Choose the THREE responses most appropriate to this situation:

  1. Continue with the procedure as if nothing has happened.
    B. Inform the patient of the malfunction and offer to reschedule the procedure.
    C. Document the malfunction for future reference.
    D. Contact the equipment provider to address the malfunction immediately.
    E. Discuss the situation with your Educational Supervisor.
    F. Notify all staff about the malfunctioning equipment.
    G. Offer to complete the procedure in another treatment room, if available.
    H. Refer the patient to a nearby dental clinic for immediate treatment.

Answer: BCG

  • Correct Options:
    • B: Informing the patient and offering to reschedule respects their comfort and safety.
    • C: Documenting the malfunction creates a record that may be useful for future maintenance or legal matters.
    • G: Offering another treatment room allows for the procedure to continue in a safe environment.
  • Incorrect Options:
    • A, D, E, F, H: These options either ignore the patient’s immediate needs or are not timely enough to resolve the situation.
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A patient insists on antibiotics for a toothache despite your assessment that it’s not an infection but rather, tooth sensitivity. You have not treated this patient before, and there is no mention in their notes of them being difficult or requesting medication when it is unnecessary.

Choose the THREE responses most appropriate to this situation:

  1. Prescribe antibiotics to appease the patient.
    B. Educate the patient on why antibiotics are not suitable in this case.
    C. Document the conversation and your clinical decision.
    D. Refer the patient to a pharmacist for over-the-counter relief options.
    E. Consult your Educational Supervisor before making a decision.
    F. Recommend a second opinion from another dentist.
    G. Prescribe a non-antibiotic medication for pain relief.
    H. Discuss the issue at the next staff meeting to gauge colleagues’ opinions.

Answer: BCD

  • Correct Options:
    • B: Educating the patient on the inappropriate use of antibiotics promotes responsible healthcare.
    • C: Documenting the conversation provides a legal record and supports clinical decision-making.
    • D: Recommending over-the-counter options offers a suitable alternative for symptom relief.
  • Incorrect Options:
    • A, E, F, G, H: These options either give into patient demands, delay decision-making, or are less relevant to the immediate situation.

A patient pulls you aside and expresses concern over the rude and unprofessional behaviour of one of the receptionists. The patient is visibly distressed and asks that something be done.

Choose the THREE responses most appropriate to this situation:

  1. Dismiss the patient’s concerns as a one-off incident.
  2. Apologise to the patient for their experience and assure them that the issue will be looked into.
  3. Document the patient’s complaint for official record.
  4. Speak to the receptionist privately to understand their side of the story.
  5. Arrange a formal meeting with the receptionist and your Educational Supervisor.
  6. Report the complaint to the practice manager immediately.
  7. Suggest the patient leaves an anonymous review online.
  8. Speak to other patients to gauge whether this is a recurring issue with the receptionist.

Answer: BCF

  • Correct Options:
    • B: Apologising and assuring the patient that the issue will be looked into shows accountability and a commitment to resolving the issue.
    • C: Documenting the complaint ensures that there is an official record, which is important for any future actions.
    • F: Reporting the issue to the practice manager is a step toward resolving the situation, and it’s the manager’s role to handle personnel issues.
  • Incorrect Options:
    • A, G, H: These options either dismiss the concern or take actions that are not directly focused on resolving the issue at hand.
    • D, E: While potentially useful, speaking to the receptionist or arranging a meeting is not as immediate or effective as the correct options.

You're treating a young child, and the parent becomes aggressive, insisting on a treatment that is not medically recommended. You have not treated this patient before. You are a first year dentist, in your foundation year.

Rank in order the following actions in response to this situation (1 = most appropriate, 5 = least appropriate).

  1. Politely explain why the treatment is not recommended and provide alternatives.
  2. Refuse treatment and ask the parent to leave.
  3. Refer the matter to your Educational Supervisor.
  4. Agree to the parent’s request without question.
  5. Document the incident for legal protection.

Answer: AECBD


  • A: Best to clarify and offer medically sound alternatives.
  • E: Documenting is crucial for any disputes.
  • C: If the situation does not deescalate, the supervisor should be informed.
  • B: Refusing service should be a last resort.
  • D: Agreeing to an inappropriate treatment could be harmful.

The dental lab sends back a set of crowns that are not up to your expectations. You are working in a large, busy city-centre practice.

Rank in order the following actions in response to this situation (1 = most appropriate, 5 = least appropriate).

  1. Contact the lab to discuss the issue.
  2. Use the crowns without mentioning the issue to the patient.
  3. Document the poor quality of the lab work.
  4. Discuss the matter with your Educational Supervisor.
  5. Suggest the patient go to another dentist.

Answer: ACBDE


  • A: Directly addressing the issue with the lab is most appropriate. It ensures efficient operations are maintained. 
  • C: Documentation can help in case there’s a need for future reference or legal matters.
  • B: Discussing with the Educational Supervisor could provide alternative solutions.
  • D: Using the crowns without disclosure would not be ethical.
  • E: Suggesting the patient see another dentist would be inappropriate without first addressing the issue.

You are a first year dentist working in a busy practice. You have a full day of appointments scheduled. A patient arrives 20 minutes late for a 30-minute appointment and insists on being seen.

Rank in order the following actions in response to this situation (1 = most appropriate, 5 = least appropriate).

  1. Offer to reschedule the appointment.
  2. Squeeze the patient into the remaining 10 minutes.
  3. Document the late arrival.
  4. Refuse to see the patient and ask them to leave.
  5. Discuss the matter with your Educational Supervisor.

Answer: ACBED


  • A: Rescheduling is the most professional and efficient way to handle this.
  • C: Documentation can be useful in case of recurring issues.
  • B: Attempting to fit the patient in could compromise the quality of care.
  • E: The supervisor could provide guidance but is less immediate than other options.
  • D: Refusing service should be the last resort.

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