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100+ Free MFPH Part B (OSPHE) Practice Questions
MFPH Part B (OSPHE - Objective Structured Public Health Examination) practice questions are available now; exam metadata is being verified.
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An examiner notes a candidate gave technically correct but unbalanced advice, ignoring an obvious downside of their recommendation. Which competency is most affected?
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Sample MFPH Part B (OSPHE) Practice Questions
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1An OSPHE candidate is told their station scenario takes place in a radio studio with a journalist. Which OSPHE competency area is MOST directly tested by the candidate's ability to convey a clear, jargon-free public-health message to the journalist?
A.Presenting communication skills (verbal and non-verbal)
B.Handling uncertainty, the unexpected, challenge or conflict
C.Assimilating relevant information from a variety of sources
D.Demonstrating reasoning, analytical and judgement skills
Explanation: The first OSPHE competency is the ability to demonstrate presenting communication skills (verbal and non-verbal) appropriately in typical public-health settings. Conveying a clear, jargon-free message to a journalist is a direct test of presenting skills.
2In the OSPHE, how many scenarios (stations) does each candidate complete, and how long is each preparation and each examination station?
A.Five scenarios, 10 minutes preparation and 10 minutes examination each
B.Eight scenarios, 6 minutes preparation and 6 minutes examination each
C.Six scenarios, 8 minutes preparation and 8 minutes examination each
D.Four scenarios, 12 minutes preparation and 12 minutes examination each
Explanation: The OSPHE comprises six scenarios. Each scenario has a preparation station and an examination station, and each lasts eight minutes, giving 16 minutes per scenario.
3In the OSPHE marking scheme, examiners grade each competency A to E. Which grade represents the 'adequate' standard that defines a competent (passing) performance for that competency at a station?
A.Grade A
B.Grade B
C.Grade D
D.Grade C
Explanation: Examiners grade each competency A-E, where A is excellent, B good, C adequate, D just below adequate and E poor. Grade C represents the adequate, competent standard.
4A candidate has averaged grade C across the five competencies overall, but one competency was graded below C at four of the six stations. Based on the OSPHE pass rule, what is the likely outcome?
A.A clear pass, because the overall average is C
B.A fail, because each competency must be at C or above at half or more of the stations
C.A pass, because only one competency was below standard
D.Deferred, because borderline averages cannot be classified
Explanation: To pass the OSPHE a candidate must achieve an average of C or above across all competencies AND each competency must be graded C or above at half or more (at least three of six) of the stations. Being below C at four stations fails the per-competency rule.
5During preparation for a station you are given a one-page brief, a short data table and a covering note describing your role. Which OSPHE competency is principally exercised when you extract the key public-health issues from these materials in the 8-minute prep?
A.Assimilating relevant information from a variety of sources
B.Listening and comprehending
C.Presenting communication skills
D.Handling uncertainty and conflict
Explanation: Assimilating relevant information from a variety of sources and settings, and using it appropriately, is the competency exercised when synthesising a brief, data table and role note during preparation.
6A local newspaper reports that the number of measles cases in a town 'doubled this year, from 2 to 4 cases'. As a public-health registrar interviewed about this, what is the most appropriate framing to convey to the public?
A.Confirm a serious outbreak is underway because cases doubled
B.Refuse to comment until laboratory genotyping is complete
C.Explain that with very small numbers a doubling reflects only two extra cases and may be chance variation, while reaffirming MMR uptake matters
D.State that measles is no longer a notifiable disease so the rise is unimportant
Explanation: With very small absolute numbers, a relative change such as 'doubling' is statistically unstable and can reflect random variation; a balanced communicator explains this while still reinforcing the protective message about MMR vaccination uptake. This demonstrates reasoning and clear presenting skills.
7You are briefing a non-public-health audience (local councillors) on a screening programme. A councillor uses the term 'false positive'. What is the clearest accurate definition to give?
A.A person who has the disease but whose test is negative
B.A test that is repeated because the laboratory lost the sample
C.The proportion of all positive tests that are correct
D.A person who does not have the disease but whose test is positive
Explanation: A false positive is an individual without the target condition who nonetheless tests positive. Explaining this plainly to lay decision-makers is core to presenting and assimilating-information competencies in the OSPHE.
8In a station you must advise on a new community programme. The role-player (a stakeholder) becomes hostile and accuses you of wasting public money. Which competency is the examiner primarily assessing through your response?
A.Assimilating relevant information
B.Handling uncertainty, the unexpected, challenge or conflict
C.Presenting communication skills only
D.Listening and comprehending only
Explanation: Managing a hostile or unexpected challenge is the explicit fifth competency: the ability to handle uncertainty, the unexpected, challenge or conflict. Staying calm and constructive demonstrates this skill.
9A station presents you with an odds ratio of 2.5 (95% CI 0.8 to 7.9) for an exposure-disease association. When explaining this to a lay audience, what is the most accurate statement?
A.The association is not statistically significant because the confidence interval includes 1
B.The exposure clearly causes the disease because the odds ratio exceeds 2
C.The result proves no association exists
D.A wide confidence interval means the study had too many participants
Explanation: Because the 95% confidence interval (0.8 to 7.9) crosses the null value of 1, the association is not statistically significant at conventional levels. A registrar should explain this caveat rather than overstate the point estimate.
10You are presenting to a busy committee with only a few minutes. To present effectively in an OSPHE communication station, what is the best opening approach?
A.Begin with a detailed methods section before any conclusions
B.List every caveat first to appear cautious
C.State the key message and recommendation up front, then support it concisely
D.Read your prepared notes verbatim without eye contact
Explanation: Effective public-health communication to time-pressured audiences leads with the headline message and recommendation, then supports it. This 'bottom line up front' structure scores well on presenting communication skills.
About the MFPH Part B (OSPHE) Practice Questions
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