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Respiratory Medicine ST4 • 2027 Interview

The 2027 Respiratory Medicine ST4 Interview Revision Platform: Question Bank, Live Practice and Mocks with Other Candidates

The Medibuddy Respiratory Medicine ST4 Question Bank includes over 50 scenarios that closely mirror the real interview, each with a model answer written/edited by high-scoring candidates who sat the Respiratory Medicine ST4 interview in 2026.

However, knowing a strong answer isn't the same as delivering it well under pressure, which is why we provide:

  • Study Groups with candidates across the country
  • Unlimited Live Mocks with real people
  • Peer Feedback on your mocks from a wide range of candidates

10 years’ experience preparing doctors for interviews

Users of the Medibuddy Respiratory Medicine ST4 Revision Platform have secured some of the most competitive training jobs in recent rounds. Ask around, there's a good chance the trainees in the year above you used us too.

Always up to date

Did you know the interviews change every year? That's why we review and update every Question Bank on the platform twice a year, so you know you're always practising with scenarios based on the latest interview structure.

Network and practise real interview scenarios with other candidates

Question Bank

See every scenario, and how to answer it well

Over 50 scenarios across both interview stations, which tell you exactly how to respond to each question.
Study Groups

Connect with candidates across the country

Most people only ever practise with one or two friends. Study Groups connect you with candidates right across the country sitting the same Respiratory Medicine ST4 interview.
Live MocksBeta

Practise interview technique with different candidates

Arrange or get matched on demand with other candidates and run real scenarios out loud under interview conditions. Those who practise with the widest range of people tend to score the highest.
Peer FeedbackBeta

Reviewed by candidates across the platform

Submit your recorded mocks to candidates across the platform and get honest, varied feedback. Reviewing other people's mocks teaches you just as much.

The question bank, and other candidates to practise with, all in one platform.

Respiratory Medicine ST4 Revision Platform • £144.99

Gain access to over 50 scenarios across both stations, and collaborate with other candidates through Study Groups, Live Mocks and Peer Feedback.
Get instant access
What candidates say

Scored well, secured their post

A few of the candidates who prepared with us for the Respiratory Medicine ST4 interview.

Verified candidateInterviewed 2026
"The clinical scenarios matched the real thing closely. Having a structure ready meant I could work through an acute presentation calmly under pressure."
Secured first-choice deanery
Verified candidateInterviewed 2026
"Practising the registrar suitability presentation out loud with other candidates was the single most useful thing I did before the day."
Ranked highly
Part 1 • See the questions

The Medibuddy 2027 Respiratory Medicine ST4 Question Bank

The interview has four questions split across two stations. Each question only runs for 6-10 minutes, so you have a limited window to deliver the high-scoring answers you need to do well. That means every point has to land, and knowing how to structure each answer is essential. That's why each of our 50-plus scenarios comes with a model answer, written by candidates who scored highly in the 2026 Respiratory Medicine ST4 interview, so you know exactly how to approach every question the interviewers throw your way.
What's inside

What's included in the Respiratory Medicine ST4 Question Bank

There's nothing worse than getting to the interview and being handed a scenario you've never seen before. The panel can draw on clinical, registrar, application and suitability themes across both stations, so the safest approach is to revise across all of them. We provide scenarios for every part of the interview, including the common ones and the more unusual cases that have come up before, so you don't get caught out.

Clinical Scenarios

Acute and general respiratory presentations: assess with an A to E approach, interpret the investigations and manage safely, each with a worked answer showing how to structure your response.

Medical Registrar Suitability

Opens with a 1-minute presentation on the acute unselected medical take, then follow-up scenarios on your readiness to work as a medical registrar. We provide prompts and model answers so you can prepare a focused, confident presentation.

Application & Training

Questions on your career achievements and engagement with training, with model answers to help you present your experience clearly and back it up with evidence.

Suitability & Commitment

Your chance to show your motivation for respiratory medicine and why you're suited to ST4, with example questions and answers so you can present yourself well.
Reflecting how respiratory is really assessed
Communication is marked across both stations, so it isn't a separate question but runs through everything you say. Our model answers are written with that in mind, alongside the clinical, registrar, application and suitability themes.
Try it

Try an example Respiratory Medicine ST4 question

A GP has referred a 22-year-old man with pleuritic right-sided chest pain and breathlessness who has just arrived in the emergency department. He has no past medical history.

Initial observations: heart rate 98, blood pressure 112/70, SpO2 100% on 10L via a non-rebreather mask, respiratory rate 24, temperature 36.5.

Talk me through your approach.

Question
What is your initial approach?
Example answer
My first concern is that he is on high-flow oxygen despite saturating 100%, so I would assess him with an A to E approach and adjust as I go. In a young man with this presentation, a pneumothorax is most likely, but I would keep pneumonia and pulmonary embolism in mind.
  • Airway: talk to him, and check for tracheal deviation or stridor.
  • Breathing: clarify his room-air saturations and why oxygen was started, wean it to target 94 to 98%, consider an ABG, and assess his work of breathing, chest expansion and breath sounds. Absent breath sounds would point to pneumothorax, crepitations to another cause. Request an urgent chest X-ray.
  • Circulation and beyond: cardiovascular exam and fluid status, an ECG, IV access and adequate analgesia. I would also note any marfanoid features or a tall, slim build.
Question
His oxygen is weaned and the chest X-ray is back. What is the diagnosis, and what do you want from the history?
Example answer
The chest X-ray shows a large right-sided pneumothorax, with no mediastinal shift or signs of tension, and his breath sounds were absent on the right.
  • I would ask about the onset, character and duration of the pain, and any recent trauma or preceding illness.
  • Past medical history, specifically asthma or other lung disease and any connective tissue disease.
  • Regular medications, checking he is not anticoagulated, his smoking history as a key modifiable risk factor, and any recreational drug use.
  • Occupation, and whether he scuba dives or has any flights booked.
Question
How would you manage this, and how would you communicate it?
Example answer
This is a primary spontaneous pneumothorax, and management turns on symptom severity, high-risk features and shared decision-making. He is symptomatic with a large pneumothorax, so conservative management would not be appropriate.
  • I would discuss the options with him: needle aspiration, though it may be less likely to succeed given the size, inpatient management with a chest drain, or an ambulatory device if suitable.
  • I would outline the risks and benefits of each and obtain informed consent before any intervention.
  • The choice depends on his priorities and his clinical stability.
Question
The drain resolves it in 48 hours. What would you discuss before discharge?
Example answer
I would give clear safety-netting and lifestyle advice.
  • Safety-netting: return urgently with increasing breathlessness or chest pain.
  • He must not scuba dive, due to the high risk of recurrence.
  • Assuming the pneumothorax stays fully resolved after the drain is removed, he should wait at least seven days before flying.
  • I would counsel him on the risk of recurrence, and explain that a second episode may warrant referral to thoracic surgery for definitive treatment.

That's one scenario. There are over 50 more.

Respiratory Medicine ST4 Revision Platform • £144.99

Includes every scenario in the Question Bank, and access to Study Groups, Live Mocks with other candidates and Peer Feedback.
Get instant access
Actively maintained

How we keep our Question Banks up to date

The Respiratory Medicine ST4 interview changes from year to year, and the biggest fear for any candidate is getting to interview day and realising you've revised with a question bank that's totally outdated.

That's why we review and update every Question Bank twice a year, so you know you're revising with scenarios that are likely to come up. We do this in April after the previous year's interviews, and again in the autumn when the new recruitment guidance is published.

Updated for 2027 interviews

Reviewed against the latest published guidance and recent candidate feedback.

Updated for 2027 Interviews
Part 2 • Practise them live

The only interview resource where you can practise live with other candidates from across the country

Our Respiratory Medicine ST4 Question Bank tells you exactly how to answer real interview scenarios. But how you practise with them will determine how many marks you score. Simply reading answers off a screen won't prepare you for the intense scrutiny you'll face in the interview. And only practising with the same few colleagues or friends limits the amount of feedback you'll get. Medibuddy gives you unique access to Respiratory Medicine ST4 candidates across the country, so you can learn from a variety of perspectives and hear a far wider range of feedback than your own circle could ever give you.

Study Groups
When you prepare in isolation, you're relying on your own interpretation of the interview process, which is one of the quickest ways to get found out on the day. Study Groups connect you with other doctors across the country who are also applying to Respiratory Medicine ST4, so you can engage and network with people preparing for the same interview as you. Everyone brings different experience from different hospitals and deaneries, meaning you won't ever miss out on the key bits of information that could swing the interview in your favour.
Live MocksBeta
Candidates who don't take part in mocks often struggle to adapt to the pressure of the interview. Your knowledge might be correct, but without convincing delivery the interviewers will score you poorly. The best way to improve your delivery is to take part in as many live mocks as possible, which is why we haven't put a cap on how many you can do. We also know how difficult it can be to organise mocks with other people, so all you have to do is join the waiting room and we'll match you with a different Respiratory Medicine ST4 candidate each time. Take turns as both the interviewer and candidate on real Question Bank scenarios, so you can see exactly how other candidates perform in real time, while refining your own interview technique.
Peer FeedbackBeta
Preparing alone means you won't know how you're coming across during the interview. And preparing with the same few candidates means you'll miss opportunities to improve, which is why it's so important to get as many opinions as possible on your performance. With Medibuddy, you can record a mock and submit it for feedback from other candidates on the platform, so you receive a wider range of feedback and refine your answers with each person you practise with. Reviewing other people's mocks is just as valuable, as it shows you how strong candidates handle the same scenarios, which is one of the fastest ways to improve.
The interview

What to expect from the Respiratory Medicine ST4 interview

Respiratory medicine is a competitive specialty. In 2025, 413 doctors applied for 104 posts, which is over three applicants for every place.

The interview takes roughly 40 minutes in total, with communication marked across both stations.

Station 1

Clinical Scenario

You’re given a clinical scenario and questioned on your assessment and management. Start with a safe, systematic approach before moving to more specialist investigations and management, and be ready to explain when you would escalate.
Station 1

Application & Training

Questions on your career achievements and your engagement with training. Be ready to evidence your experience clearly rather than simply listing it.
Station 2

Medical Registrar Suitability

You’ll start with a one-minute presentation on your experience of the acute unselected medical take, followed by scenarios exploring your readiness to work as a medical registrar. Prepare a concise, well-structured overview with examples.
Station 2

Suitability & Commitment

You’ll be asked about your motivation for respiratory medicine and why you’re suited to ST4. Go beyond listing achievements and explain how your experience demonstrates your suitability and commitment.

How the interview is scored

The questions are marked against the Respiratory Medicine ST4 person specification and combined into a Raw Interview Score. Our model answers are structured against those criteria, so you know exactly what a strong, well-organised answer looks like at each station.
Get ready

How to prepare for the Respiratory Medicine ST4 interview

Start with the Question Bank

Work through over 50 scenarios across both stations, each with a worked answer from a candidate who scored well in the 2026 interview. Start by reading how a strong answer is formed, then think about how you'd deliver it.

Talk the hard ones through in Study Groups

Study Groups are your biggest opportunity to network and connect with other candidates sitting the same interview as you. Everyone on the platform is in the same boat, so don't be scared to get involved and ask questions. Someone in your study group might just help you work through a scenario you've been struggling with.

Rehearse out loud in Live Mocks

Live mocks are where you begin to put everything you've learned into practice, and we know from experience that those who practise with a wide range of candidates usually do the best. Organise mocks with people from one of your study groups, or get matched with a random Respiratory Medicine ST4 candidate, then take turns as interviewer and candidate using real scenarios until answering out loud under pressure feels normal.

Get reviewed with Peer Feedback before the day

Once you've recorded a mock, you can have other community members review it. This lets you see how you come across to other people, and gives you time to refine your delivery as you revise, rather than being caught out on the day. Reviewing other people's mocks is just as crucial, as you see how other candidates navigate the same scenarios.
Questions

Frequently asked questions

What does the Respiratory Medicine ST4 interview involve?
Two stations with four questions, taking roughly 40 minutes in total. Station 1 covers a Clinical Scenario and Application and Training. Station 2 covers Medical Registrar Suitability, which opens with a one-minute presentation on the acute unselected take, and Suitability and Commitment. Communication is marked across both stations.
How competitive is the Respiratory Medicine ST4 interview?
Competitive. In 2025, 413 doctors applied for 104 posts, over three applicants for every place, which is why a structured, well-rehearsed approach matters.
Who writes the model answers?
High-scoring candidates who sat the Respiratory Medicine ST4 interview in 2026, so the answers reflect what came up and what scored this year.
Can I practise with other candidates?
Yes. Every Revision Platform purchase gives you the opportunity to connect with other candidates through Study Groups, Live Mocks and Peer Feedback.
How do the Live Mocks work?
All you have to do is join the waiting room, and we match you with another Respiratory Medicine ST4 candidate. You then take turns as interviewer and candidate on real Question Bank scenarios, so you gain experience answering out loud to a real person before you ever sit in front of the panel.
What are Study Groups and how do they help?
Study Groups are community forums for doctors across the country preparing for the same Respiratory Medicine ST4 interview. You can ask questions, share what you're struggling with, and compare how you'd approach a scenario.
Can I get feedback on my interview performance?
Yes. After you've recorded a mock, you can ask other members to review it, so you can see which part of your answer needs fine-tuning.
How do you keep the Respiratory Medicine ST4 Question Bank up to date?
We review and update it twice a year: in April after that year's interviews, and again in the autumn when the new recruitment guidance is published, so you always practise with the current two-station format.
How long do I get access for?
Access runs for 12 months from the purchase date.

Start preparing for the Respiratory Medicine ST4 interview

The Revision Platform gives you over 50 scenarios to practise and refine with other candidates through Study Groups, Live Mocks and Peer Feedback.

Respiratory Medicine ST4 Revision Platform • £144.99

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