Neurology ST4 Interview Question Bank

The Medibuddy Neurology ST4 Question Bank includes over 40 scenarios that closely mirror the real interview, each with a model answer written/edited by high-scoring candidates who sat the Neurology 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 Neurology 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 40 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 Neurology 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.

What candidates say

Scored well, secured their post

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

Verified candidateInterviewed 2026

"The case presentation prep was exactly what I needed. Having a clear structure ready meant I could tell my case confidently and handle the follow-up questions."

Secured first-choice deanery

Verified candidateInterviewed 2026

"Practising the registrar and ethics questions 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 Neurology ST4 Question Bank

The interview has two stations, four questions, and takes around 35 to 40 minutes, with each part tightly timed, so you only 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 40-plus scenarios comes with a model answer, written by candidates who scored highly in the 2026 Neurology ST4 interview, so you know exactly how to approach every question the interviewers throw your way.

What's inside

What's included in the Neurology 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 presentation, application, registrar and ethical 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.

Case Presentation

Preparing and presenting an interesting case, or a case that changed your practice, followed by discussion, with guidance on how to structure and defend it.

Application, Suitability & Commitment

Questions building on your application and training, and your motivation for neurology, with model answers so you can present your experience clearly.

Medical Registrar Suitability

Questions on managing acute medical admissions and leading a multidisciplinary team, with model answers that show you're ready to work as a medical registrar.

Ethics, Professionalism & Governance

Hypothetical scenarios on ethical and professional conduct, with structured model answers so you can reason through them clearly on the day.

Updated for 2027

For this round, Application and Training was merged with Suitability and Commitment into a single question. Communication is scored throughout the whole interview, and our scenarios are built with this in mind.

Try it

Try an example Neurology ST4 question

This is an example of a case you might bring to the case presentation station.

A 24-year-old student presented to neurology with a few months of eyelid drooping, worse in the evenings, later with blurred vision, reduced exercise tolerance and difficulty chewing, preferring a soft diet.

Examination showed bilateral fatigable ptosis, subtle ophthalmoplegia, bifacial weakness, reduced neck flexion and fatigable proximal limb weakness. The acetylcholine receptor antibody was strongly positive, and a CT chest showed thymic hyperplasia.

She was started on steroids and pyridostigmine for myasthenia gravis, but has relapsed several times, needed IVIg, not tolerated other immunosuppressants, and is being worked up for a thymectomy, with rituximab under consideration.

How would you handle the follow-up questions?

Question

Did the patient undergo any neurophysiology?

Example answer

No, it was not felt necessary given the strongly positive antibody and the clear clinical phenotype.

Had it been done, repetitive nerve stimulation might have shown a decremental CMAP response.
Single-fibre EMG would be expected to show increased jitter, with or without impulse blocking.

Question

What are the usual treatment options for myasthenia gravis?

Example answer

Symptomatic: pyridostigmine, which in a select group of patients may control symptoms entirely.
Immunosuppression: usually non-specific, with steroids such as prednisolone and a steroid-sparing agent such as azathioprine or mycophenolate.
Rescue treatment in crisis: IVIg or plasma exchange.
Rituximab is increasingly used as both an acute and a maintenance therapy in some centres.

Question

Are there any guidelines covering MG and its treatment?

Example answer

Yes. The Association of British Neurologists has produced consensus guidelines for myasthenia in recent years, covering management in both inpatient and outpatient settings.

Question

How would you counsel the patient about thymectomy here?

Example answer

Myasthenia is easily treatable but very difficult to cure, and many patients achieve easier control after thymectomy.

It is recommended for antibody-positive patients under 50, as she is.
The benefit is not immediate and can take some years to appear.
An important goal is to avoid long-term steroid use in someone so young, if at all possible.

That's one scenario. There are over 40 more.

Actively maintained

How we keep our Question Banks up to date

The Neurology 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

1 Presentation station scenario updated.

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 Neurology 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 Neurology 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 Neurology 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 Neurology 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 Neurology ST4 interview

Neurology attracts high-calibre candidates and is competitive, with strong applicants often separated by narrow margins at interview.

The interview has two stations and takes around 35 to 40 minutes in total, with your scores combined into a Raw Interview Score and processed into a final mark.

Station 1

Application, Suitability & Commitment

A single question building on your application and training and your motivation for neurology. Go beyond listing achievements and show how your experience demonstrates your suitability and commitment.

Station 1