Gastroenterology ST4 Interview Question Bank
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Gastroenterology ST4 • 2027 Interview

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

The Medibuddy Gastroenterology ST4 Question Bank includes over 30 scenarios that closely mirror the real interview, each with a model answer written/edited by high-scoring candidates who sat the Gastroenterology 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 Gastroenterology 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 30 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 Gastroenterology 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.

Gastroenterology ST4 Revision Platform • £144.99

Gain access to over 30 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 Gastroenterology ST4 interview.

Verified candidateInterviewed 2026
"The clinical scenarios matched the real thing closely. Having a structure ready meant I could work through an acute bleed calmly under pressure."
Secured first-choice deanery
Verified candidateInterviewed 2026
"Practising the presentation and registrar 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 Gastroenterology ST4 Question Bank

The interview is two stations with four questions, each 5 to 10 minutes and tightly timed, 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 30-plus scenarios comes with a model answer, written by candidates who scored highly in the 2026 Gastroenterology ST4 interview, so you know exactly how to approach every question the interviewers throw your way.
What's inside

What's included in the Gastroenterology 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, presentation, suitability and registrar 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 gastroenterology presentations, where you play the role of the registrar: assess, reason and manage safely, each with a worked answer showing how to structure your response.

The Presentation Station

A four-minute presentation on an interesting case or a recent development in gastroenterology, followed by discussion. We provide guidance on how to structure and deliver it well.

Suitability & Commitment

Your chance to expand on your application and show your motivation for gastroenterology and why you're suited to ST4, with example questions and model answers.

Medical Registrar Suitability

Questions on managing acute medical admissions and multidisciplinary teams, with model answers that show you're ready to work as a medical registrar.
Reflecting how gastroenterology is really assessed
Communication is marked throughout 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, presentation, suitability and registrar themes.
Try it

Try an example Gastroenterology ST4 question

You are the gastroenterology registrar on call. Mr Gony, a 42-year-old man with alcohol-related cirrhosis, presents to the emergency department with sudden haematemesis: a large amount of bright red blood an hour ago, followed by dark, tarry stools. He feels weak and lightheaded.

On examination he is pale and clammy. Blood pressure 98/62, heart rate 110, respiratory rate 20, SpO2 95% on air, with epigastric tenderness and melaena on rectal examination.

Bloods: Hb 62, platelets 81, PT 16.5, urea 15, CRP under 1.

How would you approach this?

Question
How would you approach this patient?
Example answer
This is an acute, likely variceal, upper GI bleed on a background of decompensated cirrhosis, and I would treat it as an emergency. I would assess him with an A to E approach in resus and start the BSG acute upper GI bleed bundle, with a major haemorrhage call if needed and early ICU involvement.
  • A: check for airway compromise; if present, involve ICU early.
  • B: ensure he is not aspirating.
  • C: two large-bore cannulas, fluid resuscitation and a strict input and output chart.
  • D: assess consciousness and glucose, and look for encephalopathy.
  • E: inspect for stigmata of chronic liver disease and coagulopathy.
I would keep him nil by mouth, take a focused history and risk factors, and contact the on-call endoscopist, aiming to scope him within 24 hours once stabilised. If he were unstable, a CT angiogram with ICU input would be appropriate.
Question
How would you resuscitate him?
Example answer
His Glasgow-Blatchford score is high, so he needs resuscitating before endoscopy.
  • Start terlipressin (or an alternative such as somatostatin or octreotide) and broad-spectrum antibiotics as per local protocol.
  • Use a restrictive transfusion policy, aiming for a haemoglobin of 70 to 80, and give platelets only if the count is below 50.
  • Check the full clotting screen and liaise with haematology about fresh frozen plasma or cryoprecipitate.
  • Get an ECG to look for ischaemia, and involve anaesthetics to secure the airway before the OGD.
I would also reassess for other signs of decompensation: jaundice, ascites, encephalopathy, renal impairment or sepsis.
Question
He is going for endoscopy. What would you consent for, and what endoscopic treatments do you know?
Example answer
I would consent him, using a consent form 1 or 4, and counsel on the risks: aspiration, further or uncontrolled bleeding, perforation and, rarely, death.
  • For oesophageal varices, variceal band ligation is the preferred endoscopic treatment.
  • For gastric varices, glue therapy with cyanoacrylate injection is typically used.
Question
At OGD there are two actively bleeding grade 3 oesophageal varices that can't be banded. What next?
Example answer
He needs definitive control of a life-threatening variceal bleed.
  • Insert a Sengstaken-Blakemore tube, or a Danis stent, as a temporising measure while arranging further treatment.
  • Seek specialist help and consider transfer to a centre offering a 24-hour emergency TIPSS service, with safe transfer arrangements in place.
  • The definitive options are repeat endoscopic therapy, a salvage TIPSS, or surgery, depending on local resources and expertise.
The balloon tube is only a bridge, and carries risks including oesophageal or gastric injury, aspiration and displacement.
Question
A repeat OGD in ICU controls the bleeding with band ligation. What would you advise now?
Example answer
He needs close monitoring on ICU for a rebleed.
  • Rebleeding after banding is usually from the band coming off or a post-banding ulcer, which can occur one to three weeks later.
  • He will need repeat endoscopy with ligation until the varices are eradicated.
  • Once bleeding is confirmed settled, wean the terlipressin and restart a non-selective beta-blocker such as his carvedilol.
  • A large bleed can precipitate decompensation such as encephalopathy or hepatorenal syndrome, so early close monitoring is essential.

That's one scenario. There are over 30 more.

Gastroenterology 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.
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Actively maintained

How we keep our Question Banks up to date

The Gastroenterology 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.

For 2027, this process kept the Question Bank aligned with the current two-station structure, including the four-minute presentation, so you always practise with the format the panel is using now.
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 Gastroenterology 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 Gastroenterology 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 Gastroenterology 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 Gastroenterology 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 Gastroenterology ST4 interview

Gastroenterology is a competitive specialty. In 2025, 383 doctors applied for 104 posts, nearly four applicants for every place.

The interview is two stations with four questions, each 5 to 10 minutes and taking roughly 40 minutes in total, with communication marked throughout both stations.

Station 1

Clinical Scenario

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

Presentation

A four-minute presentation on an interesting case or a recent development in gastroenterology, followed by discussion. Prepare something you can deliver clearly and defend confidently.
Station 2

Suitability & Commitment

You’ll expand on your application and be asked about your motivation for gastroenterology and why you’re suited to ST4. Go beyond listing achievements and show how your experience demonstrates your commitment.
Station 2

Medical Registrar Suitability

Questions on your experience managing acute medical admissions and working with multidisciplinary teams. Prepare concise examples that show your readiness to work as a medical registrar.

How the interview is scored

The questions are marked against the Gastroenterology ST4 person specification, with each interviewer scoring independently. 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 Gastroenterology ST4 interview

Start with the Question Bank

Work through over 30 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 Gastroenterology 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 Gastroenterology ST4 interview involve?
Two stations with four questions, each 5 to 10 minutes and roughly 40 minutes in total. Station 1 covers a Clinical Scenario and a four-minute Presentation. Station 2 covers Suitability and Commitment, and Medical Registrar Suitability. Communication is marked throughout both stations.
How competitive is the Gastroenterology ST4 interview?
Competitive. In 2025, 383 doctors applied for 104 posts, nearly four applicants for every place, which is why a structured, well-rehearsed approach matters.
What is the presentation station?
A four-minute presentation on an interesting case or a recent development in gastroenterology, followed by discussion. Our Question Bank includes guidance on how to choose a topic and structure it well.
Who writes the model answers?
High-scoring candidates who sat the Gastroenterology 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 Gastroenterology 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 Gastroenterology 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 Gastroenterology 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 Gastroenterology ST4 interview

The Revision Platform gives you over 30 scenarios to practise and refine with other candidates through Study Groups, Live Mocks and Peer Feedback. Ten years preparing doctors for interviews, with the questions, this year's model answers and live practice, all in one place.

Gastroenterology ST4 Revision Platform • £144.99

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