Genitourinary Medicine ST4 Interview Questions 2026 | Medibuddy
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Genitourinary Medicine ST4 • 2027 Interview

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

The Medibuddy Genitourinary Medicine 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 Genitourinary 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 Genitourinary 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 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 Genitourinary 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.

Genitourinary Medicine ST4 Revision Platform • £144.99

Gain access to over 40 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 Genitourinary Medicine ST4 interview.

Verified candidateInterviewed 2026
"The clinical scenarios were pitched exactly right. Having a structure ready meant I could work through a complex GUM case calmly under pressure."
Secured first-choice deanery
Verified candidateInterviewed 2026
"Practising the presentation 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 Genitourinary Medicine ST4 Question Bank

The interview is two stations of around 20 minutes each, roughly 50 minutes in total, and each part is 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 40-plus scenarios comes with a model answer, written by candidates who scored highly in the 2026 Genitourinary 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 Genitourinary 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 presentation, clinical, ethical and suitability themes across the two 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

GUM and sexual health cases where you play the registrar: assess, investigate and manage safely, each with a worked answer showing how to structure your response.

The Presentation Station

Preparing and delivering a presentation, followed by discussion, with guidance on how to structure it clearly and defend it confidently.

Ethics & Professionalism

Realistic ethical, professional and safeguarding dilemmas, with structured model answers so you can reason through them clearly on the day.

Suitability & Commitment

Your chance to show your motivation for genitourinary medicine and why you're suited to ST4, with example questions and model answers.
Reflecting how GUM is really assessed
So much of genitourinary medicine turns on sensitive, non-judgemental communication, and it is assessed throughout. Our model answers are written with that in mind, alongside the clinical, presentation and ethical themes.
Try it

Try an example Genitourinary Medicine ST4 question

A 24-year-old man attends your GUM clinic with a four-day history of purulent urethral discharge and dysuria. He reports two male sexual partners in the past three months, one a casual contact he met abroad two weeks ago.

He has no known drug allergies, takes no regular medications, and was HIV-negative on a documented test six weeks ago. A Gram-stained urethral smear at the point of care shows Gram-negative intracellular diplococci.

How would you approach this?

Question
How would you assess this patient?
Example answer
The smear makes urethral gonorrhoea the working diagnosis, but a full screen and risk assessment come first.
  • History: the nature of the discharge and any dysuria, testicular, rectal or throat symptoms; a full sexual history including sites of exposure, partners, condom use and travel; previous STIs and any cephalosporin allergy.
  • Confirm his HIV status, PrEP use and hepatitis B vaccination, and screen for features of disseminated gonococcal infection such as fever, rash and arthralgia.
  • Examination: inspect the meatus, palpate for epididymo-orchitis, examine the oropharynx and anorectum if those were exposure sites, and the skin and joints if disseminated infection is suspected.
Question
What investigations would you perform, and why before treating?
Example answer
Even though the smear allows presumptive treatment, confirmation and susceptibility testing must not be skipped.
  • A NAAT from all exposed sites (urine or urethral, plus pharyngeal and rectal), which also detects chlamydia.
  • A gonococcal culture before antibiotics, essential for antimicrobial susceptibility testing, which NAAT cannot provide, and for national resistance surveillance.
  • A full STI screen: HIV (repeated despite the recent negative), syphilis and hepatitis serology, and check his hepatitis B and PrEP eligibility.
Culture-based susceptibility is the cornerstone of managing possible resistance, which matters given his overseas contact.
Question
How would you treat him, and what immediate advice would you give?
Example answer
I would treat presumptively today on the basis of the positive smear.
  • First-line is ceftriaxone 1g intramuscularly as a single dose; routine azithromycin is no longer added, reflecting rising resistance and stewardship.
  • If there were a genuine cephalosporin allergy or he refused the injection, I would discuss with a senior and microbiology and use a susceptibility-guided alternative.
  • Treat concurrent chlamydia with doxycycline if confirmed.
I would advise him to abstain from sex until treatment is complete, symptoms have resolved, for 7 days afterwards, and until partners are treated, and safety-net him to return if symptoms persist.
Question
He met a casual partner abroad two weeks ago. How does that change your concern and actions?
Example answer
A recently acquired infection from overseas raises the possibility of an imported resistant strain, including ceftriaxone-resistant gonorrhoea, which has been seen in the UK.
  • Pre-treatment culture and susceptibility become especially critical, and I would document the travel history clearly on the microbiology request.
  • I would lower my threshold for close follow-up and an early test of cure.
  • If susceptibility shows resistance, or he fails to respond, I would discuss urgently with the consultant and microbiology, treat by sensitivities, and report to national surveillance and the health protection team, as resistant gonorrhoea is a public health priority.
  • I would reinforce partner notification, including the overseas contact where traceable, over the relevant look-back period.
Question
How and when would you perform a test of cure, and what does follow-up involve?
Example answer
A test of cure is mandatory here, and especially important given the overseas exposure.
  • If he is still symptomatic, a culture-based test of cure at around 72 hours to catch treatment failure early.
  • If asymptomatic, a NAAT-based test of cure at two weeks, as testing too early risks a false positive from non-viable DNA.
  • Any pharyngeal infection warrants a test of cure regardless of symptoms.
At follow-up I would confirm symptom resolution, review the outstanding screen results, check partners have been treated and that he adhered to abstinence, and reinforce risk reduction, PrEP and vaccination.
Question
How would you communicate the diagnosis and partner notification sensitively?
Example answer
Clear, non-judgemental communication is central and separately scored.
  • Explain in plain language that he has gonorrhoea, a common and curable infection that today's injection treats effectively, checking his understanding and avoiding any judgemental tone.
  • Explain why partners need testing and treatment, agree the look-back period, and offer both patient referral and provider referral through the health adviser, including the overseas contact where traceable.
  • Arrange the test of cure and follow-up before he leaves, give written abstinence advice, and stay alert to any safeguarding or coercion concerns, signposting support.

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

Genitourinary 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.
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Actively maintained

How we keep our Question Banks up to date

The Genitourinary 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.

For 2027, this process kept the Question Bank aligned with the current two-station format, across the presentation, clinical, ethical and suitability themes, 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 Genitourinary 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 Genitourinary 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 Genitourinary 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 Genitourinary 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 Genitourinary Medicine ST4 interview

Genitourinary medicine is a competitive specialty, and strong applicants are often separated by narrow margins at interview.

The interview is two stations of around 20 minutes each, roughly 50 minutes in total, covering presentation, clinical, ethical and suitability themes with communication assessed throughout.

Theme

Presentation

Preparing and delivering a presentation, followed by discussion. Prepare something you can deliver clearly and defend confidently.
Theme

Clinical

A GUM or sexual health scenario, assessing your clinical judgement and safe, structured management as the registrar.
Theme

Ethics & Professionalism

An ethical, professional or safeguarding issue. Explain your reasoning, refer to relevant guidance, and show how you would handle it safely and professionally.
Theme

Suitability & Commitment

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

How the interview is scored

The questions are marked against the Genitourinary Medicine ST4 person specification, with communication assessed throughout. 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 Genitourinary Medicine ST4 interview

Start with the Question Bank

Work through over 40 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 Genitourinary 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 Genitourinary Medicine ST4 interview involve?
Two stations of around 20 minutes each, roughly 50 minutes in total, covering four question themes: Presentation, Clinical, Ethics and Professionalism, and Suitability and Commitment, with communication assessed throughout.
How competitive is the Genitourinary Medicine ST4 interview?
Genitourinary medicine is a competitive specialty, and strong candidates are frequently separated by small margins at interview, which is why a structured, well-rehearsed approach matters.
Who writes the model answers?
High-scoring candidates who sat the Genitourinary 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 Genitourinary 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 Genitourinary 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 Genitourinary 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 Genitourinary Medicine ST4 interview

The Revision Platform gives you over 40 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.

Genitourinary Medicine ST4 Revision Platform • £144.99

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