Getting Started with UCAT Decision Making (DM)

What is the UCAT Decision Making Section?

The Decision Making (DM) section is the second subtest of the UCAT exam. It assesses your ability to apply logic, evaluate arguments and analyse statistical information to make decisions. In practice, this means you’ll face a variety of logical puzzles, data analysis problems and argument-based questions. Unlike Verbal Reasoning or other sections, where several questions can rely on one passage or scenario, each Decision Making question stands on its own, with its own scenario, data set or diagram. This variety makes DM both interesting and challenging – you’ll “reset” for each new question, using fresh information every time.

Why is this important? Universities include Decision Making to assess how well you can think through complex problems and make sound decisions under time pressure – much like the decisions doctors and dentists make in real life. It’s a test of your logical reasoning in uncertain situations, not of any medical knowledge. Don’t worry: you won’t need advanced maths or formal logic training – basic reasoning skills and a clear head will suffice. With the right preparation, you can learn to navigate this section efficiently and even enjoy solving these mini brain-teasers!

Format, Timing & Scoring of Decision Making

Questions and Time: The Decision Making subtest consists of 35 questions with 37 minutes of test time (plus a 1-minute instruction period). This works out to roughly 63 seconds per question on average. In the updated UCAT format (from 2025 onwards), the DM section gained a few extra questions and minutes, giving you just over a minute per question. While this is less rushed than some other sections, time management is still crucial – some questions will take longer than others, and those seconds can slip away quickly if you’re not careful.

Question Types: Decision-Making questions come in six formats (a mix of traditional multiple-choice and unique “Yes/No”- style questions). The variety keeps you on your toes. The main DM question types include:

  • Syllogisms (Logical Deduction):

    You’ll get a few statements (e.g. “All X are Y; Some Y are Z…”) followed by conclusions. For each of five conclusions, you decide Yes or No – “Yes” if the conclusion logically follows from the statements, or “No” if it does not. This tests classical logic and deductive reasoning. Tip: It helps to carefully parse words like all, some, none, and consider drawing a quick sketch or Venn diagram to check the logic.

  • Inference / Interpreting Information:

    Similar to syllogisms in format (five Yes/No statements), but here the initial information might be a short passage of text, a chart or some data. You must decide if each given conclusion can be inferred from the information. It’s a bit like True/False questions based on a mini reading passage or data snippet. Tip: Treat it like a mini comprehension – stay within the given info. If a statement isn’t definitely true from the data, mark it “No” (even if it sounds plausible in real life).

  • Logical Puzzles (Logic Games):

    These are one-part questions with four options (A–D) that involve puzzles or scenarios. For example, you might get a scheduling problem, a seating arrangement, or some clues to deduce an outcome. You’ll need to piece together information logically to find the correct answer. Tip: Use your scratch pad (noteboard) to jot down the puzzle – draw a quick table, diagram or list to keep track of conditions. Visualising the relationships (who sits where, in what order things happen, etc.) can be a lifesaver for these questions.

  • Recognising Assumptions / Strongest Argument:

    These questions present a statement or proposal (e.g. “Should the hospital implement X policy?”) and then several arguments or assumptions related to it. You might be asked to identify the strongest or weakest argument, or pick which assumption is being made. This is an exercise in critical reasoning. Tip: The strongest argument directly addresses the core of the question with logical reasoning or evidence, while weaker ones are tangential or rely on flawed logic. Look for the option that most impactfully supports or undermines the proposal.

  • Probability & Statistics:

    You’ll face questions requiring basic probability or interpreting statistical information. For example, you might need to calculate the probability of an event occurring based on some data, or decide which option is more likely. A simple on-screen calculator is available in Decision Making, and you should use it for crunching numbers if needed – but often these problems are designed to be solved with reasoning more than heavy calculation. Tip: Set up the problem clearly (write down probabilities or ratios on your noteboard). Keep an eye out for wording – are events independent? Is it asking for an expected value or just a probability? And remember basic probability formulas (like for independent events, multiply the probabilities).

  • Venn Diagrams & Sets:

    These questions involve categorising information, often using Venn diagrams. You might be given a scenario with groups (for instance, students who play certain sports) and either a completed Venn diagram or statements to place into a blank diagram. Alternatively, you might need to deduce relationships and pick the diagram that represents them. Tip: If a Venn diagram is provided, use it to systematically check the truth of statements (it’s a visual logic tool). If you have to choose a diagram, translate each statement in the scenario into constraints (e.g. “All A are B” means the A circle sits entirely inside the B circle, etc.) and eliminate diagrams that don’t fit.

Despite the variety, the questions always fall into these categories, and often appear in a predictable order in the exam (e.g. you might get all the syllogisms first, then all the puzzles, and so on). This means you can anticipate what type is coming next and adjust your strategy accordingly.

Marks and Scoring:

Each DM question contributes equally to your score, but the marking works a bit differently depending on the format. For the one-part multiple-choice questions, you earn 1 mark per question (you either get it right or you don’t). For the complex, multi-statement questions (the ones with five Yes/No parts), you can earn 2 marks – but only if you get all five statements correct. If you manage 4 out of 5 correct, you’ll get 1 mark (partial credit). Fewer than 4 correct earns 0. In other words, partial marks are available to reward you for being mostly right on those five-part questions. Don’t let this worry you – it just means it’s worth answering every part of those questions and coming back to check them if you have time, because an almost-perfect job still nets you a point.

After the test, your raw marks in Decision Making are converted to a scaled score (300–900) like the other cognitive subtests. In recent years, the average DM subscore is usually in the low-to-mid 600s. Every mark helps, so smart time use and maximising points on those two-mark questions can boost your scaled score significantly.

(Fun fact: The UCAT uses a few trial questions in each section, which do not count towards your score – but you won’t know which ones these are. So treat every question as if it’s scoring and do your best on each.)

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Pacing and Time Management in DM

Time management is critical in Decision Making, even with an average of ~63 seconds per question. Some items (like a simple probability or a quick assumption question) might take far less than a minute, whereas a complex logic puzzle or a lengthy set of statements could easily demand more time. Here’s how to keep on track:

  • Aim for ~1 Minute per Question:

    As a general rule, try to solve each question in about 60 seconds or less. Keep an eye on the onscreen timer. If you’re nearing a minute on a question and the answer isn’t forthcoming, consider moving on (we’ll discuss triaging in a moment). Many students find DM timing manageable overall, but don’t get complacent – it’s easy to overspend time on a satisfying puzzle. Remember: every question is worth one mark regardless of difficulty. It can be wiser to bank an easier mark on another question than to obsess over a tricky one for too long.

  • Leverage the “Easy vs Hard” Balance:

    Not all DM questions are equally time-consuming. For instance, probability questions and recognising assumption (argument) questions are often quicker – they tend to be more straightforward once you see the trick, so you might solve them in well under a minute. In contrast, syllogisms or logic puzzles might require careful thought or jotting down working. Use this to your advantage: if you encounter a laborious question type, it’s OK to spend a bit more than the average 63 seconds on it as long as you’ve saved time on the quicker ones. Essentially, you’re redistributing time: breeze through the easy ones, and invest a little extra on the tough ones where needed.

  • Use the On-Screen Tools Wisely:

    The UCAT provides a few tools to help with timing. The flag function (🚩) lets you mark a question for review and return to it later. The Decision Making section allows you to navigate between questions, so you can skip around within the section. However, use flagging strategically – don’t flag every tricky question or you might run out of time to revisit them. In DM, flagging is best for truly time-guzzling questions (maybe a big puzzle or a dense data analysis) that you decide to temporarily skip. Just be cautious: since each question in DM is a standalone scenario, coming back means re-reading all that information from scratch. Flagging too many can bog you down with lots of re-reading at the end. So, ideally, only flag a question if you’re really stumped or it’s taking way too long, and you’re confident you can answer others faster and still have a chance to return if time permits.

  • The Two-Pass Approach:

    One efficient strategy is the “two-pass” method. On your first pass through the section, you quickly work through all questions, answering those you can do rapidly and skipping/flagging those that look very time-intensive. This ensures you pick up all the “low-hanging fruit” points. Then, if time remains, you do a second pass to tackle the flagged ones you skipped. In Decision Making, some students modify this by deliberately postponing the multi-statement Yes/No questions to a second pass, since those can take longer. For example, one approach is: answer all the one-mark multiple-choice questions first, which you might aim to do in well under a minute each, then use the saved time to go back for the five-part questions (ensuring you have ~1 minute or more for each of those). This way, you won’t rush the complex items and risk losing both marks. Important: if you try this, you must be disciplined with your timing on pass one – don’t get stuck on any single question. It’s a technique that requires practice to execute well, but it can pay off by allowing you to allocate your time where it’s most needed.

  • Keep an Eye on the Clock (⌛):

    Develop a sense of pace. For 35 questions in 37 minutes, a rough checkpoint is around halfway: aim to be at about question 18 by ~18-19 minutes in, for example. The UCAT interface shows the timer; use it to decide whether you need to speed up. If you find you’re lagging behind, don’t panic – make a conscious adjustment: perhaps adopt a more aggressive skipping strategy (e.g. guess an answer and move on if a question is really slow-going). It’s better to attempt all questions (even if some are guesses) than to leave questions blank due to running out of time. Remember, there’s no negative marking, so an educated guess is always worth it if you’re short on time.

Efficient Techniques and Strategies for DM Success

Being good at decision-making is not just about raw intellect – having the right techniques and practised habits makes a huge difference. Here are some test-day techniques and preparation tips to help you ace DM:

  • Understand Each Question Type’s Game Plan:

    As mentioned, there are several question formats in DM, each with its own best approach. Spend time in practice learning how you tackle each type most effectively. For example, for syllogisms, you might find it helpful to rewrite statements in simpler terms or draw quick symbols (like “All A are B” → jot “A ⊂ B” meaning A is a subset of B). For assumption/argument questions, practice spotting the conclusion and thinking “what would really convince me here?” For Venn problems, practice translating words into diagram regions. Coming into the exam, you want to recognise a question type and immediately think, “Ah, I know how to handle this one.” Familiarity breeds efficiency.

  • Use Your Noteboard for Complex Problems:

    You’ll have a laminated noteboard and pen in the test – don’t be afraid to use them liberally for DM. Jotting things down can prevent you from holding too much in your head (which can slow you down or cause errors). Sketch out that timeline, list, or equation if it clarifies the problem. For instance, in a logic puzzle about people’s ages or schedules, a quick scribble can help solve it faster than mental juggling. For yes/no statements, some candidates quickly write Y or N next to each statement number as they evaluate – this can help avoid confusion if you’re double-checking your work. Find what works for you through practice, and be consistent in using it so it feels natural on test day.

  • Read the Question Stem First:

    A useful habit in DM is to read the actual question prompt before diving into the details or data. Often, the question will tell you what you’re looking for – e.g. “Which of the following is the strongest argument in favour of X?” or “How many of the statements are true?” Knowing this focus can help you filter relevant information when you then read the passage or examine the data. Skim the question, identify the task, then process the given info with that goal in mind. This prevents wasted time on extraneous details.

  • Eliminate Wrong Answers Ruthlessly:

    For multiple-choice DM questions, a key strategy is elimination. If you can’t see the correct answer outright, start ruling out the definitely incorrect options. Often, you can narrow down the four choices to two or three by spotting something that doesn’t fit (maybe an answer contradicts a given fact, or is outside the scope of the scenario). Eliminating options not only saves time by focusing your thinking, but it also improves your odds if you do have to guess. In Yes/No statement sets, elimination works a bit differently – it’s about mentally crossing off statements that clearly don’t follow. Train yourself to stop reconsidering an option once you’ve deemed it wrong. Second-guessing wastes precious seconds. Be confident when you know something doesn’t make sense and move on to evaluate the remaining possibilities.

  • Stay Within the Scenario:

    UCAT Decision Making questions never require outside knowledge – every answer must be derived from the given information. If you find yourself drifting into using general knowledge or assumptions outside what’s provided, check yourself. Often, an easy trap is a statement that sounds true in real life but isn’t actually supported by the text/data given. Stick to the logic or facts presented in the question. For example, if a statement says “X might be true,” and the passage never mentions X at all, you should answer “No” (not supported) even if you personally think X is likely. Being strict about this will help you avoid common pitfalls, especially in inference questions.

  • Triage and Guess Smartly:

    We touched on triage – know when to skip. Equally, know how to guess strategically. If you must guess on a multiple-choice question, try to eliminate any options you can first (as mentioned). With the remaining options, if time’s almost up, pick one and flag it if you think you might return. For yes/no sets, if you’re truly out of time, at least put something (don’t leave them blank – there’s a chance to snag 1 mark if you miraculously get four right). There’s no penalty for wrong answers, so an educated guess is always better than an unanswered question. Sometimes, just re-reading the question prompt or one statement quickly can give you a hint – use every second productively.

  • Practice Under Timed Conditions:

    Lastly, no amount of reading tips will substitute actual practice. Make sure you practice Decision Making questions with a timer running. This will train you to feel what 60 seconds per question is like and how to work under that pressure. As you practice, review your performance: Are certain question types consistently slowing you down? For example, maybe Venn diagram questions are taking you 90 seconds each – figure out why and work on a strategy to speed up (perhaps by practising more of that type, or finding a pattern like writing things down differently). With practice, you’ll get faster and more accurate. On test day, you want to go in knowing exactly how to approach each DM question and confident you can finish on time.

Example Question (Decision Making)

Let’s walk through a quick example to illustrate a decision-making question and how you might approach it:

Example: A hospital is debating whether all doctors should wear standardised uniforms to improve team unity. Which of the following is the **strongest argument in favour of this proposal?

A. Yes – Surgeons already wear scrubs as a form of uniform, so it makes sense for doctors to do the same.
B. Yes – Having a uniform could instil a greater sense of team identity and professionalism among doctors.
C. No – Doctors have diverse roles, and a single uniform might not be practical for all specialities.
D. No – A previous trial showed that introducing doctor uniforms had no significant impact on team cohesion.

Solution Walkthrough: First, identify what the question is asking. It wants the strongest argument for making doctors wear uniforms (to improve team unity). So, two answer choices (A and B) are “Yes” arguments (in favour), and two (C and D) are “No” arguments (against). We can immediately eliminate the “No” options C and D – they might be valid points, but they do not support the proposal (they argue against it). Now we compare A vs B, which both support the idea. Option A says essentially “surgeons do it, so doctors should” – but that doesn’t directly address team unity, it’s more of an analogy and a weak one at that (surgeons wearing scrubs is more about hygiene than team spirit!). Option B, however, directly states a benefit related to the goal: a uniform could increase team identity and professionalism, which strongly ties to unity. That directly supports the rationale behind the proposal. Therefore, B is the strongest pro-uniform argument. (Option D might sound compelling – it mentions evidence from a trial – but note that it’s a negative argument, opposing the idea. Since the question specifically asks for an argument in favour, D is irrelevant here despite citing evidence. In the exam, recognising the question’s demand (strongest in favour) and eliminating answers that don’t match that stance is key to zeroing in on the correct choice.

Takeaway: For argument-style questions, always clarify if you’re looking for a supporting argument or a counter-argument, then eliminate accordingly. Focus on relevance and strength: a strong argument will directly address the core issue in the question.

Final Thoughts and Next Steps

The UCAT Decision-Making section can initially seem daunting, with its mix of question styles and logic challenges. But by understanding the format, mastering a strategy for each question type, and honing your time management, you’ll find that DM becomes one of the more approachable parts of the exam. Many students even come to enjoy the problem-solving aspect – it’s almost like a set of mini brain-teasers once you get the hang of them.

Remember to practise consistently under timed conditions and review your mistakes to learn from them. Use official UCAT practice questions (they’re the best representation of the real test) and consider tracking your timing per question to improve your pace. As you build confidence, you’ll be able to apply techniques like triage and elimination on the fly.

Stay calm and focused during the test. Each question is a fresh start – if one goes poorly, shake it off and move to the next. With the right preparation and mindset, you’ll be making decisions like a pro on exam day. Good luck, and happy practising! 👍

References

  1. UCAT Consortium – Test Format and Scoring. Official details on UCAT subtest timings, question counts, and scoring system.

  2. Blue Peanut (Medical Prep) – UCAT 2026 Section Guide. In-depth guide with strategies for each UCAT section, including Decision Making techniques for question types and time management.

The Blue Peanut Team

This content is provided in good faith and based on information from medical school websites at the time of writing. Entry requirements can change, so always check directly with the university before making decisions. You’re free to accept or reject any advice given here, and you use this information at your own risk. We can’t be held responsible for errors or omissions — but if you spot any, please let us know and we’ll update it promptly. Information from third-party websites should be considered anecdotal and not relied upon.

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Key UCAT Decision Making Strategies for Medical & Dental School Applicants