I read the questions, then scan the vignette for the section that pertains to the question… Sometimes I overlook some details that are hidden in other sections… Tricky!!!
Usually, I read the first and second paragraph, then I read the first question and check if the first 2 paragraphs contain all the information that I need to answer the first question. If so, I answer the first question, read the third paragraph, check the second question, see If the third paragraph has all the information that I need to answer the second question, and so go on…
I read questions then uses the relevant paragraph in the vignette, except for Ethics , i read the first paragraph then start with the questions to get an understanding who are these people they are talking about.