It seems rather apparent to me that the main issues remaining to be sorted out by students are communication-related. You cannot teach human interest or empathy- and this is what will separate the rising stars from those who will simple practice optometry as a job.
Very few students actually listen to their patients. This one is treating the patient like a subject to be dealt with rather than a human being. Is this just a small window of a larger issue in society? That people don't take the time to make connections with each other as human beings?
OK Preti's point (see comments) is well taken that in an exam setting I should give them slack for the nervous unnatural setting that they are in... I'm very sorry---