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Kaplan Qbank USMLE



Author9 Posts
  #1

A 24 yr old male is brought to the emergency room by a group of friends because he attempted to hang himself. On initial examination, it was evident that he has sustained a cervical vertebral fracture... he was quadriplegic, but made it evident that he didn't want any treatment. The possibility of respiratory paralysis was almost certain, unless an emergency spinal surgery was performed which has a success rate of 80% . It was known that he has been living with 2 of his best friends for past 7yrs. Upon contacting them, they revealed that he has been very depressed for over 1yr after the death of his girl friend. They said that he never talked about suicide. The friends didn't want forced treatment even if the condition is life threatening. What is the best action the Physician should take next?

1- Don't treat because the patient didnt want any treatment
2- Don't treat because the friends didn't want forced treatment
3- Go ahead with the surgery
4- Take it to the hospital ethics commitee
5- Go to the court.


___________________
245/264/CS pass All on first attempt/2006 Grad/Need VISA

  #2

3..patient is incompetent to decide as its a case of alleged suicide. Friends cant decide for patient. Do what is in the best interest of patient.

___________________
Aim High

  #3

how can we sat pt is incompetent. btw is he having major depression?

  #4

in the q, its mentioned that he has never talked about suicide.

  #5

But he has attempeted suicide...assess his present mental status.

___________________
Aim High

  #6

are depressed pts classified as incompetent?

  #7

thanku mavic..

  #8

Sucidial .. Major Depression .. Go ahead with the Surgery ..

___________________
JSK .. O Lord !! Increase my capacity to Absorb knowledge ..

  #9

Go ahead to surgery. He is obvious incompetent.







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