drtanvir
Forum Junior
Topics: 14
Posts: 41
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11.You are a 4 yr medical student with a pt who has been in a severe motor vehicle accident. the pt has a subdural hematoma that led to cerebral herniation before it coudl be drained. over the last few days ,the pt has lost all brain stem reflexes nas is now brain dead. i have the closest relationship with the family than anyone on the team. the ventilator is to be removed soon and organ donation is considered.
who should ask for consent for organ donation???
a.you, because you haev the best relationship with the family
b the resident since u are only a student
c.attending on record
d.hospital administration
e.organ donor network.
12.A man arrives at the ER on a ventilator after an accident. He is brain dead by all criteria. He has an organ donor card in his wallet indicating his desire to donate. The organ donor team contacts the family. The family refuses to sign consent for donation.
What should be done??
a.remove organs anyway
b.wait for the pts heart to stop to remove organs.
c.Stop the ventilator & remove organs
d.Seek a court order to overrule the family
e.Honor the wishes of the family , no donation
13/You are the staff physician in a state penitentiary in a state where capital punishment is legal. An execution is in progress & the warden calls u because the technician is unable to start the IV line. The warden wants u to start the line & supervise the pharmacist.
What should u tell him ?
A no problem, I will start the line
b.i can start the line but I will no push the medications
c.i am sorry I cannot participate
d.i can take care of all of it.
14.you have been invited toe participate in a “medical jeopardy” game sponsored by a pharmaceutical manufacuterer. the winners receive a 100$ gift certificate to the medical school bookstore. All the participants receive a stethoscope. The audience are participants receive a free meal.
Which of the foll is most appropriate to accept?
A,all the gifts
b.only the meal
c. only the stethoscope
d.the meal ,stethoscope, not the gift certificate
e.none of it
15.A 16 yr old female comes to your clinic .her pregnancy test is +. She wants to start prenatal care with you . she is adamant that you keep the pregnancy confidential from her parents.what should u tell her?
a.i will give u the care & keep the info confidential
b. I will not mention it to your parents unless they ask , I cant lie
c.iam sorry bu t I must tell them
d.i will not tell your parents but I must inform the father of the baby.
16. 17 year old boy with cystic fibrosis with near complete collapse of pulmonary functioning which the doctors think will never be better . he is on ventillator . a few days later when the doctor visits him the boy says that wants mechanical ventillation to be terminated . i thought about it a lot and that is my wish . when the boys wishes are related to the parents they r upset and ambivalent as how to proceed . the most likely outcome of this case is , the mecahanical ventillation will be
a maintained indefinitely
b maintained until such time that the parents give a clear decision
c maintained until the boy reaches the majority age
d terminated as the boy requests
e terminated or maintained at the attending physicians discretion.
17.A 37 yr old man comes to your office for his regular visit. He has seemed severyly depressed fro some time but refuses to discuss either his feelings or treatment options. He does not want antidepressants .
his only medication is Vitamins, your relationship with him is excellent but he just wont confide his feelings although he firmly denies suicidal ideation.
You prescribe a SSRI for him & tell him that it is a vitamin.Over a period of several months, his mood markedly improves & he feels much better
Which of the foll most appropriately characterizes your action????
a.Is appropriate because it benefited the patient.
b.Is appropriate because there were no side effects
c.Is not appropriate because you are not a psychiatrist
d.Is not appropriate because u treated the pt without his consent
e.Is acceptable as long as u inform the pt now that he is feeling better.
18.A 52 yr olds man with cerebral palsy is being evaluated for screening colonoscopy. He has a mental age of an 8 yr old & a second grade reading level in terms of comprehension.
He lives alone & survives on combination of Public assistance & part time jobs sweeping floors. U have thoroughly explained the procedure to him in terms of risks & benefits. He repeatedly refuses the procedure entirely on the basis of “ I just don’t want it “
What should u do?
a.perfoem the procedure
b.seek consent from the family
c.honor his decision & do not perform the colonoscopy
d.seek a court order mandating the procedure
19.45 yr old Mr.Smith consents to a procedure on his left ear. After the pt is anaesthetized Dr.Wright discovers that the right ear is in greater need for surgery. What should the surgeon do??
a.perform the procedure on the right ear as it is more necessary
b wake up the pt & seek consent for the procedure on the right ear
c. seek a second opinion from another surgeon & proceed with the more necessary procedure
d.seek consent from family.
e.perform the procedure on both ears
20.An unconscious man is brought to the ER from a car crash. He is hemorrhaging profusely ,hypotensive & stuporous.
U have never met the pt before & the hospital has no records of him . He is wearing a Tshirt “ kiss me I am a Jehovah;s witness( the people who refuse blood & blood products )”.
What should u do ?
a.give the blood
b.wait for him to awaken to sign the consent
c.wait for family
d.seek a court order
e.only use IV fluids.
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| dr9576
Forum Newbie
Topics: 4
Posts: 36
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A
C
C
B
A
C
D
C
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E
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| peter90036
Forum Elite
Topics: 24
Posts: 219
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1A
2A
3B
4E
5A
6B
7D
8C
9B
10A
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| CocaCola
Forum Guru
Topics: 35
Posts: 908
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11 - A - you should initiate the conversation because you have the best relationship to the family
12 - E - honor family wishes
13 - ??? C
14 - E - none
15 - A
16 - B
17 - D
18 - C
19 - ??
20 - A
___________________
There is one thing we can do, and the happiest people are those who can do it to the limit of their ability. We can be completely present. We can be all here. We can give all our attention to the opportunity before us!!!
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| drshvetasm
Forum Elite
Topics: 19
Posts: 232
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Hi Tanvir, Please post the correct answers ...
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