mkieffer/MedEthicsQA · Datasets at Hugging Face

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20,467	A physician is involved in a research collaboration with a pharmaceutical company. The company invites her to give a lecture series for other physicians on new therapies in her field of expertise at a retreat center in the Caribbean. Which of the following is acceptable for the physician to accept?:A) Compensation for travel expensesB) An honorarium for speakingC) Assistance with preparing her presentations	{ "A": "A only", "B": "B only", "C": "C only", "D": "A, B, and C", "E": "A and B" }	E	[ "Ethical research", "Managing and minimizing conflicts of interest" ]	medbullets	5
20,468	A 69-year-old man passes away after a 3-week hospitalization for liver failure, complicated by a myocardial infarction. A medical student rotating in the intensive care unit asked if she can practice performing intubations during her rotation. The resident suggests performing one on the deceased patient, as the student cannot harm him. Which of the following is the most appropriate course of action for the medical student?	{ "A": "Contact the patient's family to ask for permission to perform the procedure", "B": "Consult the hospital ethics committee", "C": "Ask the resident if the patient’s family or the patient has been consented for this procedure", "D": "Intubate the patient with the resident's supervision", "E": "Report the resident to hospital administration" }	C	[ "Respect life, dignity of patients", "Report unethical and unprofessional conduct", "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]	medbullets	5
20,469	A 32-year-old man presents to the emergency room with 3 days of fever, headache, and vomiting. He has no relevant medical history and does not use any illicit drugs. He is accompanied by his wife, who is his healthcare proxy according to his advance directive. His temperature is 40°C (104°F), blood pressure is 110/50 mmHg, and pulse is 115/min. After obtaining a lumbar puncture, a diagnosis of meningococcal meningitis is made. The patient is informed that his diagnosis requires hospitalization for antibiotic treatment and isolation due to the infectious nature of his disease. He refuses admission and insists on being discharged given that he is alert, oriented, and has a full understanding of the risk to himself and others. Which of the following is the most appropriate next step in management?	{ "A": "Ethics committee consult", "B": "Obtain permission from the patient’s wife for hospitalization", "C": "Obtain a court order before proceeding with hospitalization", "D": "Hospitalize the patient against his wishes", "E": "Respect the patient’s decision and proceed to discharge home with antibiotics" }	D	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]	medbullets	5
20,470	A 16-year-old female presents to her pediatrician's office requesting to be started on an oral contraceptive pill. She has no significant past medical history and is not currently taking any medications. The physician is a devout member of the Roman Catholic church and is strongly opposed to the use of any type of artificial contraception. Which of the following is the most appropriate response to this patient's request?	{ "A": "The physician is obligated to prescribe the oral contraceptives regardless of his personal beliefs", "B": "Refuse to prescribe the oral contraceptive", "C": "Suggest that the patient remain abstinent or, if necessary, use an alternative means of birth control", "D": "Tell the patient that he is unable to prescribe this medication without parental consent", "E": "Explain that he will refer the patient to one of his partners who can fulfill this request" }	E	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Give top priority to patient’s interest in conflict of interests" ]	medbullets	5
20,471	A 14-month-old boy is brought to the pediatrician by his mother for a well-child check. The patient is healthy with no acute complaints. He was born at 38-weeks gestation via spontaneous vaginal delivery without complications. He had physiological jaundice that resolved without further intervention. He has no known medical problems. He is well-groomed and is at the 50th percentile for height and weight. When presented with the mumps, measles, and rubella (MMR) vaccine, his mother politely declines, stating, “Our family friend’s child got that vaccine and it gave him autism.” Despite extensive efforts by the physician to present data to the parent that there is no evidence of the MMR vaccine causing autism and education on the benefits of MMR vaccination, his mother continues to decline. Which of the following is the most appropriate next action?	{ "A": "Administer the vaccine because only religious exemptions are permissible", "B": "Document the parent’s refusal and do not administer the vaccine", "C": "Consult the hospital ethics committee", "D": "Call child protective services to intervene", "E": "Seek a court order to administer the vaccine for the safety of the child" }	B	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]	medbullets	5
20,472	A 40-year-old woman presents to her physician's home with a headache. She describes it as severe and states that her symptoms have not been improving despite her appointment yesterday at the office. Thus, she came to her physician's house on the weekend for help. The patient has been diagnosed with migraine headaches that have persisted for the past 6 months and states that her current symptoms feel like her previous headaches with a severity of 3/10. She has been prescribed multiple medications but is generally non-compliant with therapy. She is requesting an exam and urgent treatment for her symptoms. Which of the following is the most appropriate response from the physician?	{ "A": "Do not come to my house when you have medical problems. You should make an appointment.", "B": "It sounds to me like you are in a lot of pain. Let me see how I can help you.", "C": "You should go to the emergency department for your symptoms rather than coming here.", "D": "Unfortunately, I cannot examine and treat you at this time. Please set up an appointment to see me in my office.", "E": "Your symptoms seem severe. Let me perform a quick exam to see if everything is alright." }	D	[ "Provide professional medical care to patients" ]	medbullets	5
20,473	A 72-year-old man is admitted to the hospital with a productive cough and fever. A chest radiograph is obtained and shows a lobar consolidation. The patient is diagnosed with pneumonia. He has a history of a penicillin and cephalosporin allergy. The attending physician orders IV levofloxacin as empiric therapy. On morning rounds the next day, the team discovers that the patient was administered ceftriaxone instead of levofloxacin. The patient has already received a full dose of ceftriaxone and had developed hives overnight which were treated with diphenhydramine. He is currently feeling better. Which of the following is the most appropriate next step in management?	{ "A": "Continue with ceftriaxone and use diphenhydramine as needed", "B": "Desensitize the patient to ceftriaxone and continue treatment", "C": "Discuss the error that occurred with the patient", "D": "Inform the patient that nursing gave the wrong medication and it has been corrected", "E": "Switch the medication to levofloxacin" }	C	[ "Maintain truthful, factual communication", "Prevent patient from harm" ]	medbullets	5
20,474	A 12-year-old boy and his mother are brought to the emergency department after a motor vehicle accident. The boy was an unrestrained passenger in a head-on collision and was ejected from the front seat. The patient's mother was the driver, and she is currently being resuscitated. Neither the child nor the mother are conscious; however, it is documented that the family are all Jehovah's Witnesses and would not want a transfusion in an acute situation. The husband/father arrives at the trauma bay and confirms this wish that everyone in the family would not want a transfusion in accordance with their beliefs. The father is confirmed as the official healthcare proxy. Which of the following is the most appropriate next step in management?	{ "A": "Consult the hospital ethics committee", "B": "Do not transfuse the boy and transfuse the mother", "C": "Do not transfuse the boy or the mother", "D": "Transfuse the boy and mother", "E": "Do not transfuse the mother and transfuse the boy" }	E	[ "Give top priority to patient’s interest in conflict of interests" ]	medbullets	5
20,475	A 73-year-old man is admitted to the hospital for jaundice and weight loss. He is an immigrant from the Dominican Republic and speaks little English. A CT scan is performed showing a large mass at the head of the pancreas. When you enter the room to discuss these results with the patient, his daughter and son ask to speak with you outside of the patient's room. They express their desire to keep these results from their father. What is the appropriate response in this situation?	{ "A": "Consult the hospital ethics committee", "B": "Deliver the information in Spanish", "C": "Explore the reasoning behind the children's request", "D": "Respect the children's wishes to hold prognosis information", "E": "Tell the children that you are obligated to tell the father" }	C	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Maintain truthful, factual communication" ]	medbullets	5
20,476	A 72-year-old man presents to the emergency department with chest pain and shortness of breath. An EKG demonstrates an ST elevation myocardial infarction, and he is managed appropriately. The patient suffers from multiple comorbidities and was recently hospitalized for a myocardial infarction 3 months ago. The patient has a documented living will which specifies that he does wish to receive resuscitative measures such as CPR and blood products, but refuses to be intubated in any circumstance. The patient is stabilized and transferred to the medical floor. On day 2, the patient presents with ventricular fibrillation and a resuscitative effort occurs. He is successfully resuscitated, but he is in acute hypoxic respiratory failure and warrants emergent intubation. The patient's wife, son, and daughter are present and state that the patient should be intubated. The patient's prognosis even with intubation is very poor. Which of the following describes the best course of action?	{ "A": "Consult the hospital ethics committee", "B": "Do not intubate the patient given his living will", "C": "Do not intubate the patient as his prognosis is poor even with intubation", "D": "Intubate the patient - a patient's next of kin take precedence over a living will", "E": "Intubate the patient - the family is representing the patient's most recent and accurate wishes" }	B	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]	medbullets	5
20,477	A 57-year-old man presents to his oncologist to discuss the management of small-cell lung cancer. The patient is a lifelong smoker and was diagnosed with cancer 1 week ago. The patient states that the cancer was his fault for smoking and that there is "no hope now." He seems disinterested in discussing the treatment options and making a plan for treatment and follow-up. His temperature is 98.8°F (37.1°C), blood pressure is 107/68 mmHg, pulse is 102/min, respirations are 22/min, and oxygen saturation is 99% on room air. The patient says "he does not want any treatment" for his condition. Which of the following is the most appropriate response from the physician?	{ "A": "\"I respect your decision and we will not administer any treatment. Let me know if I can help in any way.\"", "B": "\"It must be tough having received this diagnosis; however, new cancer therapies show increased efficacy and excellent outcomes.\"", "C": "\"You seem upset at the news of this diagnosis. I want you to go home and discuss this with your loved ones and come back when you feel ready to make a plan together for your care.\"", "D": "\"We are going to need to treat your lung cancer. I am here to help you throughout the process.\"", "E": "\"It must be very challenging having received this diagnosis. I want to work with you to create a plan.\"" }	E	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]	medbullets	5
20,478	A 29-year-old G2P1001 woman presents to labor and delivery at 37 weeks 5 days of gestation with 1 painful contraction every 20 minutes for the past 3 hours. Her pregnancy has been uncomplicated, with the exception of a positive vaginal group B streptococcus (GBS) screening culture found after her routine visit at 35 weeks of gestation. Her temperature is 98.6°F (37.0°C), blood pressure is 118/78 mmHg, pulse is 96/min, and respirations are 16/min. A transabdominal ultrasound is performed, followed by a pelvic exam. Her cervix is 90% effaced and 5 cm dilated. The fetus has a vertex lie. She is admitted in active labor. After being informed of the risk posed to her fetus, the patient decides to proceed with vaginal delivery and declines intrapartum antibiotics. She also requests that her child not be administered antibiotics after birth, as she believes "sickness will make the baby stronger," and antibiotics will harm her baby. The fetus's father lives internationally and does not plan to be involved in the infant's care. After extensive counseling, she affirms her choices. What are the most appropriate next steps in management?	{ "A": "Deliver the fetus without intrapartum antibiotics; treat the infant with antibiotics after birth if the infant shows signs of early GBS infection", "B": "Deliver the fetus without intrapartum antibiotics; do not treat the infant with antibiotics after birth even if the infant shows signs of early GBS infection", "C": "Deliver the fetus without intrapartum antibiotics; attempt to contact the infant's father for consent to treat with antibiotics after birth if the infant shows signs of early GBS infection", "D": "Deliver the fetus with intrapartum antibiotics; do not treat the infant with antibiotics after birth", "E": "Seek a court order to require that the patient accept intrapartum antibiotics" }	A	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]	medbullets	5
20,479	A 12-year-old boy is brought to the emergency department after a motor vehicle collision. He was being carpooled to school by an intoxicated driver and was involved in a high velocity head-on collision. The patient is otherwise healthy and has no past medical history. His temperature is 99.2°F (37.3°C), blood pressure is 60/45 mmHg, pulse is 172/min, respirations are 36/min, and oxygen saturation is 100% on room air. A FAST exam demonstrates free fluid in Morrison pouch. The patient’s parents arrive and state that they are Jehovah’s witnesses. They state they will not accept blood products for their son but will allow him to go to the operating room to stop the bleeding. Due to poor understanding and a language barrier, the parents are also refusing IV fluids as they are concerned that this may violate their religion. The child is able to verbalize that he agrees with his parents and does not want any treatment. Which of the following is the best next treatment for this patient?	{ "A": "IV fluids and emergency surgery", "B": "IV fluids alone as surgery is too dangerous without blood product stabilization", "C": "Blood products and emergency surgery", "D": "IV fluids and vasopressors followed by emergency surgery", "E": "Observation and monitoring and obtain a translator" }	C	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]	medbullets	5
20,480	A 28-year-old woman presents to her primary care physician for her annual physical exam. She says that she has no updates about her health at this time. Her past medical history is significant for major depressive disorder for which she takes sertraline. Her temperature is 98.6°F (37°C), blood pressure is 115/71 mmHg, pulse is 62/min, and respirations are 15/min. On physical exam, she is found to have multiple bruises in different stages of healing on her upper arms, upper legs, and back. Small round lesions are seen on her hips and stomach. When asked about these lesions, she turns away and says that she is simply clumsy and "always tripping." Which of the following is the most appropriate response?	{ "A": "\"Do you have a safe place to go if things get out of hand?\"", "B": "\"Tell me more about what has been happening.\"", "C": "\"Let us come up with a plan for you to escape this situation.\"", "D": "\"I can call the police so that they can protect you.\"", "E": "\"Who is doing this to you?\"" }	B	[ "Respect life, dignity of patients", "Prevent patient from harm" ]	medbullets	5
20,481	A 6-month-old baby girl is brought to the pediatrician by her mother and father for a routine care appointment. The parents report that the patient is doing well. She is starting to eat solid foods in addition to breastfeeding and is sleeping through the night. She just started being able to sit up on her own a few days ago. She smiles and babbles. The child was born at 38 weeks of gestation to a 28-year-old G1P1 woman via spontaneous vaginal delivery. Her developmental history and past medical history are unremarkable. The patient's temperature is 98.6°F (37.0°C), blood pressure is 80/55 mmHg, pulse is 105/min, and respirations are 25/min. Physical exam is unremarkable. The patient is due for her 6-month vaccines, which include doses of the diphtheria/tetanus/pertussis and pneumococcal vaccines. The pediatrician explains the dosing schedule to the parents, but they state that they do not want their child to receive these vaccines because last time she developed upper respiratory symptoms a day after receiving her vaccines, so they are worried that the vaccines are making their child sick. The pediatrician thoroughly explains the mechanism, risks, and benefits of the vaccines and strongly recommends that the patient receive her scheduled vaccines at this visit. The parents express understanding but continue to refuse the vaccines. Which of the following is the most appropriate next step in management?	{ "A": "Ask the parents if they want their child to get sick and potentially die", "B": "Obtain a court order to give the patient her vaccines", "C": "Call Child Protective Services", "D": "Ask the parents to sign a form documenting their refusal of the vaccines", "E": "Prescribe antibiotics as prophylaxis" }	D	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]	medbullets	5
20,482	A 78-year-old woman presents to the emergency department with weight loss, abdominal pain, and jaundice. CT demonstrates a mass in the head of the pancreas, and biopsy is planned for the following day. The patient's daughter approaches you outside the room to request that the results of the biopsy not be shared with the patient. She asks that the results instead be shared with her and her brother, who is the patient's documented health care proxy. She explains that she and her brother have discussed the situation and decided that it is best to not inform the patient that she has cancer. Endoscopic ultrasound-guided biopsy the next morning confirms the diagnosis of pancreatic adenocarcinoma. Which of the following is the best response to the patient's daughter's request?	{ "A": "Ask the patient's son, the documented health care proxy, how he would like to handle the situation", "B": "Tell the patient's daughter that the patient must be informed of the diagnosis", "C": "Offer to explain the diagnosis to the patient without using the word \"cancer\"", "D": "Order an ethics consult to determine how to address the situation", "E": "Inquire why the patient's daughter feels her mother should not be informed of the diagnosis" }	E	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Maintain truthful, factual communication" ]	medbullets	5
20,483	A 3-year-old child is brought to the pediatrician by his mother who states that he has been fussy for the past two days. She says that he has had a runny nose, a cough, a sore throat, and decreased appetite. Vital signs are within normal limits. Physical exam reveals a slightly erythematous oropharynx and clear nasal discharge. The mother states that she is a single mother working at a busy law firm. The mother demands that the child receive antibiotics, as her babysitter refuses to care for the child unless he is treated with antibiotics. You diagnose the child with the common cold and inform the mother that antibiotics are not indicated. She is infuriated and accuses you of refusing to treat her child appropriately. How should you respond?	{ "A": "Explain the reasoning as to why antibiotics are not indicated for the common cold", "B": "Refer the mother to a nearby physician who will prescribe antibiotics", "C": "Prescribe a placebo", "D": "Prescribe antibiotics to the child", "E": "Ask the mother to leave immediately" }	A	[ "Maintain truthful, factual communication" ]	medbullets	5
20,484	An 86-year-old man is admitted to the hospital for management of pneumonia. His hospital course has been relatively uneventful, and he is progressing well. On morning rounds nearing the end of the patient's hospital stay, the patient's cousin finally arrives to the hospital for the first time after not being present for most of the patient's hospitalization. He asks about the patient's prognosis and potential future discharge date as he is the primary caretaker of the patient and needs to plan for his arrival home. The patient is doing well and can likely be discharged in the next few days. Which of the following is the most appropriate course of action?	{ "A": "Explain that you cannot discuss the patient's care at this time", "B": "Bring the cousin to the room and explain the plan to both the patient and cousin", "C": "Bring the cousin to the room and ask the patient if it is acceptable to disclose his course", "D": "Explain the plan to discharge the patient in the next few days", "E": "Tell the cousin that you do not know the patient's course well" }	A	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Maintain a professional relationship with patients and their relatives", "Keep confidential of patient’s information" ]	medbullets	5
20,485	A 1 month-old boy is brought to the emergency department by his 15-year-old mother for a fever. He has been fussy over the past 3 days and has had intermittent fevers. Today, he has become more sluggish and has exhibited poor feeding. He has produced only 2 wet diapers in the past 12 hours. Throughout this time, he has also refused to move his right lower extremity. He was born at 39-weeks gestational age without complications and was discharged 1 day later. His mother received all routine prenatal care and has no medical problems. The patient’s 18-year-old father is not involved with the family. The patient and his mother live with his grandparents. The patient’s temperature is 104.6°F (40.3°C), blood pressure is 60/40 mmHg, pulse is 180/min, and respirations are 50/min. Physical examination reveals a flexed, abducted, and externally-rotated right lower extremity. An arthrocentesis is performed, which confirms the diagnosis of hip septic arthritis. The orthopedic surgeon recommends surgical irrigation and debridement. Consent from which of the following should be obtained for this procedure?	{ "A": "A court of law", "B": "Hospital ethics committee", "C": "His 18-year-old father", "D": "His grandparents", "E": "His 15-year-old mother" }	E	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]	medbullets	5
20,486	An 87-year-old man with glioblastoma multiforme is informed that the size and location of the tumor make operative resection impossible, and he has a prognosis of between 3-6 months. The patient then asks whether it would be possible to get a prescription for lethal medications so that he would be able to end his life if his situation deteriorated further. The physician says that he is unable to prescribe such drugs because assisted suicide is not legal in their state. Refusing to help a patient commit suicide is most consistent with which of the following ethical principles?	{ "A": "Non-maleficence", "B": "Beneficence", "C": "Distributive justice", "D": "Formal justice", "E": "Autonomy" }	A	[ "Prevent patient from harm" ]	medbullets	5
20,487	A 16-year-old female patient with a history of mental retardation presents to your clinic with her mother. The mother states that she wants her daughter to have a bilateral tubal ligation after she recently discovered her looking at pornographic materials. She states that her daughter is not capable of understanding the repercussions of sexual intercourse, and that she does not want her to be burdened with a child that she would not be able to raise. Upon discussions with the patient, it is clear that she is not able to understand that sexual intercourse can lead to pregnancy. What should your next step be?	{ "A": "Schedule the patient for the requested surgery", "B": "Wait until the patient is 18 years old, and then schedule for surgery", "C": "Refuse the procedure because it is unlikely that the patient will get pregnant", "D": "Refer the patient to a psychiatrist to get informed consent", "E": "Refuse the procedure because it violates the ethical principle of autonomy" }	E	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]	medbullets	5
20,488	A junior orthopaedic surgery resident is completing a carpal tunnel repair with the department chairman as the attending physician. During the case, the resident inadvertently cuts a flexor tendon. The tendon is repaired without complication. The attending tells the resident that the patient will do fine, and there is no need to report this minor complication that will not harm the patient, as he does not want to make the patient worry unnecessarily. He tells the resident to leave this complication out of the operative report. Which of the following is the correct next action for the resident to take?	{ "A": "Disclose the error to the patient but leave it out of the operative report", "B": "Disclose the error to the patient and put it in the operative report", "C": "Tell the attending that he cannot fail to disclose this mistake", "D": "Report the physician to the ethics committee", "E": "Refuse to dictate the operative report" }	C	[ "Maintain truthful, factual communication" ]	medbullets	5
20,489	On a Sunday afternoon, a surgical oncologist and his family attend a football game in the city where he practices. While at the game, he runs into a physician colleague that works at the same institution. After some casual small talk, his colleague inquires, "Are you taking care of Mr. Clarke, my personal trainer? I heard through the grapevine that he has melanoma, and I didn't know if you have started him on any chemotherapy or performed any surgical intervention yet. Hopefully you'll be able to take very good care of him." In this situation, the surgical oncologist may confirm which of the following?	{ "A": "The patient's name", "B": "No information at all", "C": "The patient's treatment plan", "D": "The patient's diagnosis", "E": "Only that Mr. Clarke is his patient" }	B	[ "Respect life, dignity of patients", "Keep confidential of patient’s information" ]	medbullets	5
20,490	A 68-year-old man is being evaluated in your radiation oncology clinic for treatment of a solid tumor. Your hospital has just purchased a new proton beam purported to deliver targeted radiation with fewer side effects than traditional radiation therapy. The patient expresses strong interest in receiving proton beam therapy, and you feel that he may have a better outcome with this new treatment modality. Later that day, an executive from the patient's insurance company calls to tell you that proton beam therapy will cost the company (but not the patient) a much larger amount of money than traditional therapy. They are willing to pay for proton beam therapy, but request that you convince the patient to undergo traditional therapy instead. You have a longstanding relationship with this insurance company as well as this particular executive. How should you proceed?	{ "A": "Proceed with proton beam therapy as discussed at your patient's appointment", "B": "Discuss the issue of cost to the insurer with your patient, pointing out that keeping his insurance company happy may make them more likely to cover additional treatments in the future", "C": "Tell the patient that proton beam therapy will not be covered by his insurance company, so you will need to proceed with traditional radiation therapy", "D": "Discuss the issue of cost to the insurer with your patient, relaying the company's request to him without making further commentary or recommendation", "E": "Call your hospital's ethics committee for a formal consultation" }	A	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Managing and minimizing conflicts of interest", "Give top priority to patient’s interest in conflict of interests" ]	medbullets	5
20,491	A longstanding patient of yours has been hospitalized for a week with pneumonia. You have taken care of her while she was in the hospital. At the end of her hospitalization, she tells you how grateful she is for your care and gives you a small gift basket with homemade food, which you accept. However, when you get home, you realize that the basket also contains a $250 gift certificate to an expensive restaurant. Which of the following is an appropriate response to this situation?	{ "A": "Return both the food and gift certificate because it is never acceptable to take gifts from patients", "B": "Keep both the food and gift certificate", "C": "Report the gifts to your hospital ethics committee", "D": "Keep the food, but return the gift certificate", "E": "Return the gift certificate for cash, and donate the cash to the hospital's free clinic" }	D	[ "Maintain a professional relationship with patients and their relatives", "Managing and minimizing conflicts of interest" ]	medbullets	5
20,492	A 65-year-old male is referred by his primary care physician to your general surgery clinic for further work-up and assessment of a right inguinal hernia. While you are obtaining the patient's history, he embarks on a lengthy diatribe voicing his dissatisfaction with the care he is receiving from his primary care physician. Specifically, he believes that his diabetes medications are being mismanaged and is frustrated with the lengthy wait times he experiences prior to office visits. Which of the following is the most appropriate action or response?	{ "A": "Agree with the patient that his diabetes is being poorly managed and suggest that the patient bring up the topic at his next appointment", "B": "Acknowledge the patient's frustration and suggest that he express his concerns directly to his primary care physician", "C": "Tactfully disregard the patient's complaints and continue with the interview; contact the primary care physician at a later date to alert him/her to their patient's dissatisfaction", "D": "Evaluate the patient's current regimen of diabetes medications and make changes as you see necessary", "E": "Suggest that the patient transfer his care to another primary care physician" }	B	[ "Give top priority to patient’s interest in conflict of interests" ]	medbullets	5
20,493	A 16-year-old male presents to the cardiologist after passing out during a basketball practice. An echocardiogram confirmed the diagnosis of hypertrophic cardiomyopathy. The cardiologist advises that a pacemaker must be implanted to prevent any further complications and states the player cannot play basketball anymore. Unfortunately, the coach objects to sidelining the player since a big game against their rivals is next week. The coach asks if the pacemaker can be implanted after the game, which of the following steps should the physician take?	{ "A": "Recommend to the legal guardian that the player stop playing and have the procedure performed", "B": "Postpone the procedure so the patient can play", "C": "Perform the procedure immediately so that both the physician and coach's wishes may be fulfilled", "D": "Allow the patient to play and schedule a follow up after the game", "E": "Allow the patient to make the decision regarding his health" }	A	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Give top priority to patient’s interest in conflict of interests", "Prevent patient from harm" ]	medbullets	5
20,494	A 27-year-old male presents for emergency surgery to reattach his left arm, severed during a high-speed car accident, and has lost significant amounts of blood. His wife arrives within minutes to the hospital exclaiming that under no circumstance should he receive any blood transfusions during surgery. After reviewing his medical chart, you see also see an annotation indicating no blood transfusions for religious reasons. Knowing that he needs a blood transfusion to save his life, what do you do?	{ "A": "Administer a blood transfusion to save the patient's life", "B": "Respect the patient's written instructions and do not adminster a blood transfusion", "C": "Call the ethics board of the hospital to discuss the issue", "D": "Convince the wife to administer a blood transfusion to her husband", "E": "Refuse to treat the patient as he will die without a blood transfusion" }	B	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]	medbullets	5
20,495	A 15-year-old child with hepatosplenomegaly, fever, and fatigue is referred to oncology. The physician highly suspects acute lymphoblastic leukemia after confirming the accumulation of CD19 and CD79a positive lymphoblasts in the bone marrow. The physician informs the parents about the diagnosis, and they approve of the treatment plan. Later, when the physician is alone with the patient, the patient directly asks what will happen to him. How should the physician respond?	{ "A": "“Do not worry, your parents and I will be taking good care of you.”", "B": "“I will let your parents tell you about it.”", "C": "“You will need to receive treatment for cancer.”", "D": "“You are sick and will need to take some medicine to get better.”", "E": "“What do you think is going on right now?”" }	E	[ "Maintain truthful, factual communication", "Maintain a professional relationship with patients and their relatives", "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]	medbullets	5
20,496	A 76-year-old female is brought to the emergency department for altered mental status. She is accompanied by a nurse from her nursing home. The nurse says that usually the patient is interactive even though she is sometimes forgetful. In the last two days, the patient has been increasingly lethargic and doesn’t respond to the staff’s questions. She also has not been able to get up and use the restroom so the staff has had to change multiple soiled sheets. Her temperature is 102.1°F (38.9°C), blood pressure is 100/74 mmHg, pulse is 120/min, and respirations are 24/min. The patient is combative on arrival but can be subdued with reorientation by the care team. She is not oriented to person, place, or time. Urinalysis shows positive leukocyte esterase and nitrites. Urine culture grows >100,000 CFU of E. coli. The physician team would like to consent this patient for a Foley catheter. Which of the following is the best assessment of the patient’s capacity to make healthcare decisions?	{ "A": "The patient does not have capacity to make decisions", "B": "Capacity cannot be determined at this time", "C": "The patient’s family should be contacted to evaluate her capacity", "D": "The hospital ethics board should be consulted", "E": "The patient does have capacity to make decisions" }	B	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Respect the decision-making of incompetent/competent patient " ]	medbullets	5
20,497	A 42-year-old man presents to a primary care physician to establish care after moving with his family across the country. His past medical history is significant for alcohol and opioid use disorder though he is not currently on any maintenance medications. He admits during the interview that he recently started using cocaine but has been hiding it from his family because he does not want them to be upset. After the visit, the physician receives a phone call from the patient's wife who says that she is extremely worried about her husband who she thinks had an appointment earlier in the day. She says that he has been disappearing randomly in the middle of the night and is passed out on the couch every morning. She is worried that he will have a negative impact on their pre-teen son and daughter. She requests a meeting with the physician to discuss a strategy for modifying his destructive behavior. Which of the following is the most appropriate response for the physician to give at this point?	{ "A": "\"I am concerned about this issue but cannot intervene without your husband's consent.\"", "B": "\"I believe we should set up an in person meeting with all 3 of us to discuss this issue.\"", "C": "\"I cannot discuss your husband's care without his permission but you could speak with him directly about your concerns.\"", "D": "\"I cannot say whether or not your husband is a patient of this clinic but you could speak with him directly about your concerns.\"", "E": "\"I will address this issue with your husband at his next visit but you could speak with him directly about your concerns in the interim.\"" }	D	[ "Keep confidential of patient’s information" ]	medbullets	5
20,498	A 26-year-old patient presents to your office with rhinorrhea that you believe to be viral in origin. He respectfully requests treatment with antibiotics, and he demonstrates an understanding of the risks, benefits, and alternatives to treatment. His mental status is intact, and you believe him to have full decision-making capacity. Which of the following is the best course of action?	{ "A": "Deny the patient's request", "B": "Prescribe amoxicillin", "C": "Prescribe zidovudine", "D": "Refer the patient to an infectious disease specialist", "E": "Prescribe ciprofloxacin" }	A	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Make responsible and independent clinical judgement ", "Prevent patient from harm" ]	medbullets	5
20,499	A healthy, 16-year-old girl is brought in by her mother for a wellness visit. During the appointment, the patient’s mother brings up concerns about her daughter’s acne. The patient has had acne for 2 years. She washes her face twice a day with benzoyl peroxide and has been on doxycycline for 2 months with only mild improvement. The patient does not feel that the acne is related to her menstrual cycles. The patient’s mother states she does well in school and is the captain of the junior varsity cross-country team. She is worried that the acne is starting to affect her daughter’s self-esteem. The patient states that prom is coming up, and she is considering not going because she hates taking pictures. Upon physical exam, there are multiple open and closed comedones and scattered, red nodules on the patient’s face with evidence of scarring. The patient’s mother says her neighbor’s son tried isotretinoin and wants to know if that may work for her daughter. While talking about the risk factors for isotretinoin, you mention that patient will need to be on 2 forms of birth control. The mother asks, “Is that really necessary? We are a very religious family and my daughter knows our household rule about no sex before marriage.” Which of the following is the next step in management?	{ "A": "Have the patient take a pregnancy test to prove abstinence", "B": "Ask the mother to leave the room before talking to the patient about her sexual activity", "C": "Prescribe the isotretinoin after giving the patient a handout about birth control methods", "D": "Prescribe the isotretinoin as the patient does not need additional contraception if she is abstinent", "E": "Talk to patient and mother about patient’s sexual activity, since parental permission is needed for isotretinoin" }	B	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]	medbullets	5
20,500	A 81-year-old man presents to his cardiologist for ongoing management of mild heart failure. He has not had any changes in his cardiac function status and says that he is tolerating lisinopril without any major side effects. During the course of the visit, the patient says that he is unhappy with his urologist because he has been experiencing episodes of dizziness after starting prazosin for benign prostatic hyperplasia. He says that he feels these episodes were caused by malpractice on his urologist's behalf and is considering a lawsuit against his urologist. Which of the following is the most appropriate course of action for the cardiologist?	{ "A": "Call the urologist and warn him of an impending lawsuit", "B": "Call the urologist to convey the patient's dissatisfaction", "C": "Encourage the patient to speak with his urologist directly", "D": "Contact his insurance agent to discuss possible risks", "E": "Sympathize with the patient's desire for a lawsuit" }	C	[ "Respect and Cooperate with colleagues" ]	medbullets	5
20,501	You are a resident in the surgical ICU. One of the patients you are covering is a 35-year-old pregnant G1P0 in her first trimester admitted for complicated appendicitis and awaiting appendectomy. Your attending surgeon would like you to start the patient on moxifloxacin IV preoperatively. You remember from your obstetrics clerkship, however, that moxifloxacin is Pregnancy Category C, and animal studies have shown that immature animals exposed to flouroquinolones like moxifloxicin may experience cartilage damage. You know that there are potentially safer antibiotics, such as piperacillin/tazobactam, which is in Pregnancy Category B. What should you do?	{ "A": "Administer piperacillin/tazobactam instead of moxifloxacin without discussing with the attending since your obligation is to \"first, do no harm\" and both are acceptable antibiotics for complicated appendicitis.", "B": "Administer moxifloxacin since it is only Pregnancy Category C and, although studies may have revealed adverse effects in animals, there is no definite evidence that it causes risk in humans.", "C": "Administer moxifloxacin since the attending is the executive decision maker and had to know the patient was pregnant when deciding on an antibiotic.", "D": "Wait to administer any antibiotics until you discuss your safety concerns with your attending.", "E": "Discuss the adverse effects of each antibiotic with the patient, and then let the patient decide which antibiotic she would prefer." }	D	[ "Prevent patient from harm" ]	medbullets	5
20,502	You are the team physician for an NBA basketball team. On the morning of an important playoff game, an EKG of a star player, Mr. P, shows findings suspicious for hypertrophic cardiomyopathy (HCM). Mr. P is an otherwise healthy, fit, professional athlete.The playoff game that night is the most important of Mr. P's career. When you inform the coach that you are thinking of restricting Mr. P's participation, he threatens to fire you. Later that day you receive a phone call from the owner of the team threatening a lawsuit should you restrict Mr. P's ability to play. Mr. P states that he will be playing in the game "if it's the last thing I do."Which of the following is the most appropriate next step?	{ "A": "Educate Mr. P about the risks of HCM", "B": "Call the police and have Mr. P arrested", "C": "Allow Mr. P to play against medical advice", "D": "Consult with a psychiatrist to have Mr. P committed", "E": "Schedule a repeat EKG for the following morning" }	A	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]	medbullets	5
20,503	A 78-year-old woman is brought to the emergency ward by her son for lethargy and generalized weakness. The patient speaks in short utterances and does not make eye contact with the provider or her son throughout the interview and examination. You elicit that the patient lives with her son and daughter-in-law, and she reports vague weakness for the last couple days. The emergency room provider notices 3-4 healing bruises on the patient's upper extremities; otherwise, examination is not revealing. Routine chemistries and blood counts are unremarkable; non-contrast head CT demonstrates normal age-related changes. Which of the following is the most appropriate next step in management?	{ "A": "Perform lumbar puncture", "B": "Ask the patient's son to leave the room", "C": "Question the patient's son regarding the home situation", "D": "Question the patient regarding abuse or neglect", "E": "Call Adult Protective Services to report the patient's son" }	B	[ "Respect life, dignity of patients", "Prevent patient from harm" ]	medbullets	5
20,504	Last night you admitted a 72-year-old woman with severe COPD in respiratory distress. She is currently intubated and sedated and her family is at bedside. At the completion of morning rounds, the patient's adult son asks that you and the team take a minute to pray with him for his mother. What is the most appropriate response?	{ "A": "\"I understand what you are experiencing and am happy to take a minute.\"", "B": "\"I'm sorry, but this is a public hospital, so we cannot allow any group prayers.\"", "C": "\"I also believe in the power of prayer, so I will pray with you and insist that the rest of team joins us.\"", "D": "\"While I cannot offer you my prayers, I will work very hard to take care of your mother.\"", "E": "\"I don't feel comfortable praying for patients, but I will happily refer you to pastoral care.\"" }	A	[ "Respect life, dignity of patients", "Maintain a professional relationship with patients and their relatives" ]	medbullets	5
20,505	A 16-year-old Hasidic Jewish woman presents to a gynecologist accompanied by her mother, requesting a "check-up." As the physician escorts the mother out of the examination room, the mother asks the physician to ensure that the patient does not become sexually active before marriage, as this is strictly forbidden in their religion. When interviewed alone, the patient shares that she has been dating someone and had unprotected sexual intercourse 2 days ago for the first time. She denies any interest in marrying or having children in the future and hopes to attend college instead. She requests treatment for emergency contraception as well as to prevent pregnancy in the future and requests that you do not tell anyone about it. After testing for sexually transmitted infections, which of the following is the most appropriate action at this time?	{ "A": "Obtain consent from the patient's mother, then insert a progestin intrauterine device", "B": "Obtain consent from the patient's mother, then prescribe a combination progestin and ethinyl estradiol pill", "C": "Obtain consent from the patient, then prescribe a mifepristone pill", "D": "Obtain consent from the patient, then insert a copper intrauterine device", "E": "Schedule a meeting with the patient and her mother next week to discuss available options" }	D	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Keep confidential of patient’s information" ]	medbullets	5
20,506	A 15-year-old female presents to her family physician for an annual school physical exam and check-up. She is accompanied by her mother to the visit and is present in the exam room. The patient has no complaints, and she does not have any past medical problems. She takes no medications. The patient reports that she remains active, exercising 5 times a week, and eats a healthy and varied diet. Which of the following would be the best way for the physician to obtain a more in-depth social history, including sexual history and use of alcohol, tobacco, or recreational drugs?	{ "A": "Ask the patient the questions directly, with her mother still in the exam room", "B": "Give the patient a social history questionnaire to fill out in the exam room", "C": "Ask the mother to step outside into the hall for a portion of the visit", "D": "Speak softly to the patient so that the mother does not hear and the patient is not embarrased", "E": "Disallow the mother to be present in the examination room throughout the entirety of the visit" }	C	[ "Respect life, dignity of patients", "Keep confidential of patient’s information" ]	medbullets	5
20,507	A 62-year-old man comes to his primary care physician with a 3-month history of insomnia and severe work anxiety. He says that he is unable to retire because he has no financial resources; however, the stress level at his work has been causing him to have worsening performance and he is afraid of being fired. He thinks that he would be able to resume work normally if he was able to decrease his level of anxiety. His physician prescribes him a trial 1-month regimen of benzodiazepine therapy and schedules a follow-up appointment to see whether this treatment has been effective. Three weeks later, the patient's wife calls and says "My husband was fired from work and it's your fault for prescribing that medication! I know he must have been taking too much of that drug. Don't you know that he had a horrible problem with drug abuse in his 30s?" Which of the following is the most appropriate first action for the physician to take?	{ "A": "Contact the patient directly to discuss the situation", "B": "Contact the physician's medical practice insurance company regarding a potential claim", "C": "Discharge the patient for inappropriate use of medication", "D": "Inform the patient's wife that this information cannot be accepted because of HIPAA", "E": "Refer the patient to a substance abuse program" }	A	[ "Maintain a professional relationship with patients and their relatives", "Keep confidential of patient’s information", "Prevent patient from harm" ]	medbullets	5
20,508	A 79-year-old male presents to your office for his annual flu shot. On physical exam you note several linear bruises on his back. Upon further questioning he denies abuse from his daughter and son-in-law, who live in the same house. The patient states he does not want this information shared with anyone. What is the most appropriate next step, paired with its justification?	{ "A": "Breach patient confidentiality, as this patient's care should be discussed with the daughter as she is his primary caregiver", "B": "Do not break patient confidentiality, as this would potentially worsen the situtation", "C": "Breach patient confidentiality, as this patient is a potential victim of elder abuse and that is always reportable", "D": "Do not break patient confidentiality, as elder abuse reporting is not mandatory", "E": "See the patient back in 2 weeks and assess whether the patient's condition has improved, as his condition is not severe" }	C	[ "Keep confidential of patient’s information", "Prevent patient from harm" ]	medbullets	5
20,509	A 29-year-old man develops dysphagia after sustaining a stroke secondary to a patent foramen ovale. He is only able to swallow thin liquids. He has lost 10 pounds because of limited caloric intake. The medical team recommends the placement of a feeding tube, but the patient declines. The patient also has a history of major depressive disorder with psychotic features, for which he has been treated with fluoxetine. He is alert and oriented to person, place, time and situation. He denies any visual or auditory hallucinations, suicidal ideation, guilt, or sadness. He can articulate to the team the risks of not placing a feeding tube, including aspiration, malnutrition, and even death, after discussion with his medical team. The medical team wishes to place the feeding tube because the patient lacks capacity given his history of major depressive disorder with psychotic features. Which of the following is true regarding this situation?	{ "A": "The patient lacks capacity and the feeding tube should be placed", "B": "The patient lacks capacity and his healthcare proxy should be contacted regarding placement of a feeding tube", "C": "The patient lacks capacity and the state should determine whether to place the feeding tube", "D": "The patient has capacity and may deny placement of the feeding tube", "E": "The hospital ethics committee should determine whether to place the feeding tube" }	D	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Respect the decision-making of incompetent/competent patient " ]	medbullets	5
20,510	A 2-week-old infant is brought to the pediatrician for the first time by his parents. His mother received regular prenatal care and the child was born at home under the guidance of a midwife and a doula. The child appears well. The parents tell you they do not plan to have their child receive any vaccines. After a discussion regarding the risks and benefits of vaccines, the parents are still adamant in their wishes to forgo. Which of the following is the most appropriate course of action?	{ "A": "Document the visit, specifically the detailing of risks and benefits and the parents' refusal of treatment", "B": "Refuse to continue to care for the child", "C": "Seek a court order to deliver the vaccines against the wishes of the parents", "D": "Give any scheduled vaccines during that visit against the will of the parents", "E": "Call child protective services" }	A	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]	medbullets	5
20,511	A 9-year-old girl has recently begun having daily staring-spells in which she becomes unresponsive for several seconds. Following these episodes, she rapidly returns to normal with no recollection of the event. Her performance in school has begun to deteriorate. The child's pediatrician refers her to a pediatric neurologist, and, after an appropriate neurological work-up, the child is diagnosed with absence seizures. Her neurologist recommends initiating an anti-seizure medication, but the patient adamantly refuses due to fear of side effects and her belief that the condition is not affecting her quality of life. Which of the following is the most appropriate next step?	{ "A": "Do not initiate therapy at this time", "B": "Prescribe a long acting depot medication", "C": "Discuss the patient's school performance with her teachers", "D": "Obtain consent from one parent before initiating therapy", "E": "Obtain consent from both parents before initiating therapy" }	D	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]	medbullets	5
20,512	A 35-year-old woman with no significant past medical history is brought in by ambulance after a major motor vehicle collision. Temperature is 97.8 deg F (36.5 deg C), blood pressure is 76/40, pulse is 110/min, and respirations are 12/min. She arouses to painful stimuli and makes incomprehensible sounds, but is unable to answer questions. Her abdomen is distended and diffusely tender to palpation. Bedside ultrasound shows blood in the peritoneal cavity. A visitor rushes to the bedside and states the patient is a Jehovah’s Witness and will refuse blood products. No documentation of blood refusal is available for the patient. What is the most appropriate next step in management?	{ "A": "Attempt to contact the patient’s parents for additional collateral information", "B": "Consult the hospital ethics committee", "C": "Administer blood products", "D": "Observe and reassess mental status in an hour to see if patient can consent for herself", "E": "In accordance with the husband's wishes, do not transfuse any blood products" }	C	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Make responsible and independent clinical judgement " ]	medbullets	5
20,513	A critically ill 88-year-old man who has been admitted to the intensive care unit for 2 weeks with end-stage cancer undergoes a full resuscitation effort after a cardiac arrest occurring overnight. After the event, the patient's family is angry, stating that the patient did not want to be resuscitated and had signed Do Not Resuscitate (DNR) orders the morning before the event. Later, it is revealed that the resident who had gone over the DNR paperwork placed the paperwork in the chart but did not otherwise document the orders or inform the night resident. Which is the best way to prevent a similar future error?	{ "A": "Calling the patient's family prior to resuscitation", "B": "Providing feedback to the morning resident about better communication", "C": "Establishing a policy not to resuscitate terminally ill patients over age 80", "D": "Creating a sign-out checklist that includes DNR status", "E": "Teaching all residents where to look for DNR paperwork in the electronic medical record (EMR)" }	D	[ "Prevent patient from harm" ]	medbullets	5
20,514	One of these is true about Medical Ethics:	{ "A": "The system of values common to medical profession", "B": "Two of the above", "C": "By which physician evaluate their relationship with their patients and society", "D": "It's the same as legal obligations", "E": "" }	B	[ "Respect life, dignity of patients", "Recognize the responsibility, dignity, honesty, integrity of the occupation" ]	proprfs	4
20,515	One of these is NOT true about Professional Ethics:	{ "A": "Apply to people who occupy a professional occupation", "B": "Helps to self regualtion", "C": "It includes medical ethics", "D": "Understanding moral aspects of biomedical research and health care", "E": "" }	D	[ "Ethical research", "Recognize the responsibility, dignity, honesty, integrity of the occupation" ]	proprfs	4
20,516	The essential elements of good standards of practice and care of doctors are all of these EXCEPT:	{ "A": "Expertise", "B": "Work in a healthy environment", "C": "Good relationships with patients and colleagues", "D": "Observance of professional ethical obligations", "E": "" }	B	[ "Maintain truthful, factual communication" ]	proprfs	4
20,517	One of these is a goal of Medicine:	{ "A": "Promote disease", "B": "Prevent health", "C": "Privacy", "D": "Avoid harm", "E": "" }	D	[ "Respect life, dignity of patients", "Prevent patient from harm" ]	proprfs	4
20,518	Aims of medical ethics include all of these EXCEPT:	{ "A": "Teach physicians to recognize the humanistic and moral aspects of medical careers", "B": "To deny physicians of examine and affirm their own personal and professional moral commitments", "C": "Equip physicians with a foundation of legal knowledge", "D": "Equip young students and physicians of sound character", "E": "" }	B	[ "Recognize the responsibility, dignity, honesty, integrity of the occupation", "Comply with laws and regulations" ]	proprfs	4
20,519	Hippocratic oath includes:	{ "A": "Maintain professional secrecy", "B": "Risk should not exceeds benefits", "C": "Honesty with patients and colleagues", "D": "Right to medical care of good quality", "E": "" }	A	[ "Maintain truthful, factual communication", "Keep confidential of patient’s information" ]	proprfs	4
20,520	The declaralation that updated the Hippocrates oath is:	{ "A": "Oslo", "B": "Geneva", "C": "Venice", "D": "World Medical Associations", "E": "" }	B	[ "Recognize the responsibility, dignity, honesty, integrity of the occupation" ]	proprfs	4
20,521	All of these are TRUE about the declaration of Helsinki EXCEPT:	{ "A": "Governs biomedical research", "B": "The patient should not be involved in clinical trial", "C": "Risk should not exceeds benefits", "D": "Informed consent is required", "E": "" }	B	[ "Ethical research", "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]	proprfs	4
20,522	All of these rights are included in the declaration of Lisbon EXCEPT:	{ "A": "Right to self-determination", "B": "Right to medical care of good quality", "C": "Right to freedom of choice", "D": "Right to compulsory treatment", "E": "" }	D	[ "Respect life, dignity of patients", "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]	proprfs	4
20,523	It's necessary to study the question of the time of death further because of all of these EXCEPT:	{ "A": "The ability to maintain the circulation of oxygenated blood through tissues", "B": "Patients family should know the accurate time of his death", "C": "The use of cadaver organs for transplantation", "D": "Because it's a legal responsibility of the physician", "E": "" }	B	[ "Respect life, dignity of patients", "Comply with laws and regulations" ]	proprfs	4
20,524	Those are all principles should be approved when abortion EXCEPT:	{ "A": "Should be preformed only as a therapeutic measure", "B": "Should be approved in writing by a one doctor chosen for his professional competence", "C": "Should be performed by a doctor competent to do", "D": "Should be preformed in premises approved by the appropriate authority", "E": "" }	B	[ "Comply with laws and regulations", "Provide professional medical care to patients" ]	proprfs	4
20,525	We need Medical ethics because all of these EXCEPT:	{ "A": "Practise of medicine and practice of ethics are inseparable", "B": "To Breach of legal obligations", "C": "Every clinical decision invokes an ethical decision", "D": "In many instances the ethical issue may not be readily apparent", "E": "" }	B	[ "Respect life, dignity of patients", "Recognize the responsibility, dignity, honesty, integrity of the occupation", "Comply with laws and regulations" ]	proprfs	4
20,526	The correct about Ethical and Legal obligations is:	{ "A": "Breach of ethical obligation may be used to prove medical negligence", "B": "Breach of ethical obligation mean breach of law", "C": "Medical ethics and that law are the same and often help define each other", "D": "Two of the above", "E": "" }	A	[ "Comply with laws and regulations" ]	proprfs	4
20,527	When a doctor breaks the Hippocratic oath this mean:	{ "A": "He will be directly punished for this", "B": "Two of the above", "C": "He may lose the right to practice medicine", "D": "It's the same as malpractice and he will take a wide range of punishments", "E": "" }	B	[ "Recognize the responsibility, dignity, honesty, integrity of the occupation", "Report unethical and unprofessional conduct" ]	proprfs	4
20,528	If a patient in india told you that he don't need transfered blood for religious reasons after you told him that he will die without it, you should do in this case:	{ "A": "You should compulsory transfer blood to him", "B": "You should respect his want", "C": "You should tell his family about his situation", "D": "You should keep advising him and if he refused you should kill him that idiot :D", "E": "" }	B	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Respect the decision-making of incompetent/competent patient " ]	proprfs	4
20,529	Dumping of patients is considered to be:	{ "A": "Is a federal offense", "B": "Is acceptable when it affects the hospitals profits", "C": "Completely acceptable", "D": "Can be done if the hospital administrator approves it", "E": "" }	A	[ "Respect life, dignity of patients", "Comply with laws and regulations", "Provide professional medical care to patients" ]	proprfs	4
20,530	Physicians have the right to refuse treatment to patients in non-emergency patients.	{ "A": "True", "B": "False", "C": "", "D": "", "E": "" }	A	[ "Treat patients fairly and equally" ]	proprfs	2
20,531	Physicians have the right to withdraw from caring for a patient for whatever reason.	{ "A": "False", "B": "True", "C": "", "D": "", "E": "" }	A	[ "Provide professional medical care to patients" ]	proprfs	2
20,532	If a physician withdraws from care of a patient without notice, this action may result in:	{ "A": "Abandoment charges", "B": "False imprinsoment charges", "C": "Nothing, the physician may withdraw from care as is best fit for he/she", "D": "Nothing, it is the patient respinsibility to find care", "E": "" }	A	[ "Prevent patient from harm", "Provide professional medical care to patients" ]	proprfs	4
20,533	The following disease is considered reportable to the state department of health:	{ "A": "Herpes", "B": "Common cold", "C": "AIDS", "D": "UTI", "E": "" }	C	[ "Comply with laws and regulations", "Promote the health of community and public education" ]	proprfs	4
20,534	A 22 year old patient comes in for lab results. The HIV test is positive. She tells you anxiously not to notify her husband because he will kill her. The patient also tells you that she was on vacation with some friend a few months ago in the Caribbean, and had several sexual partners. What is the next best step?	{ "A": "Honor the patients confidentiality", "B": "Call her husband right away", "C": "Persuade the patient to tell her partner", "D": "Call the department of health", "E": "" }	C	[ "Keep confidential of patient’s information", "Prevent patient from harm" ]	proprfs	4
20,535	To properly identify patients you should in a healthcare setting you should:	{ "A": "Have patient state their name and date of birth", "B": "Ask the date of birth", "C": "Ask their address", "D": "Ask his or her name", "E": "" }	A	[ "Respect life, dignity of patients", "Maintain truthful, factual communication" ]	proprfs	4
20,536	Abandonment may be avoided by	{ "A": "Writing to another doctor about the case", "B": "Giving informal notice of withdrawal from a case", "C": "Declaring the patient indigent", "D": "Giving formal notice of withdrawal from a case", "E": "" }	D	[ "Provide professional medical care to patients" ]	proprfs	4
20,537	Minor children may receive life-saving treatment	{ "A": "Even though the parents refuse", "B": "If they choose to receive it", "C": "When grandparents override the wishes of the parents", "D": "If it is profitable for the hospital", "E": "" }	A	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Give top priority to patient’s interest in conflict of interests" ]	proprfs	4
20,538	The adult patient has a right to	{ "A": "Expect the appropriate standard of care", "B": "Deny any treatment", "C": "All of the above", "D": "Have his or her medical information protected", "E": "" }	C	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Keep confidential of patient’s information" ]	proprfs	4
20,539	The patient's signature on an informed consent form indicates	{ "A": "Understanding of the limits or risks in the pending treatment", "B": "Expressed consent", "C": "All of the above", "D": "Understanding of the treatment options", "E": "" }	C	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]	proprfs	4
20,540	Patients who indicate by their behavior that they will accept a procedure are providing	{ "A": "Expressed consent", "B": "Implied consent", "C": "Informed consent", "D": "", "E": "" }	B	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]	proprfs	3
20,541	Performing a wrong and illegal act is considered (such as practicing without a license)	{ "A": "Malfeasance", "B": "Nonfeasance", "C": "Misfeasance", "D": "This is acceptable if done occasionally", "E": "" }	A	[ "Recognize the responsibility, dignity, honesty, integrity of the occupation", "Comply with laws and regulations" ]	proprfs	4
20,542	A single 16 year old female patient becomes pregnant with her boyfriend. The patient presents to the clinic for her first prenatal appointment. She lives with her mother. She is unemployed and is a student at the local high school. Which of the following statements is most accurate about this patient?	{ "A": "She is a emancipated minor", "B": "Is considered a mature minor for this appointment", "C": "Needs consent before her prenatal appointment", "D": "None of these", "E": "" }	B	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]	proprfs	4
20,543	Parental consent is required in this case:	{ "A": "A minor in nonemergency cases", "B": "An 18 year old who is single", "C": "A 16 year old in the military who is self supporting", "D": "A married 18 year old", "E": "" }	A	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Respect the decision-making of incompetent/competent patient " ]	proprfs	4
20,544	Which of the following is not a reportable communicable disease?	{ "A": "HIV", "B": "Chicken pox", "C": "Tuberculosis", "D": "All of these are reportable", "E": "" }	B	[ "Comply with laws and regulations" ]	proprfs	4
20,545	THE WITHDRAWAL OF A pHYSICIAN FROM THE CARE OF A PATIENT WITHOUT REASONABLE NOTICE OF SUCH DISCHARGE FROM THE CASE BY THE PATIENT IS?	{ "A": "CONTRACT", "B": "REASONABLE CARE", "C": "NEGLIGENCE", "D": "ABANDONMENT", "E": "" }	D	[ "Maintain a professional relationship with patients and their relatives", "Prevent patient from harm", "Provide professional medical care to patients" ]	proprfs	4
20,546	THE HEALTH WORKER IS PROTECTED BY LAW IF IT CAN BE DETERMINED THAT HE OR SHE ACTED REASONABLE AS COMPARED WITH FELLOW WORKERS. THIS IS CALLED?	{ "A": "RESPONDEAT SUPERIOR", "B": "REASONABLE CARE", "C": "DUTY OF CARE", "D": "STATUTE", "E": "" }	B	[ "Comply with laws and regulations", "Provide professional medical care to patients" ]	proprfs	4
20,547	PERMISSION GRANTED BY A PERSON VOLUNTARILY AND IN HIS RIGHT MIND IS?	{ "A": "DUTY OF CARE", "B": "LITIGATION", "C": "BREACH", "D": "CONSENT", "E": "" }	D	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Respect the decision-making of incompetent/competent patient " ]	proprfs	4
20,548	A PATIENT'S FAILURE TO ACT PRUDENTLY & REASONABLY, OR DOING THAT WHICH A REASONABLE PERSON WOULD NOT DO UNDER SIMILIAR CIRCUMSTANCES IS CALLED?	{ "A": "CONTRIBUTORY NEGLIGENCE", "B": "ASSUMPTION OF RISK", "C": "BREACH OF DUTY", "D": "NO CORRECT ANSWER", "E": "" }	A	[ "Prevent patient from harm" ]	proprfs	4
20,549	CONSENT TO TREATMENT BASED ON A FULL UNDERSTANDING OF ALL POSSIBLE RISKS OF UNPREVENTABLE RESULTS OF THAT TREATMENT IS CALLED?	{ "A": "CONTRIBUTORY NEGLIGENCE", "B": "FRAUD", "C": "PROXIMATE CAUSE", "D": "ASSUMPTION OF RISK", "E": "" }	D	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]	proprfs	4
20,550	WHAT LICENSE MUST A pHYSICIAN HAVE TO DISPENSE, PRESCRIBE OR ADMINISTER CONTROLLED SUBSTANCES?	{ "A": "LAWYERS", "B": "BUSINESS", "C": "NARCOTIC", "D": "OCCUPATIONAL", "E": "" }	C	[ "Comply with laws and regulations" ]	proprfs	4
20,551	UNAUTHORIZED DISCLOSURE OF INFORMATION REGARDING ANY PATIENT TO A THIRD PARTY MAY RESULT IN?	{ "A": "CIVIL LAW LIABILITY", "B": "MEDICAL LIABILITY", "C": "INVASION OF PRIVACY", "D": "DEFAMATION OF CHARACTER", "E": "" }	C	[ "Keep confidential of patient’s information" ]	proprfs	4
20,552	An example of sexual abuse is:	{ "A": "A medical employee that yells at a patient.", "B": "Not checling on a patient.", "C": "A medical employee that shows a resident a pornographic magazine.", "D": "Leaving a patient on the toilet and not helping them clean up.", "E": "" }	C	[ "Respect life, dignity of patients", "Maintain a professional relationship with patients and their relatives", "Prevent patient from harm" ]	proprfs	4
20,553	What is Applied ethics?	{ "A": "Analysis of specific controversial moral issues", "B": "Study of origin and meaning", "C": "Right and wrong", "D": "Medical dilemmas", "E": "" }	A	[ "Recognize the responsibility, dignity, honesty, integrity of the occupation" ]	proprfs	4
20,554	Written codes of ethics for health care practitioners was primarily evolved to serve as moral guidelines for those who provide care to the sick?	{ "A": "False", "B": "True", "C": "", "D": "", "E": "" }	B	[ "Recognize the responsibility, dignity, honesty, integrity of the occupation", "Provide professional medical care to patients" ]	proprfs	2
20,555	The Hippocratic oath is a pledge for physicians that remains influential today?	{ "A": "False", "B": "True", "C": "", "D": "", "E": "" }	B	[ "Respect life, dignity of patients", "Recognize the responsibility, dignity, honesty, integrity of the occupation" ]	proprfs	2
20,556	Hospitals are immune from losses brought by patients?	{ "A": "True", "B": "False", "C": "", "D": "", "E": "" }	B	[ "Comply with laws and regulations", "Prevent patient from harm" ]	proprfs	2
20,557	Fill In: the doctering that is latin for let the master answer?	{ "A": "Respondant superior", "B": "False claims act", "C": "Co-payment", "D": "Licensure", "E": "" }	A	[ "Recognize the responsibility, dignity, honesty, integrity of the occupation" ]	proprfs	4
20,558	Truth brought under the factor most related to the health care and defense industry?	{ "A": "Co-payment", "B": "Respondant superior", "C": "False claims act", "D": "Licensure", "E": "" }	C	[ "Comply with laws and regulations" ]	proprfs	4
20,559	The mandatory process established by law and required by certain health care practitioners?	{ "A": "Co-payment", "B": "Licensure", "C": "Respondant superior", "D": "False claims act", "E": "" }	B	[ "Comply with laws and regulations" ]	proprfs	4
20,560	Correct the statement: A physician is or is not obligated to effect the recovery with each patient?	{ "A": "Is", "B": "Is not", "C": "", "D": "", "E": "" }	B	[ "Respect life, dignity of patients", "Provide professional medical care to patients" ]	proprfs	2
20,561	A physician is or is not obligated to use due care skills and diligence in treating patients?	{ "A": "Is", "B": "Is not", "C": "", "D": "", "E": "" }	A	[ "Maintain qualified when providing medical care", "Prevent patient from harm", "Provide professional medical care to patients" ]	proprfs	2
20,562	A physician is or is not obligated to know allergic or advance or reverse reactions to medications reported by a specific patient?	{ "A": "Is not", "B": "Is", "C": "", "D": "", "E": "" }	B	[ "Prevent patient from harm", "Provide professional medical care to patients" ]	proprfs	2
20,563	A physician is or is not obligated to be a skilled specialist if he or she is a general practitioner?	{ "A": "Is", "B": "Is not", "C": "", "D": "", "E": "" }	B	[ "Maintain qualified when providing medical care" ]	proprfs	2
20,564	Hospitals are immune from lawsuits that fall in the formalized codes of ethics?	{ "A": "False", "B": "True", "C": "", "D": "", "E": "" }	A	[ "Comply with laws and regulations", "Managing and minimizing conflicts of interest" ]	proprfs	2
20,565	In what health care situation is and imply of consent not sufficient?	{ "A": "At a doctors appointment", "B": "At a nursing home", "C": "In an emergency or minor surgery", "D": "", "E": "" }	C	[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]	proprfs	3
20,566	HIPAA requires every health care provider to become 100% compliant?	{ "A": "True", "B": "False", "C": "", "D": "", "E": "" }	A	[ "Comply with laws and regulations" ]	proprfs	2

20,467

A physician is involved in a research collaboration with a pharmaceutical company. The company invites her to give a lecture series for other physicians on new therapies in her field of expertise at a retreat center in the Caribbean. Which of the following is acceptable for the physician to accept?:A) Compensation for travel expensesB) An honorarium for speakingC) Assistance with preparing her presentations

{ "A": "A only", "B": "B only", "C": "C only", "D": "A, B, and C", "E": "A and B" }

E

[ "Ethical research", "Managing and minimizing conflicts of interest" ]

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20,468

A 69-year-old man passes away after a 3-week hospitalization for liver failure, complicated by a myocardial infarction. A medical student rotating in the intensive care unit asked if she can practice performing intubations during her rotation. The resident suggests performing one on the deceased patient, as the student cannot harm him. Which of the following is the most appropriate course of action for the medical student?

{ "A": "Contact the patient's family to ask for permission to perform the procedure", "B": "Consult the hospital ethics committee", "C": "Ask the resident if the patient’s family or the patient has been consented for this procedure", "D": "Intubate the patient with the resident's supervision", "E": "Report the resident to hospital administration" }

C

[ "Respect life, dignity of patients", "Report unethical and unprofessional conduct", "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]

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5

20,469

A 32-year-old man presents to the emergency room with 3 days of fever, headache, and vomiting. He has no relevant medical history and does not use any illicit drugs. He is accompanied by his wife, who is his healthcare proxy according to his advance directive. His temperature is 40°C (104°F), blood pressure is 110/50 mmHg, and pulse is 115/min. After obtaining a lumbar puncture, a diagnosis of meningococcal meningitis is made. The patient is informed that his diagnosis requires hospitalization for antibiotic treatment and isolation due to the infectious nature of his disease. He refuses admission and insists on being discharged given that he is alert, oriented, and has a full understanding of the risk to himself and others. Which of the following is the most appropriate next step in management?

{ "A": "Ethics committee consult", "B": "Obtain permission from the patient’s wife for hospitalization", "C": "Obtain a court order before proceeding with hospitalization", "D": "Hospitalize the patient against his wishes", "E": "Respect the patient’s decision and proceed to discharge home with antibiotics" }

D

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]

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5

20,470

A 16-year-old female presents to her pediatrician's office requesting to be started on an oral contraceptive pill. She has no significant past medical history and is not currently taking any medications. The physician is a devout member of the Roman Catholic church and is strongly opposed to the use of any type of artificial contraception. Which of the following is the most appropriate response to this patient's request?

{ "A": "The physician is obligated to prescribe the oral contraceptives regardless of his personal beliefs", "B": "Refuse to prescribe the oral contraceptive", "C": "Suggest that the patient remain abstinent or, if necessary, use an alternative means of birth control", "D": "Tell the patient that he is unable to prescribe this medication without parental consent", "E": "Explain that he will refer the patient to one of his partners who can fulfill this request" }

E

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Give top priority to patient’s interest in conflict of interests" ]

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5

20,471

A 14-month-old boy is brought to the pediatrician by his mother for a well-child check. The patient is healthy with no acute complaints. He was born at 38-weeks gestation via spontaneous vaginal delivery without complications. He had physiological jaundice that resolved without further intervention. He has no known medical problems. He is well-groomed and is at the 50th percentile for height and weight. When presented with the mumps, measles, and rubella (MMR) vaccine, his mother politely declines, stating, “Our family friend’s child got that vaccine and it gave him autism.” Despite extensive efforts by the physician to present data to the parent that there is no evidence of the MMR vaccine causing autism and education on the benefits of MMR vaccination, his mother continues to decline. Which of the following is the most appropriate next action?

{ "A": "Administer the vaccine because only religious exemptions are permissible", "B": "Document the parent’s refusal and do not administer the vaccine", "C": "Consult the hospital ethics committee", "D": "Call child protective services to intervene", "E": "Seek a court order to administer the vaccine for the safety of the child" }

B

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]

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5

20,472

A 40-year-old woman presents to her physician's home with a headache. She describes it as severe and states that her symptoms have not been improving despite her appointment yesterday at the office. Thus, she came to her physician's house on the weekend for help. The patient has been diagnosed with migraine headaches that have persisted for the past 6 months and states that her current symptoms feel like her previous headaches with a severity of 3/10. She has been prescribed multiple medications but is generally non-compliant with therapy. She is requesting an exam and urgent treatment for her symptoms. Which of the following is the most appropriate response from the physician?

{ "A": "Do not come to my house when you have medical problems. You should make an appointment.", "B": "It sounds to me like you are in a lot of pain. Let me see how I can help you.", "C": "You should go to the emergency department for your symptoms rather than coming here.", "D": "Unfortunately, I cannot examine and treat you at this time. Please set up an appointment to see me in my office.", "E": "Your symptoms seem severe. Let me perform a quick exam to see if everything is alright." }

D

[ "Provide professional medical care to patients" ]

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20,473

A 72-year-old man is admitted to the hospital with a productive cough and fever. A chest radiograph is obtained and shows a lobar consolidation. The patient is diagnosed with pneumonia. He has a history of a penicillin and cephalosporin allergy. The attending physician orders IV levofloxacin as empiric therapy. On morning rounds the next day, the team discovers that the patient was administered ceftriaxone instead of levofloxacin. The patient has already received a full dose of ceftriaxone and had developed hives overnight which were treated with diphenhydramine. He is currently feeling better. Which of the following is the most appropriate next step in management?

{ "A": "Continue with ceftriaxone and use diphenhydramine as needed", "B": "Desensitize the patient to ceftriaxone and continue treatment", "C": "Discuss the error that occurred with the patient", "D": "Inform the patient that nursing gave the wrong medication and it has been corrected", "E": "Switch the medication to levofloxacin" }

C

[ "Maintain truthful, factual communication", "Prevent patient from harm" ]

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5

20,474

A 12-year-old boy and his mother are brought to the emergency department after a motor vehicle accident. The boy was an unrestrained passenger in a head-on collision and was ejected from the front seat. The patient's mother was the driver, and she is currently being resuscitated. Neither the child nor the mother are conscious; however, it is documented that the family are all Jehovah's Witnesses and would not want a transfusion in an acute situation. The husband/father arrives at the trauma bay and confirms this wish that everyone in the family would not want a transfusion in accordance with their beliefs. The father is confirmed as the official healthcare proxy. Which of the following is the most appropriate next step in management?

{ "A": "Consult the hospital ethics committee", "B": "Do not transfuse the boy and transfuse the mother", "C": "Do not transfuse the boy or the mother", "D": "Transfuse the boy and mother", "E": "Do not transfuse the mother and transfuse the boy" }

E

[ "Give top priority to patient’s interest in conflict of interests" ]

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5

20,475

A 73-year-old man is admitted to the hospital for jaundice and weight loss. He is an immigrant from the Dominican Republic and speaks little English. A CT scan is performed showing a large mass at the head of the pancreas. When you enter the room to discuss these results with the patient, his daughter and son ask to speak with you outside of the patient's room. They express their desire to keep these results from their father. What is the appropriate response in this situation?

{ "A": "Consult the hospital ethics committee", "B": "Deliver the information in Spanish", "C": "Explore the reasoning behind the children's request", "D": "Respect the children's wishes to hold prognosis information", "E": "Tell the children that you are obligated to tell the father" }

C

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Maintain truthful, factual communication" ]

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5

20,476

A 72-year-old man presents to the emergency department with chest pain and shortness of breath. An EKG demonstrates an ST elevation myocardial infarction, and he is managed appropriately. The patient suffers from multiple comorbidities and was recently hospitalized for a myocardial infarction 3 months ago. The patient has a documented living will which specifies that he does wish to receive resuscitative measures such as CPR and blood products, but refuses to be intubated in any circumstance. The patient is stabilized and transferred to the medical floor. On day 2, the patient presents with ventricular fibrillation and a resuscitative effort occurs. He is successfully resuscitated, but he is in acute hypoxic respiratory failure and warrants emergent intubation. The patient's wife, son, and daughter are present and state that the patient should be intubated. The patient's prognosis even with intubation is very poor. Which of the following describes the best course of action?

{ "A": "Consult the hospital ethics committee", "B": "Do not intubate the patient given his living will", "C": "Do not intubate the patient as his prognosis is poor even with intubation", "D": "Intubate the patient - a patient's next of kin take precedence over a living will", "E": "Intubate the patient - the family is representing the patient's most recent and accurate wishes" }

B

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]

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5

20,477

A 57-year-old man presents to his oncologist to discuss the management of small-cell lung cancer. The patient is a lifelong smoker and was diagnosed with cancer 1 week ago. The patient states that the cancer was his fault for smoking and that there is "no hope now." He seems disinterested in discussing the treatment options and making a plan for treatment and follow-up. His temperature is 98.8°F (37.1°C), blood pressure is 107/68 mmHg, pulse is 102/min, respirations are 22/min, and oxygen saturation is 99% on room air. The patient says "he does not want any treatment" for his condition. Which of the following is the most appropriate response from the physician?

{ "A": "\"I respect your decision and we will not administer any treatment. Let me know if I can help in any way.\"", "B": "\"It must be tough having received this diagnosis; however, new cancer therapies show increased efficacy and excellent outcomes.\"", "C": "\"You seem upset at the news of this diagnosis. I want you to go home and discuss this with your loved ones and come back when you feel ready to make a plan together for your care.\"", "D": "\"We are going to need to treat your lung cancer. I am here to help you throughout the process.\"", "E": "\"It must be very challenging having received this diagnosis. I want to work with you to create a plan.\"" }

E

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]

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5

20,478

A 29-year-old G2P1001 woman presents to labor and delivery at 37 weeks 5 days of gestation with 1 painful contraction every 20 minutes for the past 3 hours. Her pregnancy has been uncomplicated, with the exception of a positive vaginal group B streptococcus (GBS) screening culture found after her routine visit at 35 weeks of gestation. Her temperature is 98.6°F (37.0°C), blood pressure is 118/78 mmHg, pulse is 96/min, and respirations are 16/min. A transabdominal ultrasound is performed, followed by a pelvic exam. Her cervix is 90% effaced and 5 cm dilated. The fetus has a vertex lie. She is admitted in active labor. After being informed of the risk posed to her fetus, the patient decides to proceed with vaginal delivery and declines intrapartum antibiotics. She also requests that her child not be administered antibiotics after birth, as she believes "sickness will make the baby stronger," and antibiotics will harm her baby. The fetus's father lives internationally and does not plan to be involved in the infant's care. After extensive counseling, she affirms her choices. What are the most appropriate next steps in management?

{ "A": "Deliver the fetus without intrapartum antibiotics; treat the infant with antibiotics after birth if the infant shows signs of early GBS infection", "B": "Deliver the fetus without intrapartum antibiotics; do not treat the infant with antibiotics after birth even if the infant shows signs of early GBS infection", "C": "Deliver the fetus without intrapartum antibiotics; attempt to contact the infant's father for consent to treat with antibiotics after birth if the infant shows signs of early GBS infection", "D": "Deliver the fetus with intrapartum antibiotics; do not treat the infant with antibiotics after birth", "E": "Seek a court order to require that the patient accept intrapartum antibiotics" }

A

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]

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20,479

A 12-year-old boy is brought to the emergency department after a motor vehicle collision. He was being carpooled to school by an intoxicated driver and was involved in a high velocity head-on collision. The patient is otherwise healthy and has no past medical history. His temperature is 99.2°F (37.3°C), blood pressure is 60/45 mmHg, pulse is 172/min, respirations are 36/min, and oxygen saturation is 100% on room air. A FAST exam demonstrates free fluid in Morrison pouch. The patient’s parents arrive and state that they are Jehovah’s witnesses. They state they will not accept blood products for their son but will allow him to go to the operating room to stop the bleeding. Due to poor understanding and a language barrier, the parents are also refusing IV fluids as they are concerned that this may violate their religion. The child is able to verbalize that he agrees with his parents and does not want any treatment. Which of the following is the best next treatment for this patient?

{ "A": "IV fluids and emergency surgery", "B": "IV fluids alone as surgery is too dangerous without blood product stabilization", "C": "Blood products and emergency surgery", "D": "IV fluids and vasopressors followed by emergency surgery", "E": "Observation and monitoring and obtain a translator" }

C

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]

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20,480

A 28-year-old woman presents to her primary care physician for her annual physical exam. She says that she has no updates about her health at this time. Her past medical history is significant for major depressive disorder for which she takes sertraline. Her temperature is 98.6°F (37°C), blood pressure is 115/71 mmHg, pulse is 62/min, and respirations are 15/min. On physical exam, she is found to have multiple bruises in different stages of healing on her upper arms, upper legs, and back. Small round lesions are seen on her hips and stomach. When asked about these lesions, she turns away and says that she is simply clumsy and "always tripping." Which of the following is the most appropriate response?

{ "A": "\"Do you have a safe place to go if things get out of hand?\"", "B": "\"Tell me more about what has been happening.\"", "C": "\"Let us come up with a plan for you to escape this situation.\"", "D": "\"I can call the police so that they can protect you.\"", "E": "\"Who is doing this to you?\"" }

B

[ "Respect life, dignity of patients", "Prevent patient from harm" ]

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20,481

A 6-month-old baby girl is brought to the pediatrician by her mother and father for a routine care appointment. The parents report that the patient is doing well. She is starting to eat solid foods in addition to breastfeeding and is sleeping through the night. She just started being able to sit up on her own a few days ago. She smiles and babbles. The child was born at 38 weeks of gestation to a 28-year-old G1P1 woman via spontaneous vaginal delivery. Her developmental history and past medical history are unremarkable. The patient's temperature is 98.6°F (37.0°C), blood pressure is 80/55 mmHg, pulse is 105/min, and respirations are 25/min. Physical exam is unremarkable. The patient is due for her 6-month vaccines, which include doses of the diphtheria/tetanus/pertussis and pneumococcal vaccines. The pediatrician explains the dosing schedule to the parents, but they state that they do not want their child to receive these vaccines because last time she developed upper respiratory symptoms a day after receiving her vaccines, so they are worried that the vaccines are making their child sick. The pediatrician thoroughly explains the mechanism, risks, and benefits of the vaccines and strongly recommends that the patient receive her scheduled vaccines at this visit. The parents express understanding but continue to refuse the vaccines. Which of the following is the most appropriate next step in management?

{ "A": "Ask the parents if they want their child to get sick and potentially die", "B": "Obtain a court order to give the patient her vaccines", "C": "Call Child Protective Services", "D": "Ask the parents to sign a form documenting their refusal of the vaccines", "E": "Prescribe antibiotics as prophylaxis" }

D

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]

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20,482

A 78-year-old woman presents to the emergency department with weight loss, abdominal pain, and jaundice. CT demonstrates a mass in the head of the pancreas, and biopsy is planned for the following day. The patient's daughter approaches you outside the room to request that the results of the biopsy not be shared with the patient. She asks that the results instead be shared with her and her brother, who is the patient's documented health care proxy. She explains that she and her brother have discussed the situation and decided that it is best to not inform the patient that she has cancer. Endoscopic ultrasound-guided biopsy the next morning confirms the diagnosis of pancreatic adenocarcinoma. Which of the following is the best response to the patient's daughter's request?

{ "A": "Ask the patient's son, the documented health care proxy, how he would like to handle the situation", "B": "Tell the patient's daughter that the patient must be informed of the diagnosis", "C": "Offer to explain the diagnosis to the patient without using the word \"cancer\"", "D": "Order an ethics consult to determine how to address the situation", "E": "Inquire why the patient's daughter feels her mother should not be informed of the diagnosis" }

E

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Maintain truthful, factual communication" ]

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20,483

A 3-year-old child is brought to the pediatrician by his mother who states that he has been fussy for the past two days. She says that he has had a runny nose, a cough, a sore throat, and decreased appetite. Vital signs are within normal limits. Physical exam reveals a slightly erythematous oropharynx and clear nasal discharge. The mother states that she is a single mother working at a busy law firm. The mother demands that the child receive antibiotics, as her babysitter refuses to care for the child unless he is treated with antibiotics. You diagnose the child with the common cold and inform the mother that antibiotics are not indicated. She is infuriated and accuses you of refusing to treat her child appropriately. How should you respond?

{ "A": "Explain the reasoning as to why antibiotics are not indicated for the common cold", "B": "Refer the mother to a nearby physician who will prescribe antibiotics", "C": "Prescribe a placebo", "D": "Prescribe antibiotics to the child", "E": "Ask the mother to leave immediately" }

A

[ "Maintain truthful, factual communication" ]

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20,484

An 86-year-old man is admitted to the hospital for management of pneumonia. His hospital course has been relatively uneventful, and he is progressing well. On morning rounds nearing the end of the patient's hospital stay, the patient's cousin finally arrives to the hospital for the first time after not being present for most of the patient's hospitalization. He asks about the patient's prognosis and potential future discharge date as he is the primary caretaker of the patient and needs to plan for his arrival home. The patient is doing well and can likely be discharged in the next few days. Which of the following is the most appropriate course of action?

{ "A": "Explain that you cannot discuss the patient's care at this time", "B": "Bring the cousin to the room and explain the plan to both the patient and cousin", "C": "Bring the cousin to the room and ask the patient if it is acceptable to disclose his course", "D": "Explain the plan to discharge the patient in the next few days", "E": "Tell the cousin that you do not know the patient's course well" }

A

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Maintain a professional relationship with patients and their relatives", "Keep confidential of patient’s information" ]

medbullets

5

20,485

A 1 month-old boy is brought to the emergency department by his 15-year-old mother for a fever. He has been fussy over the past 3 days and has had intermittent fevers. Today, he has become more sluggish and has exhibited poor feeding. He has produced only 2 wet diapers in the past 12 hours. Throughout this time, he has also refused to move his right lower extremity. He was born at 39-weeks gestational age without complications and was discharged 1 day later. His mother received all routine prenatal care and has no medical problems. The patient’s 18-year-old father is not involved with the family. The patient and his mother live with his grandparents. The patient’s temperature is 104.6°F (40.3°C), blood pressure is 60/40 mmHg, pulse is 180/min, and respirations are 50/min. Physical examination reveals a flexed, abducted, and externally-rotated right lower extremity. An arthrocentesis is performed, which confirms the diagnosis of hip septic arthritis. The orthopedic surgeon recommends surgical irrigation and debridement. Consent from which of the following should be obtained for this procedure?

{ "A": "A court of law", "B": "Hospital ethics committee", "C": "His 18-year-old father", "D": "His grandparents", "E": "His 15-year-old mother" }

E

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]

medbullets

5

20,486

An 87-year-old man with glioblastoma multiforme is informed that the size and location of the tumor make operative resection impossible, and he has a prognosis of between 3-6 months. The patient then asks whether it would be possible to get a prescription for lethal medications so that he would be able to end his life if his situation deteriorated further. The physician says that he is unable to prescribe such drugs because assisted suicide is not legal in their state. Refusing to help a patient commit suicide is most consistent with which of the following ethical principles?

{ "A": "Non-maleficence", "B": "Beneficence", "C": "Distributive justice", "D": "Formal justice", "E": "Autonomy" }

A

[ "Prevent patient from harm" ]

medbullets

5

20,487

A 16-year-old female patient with a history of mental retardation presents to your clinic with her mother. The mother states that she wants her daughter to have a bilateral tubal ligation after she recently discovered her looking at pornographic materials. She states that her daughter is not capable of understanding the repercussions of sexual intercourse, and that she does not want her to be burdened with a child that she would not be able to raise. Upon discussions with the patient, it is clear that she is not able to understand that sexual intercourse can lead to pregnancy. What should your next step be?

{ "A": "Schedule the patient for the requested surgery", "B": "Wait until the patient is 18 years old, and then schedule for surgery", "C": "Refuse the procedure because it is unlikely that the patient will get pregnant", "D": "Refer the patient to a psychiatrist to get informed consent", "E": "Refuse the procedure because it violates the ethical principle of autonomy" }

E

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]

medbullets

5

20,488

A junior orthopaedic surgery resident is completing a carpal tunnel repair with the department chairman as the attending physician. During the case, the resident inadvertently cuts a flexor tendon. The tendon is repaired without complication. The attending tells the resident that the patient will do fine, and there is no need to report this minor complication that will not harm the patient, as he does not want to make the patient worry unnecessarily. He tells the resident to leave this complication out of the operative report. Which of the following is the correct next action for the resident to take?

{ "A": "Disclose the error to the patient but leave it out of the operative report", "B": "Disclose the error to the patient and put it in the operative report", "C": "Tell the attending that he cannot fail to disclose this mistake", "D": "Report the physician to the ethics committee", "E": "Refuse to dictate the operative report" }

C

[ "Maintain truthful, factual communication" ]

medbullets

5

20,489

On a Sunday afternoon, a surgical oncologist and his family attend a football game in the city where he practices. While at the game, he runs into a physician colleague that works at the same institution. After some casual small talk, his colleague inquires, "Are you taking care of Mr. Clarke, my personal trainer? I heard through the grapevine that he has melanoma, and I didn't know if you have started him on any chemotherapy or performed any surgical intervention yet. Hopefully you'll be able to take very good care of him." In this situation, the surgical oncologist may confirm which of the following?

{ "A": "The patient's name", "B": "No information at all", "C": "The patient's treatment plan", "D": "The patient's diagnosis", "E": "Only that Mr. Clarke is his patient" }

B

[ "Respect life, dignity of patients", "Keep confidential of patient’s information" ]

medbullets

5

20,490

A 68-year-old man is being evaluated in your radiation oncology clinic for treatment of a solid tumor. Your hospital has just purchased a new proton beam purported to deliver targeted radiation with fewer side effects than traditional radiation therapy. The patient expresses strong interest in receiving proton beam therapy, and you feel that he may have a better outcome with this new treatment modality. Later that day, an executive from the patient's insurance company calls to tell you that proton beam therapy will cost the company (but not the patient) a much larger amount of money than traditional therapy. They are willing to pay for proton beam therapy, but request that you convince the patient to undergo traditional therapy instead. You have a longstanding relationship with this insurance company as well as this particular executive. How should you proceed?

{ "A": "Proceed with proton beam therapy as discussed at your patient's appointment", "B": "Discuss the issue of cost to the insurer with your patient, pointing out that keeping his insurance company happy may make them more likely to cover additional treatments in the future", "C": "Tell the patient that proton beam therapy will not be covered by his insurance company, so you will need to proceed with traditional radiation therapy", "D": "Discuss the issue of cost to the insurer with your patient, relaying the company's request to him without making further commentary or recommendation", "E": "Call your hospital's ethics committee for a formal consultation" }

A

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Managing and minimizing conflicts of interest", "Give top priority to patient’s interest in conflict of interests" ]

medbullets

5

20,491

A longstanding patient of yours has been hospitalized for a week with pneumonia. You have taken care of her while she was in the hospital. At the end of her hospitalization, she tells you how grateful she is for your care and gives you a small gift basket with homemade food, which you accept. However, when you get home, you realize that the basket also contains a $250 gift certificate to an expensive restaurant. Which of the following is an appropriate response to this situation?

{ "A": "Return both the food and gift certificate because it is never acceptable to take gifts from patients", "B": "Keep both the food and gift certificate", "C": "Report the gifts to your hospital ethics committee", "D": "Keep the food, but return the gift certificate", "E": "Return the gift certificate for cash, and donate the cash to the hospital's free clinic" }

D

[ "Maintain a professional relationship with patients and their relatives", "Managing and minimizing conflicts of interest" ]

medbullets

5

20,492

A 65-year-old male is referred by his primary care physician to your general surgery clinic for further work-up and assessment of a right inguinal hernia. While you are obtaining the patient's history, he embarks on a lengthy diatribe voicing his dissatisfaction with the care he is receiving from his primary care physician. Specifically, he believes that his diabetes medications are being mismanaged and is frustrated with the lengthy wait times he experiences prior to office visits. Which of the following is the most appropriate action or response?

{ "A": "Agree with the patient that his diabetes is being poorly managed and suggest that the patient bring up the topic at his next appointment", "B": "Acknowledge the patient's frustration and suggest that he express his concerns directly to his primary care physician", "C": "Tactfully disregard the patient's complaints and continue with the interview; contact the primary care physician at a later date to alert him/her to their patient's dissatisfaction", "D": "Evaluate the patient's current regimen of diabetes medications and make changes as you see necessary", "E": "Suggest that the patient transfer his care to another primary care physician" }

B

[ "Give top priority to patient’s interest in conflict of interests" ]

medbullets

5

20,493

A 16-year-old male presents to the cardiologist after passing out during a basketball practice. An echocardiogram confirmed the diagnosis of hypertrophic cardiomyopathy. The cardiologist advises that a pacemaker must be implanted to prevent any further complications and states the player cannot play basketball anymore. Unfortunately, the coach objects to sidelining the player since a big game against their rivals is next week. The coach asks if the pacemaker can be implanted after the game, which of the following steps should the physician take?

{ "A": "Recommend to the legal guardian that the player stop playing and have the procedure performed", "B": "Postpone the procedure so the patient can play", "C": "Perform the procedure immediately so that both the physician and coach's wishes may be fulfilled", "D": "Allow the patient to play and schedule a follow up after the game", "E": "Allow the patient to make the decision regarding his health" }

A

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Give top priority to patient’s interest in conflict of interests", "Prevent patient from harm" ]

medbullets

5

20,494

A 27-year-old male presents for emergency surgery to reattach his left arm, severed during a high-speed car accident, and has lost significant amounts of blood. His wife arrives within minutes to the hospital exclaiming that under no circumstance should he receive any blood transfusions during surgery. After reviewing his medical chart, you see also see an annotation indicating no blood transfusions for religious reasons. Knowing that he needs a blood transfusion to save his life, what do you do?

{ "A": "Administer a blood transfusion to save the patient's life", "B": "Respect the patient's written instructions and do not adminster a blood transfusion", "C": "Call the ethics board of the hospital to discuss the issue", "D": "Convince the wife to administer a blood transfusion to her husband", "E": "Refuse to treat the patient as he will die without a blood transfusion" }

B

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]

medbullets

5

20,495

A 15-year-old child with hepatosplenomegaly, fever, and fatigue is referred to oncology. The physician highly suspects acute lymphoblastic leukemia after confirming the accumulation of CD19 and CD79a positive lymphoblasts in the bone marrow. The physician informs the parents about the diagnosis, and they approve of the treatment plan. Later, when the physician is alone with the patient, the patient directly asks what will happen to him. How should the physician respond?

{ "A": "“Do not worry, your parents and I will be taking good care of you.”", "B": "“I will let your parents tell you about it.”", "C": "“You will need to receive treatment for cancer.”", "D": "“You are sick and will need to take some medicine to get better.”", "E": "“What do you think is going on right now?”" }

E

[ "Maintain truthful, factual communication", "Maintain a professional relationship with patients and their relatives", "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]

medbullets

5

20,496

A 76-year-old female is brought to the emergency department for altered mental status. She is accompanied by a nurse from her nursing home. The nurse says that usually the patient is interactive even though she is sometimes forgetful. In the last two days, the patient has been increasingly lethargic and doesn’t respond to the staff’s questions. She also has not been able to get up and use the restroom so the staff has had to change multiple soiled sheets. Her temperature is 102.1°F (38.9°C), blood pressure is 100/74 mmHg, pulse is 120/min, and respirations are 24/min. The patient is combative on arrival but can be subdued with reorientation by the care team. She is not oriented to person, place, or time. Urinalysis shows positive leukocyte esterase and nitrites. Urine culture grows >100,000 CFU of E. coli. The physician team would like to consent this patient for a Foley catheter. Which of the following is the best assessment of the patient’s capacity to make healthcare decisions?

{ "A": "The patient does not have capacity to make decisions", "B": "Capacity cannot be determined at this time", "C": "The patient’s family should be contacted to evaluate her capacity", "D": "The hospital ethics board should be consulted", "E": "The patient does have capacity to make decisions" }

B

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Respect the decision-making of incompetent/competent patient " ]

medbullets

5

20,497

A 42-year-old man presents to a primary care physician to establish care after moving with his family across the country. His past medical history is significant for alcohol and opioid use disorder though he is not currently on any maintenance medications. He admits during the interview that he recently started using cocaine but has been hiding it from his family because he does not want them to be upset. After the visit, the physician receives a phone call from the patient's wife who says that she is extremely worried about her husband who she thinks had an appointment earlier in the day. She says that he has been disappearing randomly in the middle of the night and is passed out on the couch every morning. She is worried that he will have a negative impact on their pre-teen son and daughter. She requests a meeting with the physician to discuss a strategy for modifying his destructive behavior. Which of the following is the most appropriate response for the physician to give at this point?

{ "A": "\"I am concerned about this issue but cannot intervene without your husband's consent.\"", "B": "\"I believe we should set up an in person meeting with all 3 of us to discuss this issue.\"", "C": "\"I cannot discuss your husband's care without his permission but you could speak with him directly about your concerns.\"", "D": "\"I cannot say whether or not your husband is a patient of this clinic but you could speak with him directly about your concerns.\"", "E": "\"I will address this issue with your husband at his next visit but you could speak with him directly about your concerns in the interim.\"" }

D

[ "Keep confidential of patient’s information" ]

medbullets

5

20,498

A 26-year-old patient presents to your office with rhinorrhea that you believe to be viral in origin. He respectfully requests treatment with antibiotics, and he demonstrates an understanding of the risks, benefits, and alternatives to treatment. His mental status is intact, and you believe him to have full decision-making capacity. Which of the following is the best course of action?

{ "A": "Deny the patient's request", "B": "Prescribe amoxicillin", "C": "Prescribe zidovudine", "D": "Refer the patient to an infectious disease specialist", "E": "Prescribe ciprofloxacin" }

A

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Make responsible and independent clinical judgement ", "Prevent patient from harm" ]

medbullets

5

20,499

A healthy, 16-year-old girl is brought in by her mother for a wellness visit. During the appointment, the patient’s mother brings up concerns about her daughter’s acne. The patient has had acne for 2 years. She washes her face twice a day with benzoyl peroxide and has been on doxycycline for 2 months with only mild improvement. The patient does not feel that the acne is related to her menstrual cycles. The patient’s mother states she does well in school and is the captain of the junior varsity cross-country team. She is worried that the acne is starting to affect her daughter’s self-esteem. The patient states that prom is coming up, and she is considering not going because she hates taking pictures. Upon physical exam, there are multiple open and closed comedones and scattered, red nodules on the patient’s face with evidence of scarring. The patient’s mother says her neighbor’s son tried isotretinoin and wants to know if that may work for her daughter. While talking about the risk factors for isotretinoin, you mention that patient will need to be on 2 forms of birth control. The mother asks, “Is that really necessary? We are a very religious family and my daughter knows our household rule about no sex before marriage.” Which of the following is the next step in management?

{ "A": "Have the patient take a pregnancy test to prove abstinence", "B": "Ask the mother to leave the room before talking to the patient about her sexual activity", "C": "Prescribe the isotretinoin after giving the patient a handout about birth control methods", "D": "Prescribe the isotretinoin as the patient does not need additional contraception if she is abstinent", "E": "Talk to patient and mother about patient’s sexual activity, since parental permission is needed for isotretinoin" }

B

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]

medbullets

5

20,500

A 81-year-old man presents to his cardiologist for ongoing management of mild heart failure. He has not had any changes in his cardiac function status and says that he is tolerating lisinopril without any major side effects. During the course of the visit, the patient says that he is unhappy with his urologist because he has been experiencing episodes of dizziness after starting prazosin for benign prostatic hyperplasia. He says that he feels these episodes were caused by malpractice on his urologist's behalf and is considering a lawsuit against his urologist. Which of the following is the most appropriate course of action for the cardiologist?

{ "A": "Call the urologist and warn him of an impending lawsuit", "B": "Call the urologist to convey the patient's dissatisfaction", "C": "Encourage the patient to speak with his urologist directly", "D": "Contact his insurance agent to discuss possible risks", "E": "Sympathize with the patient's desire for a lawsuit" }

C

[ "Respect and Cooperate with colleagues" ]

medbullets

5

20,501

You are a resident in the surgical ICU. One of the patients you are covering is a 35-year-old pregnant G1P0 in her first trimester admitted for complicated appendicitis and awaiting appendectomy. Your attending surgeon would like you to start the patient on moxifloxacin IV preoperatively. You remember from your obstetrics clerkship, however, that moxifloxacin is Pregnancy Category C, and animal studies have shown that immature animals exposed to flouroquinolones like moxifloxicin may experience cartilage damage. You know that there are potentially safer antibiotics, such as piperacillin/tazobactam, which is in Pregnancy Category B. What should you do?

{ "A": "Administer piperacillin/tazobactam instead of moxifloxacin without discussing with the attending since your obligation is to \"first, do no harm\" and both are acceptable antibiotics for complicated appendicitis.", "B": "Administer moxifloxacin since it is only Pregnancy Category C and, although studies may have revealed adverse effects in animals, there is no definite evidence that it causes risk in humans.", "C": "Administer moxifloxacin since the attending is the executive decision maker and had to know the patient was pregnant when deciding on an antibiotic.", "D": "Wait to administer any antibiotics until you discuss your safety concerns with your attending.", "E": "Discuss the adverse effects of each antibiotic with the patient, and then let the patient decide which antibiotic she would prefer." }

D

[ "Prevent patient from harm" ]

medbullets

5

20,502

You are the team physician for an NBA basketball team. On the morning of an important playoff game, an EKG of a star player, Mr. P, shows findings suspicious for hypertrophic cardiomyopathy (HCM). Mr. P is an otherwise healthy, fit, professional athlete.The playoff game that night is the most important of Mr. P's career. When you inform the coach that you are thinking of restricting Mr. P's participation, he threatens to fire you. Later that day you receive a phone call from the owner of the team threatening a lawsuit should you restrict Mr. P's ability to play. Mr. P states that he will be playing in the game "if it's the last thing I do."Which of the following is the most appropriate next step?

{ "A": "Educate Mr. P about the risks of HCM", "B": "Call the police and have Mr. P arrested", "C": "Allow Mr. P to play against medical advice", "D": "Consult with a psychiatrist to have Mr. P committed", "E": "Schedule a repeat EKG for the following morning" }

A

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]

medbullets

5

20,503

A 78-year-old woman is brought to the emergency ward by her son for lethargy and generalized weakness. The patient speaks in short utterances and does not make eye contact with the provider or her son throughout the interview and examination. You elicit that the patient lives with her son and daughter-in-law, and she reports vague weakness for the last couple days. The emergency room provider notices 3-4 healing bruises on the patient's upper extremities; otherwise, examination is not revealing. Routine chemistries and blood counts are unremarkable; non-contrast head CT demonstrates normal age-related changes. Which of the following is the most appropriate next step in management?

{ "A": "Perform lumbar puncture", "B": "Ask the patient's son to leave the room", "C": "Question the patient's son regarding the home situation", "D": "Question the patient regarding abuse or neglect", "E": "Call Adult Protective Services to report the patient's son" }

B

[ "Respect life, dignity of patients", "Prevent patient from harm" ]

medbullets

5

20,504

Last night you admitted a 72-year-old woman with severe COPD in respiratory distress. She is currently intubated and sedated and her family is at bedside. At the completion of morning rounds, the patient's adult son asks that you and the team take a minute to pray with him for his mother. What is the most appropriate response?

{ "A": "\"I understand what you are experiencing and am happy to take a minute.\"", "B": "\"I'm sorry, but this is a public hospital, so we cannot allow any group prayers.\"", "C": "\"I also believe in the power of prayer, so I will pray with you and insist that the rest of team joins us.\"", "D": "\"While I cannot offer you my prayers, I will work very hard to take care of your mother.\"", "E": "\"I don't feel comfortable praying for patients, but I will happily refer you to pastoral care.\"" }

A

[ "Respect life, dignity of patients", "Maintain a professional relationship with patients and their relatives" ]

medbullets

5

20,505

A 16-year-old Hasidic Jewish woman presents to a gynecologist accompanied by her mother, requesting a "check-up." As the physician escorts the mother out of the examination room, the mother asks the physician to ensure that the patient does not become sexually active before marriage, as this is strictly forbidden in their religion. When interviewed alone, the patient shares that she has been dating someone and had unprotected sexual intercourse 2 days ago for the first time. She denies any interest in marrying or having children in the future and hopes to attend college instead. She requests treatment for emergency contraception as well as to prevent pregnancy in the future and requests that you do not tell anyone about it. After testing for sexually transmitted infections, which of the following is the most appropriate action at this time?

{ "A": "Obtain consent from the patient's mother, then insert a progestin intrauterine device", "B": "Obtain consent from the patient's mother, then prescribe a combination progestin and ethinyl estradiol pill", "C": "Obtain consent from the patient, then prescribe a mifepristone pill", "D": "Obtain consent from the patient, then insert a copper intrauterine device", "E": "Schedule a meeting with the patient and her mother next week to discuss available options" }

D

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Keep confidential of patient’s information" ]

medbullets

5

20,506

A 15-year-old female presents to her family physician for an annual school physical exam and check-up. She is accompanied by her mother to the visit and is present in the exam room. The patient has no complaints, and she does not have any past medical problems. She takes no medications. The patient reports that she remains active, exercising 5 times a week, and eats a healthy and varied diet. Which of the following would be the best way for the physician to obtain a more in-depth social history, including sexual history and use of alcohol, tobacco, or recreational drugs?

{ "A": "Ask the patient the questions directly, with her mother still in the exam room", "B": "Give the patient a social history questionnaire to fill out in the exam room", "C": "Ask the mother to step outside into the hall for a portion of the visit", "D": "Speak softly to the patient so that the mother does not hear and the patient is not embarrased", "E": "Disallow the mother to be present in the examination room throughout the entirety of the visit" }

C

[ "Respect life, dignity of patients", "Keep confidential of patient’s information" ]

medbullets

5

20,507

A 62-year-old man comes to his primary care physician with a 3-month history of insomnia and severe work anxiety. He says that he is unable to retire because he has no financial resources; however, the stress level at his work has been causing him to have worsening performance and he is afraid of being fired. He thinks that he would be able to resume work normally if he was able to decrease his level of anxiety. His physician prescribes him a trial 1-month regimen of benzodiazepine therapy and schedules a follow-up appointment to see whether this treatment has been effective. Three weeks later, the patient's wife calls and says "My husband was fired from work and it's your fault for prescribing that medication! I know he must have been taking too much of that drug. Don't you know that he had a horrible problem with drug abuse in his 30s?" Which of the following is the most appropriate first action for the physician to take?

{ "A": "Contact the patient directly to discuss the situation", "B": "Contact the physician's medical practice insurance company regarding a potential claim", "C": "Discharge the patient for inappropriate use of medication", "D": "Inform the patient's wife that this information cannot be accepted because of HIPAA", "E": "Refer the patient to a substance abuse program" }

A

[ "Maintain a professional relationship with patients and their relatives", "Keep confidential of patient’s information", "Prevent patient from harm" ]

medbullets

5

20,508

A 79-year-old male presents to your office for his annual flu shot. On physical exam you note several linear bruises on his back. Upon further questioning he denies abuse from his daughter and son-in-law, who live in the same house. The patient states he does not want this information shared with anyone. What is the most appropriate next step, paired with its justification?

{ "A": "Breach patient confidentiality, as this patient's care should be discussed with the daughter as she is his primary caregiver", "B": "Do not break patient confidentiality, as this would potentially worsen the situtation", "C": "Breach patient confidentiality, as this patient is a potential victim of elder abuse and that is always reportable", "D": "Do not break patient confidentiality, as elder abuse reporting is not mandatory", "E": "See the patient back in 2 weeks and assess whether the patient's condition has improved, as his condition is not severe" }

C

[ "Keep confidential of patient’s information", "Prevent patient from harm" ]

medbullets

5

20,509

A 29-year-old man develops dysphagia after sustaining a stroke secondary to a patent foramen ovale. He is only able to swallow thin liquids. He has lost 10 pounds because of limited caloric intake. The medical team recommends the placement of a feeding tube, but the patient declines. The patient also has a history of major depressive disorder with psychotic features, for which he has been treated with fluoxetine. He is alert and oriented to person, place, time and situation. He denies any visual or auditory hallucinations, suicidal ideation, guilt, or sadness. He can articulate to the team the risks of not placing a feeding tube, including aspiration, malnutrition, and even death, after discussion with his medical team. The medical team wishes to place the feeding tube because the patient lacks capacity given his history of major depressive disorder with psychotic features. Which of the following is true regarding this situation?

{ "A": "The patient lacks capacity and the feeding tube should be placed", "B": "The patient lacks capacity and his healthcare proxy should be contacted regarding placement of a feeding tube", "C": "The patient lacks capacity and the state should determine whether to place the feeding tube", "D": "The patient has capacity and may deny placement of the feeding tube", "E": "The hospital ethics committee should determine whether to place the feeding tube" }

D

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Respect the decision-making of incompetent/competent patient " ]

medbullets

5

20,510

A 2-week-old infant is brought to the pediatrician for the first time by his parents. His mother received regular prenatal care and the child was born at home under the guidance of a midwife and a doula. The child appears well. The parents tell you they do not plan to have their child receive any vaccines. After a discussion regarding the risks and benefits of vaccines, the parents are still adamant in their wishes to forgo. Which of the following is the most appropriate course of action?

{ "A": "Document the visit, specifically the detailing of risks and benefits and the parents' refusal of treatment", "B": "Refuse to continue to care for the child", "C": "Seek a court order to deliver the vaccines against the wishes of the parents", "D": "Give any scheduled vaccines during that visit against the will of the parents", "E": "Call child protective services" }

A

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]

medbullets

5

20,511

A 9-year-old girl has recently begun having daily staring-spells in which she becomes unresponsive for several seconds. Following these episodes, she rapidly returns to normal with no recollection of the event. Her performance in school has begun to deteriorate. The child's pediatrician refers her to a pediatric neurologist, and, after an appropriate neurological work-up, the child is diagnosed with absence seizures. Her neurologist recommends initiating an anti-seizure medication, but the patient adamantly refuses due to fear of side effects and her belief that the condition is not affecting her quality of life. Which of the following is the most appropriate next step?

{ "A": "Do not initiate therapy at this time", "B": "Prescribe a long acting depot medication", "C": "Discuss the patient's school performance with her teachers", "D": "Obtain consent from one parent before initiating therapy", "E": "Obtain consent from both parents before initiating therapy" }

D

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]

medbullets

5

20,512

A 35-year-old woman with no significant past medical history is brought in by ambulance after a major motor vehicle collision. Temperature is 97.8 deg F (36.5 deg C), blood pressure is 76/40, pulse is 110/min, and respirations are 12/min. She arouses to painful stimuli and makes incomprehensible sounds, but is unable to answer questions. Her abdomen is distended and diffusely tender to palpation. Bedside ultrasound shows blood in the peritoneal cavity. A visitor rushes to the bedside and states the patient is a Jehovah’s Witness and will refuse blood products. No documentation of blood refusal is available for the patient. What is the most appropriate next step in management?

{ "A": "Attempt to contact the patient’s parents for additional collateral information", "B": "Consult the hospital ethics committee", "C": "Administer blood products", "D": "Observe and reassess mental status in an hour to see if patient can consent for herself", "E": "In accordance with the husband's wishes, do not transfuse any blood products" }

C

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Make responsible and independent clinical judgement " ]

medbullets

5

20,513

A critically ill 88-year-old man who has been admitted to the intensive care unit for 2 weeks with end-stage cancer undergoes a full resuscitation effort after a cardiac arrest occurring overnight. After the event, the patient's family is angry, stating that the patient did not want to be resuscitated and had signed Do Not Resuscitate (DNR) orders the morning before the event. Later, it is revealed that the resident who had gone over the DNR paperwork placed the paperwork in the chart but did not otherwise document the orders or inform the night resident. Which is the best way to prevent a similar future error?

{ "A": "Calling the patient's family prior to resuscitation", "B": "Providing feedback to the morning resident about better communication", "C": "Establishing a policy not to resuscitate terminally ill patients over age 80", "D": "Creating a sign-out checklist that includes DNR status", "E": "Teaching all residents where to look for DNR paperwork in the electronic medical record (EMR)" }

D

[ "Prevent patient from harm" ]

medbullets

5

20,514

One of these is true about Medical Ethics:

{ "A": "The system of values common to medical profession", "B": "Two of the above", "C": "By which physician evaluate their relationship with their patients and society", "D": "It's the same as legal obligations", "E": "" }

B

[ "Respect life, dignity of patients", "Recognize the responsibility, dignity, honesty, integrity of the occupation" ]

proprfs

4

20,515

One of these is NOT true about Professional Ethics:

{ "A": "Apply to people who occupy a professional occupation", "B": "Helps to self regualtion", "C": "It includes medical ethics", "D": "Understanding moral aspects of biomedical research and health care", "E": "" }

D

[ "Ethical research", "Recognize the responsibility, dignity, honesty, integrity of the occupation" ]

proprfs

4

20,516

The essential elements of good standards of practice and care of doctors are all of these EXCEPT:

{ "A": "Expertise", "B": "Work in a healthy environment", "C": "Good relationships with patients and colleagues", "D": "Observance of professional ethical obligations", "E": "" }

B

[ "Maintain truthful, factual communication" ]

proprfs

4

20,517

One of these is a goal of Medicine:

{ "A": "Promote disease", "B": "Prevent health", "C": "Privacy", "D": "Avoid harm", "E": "" }

D

[ "Respect life, dignity of patients", "Prevent patient from harm" ]

proprfs

4

20,518

Aims of medical ethics include all of these EXCEPT:

{ "A": "Teach physicians to recognize the humanistic and moral aspects of medical careers", "B": "To deny physicians of examine and affirm their own personal and professional moral commitments", "C": "Equip physicians with a foundation of legal knowledge", "D": "Equip young students and physicians of sound character", "E": "" }

B

[ "Recognize the responsibility, dignity, honesty, integrity of the occupation", "Comply with laws and regulations" ]

proprfs

4

20,519

Hippocratic oath includes:

{ "A": "Maintain professional secrecy", "B": "Risk should not exceeds benefits", "C": "Honesty with patients and colleagues", "D": "Right to medical care of good quality", "E": "" }

A

[ "Maintain truthful, factual communication", "Keep confidential of patient’s information" ]

proprfs

4

20,520

The declaralation that updated the Hippocrates oath is:

{ "A": "Oslo", "B": "Geneva", "C": "Venice", "D": "World Medical Associations", "E": "" }

B

[ "Recognize the responsibility, dignity, honesty, integrity of the occupation" ]

proprfs

4

20,521

All of these are TRUE about the declaration of Helsinki EXCEPT:

{ "A": "Governs biomedical research", "B": "The patient should not be involved in clinical trial", "C": "Risk should not exceeds benefits", "D": "Informed consent is required", "E": "" }

B

[ "Ethical research", "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]

proprfs

4

20,522

All of these rights are included in the declaration of Lisbon EXCEPT:

{ "A": "Right to self-determination", "B": "Right to medical care of good quality", "C": "Right to freedom of choice", "D": "Right to compulsory treatment", "E": "" }

D

[ "Respect life, dignity of patients", "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]

proprfs

4

20,523

It's necessary to study the question of the time of death further because of all of these EXCEPT:

{ "A": "The ability to maintain the circulation of oxygenated blood through tissues", "B": "Patients family should know the accurate time of his death", "C": "The use of cadaver organs for transplantation", "D": "Because it's a legal responsibility of the physician", "E": "" }

B

[ "Respect life, dignity of patients", "Comply with laws and regulations" ]

proprfs

4

20,524

Those are all principles should be approved when abortion EXCEPT:

{ "A": "Should be preformed only as a therapeutic measure", "B": "Should be approved in writing by a one doctor chosen for his professional competence", "C": "Should be performed by a doctor competent to do", "D": "Should be preformed in premises approved by the appropriate authority", "E": "" }

B

[ "Comply with laws and regulations", "Provide professional medical care to patients" ]

proprfs

4

20,525

We need Medical ethics because all of these EXCEPT:

{ "A": "Practise of medicine and practice of ethics are inseparable", "B": "To Breach of legal obligations", "C": "Every clinical decision invokes an ethical decision", "D": "In many instances the ethical issue may not be readily apparent", "E": "" }

B

[ "Respect life, dignity of patients", "Recognize the responsibility, dignity, honesty, integrity of the occupation", "Comply with laws and regulations" ]

proprfs

4

20,526

The correct about Ethical and Legal obligations is:

{ "A": "Breach of ethical obligation may be used to prove medical negligence", "B": "Breach of ethical obligation mean breach of law", "C": "Medical ethics and that law are the same and often help define each other", "D": "Two of the above", "E": "" }

A

[ "Comply with laws and regulations" ]

proprfs

4

20,527

When a doctor breaks the Hippocratic oath this mean:

{ "A": "He will be directly punished for this", "B": "Two of the above", "C": "He may lose the right to practice medicine", "D": "It's the same as malpractice and he will take a wide range of punishments", "E": "" }

B

[ "Recognize the responsibility, dignity, honesty, integrity of the occupation", "Report unethical and unprofessional conduct" ]

proprfs

4

20,528

If a patient in india told you that he don't need transfered blood for religious reasons after you told him that he will die without it, you should do in this case:

{ "A": "You should compulsory transfer blood to him", "B": "You should respect his want", "C": "You should tell his family about his situation", "D": "You should keep advising him and if he refused you should kill him that idiot :D", "E": "" }

B

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Respect the decision-making of incompetent/competent patient " ]

proprfs

4

20,529

Dumping of patients is considered to be:

{ "A": "Is a federal offense", "B": "Is acceptable when it affects the hospitals profits", "C": "Completely acceptable", "D": "Can be done if the hospital administrator approves it", "E": "" }

A

[ "Respect life, dignity of patients", "Comply with laws and regulations", "Provide professional medical care to patients" ]

proprfs

4

20,530

Physicians have the right to refuse treatment to patients in non-emergency patients.

{ "A": "True", "B": "False", "C": "", "D": "", "E": "" }

A

[ "Treat patients fairly and equally" ]

proprfs

2

20,531

Physicians have the right to withdraw from caring for a patient for whatever reason.

{ "A": "False", "B": "True", "C": "", "D": "", "E": "" }

A

[ "Provide professional medical care to patients" ]

proprfs

2

20,532

If a physician withdraws from care of a patient without notice, this action may result in:

{ "A": "Abandoment charges", "B": "False imprinsoment charges", "C": "Nothing, the physician may withdraw from care as is best fit for he/she", "D": "Nothing, it is the patient respinsibility to find care", "E": "" }

A

[ "Prevent patient from harm", "Provide professional medical care to patients" ]

proprfs

4

20,533

The following disease is considered reportable to the state department of health:

{ "A": "Herpes", "B": "Common cold", "C": "AIDS", "D": "UTI", "E": "" }

C

[ "Comply with laws and regulations", "Promote the health of community and public education" ]

proprfs

4

20,534

A 22 year old patient comes in for lab results. The HIV test is positive. She tells you anxiously not to notify her husband because he will kill her. The patient also tells you that she was on vacation with some friend a few months ago in the Caribbean, and had several sexual partners. What is the next best step?

{ "A": "Honor the patients confidentiality", "B": "Call her husband right away", "C": "Persuade the patient to tell her partner", "D": "Call the department of health", "E": "" }

C

[ "Keep confidential of patient’s information", "Prevent patient from harm" ]

proprfs

4

20,535

To properly identify patients you should in a healthcare setting you should:

{ "A": "Have patient state their name and date of birth", "B": "Ask the date of birth", "C": "Ask their address", "D": "Ask his or her name", "E": "" }

A

[ "Respect life, dignity of patients", "Maintain truthful, factual communication" ]

proprfs

4

20,536

Abandonment may be avoided by

{ "A": "Writing to another doctor about the case", "B": "Giving informal notice of withdrawal from a case", "C": "Declaring the patient indigent", "D": "Giving formal notice of withdrawal from a case", "E": "" }

D

[ "Provide professional medical care to patients" ]

proprfs

4

20,537

Minor children may receive life-saving treatment

{ "A": "Even though the parents refuse", "B": "If they choose to receive it", "C": "When grandparents override the wishes of the parents", "D": "If it is profitable for the hospital", "E": "" }

A

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Give top priority to patient’s interest in conflict of interests" ]

proprfs

4

20,538

The adult patient has a right to

{ "A": "Expect the appropriate standard of care", "B": "Deny any treatment", "C": "All of the above", "D": "Have his or her medical information protected", "E": "" }

C

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Keep confidential of patient’s information" ]

proprfs

4

20,539

The patient's signature on an informed consent form indicates

{ "A": "Understanding of the limits or risks in the pending treatment", "B": "Expressed consent", "C": "All of the above", "D": "Understanding of the treatment options", "E": "" }

C

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]

proprfs

4

20,540

Patients who indicate by their behavior that they will accept a procedure are providing

{ "A": "Expressed consent", "B": "Implied consent", "C": "Informed consent", "D": "", "E": "" }

B

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]

proprfs

3

20,541

Performing a wrong and illegal act is considered (such as practicing without a license)

{ "A": "Malfeasance", "B": "Nonfeasance", "C": "Misfeasance", "D": "This is acceptable if done occasionally", "E": "" }

A

[ "Recognize the responsibility, dignity, honesty, integrity of the occupation", "Comply with laws and regulations" ]

proprfs

4

20,542

A single 16 year old female patient becomes pregnant with her boyfriend. The patient presents to the clinic for her first prenatal appointment. She lives with her mother. She is unemployed and is a student at the local high school. Which of the following statements is most accurate about this patient?

{ "A": "She is a emancipated minor", "B": "Is considered a mature minor for this appointment", "C": "Needs consent before her prenatal appointment", "D": "None of these", "E": "" }

B

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]

proprfs

4

20,543

Parental consent is required in this case:

{ "A": "A minor in nonemergency cases", "B": "An 18 year old who is single", "C": "A 16 year old in the military who is self supporting", "D": "A married 18 year old", "E": "" }

A

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Respect the decision-making of incompetent/competent patient " ]

proprfs

4

20,544

Which of the following is not a reportable communicable disease?

{ "A": "HIV", "B": "Chicken pox", "C": "Tuberculosis", "D": "All of these are reportable", "E": "" }

B

[ "Comply with laws and regulations" ]

proprfs

4

20,545

THE WITHDRAWAL OF A pHYSICIAN FROM THE CARE OF A PATIENT WITHOUT REASONABLE NOTICE OF SUCH DISCHARGE FROM THE CASE BY THE PATIENT IS?

{ "A": "CONTRACT", "B": "REASONABLE CARE", "C": "NEGLIGENCE", "D": "ABANDONMENT", "E": "" }

D

[ "Maintain a professional relationship with patients and their relatives", "Prevent patient from harm", "Provide professional medical care to patients" ]

proprfs

4

20,546

THE HEALTH WORKER IS PROTECTED BY LAW IF IT CAN BE DETERMINED THAT HE OR SHE ACTED REASONABLE AS COMPARED WITH FELLOW WORKERS. THIS IS CALLED?

{ "A": "RESPONDEAT SUPERIOR", "B": "REASONABLE CARE", "C": "DUTY OF CARE", "D": "STATUTE", "E": "" }

B

[ "Comply with laws and regulations", "Provide professional medical care to patients" ]

proprfs

4

20,547

PERMISSION GRANTED BY A PERSON VOLUNTARILY AND IN HIS RIGHT MIND IS?

{ "A": "DUTY OF CARE", "B": "LITIGATION", "C": "BREACH", "D": "CONSENT", "E": "" }

D

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Respect the decision-making of incompetent/competent patient " ]

proprfs

4

20,548

A PATIENT'S FAILURE TO ACT PRUDENTLY & REASONABLY, OR DOING THAT WHICH A REASONABLE PERSON WOULD NOT DO UNDER SIMILIAR CIRCUMSTANCES IS CALLED?

{ "A": "CONTRIBUTORY NEGLIGENCE", "B": "ASSUMPTION OF RISK", "C": "BREACH OF DUTY", "D": "NO CORRECT ANSWER", "E": "" }

A

[ "Prevent patient from harm" ]

proprfs

4

20,549

CONSENT TO TREATMENT BASED ON A FULL UNDERSTANDING OF ALL POSSIBLE RISKS OF UNPREVENTABLE RESULTS OF THAT TREATMENT IS CALLED?

{ "A": "CONTRIBUTORY NEGLIGENCE", "B": "FRAUD", "C": "PROXIMATE CAUSE", "D": "ASSUMPTION OF RISK", "E": "" }

D

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice" ]

proprfs

4

20,550

WHAT LICENSE MUST A pHYSICIAN HAVE TO DISPENSE, PRESCRIBE OR ADMINISTER CONTROLLED SUBSTANCES?

{ "A": "LAWYERS", "B": "BUSINESS", "C": "NARCOTIC", "D": "OCCUPATIONAL", "E": "" }

C

[ "Comply with laws and regulations" ]

proprfs

4

20,551

UNAUTHORIZED DISCLOSURE OF INFORMATION REGARDING ANY PATIENT TO A THIRD PARTY MAY RESULT IN?

{ "A": "CIVIL LAW LIABILITY", "B": "MEDICAL LIABILITY", "C": "INVASION OF PRIVACY", "D": "DEFAMATION OF CHARACTER", "E": "" }

C

[ "Keep confidential of patient’s information" ]

proprfs

4

20,552

An example of sexual abuse is:

{ "A": "A medical employee that yells at a patient.", "B": "Not checling on a patient.", "C": "A medical employee that shows a resident a pornographic magazine.", "D": "Leaving a patient on the toilet and not helping them clean up.", "E": "" }

C

[ "Respect life, dignity of patients", "Maintain a professional relationship with patients and their relatives", "Prevent patient from harm" ]

proprfs

4

20,553

What is Applied ethics?

{ "A": "Analysis of specific controversial moral issues", "B": "Study of origin and meaning", "C": "Right and wrong", "D": "Medical dilemmas", "E": "" }

A

[ "Recognize the responsibility, dignity, honesty, integrity of the occupation" ]

proprfs

4

20,554

Written codes of ethics for health care practitioners was primarily evolved to serve as moral guidelines for those who provide care to the sick?

{ "A": "False", "B": "True", "C": "", "D": "", "E": "" }

B

[ "Recognize the responsibility, dignity, honesty, integrity of the occupation", "Provide professional medical care to patients" ]

proprfs

2

20,555

The Hippocratic oath is a pledge for physicians that remains influential today?

{ "A": "False", "B": "True", "C": "", "D": "", "E": "" }

B

[ "Respect life, dignity of patients", "Recognize the responsibility, dignity, honesty, integrity of the occupation" ]

proprfs

2

20,556

Hospitals are immune from losses brought by patients?

{ "A": "True", "B": "False", "C": "", "D": "", "E": "" }

B

[ "Comply with laws and regulations", "Prevent patient from harm" ]

proprfs

2

20,557

Fill In: the doctering that is latin for let the master answer?

{ "A": "Respondant superior", "B": "False claims act", "C": "Co-payment", "D": "Licensure", "E": "" }

A

[ "Recognize the responsibility, dignity, honesty, integrity of the occupation" ]

proprfs

4

20,558

Truth brought under the factor most related to the health care and defense industry?

{ "A": "Co-payment", "B": "Respondant superior", "C": "False claims act", "D": "Licensure", "E": "" }

C

[ "Comply with laws and regulations" ]

proprfs

4

20,559

The mandatory process established by law and required by certain health care practitioners?

{ "A": "Co-payment", "B": "Licensure", "C": "Respondant superior", "D": "False claims act", "E": "" }

B

[ "Comply with laws and regulations" ]

proprfs

4

20,560

Correct the statement: A physician is or is not obligated to effect the recovery with each patient?

{ "A": "Is", "B": "Is not", "C": "", "D": "", "E": "" }

B

[ "Respect life, dignity of patients", "Provide professional medical care to patients" ]

proprfs

2

20,561

A physician is or is not obligated to use due care skills and diligence in treating patients?

{ "A": "Is", "B": "Is not", "C": "", "D": "", "E": "" }

A

[ "Maintain qualified when providing medical care", "Prevent patient from harm", "Provide professional medical care to patients" ]

proprfs

2

20,562

A physician is or is not obligated to know allergic or advance or reverse reactions to medications reported by a specific patient?

{ "A": "Is not", "B": "Is", "C": "", "D": "", "E": "" }

B

[ "Prevent patient from harm", "Provide professional medical care to patients" ]

proprfs

2

20,563

A physician is or is not obligated to be a skilled specialist if he or she is a general practitioner?

{ "A": "Is", "B": "Is not", "C": "", "D": "", "E": "" }

B

[ "Maintain qualified when providing medical care" ]

proprfs

2

20,564

Hospitals are immune from lawsuits that fall in the formalized codes of ethics?

{ "A": "False", "B": "True", "C": "", "D": "", "E": "" }

A

[ "Comply with laws and regulations", "Managing and minimizing conflicts of interest" ]

proprfs

2

20,565

In what health care situation is and imply of consent not sufficient?

{ "A": "At a doctors appointment", "B": "At a nursing home", "C": "In an emergency or minor surgery", "D": "", "E": "" }

C

[ "Respect the patient’s rights to be informed, informed consent and freedom of choice", "Prevent patient from harm" ]

proprfs

3

20,566

HIPAA requires every health care provider to become 100% compliant?

{ "A": "True", "B": "False", "C": "", "D": "", "E": "" }

A

[ "Comply with laws and regulations" ]

proprfs

2