Ethics

Question 1

Ptn with cough want to do a surgery and the surgeon refused, then Ptn threatened to report the doctor, want should you do

Answer 1

Report the ptn to the administration

Question 2

Consultant ask resident to righ midication the the pharmacists said the ptn is allergic to penicillin, what to do

Answer 2

Refuse to write gently

Question 3

Child brought to hospital with multiple bruises, what to do

Answer 3

Inform child protection services

Question 4

Parents brought their child who was never vaccinated, what to do

Answer 4

Council them and convince thrm with its benifits

Question 5

Ptn in labor with fetal distress, you counciled her about the need of CS but she refused, what to do

Answer 5

Inform hospital ethics committee

Question 6

Ptn smoker with 2 previous normal children , doesn’t believe that smoking is harmful to the fetus, what to do

Answer 6

Council her and explain that it causes IUGR

Question 7

Case of elderly ptn , the surgeon wants to do the procedure while the anesthesiologist refused and said ptn cant handle it, what to do

Answer 7

Sign high risk consent

Question 8

Meningitis is suspected, son refused to give the father IV antibiotics, what to do

Answer 8

Ask the patient

Question 9

Elderly with end stage cancer, his children asked you to give him the double effect principal treatment ( strong analgesic but migh shorten life span ) what type of decision to follow

Answer 9

Decision of children

Question 10

Ptn asked about serogate pregnancy, what to do

Answer 10

Tell her its not allowed in your hospital and warn her that you think its not allowsed in this country

Question 11

Doctor advised a postmenopausal woamn the HRT is not good for her age but the ptn insist what ot do

Answer 11

Refuse to give it

Question 12

Couple came due to infertility issues, blood results are back and husban has HIV ,what to do

Answer 12

Inform both , or inform husband and goverment so they can inform the wife

Question 13

Elderly ptn with abdominal pain and cant urinate what to do

Answer 13

Folly catherter

Question 14

Baby with fetal congenital heart abnormalities that needs intubation to save his life , the mother is a physician at the same hospital and refused intubation what to do

Answer 14

Depend on the babys age. I think if more than 32 week then Do intubation anyway to save his life ( not sure )

Question 15

40 years old ptn has to do amputation but he refused, what to do

Answer 15

Let him sign against medical advice

Question 16

Girl came with child abuse, whats the proof

Answer 16

Hymen injury at 6 o’clock

Question 17

Smoker pregnant woman lost her fetus and started blaming herself what to do

Answer 17

Calm her down and tell her we are still investigating

Question 18

Ptn wants to take OCP

Answer 18

There must be a a mutual consentform both partners

Question 19

6 years old gorls came with her mother to the clinic the girl is underweight and bad hyagine , the mother said its hard to look after all of her kids ans shes from low socioeconomic class , what to do

Answer 19

Call social worker service

Question 20

Mother is worried about her asthmatic child so they dont leave the house be because the nebulizer works on electricity, what to do?

Answer 20

Advice her to buy portable nebulizer or educate her on using enhalers and stop nebulizer? Maybe it depends on the baby’s age

Question 21

Asthmatic child always come to ER with asthma attack because the father is smoking and carless what to do

Answer 21

Call child care services ,Tell hospital committee ?

Question 22

Couple came regarding surrogacy and you dont lnow if its allowed in the country, what to do

Answer 22

Give them another appointment and educate yourself anout it

Question 23

Doctor brings all these together ( diagnosis, plan, parents thoughts) waht is it called

Answer 23

Summrization

Question 24

Baby abnded by his mother was found in front of the hospital , after examination the baby found to have bi-inguinal hernia, from where to take consent

Answer 24

Consult hospital ethics committee

Question 25

Girl 8 yrs old with bald area on head. Mother says she keeps picking her hair due to exams and stress.
(trichotillomania) What medication will u give

Answer 25

Fluxitine ( SSRI )

Question 26

🌹2 mo infant is was found dead in his bed , was born with no complications, no medical illness ,mother denies any family hx of sudden death , what would you ask more about

Answer 26

Social history

Question 27

🍓Child with symptoms of ADHD( Attention Deficit Hyperactivity Disorder ) interrupting the class room and neighbor what is the treatment= dexmethylphenidate
**if the Child 6 years and older is methylphenidate
** If less than 6 years CBT
…..
🌹attention deficit hyperactivity disorder treat by = Methylphenidate

Answer 27

Ot sure