ethics

Question 1

who has precedence over the written advance decision

Answer 1

Power of attorney

Question 2

audit involves

Answer 2

systemic review of care against explicit criteria

Question 3

death when attempted resus observed for signs for a minimum of

Answer 3

5 mins

Question 4

how long need to check for signs of life if DNACPR in place

Answer 4

2 mins

Question 5

in certain situations can registered nurses verify death

Answer 5

yes

Question 6

what must be the case to confirm death

Answer 6

body temp over 35
no movements
no resp effort
no heart sounds or palpable pulses
no corneal reflex
pupils and fixed and dilated

Question 7

when do you use an ECG to confirm death

Answer 7

if tried to resus and it didnt work

Question 8

2nd point to have capacity

Answer 8

Patient believes the information to be true

Question 9

who can always provide consent for a child

Answer 9

biological mother

Question 10

when can a father consent for a child

Answer 10

if parents are married and father is the biological fatehr or if the father is named on the birth certificate ( irrespective of maritial status)

Question 11

consent form if pt has consciossnes

Answer 11

3

Question 12

adult lacks capacity for informed cosnent

Answer 12

consent form 4

Question 13

adult consenting on behalf of a child

Answer 13

consent form 2

Question 14

consent form 1 is for

Answer 14

competent adults who are able to consent for themselves where consciousness may be impaired eg udner GA

Question 15

when prescribing a controlled drug what must be present on the prescription

Answer 15

name and address of pt,
the form and stregth of drug

Question 16

dosage units of drug to be given needs to be written

Answer 16

in both words and figures

Question 17

controlled drugs examoples

Answer 17

cannabis, morphine, benzos, zopiclone, neuropathic pain ( gabaprentin)

Question 18

controlled drugs (except cannabis and lysgeride) are valid for how many days

Answer 18

28

Question 19

Medical examiner in the death certification processes role

Answer 19

communicates with the bereaved family for clarification and feedback
decides whethere the case should be referred to the coroner

Question 20

some examples of mandatort referrals to the coroners

Answer 20

• sudden or unexpectd death
• deaths within 30 days of medical procedure
• death in prison
• death to self neglect
  – occupationsal eg asbestosis, mesothelioma

Question 21

when completing death certificate - ticking old age is only acceptable if at least

Answer 21

80y/o

Question 22

in death certificate cannot just put organ failure eg lvier failure

Answer 22

need to specify the disease or conditin that lead to the organ failure

Question 23

should be repoted to coroner if doctor attending the deceased did not see them within

Answer 23

28days before death

Question 24

need to see coroner if

Answer 24

death occurs within 24hrs of hospital admission, accidents and injuried, suicide, neglect, ilict drugs, still birth, prisoner

Question 25

hypomania driving

Answer 25

must not drive and inform the DVLA

Question 26

adhd driving

Answer 26

may drive but must inform the DVLA

Question 27

mild cognitive impairmetn and dementia driving

Answer 27

may drive but must inform the DVLA

Question 28

mild learning disability driving

Answer 28

may drive but must infrom the DVLA

Question 29

when should not fly

Answer 29

unstable angina uncontrolled hypertension uncontrolled cardiac arrhythmia decompensated HF severe symptomatic valvualr disease

Question 30

after uncomplciated MI when can fly

Answer 30

7-10days

Question 31

complciated MI when can fly

Answer 31

4-6 weeks

Question 32

fly after CABG

Answer 32

10-14 days

Question 33

flyign after PCI

Answer 33

3 days

Question 34

flying after stroke

Answer 34

advised 10 days although if stable may be carried out within 3 days

Question 35

pneumothorax is an absolute contraindication to flying

Answer 35

may travel 2 weeks after sucessful drainage if there is no residual air or 1 week post cxr

Question 36

if preg when need certificate to fly

Answer 36

28 weeks

Question 37

when do airlines let yoy fly

Answer 37

36 weeks for single pregnancy and 32 for a multiple preg

Question 38

travel post surgery

Answer 38

10 days after abdo 24hrs after laparocopic or colonoscopy

Question 39

if had plaster case when can then fly

Answer 39

if flight <2hrs then wait 24hrs if longer flight then need to wait 48hrs

Question 40

if problem happens to you tell the consultant dirst

Answer 40

no, your collegaur then SHO then registrar (regarding taining)

Question 41

exceptions to breach confidentialty

Answer 41

follwing an order from court some commnicable disease prevent act of terrorism comply with request from a regualtory body eg GMC

Question 42

what have you got to do if gun or knife injury (not self harm or accidental)

Answer 42

tell police but not initally give personal info about the pt

Question 43

act for physical health conditions

Answer 43

Mental capacity act

Question 44

mental health act

Answer 44

for mental health conditions

Question 45

capacity

Answer 45

understand, retain, use and communicate

Question 46

always assume a pt has capacity

Question 47

power of attorney

Answer 47

appointemt under mental capacity act before lose capacity

Question 48

when should not end professional relatiosnhip with pt

Answer 48

due to complaint or resource implications

Question 49

mental capacity act applies to those over the age of

Answer 49

16

Question 50

advance decisions can be made

Answer 50

verbally unless they specify refusing life sustaining treatment in which case they need to be writen, signed and withnesssed

Question 51

advance decisions cannot

Answer 51

demand treatment

Question 52

would delirium and dementia come udner Mental capacity act or Mental health act

Answer 52

MENTAL CAPACITY

Question 53

what is the framework used to treat patients who refuse treatment in emergency scenarios

Answer 53

common law