Ethics/Biostats/Miscellaneous

Question 1

ethics committee

Answer 1

• lost capacity
• unclear or missing advance directives
• medical futility issues

Question 2

futility

Answer 2

dx tests or tx that MAY HAVE NO BENEDIT

Question 3

court order

Answer 3

• lost capacity or no proxy
• family disagreement
• caregivers want to withdraw and ethics committee cannot reach a conclusion

Question 4

psychiatric evulation

Answer 4

if unclear about capacity

Question 5

brain death– 2 NO’S

Answer 5

NO obligation for futile care

NO need to get consent to stop treatment (mechanical ventilation etc.)

Question 6

NEVER…

Answer 6

• report domestic violence without consent
• physician assisted suicide
• euthanasia
• pharma endorsement
• executions/ torture
• CONSENT FOR ORGAN DONATION

Question 7

who gives consent for organ donation

Answer 7

organ donor network

Question 8

organ donation ….

Answer 8

FAMILY CAN REFUSE it even if the patient has a card

Question 9

payment for organ donation

Answer 9

NOPE

Question 10

payment for egg and sperm

Answer 10

YES

Question 11

can you report elder abuse without consent

Answer 11

YES

Question 12

can you report domestic violence without consent

Answer 12

NOPE

Question 13

factoral design

Answer 13

randomization to different interventions with 2 or more variables
example: 3 different anti-hypertensives AND bp to 1-2 mean

Question 14

RARE disease assumption

Answer 14

OR=RR approx.

if outcome is uncommon in population with case control

Question 15

generalizability=

Answer 15

EXTERNAL VALIDITY

Question 16

post- hoc analysis

Answer 16

doing statistical tests on patterns seen after data is taken

Question 17

loss to follow up leads to….

Answer 17

attrition bias

Question 18

attrition bias leads to…

Answer 18

selection bias

Question 19

stigma with exposure can lead to…

Answer 19

reporting bias

Question 20

greatest way to improve QoL for high risk patients=

Answer 20

PHARMACY PERSONNEL

Question 21

procedure practice on dead patients can be done if…

Answer 21

family OK with it
or
patient OK with it before dead

Question 22

biggest communication failure—

Answer 22

during handover

Question 23

how to improve hand over communication problems=

Answer 23

signout checklists

Question 24

how do TCA’s prolong QT?

Answer 24

blocking sodium channels

Question 25

acetaminophen toxicity– asymptomatic

Answer 25

first 24hours

Question 26

cyanide toxicity—>

Answer 26

HOUSE FIRE

Question 27

gum hypertrophy drug…

Answer 27

cyclosporine

Question 28

“m” drug–> marrow suppression

Answer 28

mycophenolate

Question 29

normal pupil size=

Answer 29

5mm

Question 30

opiod intoxication, UNRELIABLE=

Answer 30

MIOSIS

Question 31

5mm pupils= normal, and seen with which drugs

Answer 31

• merperidine

- propoxyphene

Question 32

most nb indicator of TCA OD severity

Answer 32

duration of WRS

Question 33

number one vaccine for travellers

Answer 33

hepa

Question 34

COLD/SHIVERING….

Answer 34

FLUPHENAZINE

Question 35

chemicals in eye

Answer 35

flush with faucet for 15 minutes

Question 36

slurred speech and instead gait

Answer 36

benzo’s

Question 37

phenytoin OD

Answer 37

horizontal nystagmus
cerebellar ataxis
confusion

Question 38

polysaccharide vaccines=

Answer 38

B cell immunity (T cell independent)

Question 39

CD8 immunity vaccines

Answer 39

MMR

intranasal influenza

Question 40

B and T cell immunity vaccines

Answer 40

PCV13 (conjugate)

Question 41

gifts from pharma

Answer 41

OKAY if they are small and benefit patients

Question 42

increase cut off point…

Answer 42

increase specificity

decrease sensitivity

Question 43

PC:

• combative
• agitated
• tachycardia
• WEEKS– PSYCHOSIS

Answer 43

bath salts

Question 44

tx febrile neutropenia

Answer 44

piptazo

Question 45

itchy serpiginous lesions, from putting hands in sandbox

Answer 45

cutaneous larva migrans