Ethics/Biostats/Miscellaneous Flashcards

1
Q

ethics committee

A
  • lost capacity
  • unclear or missing advance directives
  • medical futility issues
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2
Q

futility

A

dx tests or tx that MAY HAVE NO BENEDIT

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3
Q

court order

A
  • lost capacity or no proxy
  • family disagreement
  • caregivers want to withdraw and ethics committee cannot reach a conclusion
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4
Q

psychiatric evulation

A

if unclear about capacity

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5
Q

brain death– 2 NO’S

A

NO obligation for futile care

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

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6
Q

NEVER…

A
  • report domestic violence without consent
  • physician assisted suicide
  • euthanasia
  • pharma endorsement
  • executions/ torture
  • CONSENT FOR ORGAN DONATION
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7
Q

who gives consent for organ donation

A

organ donor network

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8
Q

organ donation ….

A

FAMILY CAN REFUSE it even if the patient has a card

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9
Q

payment for organ donation

A

NOPE

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10
Q

payment for egg and sperm

A

YES

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11
Q

can you report elder abuse without consent

A

YES

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12
Q

can you report domestic violence without consent

A

NOPE

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13
Q

factoral design

A

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

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14
Q

RARE disease assumption

A

OR=RR approx.

if outcome is uncommon in population with case control

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15
Q

generalizability=

A

EXTERNAL VALIDITY

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16
Q

post- hoc analysis

A

doing statistical tests on patterns seen after data is taken

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17
Q

loss to follow up leads to….

A

attrition bias

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18
Q

attrition bias leads to…

A

selection bias

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19
Q

stigma with exposure can lead to…

A

reporting bias

20
Q

greatest way to improve QoL for high risk patients=

A

PHARMACY PERSONNEL

21
Q

procedure practice on dead patients can be done if…

A

family OK with it
or
patient OK with it before dead

22
Q

biggest communication failure—

A

during handover

23
Q

how to improve hand over communication problems=

A

signout checklists

24
Q

how do TCA’s prolong QT?

A

blocking sodium channels

25
Q

acetaminophen toxicity– asymptomatic

A

first 24hours

26
Q

cyanide toxicity—>

A

HOUSE FIRE

27
Q

gum hypertrophy drug…

A

cyclosporine

28
Q

“m” drug–> marrow suppression

A

mycophenolate

29
Q

normal pupil size=

A

5mm

30
Q

opiod intoxication, UNRELIABLE=

A

MIOSIS

31
Q

5mm pupils= normal, and seen with which drugs

A
  • merperidine

- propoxyphene

32
Q

most nb indicator of TCA OD severity

A

duration of WRS

33
Q

number one vaccine for travellers

A

hepa

34
Q

COLD/SHIVERING….

A

FLUPHENAZINE

35
Q

chemicals in eye

A

flush with faucet for 15 minutes

36
Q

slurred speech and instead gait

A

benzo’s

37
Q

phenytoin OD

A

horizontal nystagmus
cerebellar ataxis
confusion

38
Q

polysaccharide vaccines=

A

B cell immunity (T cell independent)

39
Q

CD8 immunity vaccines

A

MMR

intranasal influenza

40
Q

B and T cell immunity vaccines

A

PCV13 (conjugate)

41
Q

gifts from pharma

A

OKAY if they are small and benefit patients

42
Q

increase cut off point…

A

increase specificity

decrease sensitivity

43
Q

PC:

  • combative
  • agitated
  • tachycardia
  • WEEKS– PSYCHOSIS
A

bath salts

44
Q

tx febrile neutropenia

A

piptazo

45
Q

itchy serpiginous lesions, from putting hands in sandbox

A

cutaneous larva migrans