File 50 Flashcards

1
Q

Pregnant lady came to your clinic to check HTN. She extends her arm. Regarding consent, what is correct?
A) Pregnant lady cannot give consent
B) No need for consent, extending her arm is considered agreement and consent.
C) Do not take the BP, there is no consent.

A

Answer: B

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2
Q

A study conducted to evaluate medication among depressed patients. They were not taking their medications regularly. Is this study acceptable?
A) Unacceptable study because it affects drug efficacy.
B) Acceptable because the patient signed the consent voluntarily.
C) Unacceptable because we cannot take consent from depressed patients.

A

Answer: A

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3
Q

A 15-year-old girl diagnosed with appendicitis came with her mother. The father was out of town. What should you do?
- Explain the procedure to the girl and take consent from the mother.

A

Notes: < 18 yrs. → consent from the parents. 18 yrs. → consent from the patient.

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4
Q

HIV newly diagnosed patient worried to tell his wife and asks you not to tell her. What will you do?
A) Tell his wife’s mother and ask her to tell her daughter.
B) Tell his wife.
C) Protect the patient’s confidentiality.
D) Reassure him and offer your assistance to tell his wife.

A

Answer: D

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5
Q

Muslim patient came seeking medical advice. According to scholars (Ulama) in Islamic jurisprudence Fiqh, which statement is true?
A) Shariah Law

A

Answer: Shariah Law

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6
Q

Policeman came with a guy to the ER asking for an alcohol screening, but the guy refused. What should you do?

A

A) Do not do it unless the patient agrees to.Answer: Do not do it unless the patient agrees to.

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7
Q

Which of the following would be the main reason to consider research participants vulnerable?
A) Poorer than other participants
B) Unable to protect their interests
C) Persons with emotional distress
D) Mentally disabled or handicapped

A

Answer: D

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8
Q

Patient’s information disclosure is permissible when:
A) If he agrees to disclose.
B) If senior consultant asked to disclose.
C) To medical resident for teaching.

A

Answer: A

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9
Q

Which one of the following is a medical error:
A) Mistaken diagnosis or prescription.
B) Negligence.
C) Management plan not completed as intended.

A

Answer: All are true

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10
Q

Which of the following historical events led to the development of the Nuremberg Code?
A) Kano Trovan Trials
B) Tuskegee Syphilis Trials
C) Willowbrook New York Study
D) Nazi Experiments on prisons

A

Answer: D

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11
Q

In which of these situations is keeping confidentiality most important?
A) Pneumonia
B) Giving birth
C) Dengue fever
D) HIV

A

Answer: D

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12
Q

What is utilitarianism?
A) Advocates actions that foster happiness or pleasure and opposes actions that cause unhappiness or harm.

A

Notes: A family of normative ethical theories that prescribe actions that maximize happiness and well-being for all affected individuals

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13
Q

How to limit conflict of interest?
A) Extend contact with the patient.
B) Extend the period of admission.
C) Explain your financial interests.

A

Answer: C

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14
Q

Ethics is defined as:
A) Governmental regulations
B) Moral principles
C) Good procedures
D) Favored outcome

A

Answer: B

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15
Q

To ensure patient privacy during the examination:
A) Examine the patient in the presence of a nurse and medical student.
B) Expose the patient fully.
C) Examine the patient in the presence of a chaperone if female.

A

Answer: C

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16
Q

66-year-old male admitted to the cardiac unit with a poor prognosis. He told you not to tell his wife because she will not cope with it. His wife asks you about him. What should you do?
A) Tell her.
B) Do not break confidentiality.
C) Treat the emergency then discuss with her.

A

Answer: B. Notes: The right answer is not to break confidentiality but to show support to tell her.

17
Q

What is the aim of interim analysis of the research data?
A) To assure ethical aspects.
B) Supervision of investigation.
C) Release funds.
D) For publications.

A

Answer: A

18
Q

Why is public health ethics concerned?
A) Expansion of researchers.
B) Need for experimentation on human subjects.
C) Increase in organ transplantation.
D) Public health affects the whole community.

A

Answer: D

19
Q

What is meant by beneficence?

A

A) Increase benefits and minimize harm.
Answer: A

20
Q

Who is mainly responsible for the ethics in public health research?
A) Principal investigator.
B) Accountant.
C) Statistician.
D) Co-investigators.

A

Answer: A

21
Q

Payments for participants in research are allowed for:
A) Incentives to participate.
B) Access to health care services.
C) Reimbursement of their out-of-pocket expenses.

A

Answer: C

22
Q

Ethical issues arising from writing a case report:
A) Small sample size.
B) Use of patient time.
C) Use of the time of a busy clinician.
D) Confidentiality.

A

Answer: D

23
Q

Ethical aspects in cross-sectional studies should:
A) Questionnaire should be less than ten questions.
B) Cause social disruption.
C) Increase psychosocial risk.
D) Avoid sensitive issues.

A

Answer: D

24
Q

Diversity of study participants represents:
A) Differences in culture.
B) Differences in compliance.

A

Answer: A

25
Q

First source of Islamic ethics:
A) Quran.

A

Answer: A

26
Q

For a study design to be ethical, it should be:
A) Written in details.
B) Scientifically sound.
C) Containing inclusion characteristics.
D) Containing an analysis plan.

A

Answer: B

27
Q

Informed consent does not include?
A) Description of intervention.
B) Description of side effects of the intervention.
C) History of publications of the investigator.

A

Answer: C

28
Q

Informed consent is important because:
A) It enables the participant to understand the vital information on the proposed trial.
B) It provides the participant with all the information regarding the remote risks.
C) It enables the investigator to recruit participants of his choice.
D) It promotes clinical research.

A

Answer: A

29
Q

Informed consent refers to?
A) Principle of autonomy.
B) Voluntary but uniform decision making.
C) Voluntary decision to participate in research by a competent individual who has received and understands the necessary information.

A

Answer: C

30
Q

What gives ethical validity to informed consent?
A) Detailed documentation to the process.
B) Capacity of the participant to consent.
C) Quality of the disclosed information.
D) Quality of the interaction between the prospective participant and the recruiting physician and investigator.

A

Answer: D

31
Q

Vulnerable populations are best characterized as:
A) Relatively poor persons.
B) Persons experiencing emotional distress.
C) Non-citizens residents.
D) Persons who are mentally incompetent.

A

Answer: B

32
Q

Who gives consent in case of minors who have no parents or guardian?
A) Social worker.
B) Legal guardian.

A

Answer: B

33
Q

Scientific misconduct refers to:
A) Researcher accidentally misquoting his data.
B) Fabrication, falsification, and plagiarism.
C) Failure to achieve expected results.
D) Accidental failure to cite a source.

A

Answer: A

34
Q

In patient safety, ROP is an abbreviation of?
A) Required Organization Practice.

A

Answer: D

35
Q

Which of the following are susceptible to conflict of interest?
A) Author.
B) Researcher.
C) Editor.
D) All of the above.

A

Answer: A

36
Q

Which of the following scenarios is likely to generate a conflict of interest?
A) Researcher from a drug company.

A

Answer: D

37
Q

Patient safety areas include:
A) Medication use.
B) Work life.
C) Infection control.
D) All of the above.

A

Answer: A

38
Q

Which of the following approaches may lead to increased levels of patient understanding?
A) Providing medical pamphlets.
B) Giving verbal instructions for taking medications.
C) Having the patient restate in his/her own words the directions that have just been given.
D) Explaining how to use several different medications during the same session.

A

Answer: C