medical jurisprudence Flashcards

1
Q

Genetic tesing: 1 in ___ of fathers name listed on birth certificate is not acutal father?

A

1 in 25

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2
Q

what are the requirements for a sperm donor for artificial insemination?

If these aren’t followed then what is the sperm donor liable for?

A

Needs to be done w/ physician supervision, couple needs to be married, husband needs to have written consent to be legal father of child.

In NV, if not done in those circumstances (just contract, no physician, etc.), mother can get child support from donor.

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3
Q

T/F If a physician destroy an womens saved embryos, the physician can be sued for what?

In Louisiana they ruled that a embryo is a _________ and the physician is ___________?

A

emotional distress

embryo is judicial person
physician is its guardian

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4
Q

________: A woman (surrogate mother) carries a baby for a couple, uses her own ovum and sperm from husband?

What rights does the women carrying the baby have?

What is gestational surrogacy and what rights does the mother have in NV?

In NV can a woman get compensated for being a surrogate?

A

surrogacy

The woman/donor can retain the baby; husband has parental rights

Gestational Surrogacy: A surrogate mother carries embryo made by another couple.
Nevada: Valid contract between surrogate mother and couple; surrogate mother CANNOT retain the baby.

NO

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5
Q

Discuss field sobriety tests for DUI, what happens in the field, in jail, and what is admissible?

A

DUI: Field breath test is not admissible in court.
Police only have 2 hours to test (blood, breath, urine, etc.) at the police station

test done at station is admissible.

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6
Q

What are the 3 pillars of success in medicine?

A

Three Pillars of Success in Medicine:

a) Affability: Be a good person
b) Availability: Be available to patient
c) Ability: Be competent

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7
Q

What are the 3 most important words in medicine?

A

Three most important words in medicine: “I don’t know.”

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8
Q

What are the 4 things that make you liable for a medical malpractice lawsuit?

A

Duty, Breach, Causation, Damages

Physician owes Duty to Patient
Breach of Standard of Care
Cause (actual cause = cause in fact; proximate cause = foreseeability of the injury
Damages

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9
Q

___________: “The thing speaks for itself.”

What do they need in order to prove it?

What does this allow in court?

A

Res Ipsa Loquitur

i) Injury does not occur in the absence of negligence.
ii) Plaintiff could not have contributed to injury
iii) Plaintiff not in any control
iv) If Res Ipsa Loquitur is granted:
(1) No expert witness required
(2) Negligence is established; plaintiff only needs to prove causation and damages.

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10
Q

If you are sued, must report it to the board in ___days?

You have __ days to answer.

A

45

20

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11
Q

Statute of Limitations: __ years after incident, or __ year after patient knew/should have known, whichever is (longer or shorter)?

A

3 yrs after

1 yr should have known

shorter

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12
Q

T/F: You can write a person a prescription w/o making a medical record?

Physicians duty is only to ______?

A

False; Need to keep make medical records, cannot freely write prescriptions to people.

his/her patients

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13
Q

____________: Spouse can sue physician if spouse and patient can no longer engage in “acts of conjugal kindness” ?

A

Loss of Consortium

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14
Q

Can you sell organs for an organ transplant?

Any obligation to tell pts about transplant opportunities in INDIA?

A

NO only donate

NO

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15
Q

____________ court has the last word, do what they say?

A

U.S. supreme court

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16
Q

__________ is a request for medical records from an attorney?

Whats the NRS number?

What requirements/guidelines can be done?

A

Subpoena duces tecum NRS 52.320

a) Requires HIPAA authorization
b) Can notarize “Certificate of Custodian of Records” (NRS 52.260)
c) A designated Custodian of Records can deliver medical records
d) If patient does not authorize (HIPAA), then copy the records, notarize and seal, and leave at clerk’s office. Requesting attorney needs to get it from court.

17
Q

What to know about the US healthcare for test?

A

Cost of healthcare in the US is double that of the UK; US spends the most in the world

18
Q

___________: Anybody can help in an emergency not liable for damages

For physicians to not be liable, must be in their scope of practice; or what?

A

Good Samaritan Law

Gratuitous services to an NPO or Government organization.

19
Q

How long to keep Medical Records:

a) Nevada Law __ years
b) HIPAA: __years
c) AMA: _______
d) For children: ________?

A

5 years

6 years

FOREVER

5 years + age of majority (18) = 23 years old.

20
Q

__________ - If a person is on campus or facility (even grass or parking lot), must screen/examine to determine if emergency medical condition exists?

A

EMTALA: Emergency Medical Treatment and Labor Act

21
Q

A couple has a right to be counseled for use of contraceptives.

Not explicit in Constitution or Amendments; derived from the “umbra” (shadow) around the Bill of Rights

describes this?

A

Right to Privacy”:

22
Q

Creates a hostile work situation; superior cannot demand sex from inferior in exchange for a raise, promotion, etc.

Describes what?

A

Quid Pro Quo: “A favor for a favor”

23
Q

________: Patients wishes if in terminal condition?

_____________: Patient assigns someone to make decisions if patient becomes incompetent.n relating to medical history, examination, diagnosis, or treatment?

A

Living Will

Durable Power of Attorney

24
Q

_________ = Healthcare records + Bills/ledgers/fees,e tc.

A

Medical Records

Healthcare records?

25
Q

___________ (NRS 633.131): Engaging in any conduct intended to deceive or which has been determined as unethical or medical practice harmful to public health, safety or morals?

A

Unprofessional Conduct

26
Q

What things make up unethical conduct?

A

(1) Sexual misconduct with patient
(2) Abandon a patient
(3) Willfully file a false report
(4) Willfully fail to file report required by law
(5) Failure to create medical record
(6) Controlled substance excessive prescribing
(7) Fail diversion program (e.g. alcoholic physician must complete Alcoholics Anonymous)
(8) Fail to comply with order of the Board.
(9) Engage in conduct unfit for practice

27
Q

review grounds for discipline… NRS __?

A

(NRS 633.511)

28
Q

If convicted of any of these things you have grounds for discipline?

A

(a) Controlled substance violation, state or federal
(b) Felony related to practice of osteopathic medicine
(c) Violation of workers compensation laws
(d) Murder, voluntary manslaughter or mayhem (remove a body part)
(e) Felony involving of a firearm or deadly weapon
(f) Assault with intent to kill or commit sexual assault or mayhem
(g) Assault, statutory sexual seduction, incest, lewdness, indecent exposure or any other sexually related crime
(h) Abuse or neglect of a child or contributory delinquency
(i) Any offense involving moral turpitude

29
Q

What kind of licensure discipline can be done?

A

(1) Probation
(2) Public reprimand
(3) Limit practice
(4) Revoke license
(5) Require participation in drug or alcohol program
(6) Supervised practice
(7) Fine, not to exceed $5000
(8) Require community service
(9) Require competence testing
(10) Require additional training or CME education.

30
Q

you have ___ days to make a medical record for a pt you saw?

A

5 days

31
Q

What are the numbers to:

NRS 52.320?

NRS 633?

NAC 633.350?

NRS 633.651?

A

subpoena duces tecum

NV statutes and regulations

Unethical Conduct

Licensure Discipline