notch top 101-200 Flashcards
During an epidemic or national emergencies the following may be given limited and special authorization by the Secretary of Health to practice medicine except:
A. Post graduate medical interns
B. Registered nurses
C. Medical students who have completed the first 4 years of medicine
D. Underboard graduates of medicine
E. None of the above
E. None of the above
> Med students who have completed the first 4 years of medicine, graduates of medicine, RNs may be given limited and special authorization by the secretary of health during epidemics or national emergencies.
A physician-patient relationship is seen in which of the following circumstances:
A. Pre-employment PE where the patient was given a prescription
B. A surgeon performing an autopsy
C. Relative asking casual questions during a reunion
D. PE for determining eligibilty for an insurance
E. A physician examining a suspect upon appointment by the court
A. Pre-employment PE where the patient was given a prescription
In the classical classification of mental deficiency, an imbecile has an IQ of:
A. 0 to 20
B. 21 to 40
C. 52 to 67
D. 41 to 70
E. 36 to 51
B. 21 to 40
A 23 y/o male suffered several injuries due to a vehicular accident, The color of his contusions should appear _________ after 4-5 days:
A. Red
B. Purple
C. Green
D. Yellow
E. Starting to disappear
C. Green
> The age of contusion can be appreciated from its color changes.
Red-purple soon after its complete development
Green in 4-5 days
Yellow in 7- 10 days, gradually disappears on the 14-15th day.
Mr. P who works as a professional tennis player was assaulted by one of his opponents after he beat the latter in a tournament. Due to the assault he was confined for one week and he became blind in one eye. The penalty for such injury is:
A. Arresto mayor
B. Prison mayor
C. Prison correcional in its minimum and medium period
D. Prison correcional in its medium and maximum period
E. None of the above
D. Prison correcional in its medium and maximum period
> Serious physical injuries resulting in:
1) loss of the use of speech or the power to hear or to smell, or loss of an eye, a hand, a foot, an arm or a leg
2) loss of the use of any such member
3) becomes incapacitated for the work in which he was therefore habitually engaged is punishable by PRISON CORRECIONAL IN IT MEDIUM AND MAXIMUM PERIODS.
Doctor L, was charged by the relatives of a former patient before the Public Prosecutor’s office with Homicide resulting from Gross Negligence and Reckless Imprudence, He is most likely being charged with:
A. Administrative liability
B. Civil liability
C. Criminal liability
D. None of the above
E. All of the above
C. Criminal liability
> Criminal liability is when the act or omission of MD constitute a crime. May be done with deliberate intent or on account of imprudence, negligence, lack of foresight or lack of skill.
Burking is classified as what type of asphyxia:
A. By strangulation
B. By hanging
C. By suffocation
D. By submersion
E. By compression
E. By compression
> Burking is done when the assailant kneels or sits on the chest of the victim and with his/her hands closes the nostrils and mouth of the victim. This is classified under compression/traumatic
Uranism is a form of sexual perversion where a man gains sexual gratification by:
A. rubbing his sex organ against the body parts of another
B. fingering, fondling with the breast or licking parts of the body
C. watching couples undress or during sexual activity
D. wearing female apparel
E. engaging in sexual intercourse with animals
B. fingering, fondling with the breast or licking parts of the body
The following statements are true regarding the characteristics of a gunshot wound entrance except :
A. Smaller in size compared with the bullet
B. The edges are inverted
C. It does not manifest any definite shape
D. The paraffin test may be positive
E. Tattooing and smudging are present when the gun is fired within 1-15 cm
C. It does not manifest any definite shape
Once you have passed the Physician licensure exam, the following are considered as your inherent rights as a physician except:
A. Avail of hospital services
B. Determine the appropriate management procedures for your patient
C. Limit your practice within a geographical boundary
D. To choose your patients
E. Right to compensation
E. Right to compensation
Doctor X feels that his patient is being uncooperative and difficult while his patient feels that Doctor X is unsympathetic. This type of psychological pattern of MD-patient relationship is an example of:
A. Guidance-cooperation relation
B. Activity-Passivity relation
C. Mutual Participation relation
D. Fiduciary relation
E. Consensual relation
C. Mutual Participation relation
Doctor G who is a resident physician in a government hospital always asks patients in need of a CT scan to go and have it done in a certain diagnostic clinic outside of the hospital because he claims that it is cheaper and results are faster. But in truth he is just after the monetary fee being given to him by the owner of the said diagnostic clinic who is also a physician.This type of medical fee is called:
A. Straight fee
B. Retainer fee
C. Contractual fee
D. Dichotomous fee
E. Contingent fee
D. Dichotomous fee
This person who comes within the premises of the hospital, who has no contractual relations with the hospital and is within the hospital premises for his own interest or convenience is termed as a:
A. Business visitor
B. Invitee
C. Trespasser
D. Licensee
E. Patient
D. Licensee
> A licensee is neither a customer, servant or trespasser. He has no contratual relation with the hospital. He is permitted, expressly or impliedly to be within the hospital premises for his own interest or convenience. His presence is merely tolerated.
Patient A had a hysterectomy due to a uterine tumor, however during the procedure her ureter was unintentionally cut by Doctor B. She wants to file a case for gross negligence against Doctor B. What is the degree of proof/evidence needed to convict Doctor B of a crime?
A. Substantial evidence
B. Preponderance of evidence
C. Guilt beyond reasonable doubt
D. Any of the above
E. None of the above
C. Guilt beyond reasonable doubt
> Criminal liability is when the act or omission of MD constitute a crime. May be done with deliberate intent or on account of imprudence, negligence, lack of foresight or lack of skill. Guilt beyond reasonable doubt is needed for a conviction.
There are several rules used by the court to determine whether an accused is exempt from criminal liability, One such rule states that the accused is not criminally responsible if his act was the product of a mental disease or mental defect. This rule is known as:
A. Durham rule
B. Irresistable impulse rule
C. Currens rule
D. Delusion rule
E. McNaghten’s rule
A. Durham rule
> This is known as the Durham rule. Irresistable impluse rule states that a person is considered insane when mental disease has rendered him incapable of restraining himself, although he understands what he is doing and knows it is wrong. Currens rule states if it is proven that at the time of commiting the prohibited act the defendant as a result of mental disease or defect lacked substantial capacity to conform his conduct to the requirementsof the law which he has allegedly violated. Delusion rule- a person is not responsible for his act if he is suffering from delusion although he knows hat the act is wrong. McNaghten’s rule- A defense on the ground of insanity can be proven that at the time of committing the act the accused was laboring under such defect of reason or from a disease of the mind as not to know the nature and quality of the act he was doing and if he did know, he did not know that what he was doing was wrong.
Doctor C, a balikbayan physician can be allowed to practice medicine in the Philippines provided that_____________, except:
A. He pays the proper professional license fee with the PRC
B. He should register with the PRC
C. He is a member of PMA
D. He is of good standing prior to departure from the Philippines and in their adopted country
E. None of the above
C. He is a member of PMA
> The only provisions are A,B,D and E. Membership to PMA is only an incidental right. Membership may be vonluntary or involuntary. Involuntary when membership is imposed as a condition for the enjoyment of a right.
Mr X a patient with ESRD is scheduled for a kidney transplant, he will receive a kidney from a living unrelated human donor. This kind of transplant is called:
A. Iso transplantation
B. Homeotransplantation
C. Heterotransplantation
D. Autotransplantation
E. None of the above
B. Homeotransplantation
> An unrelated human donor to human recipient is called homeotransplantation.
Autoptic or real evidence is defined as evidence which is:
A. perceived by the senses
B. part of the body of the crime that proves that the crime related
C. a testimony given orally by a witness under oath
D. a written record of evidence given orally and then transcribed
E. an article/ material found in connection with the investigation and assists the investigator in locating the suspect
A. perceived by the senses
Mr P went home and caught his daughter who is just 16 y/o commiting sexual intercourse with a 25 y/o man at their house, as a result of his rage he assaulted them both and inflicted serious physical injuries on both the seducer and his daughter. The seducer brought the case to court. Under the law Mr. P may be given the following punishment:
A. Prison Mayor
B. Prison correcional in its minimum and medium period
C. Prison correcional in its medium and maximum period
D. Destierro
E. Since the physical injuries were inflicted due to exceptional circumstances, he shall be exempt from punishment
D. Destierro
> This is a case of physical injuries afflicted under execptional circumstances specifically “surprise of a daughter” The parents with respect to their daughter under 18 y/o, and their seducers, while the daughter is living with her parents who shall kill any or both of them in the act or immediately there after, or shall inflict upon them serious physical injury, shall suffer the penalty of DESTIERRO. As long as the following requisites are met:
1) the daughter is below 18;
2) the daughter is living with the parents;
3) Parents caught her by surprise commiting sexual intercourse with the seducer;
4) Killing was done at the very act of sexual intercourse or immediately thereafter.
Ms H was allegedly found hanging in her condo unit by her boyfriend. As a medico-legal officer you wanted to determine if this was indeed a suicide by hanging or a homicide by strangulation with ligature. Which of the following findings would show that the cause of death was by hanging?
A. The hyoid bone is spared
B. Tardieu spots are found in the subpleural and subcardial areas
C. The level of the ligature is below the larynx
D. The right side of the heart and the big blood vessels connected with it are distended with blood
E. The direction of the ligature is an inverted V and the knot is found at the apex.
E. The direction of the ligature is an inverted V and the knot is found at the apex.
> A and C are post mortem findings in strangulation. B and D are found in both hanging and strangulation. E is foud only in hanging.
Which of the following type of law is not enforced by the state?
A. Substansive law
B. Remedial law
C. International law
D. Commercial law
E. Moral law
E. Moral law
Who among the following is/are qualified to practice medicine in the Philippines?
A. Balikbayan Physicians, even without PRC registration as long as they are professional practitioners in good standing prior to their departure from the Philippines and in their adopted country
B. Medical students under training and under direct supervision of licensed MD
C. Foreign physicians of a medical and surgical mission, even without securing authorization, given the charitable nature of their practice
D. All medical students who are graduates of medicine during epidemics
E. All of the above
B. Medical students under training and under direct supervision of licensed MD
> Option A. Balikbayan physicians should register with PRC and pay the proper professional license fee, as well as the corresponding income tax before they can be qualified to practice medicine in the Philippines.
Option C. Foreign physician should secure authorization first from the Board of Medicine.
Option D. Medical students who have completed the first 4 years of medicine and graduates of medicine may be given limited and special authorization by SECRETARY OF HEALTH during epidemics or national emergencies.
Patient-physician relationship is not terminated when?
A. Patient recovers from the condition being treated.
B. Patient consented from withdrawal of the physician from the contract.
C. Physician considers his further service will no longer be beneficial to the patient
D. Physician abandons the patient
E. Physician dies
D. Physician abandons the patient
Juan just graduated from a medical school and immediately used the title MD after his name. He is:
A. Commiting malpractice
B. Illegally practicing medicine
C. Academically entitled to used MD
D. Administratively liable
E. Qualified to legitimately practice medicine
C. Academically entitled to used MD
> After conferment of the degree Doctor of Medicine, one has the legal right to use MD after his name although a holder of MD degree does not qualify a person to legitimately practice medicine. He must first pass the board exams and hold a valid certificate of registration.
In which of the following instances where there is commencement of a physician-patient relationship?
A. In a mall, a patient met her physician and made a casual consultation.
B. One night, a patient called a physician by phone for consultation. The physician told the patient to take aspirin that night and see him the following day.
C. A patient called the phsycian’s clinic to make an appontment. The secretary asked what is wrong and the patient related her complaints.
D. While passing the emergency room, the physician noted that the patient is very pale. He then asked the nurse to inform the resident physician to see and examine the patient immediately.
E. All of the above.
B. One night, a patient called a physician by phone for consultation. The physician told the patient to take aspirin that night and see him the following day.
> Commencement of relationship: Physician accepts offer by undertaking treatment of the patient; invites an offer by establishing availability, makes an offer by arriving for treatment.
Under the Dangerous Drug Act, marijuana is classified as:
A. Sedative
B. Hypnotic
C. Prohibited drug
D. A stimulant
E. Hallucinogenic
C. Prohibited drug
Dr. J, an American surgeon, is in the Philippines on holiday He joined a group of Filipino surgeons in a medical and surgical mission performing operations for the poor and the marginalized. Which of the following is correct?
A. He can invoke reciprocity as the basis for his performing surgery in the Philippines.
B. He is illegally practicing medicine in the country.
C. He can practice even without a certificate of registration and authorization from the Board of Medicine.
D. He needs to pass the local board exams before he can practice.
E. He can practice in the country as long as he is in good moral and professional standing in his country.
B. He is illegally practicing medicine in the country.
> Physicians from other countries can have limited practices without any certificate of registration provided that that secure authorization from the Board of medicine.
Which one of the following is an inherent right of a physician?
A. To avail of hospital services.
B. To hold certain public offices
C. To charge professional fees
D. To be exempted from execution of instruments and library
E. To be a member in medical societies.
A. To avail of hospital services.
> The answer is A. All other options are incidental rights of a physician. Other inherent rights of a physician include the ff: choose patients, limit practice, and determine the appropriate management and procedures.
A 38-year old female had breast surgery for cancer of the breast with metastasis. She had consented in writing to undergo a trial of a new chemotherapeutic modality. However, patient continued to deteriorate and sued the physician. The physician was absolved under the doctrine of:
A. Continuing negligence
B. Foreseeability
C. Assumption of risk
D. Contributory negligence
E. Common knowledge
C. Assumption of risk
> Doctrine of Assumption of Risk - anyone who consents to the application of a procedure involving certain risks cann recover damages for injury resulting from inherent or ordinary risks in the procedure.
A general practicioner referred a patient to a specialist. After the treatment, the patient paid the specialist who in turn gave a share to the general practitioner. What is this called?
A. Contingent fee
B. Straight fee
C. Retainer’s fee
D. Dichotomous Fee
E. Professional fee
D. Dichotomous Fee
> Dichotomous/commission/fee splitting - sharing a fee with another physician, tipsters;
Contingent-fee depends on success of treatment;
Straight fee/Pakyaw system
Dr. A performed an autopsy without proper authorization from the next of kin or competent authorities. What is his liability?
A. Civil liability only
B. Criminal liability only
C. Both civil and criminal liability
D. Administrative liability only
E. Administrative and civil liability
C. Both civil and criminal liability
A physician issued a medical certificate in favor of a friend who was absent from work attesting the latter was sick when in fact he was not. The physician under the law is liable:
A. Civilly
B. Administratively
C. Morally
D. Criminally
E. Both administratively and criminally
E. Both administratively and criminally
The hospital is almost full and the only vacant beds are in the ward. An infectious case was admitted in the ward resulting to contamination of other patients. The patient who admitted the patient is liable under the Doctrine of:
A. Last clear chance
B. Continuing negligence
C. Contributory negligence
D. Foreseeability
E. Captain of the ship
D. Foreseeability
Patient was being managed as a case of Diabetes mellitus. The physician encouraged lifestyle changes and prescribed him with oral anti-hyperglycemic medications and insulin. The patient inquires the physician, “are those tablets really necessary? What is the pattern of relationship between the physician and the patient?
A. Mutual participation
B. Active-passive
C. Guidance-participation
D. Consensual
E. None of the above
A. Mutual participation
> In mutual participation relation, patient thinks that he is juridically equal to the MD and that the nature of relationship is on a negotiated agreement. They are appropriate in the treatment of chronic illness where patients are required to carry out much of the treatment program themselves with occassional medical consultation.
In a malpractice case, Dr. X was ordered by the court to produce at trial the patient’s charts, laboratory and x- ray results under his possession and control. The process served on him to do is called;
A. Ordinary subpoena
B. Subpoena duces tecum
C. Subpoena ad testificandum
D. Court summons
E. All of the above
B. Subpoena duces tecum
A physician is considered as an ordinary witness:
A. When he is asked to inform the court of the result of the physical examination done to the patient.
B. When the chairman of Department of Surgery is asked to give his inference regarding the incident.
C. When asked about questions regarding his personal qualifications as a witness.
D. When asked to answer outside of the issue in consideration of the court.
E. When he is asked to provide inferences regarding the case.
A. When he is asked to inform the court of the result of the physical examination done to the patient.
> A physician can be both an ordinary and expert witness. As an ordinary witness, the physician is allowed only to state the cacts which comes to his own perception.
As a result of the deformity he sustained from a facelift operation, Mary sued Dr. X for mental anguish, social humiliation, and moral shock. The type of damages she can recover as a result of these is:
A. Exemplary damages
B. Moral damages
C. Actual damages
D. Nominal damages
E. Temperate Damage
B. Moral damages
> Exemplary/Corrective damages - as punishment or deterrence because of wanton, reckless, malicious, or oppressive nature of wrong committed;
Actual damage - adequate compensation for pecuniar;
Nominal damage - invasion of righ or breach of du;
Temperate - more than nominal but less than compensatory when court finds that some pecuniary loss has been suffered but its amount cannot be proved with certainty
Maria and Juana had fight. Maria scratched Juana on the face. The doctor attended the injury that resolved in less than 10 days, however a keloid scar formed. The legal classification of this injury is:
A. Mutilation
B. Slight physical injury
C. Less serious injury
D. Serious physical injury
E. Physical injury inflicted in tumutous affray
D. Serious physical injury
Its main function is the transformation of mechanical energy by the hit of the firing pin on the percussion cap to chemical energy?
A. Primer
B. Powder
C. Bullet
D. Projectile
E. Ricochet
A. Primer