Passmedicine

Question 1

When do deaths need to be reported to the coroner

Answer 1

Deaths occurring within 24 hours of admission to hospital should be discussed with the coroner before a death certificate is issued
Deaths of prisoners or people in police custody
Unknown causes of deaths

Question 2

The Mental Health Act overrides the Mental Capacity Act and enables people with capacity to be given treatment against their will

Question 3

Unknown cause of death

Answer 3

Discuss with a coroner

Question 4

Controlled drugs - what needs to be stated in figures and words

Answer 4

Quantity

Question 5

What must be included on a prescription for a controlled drug

Answer 5

Address of patient

Question 6

What law governs the emergency management of patients who refuse treatment

Answer 6

Common law

Question 7

CPR decisions

Answer 7

Should be communicated clearly to all those involved in the aptients care, including the patient and next of kin

Question 8

‘Advanced requests for refusal of treatment’ can be sought by patients who wish to refuse treatment. DNACPR refers specifically to advanced refusal of cardiopulmonary resuscitation

Question 9

For an advanced directive to be valid

Answer 9

Over 18 in England (16 in Scotland)

Patient must be of sound mind when it is made

Question 10

Patient has a notifiable communicable disease e.g. scarlet fever

Answer 10

Advise her that you need to contact the Local Health Protection Agency (HPA) and she should not go into work. If she does not consent, confirm that you will still need to inform the HPA

Question 11

Cosmetic surgery consent

Answer 11

Surgeon performing the operation must consent

Question 12

Disclosures to comply with a statutory request made by a regulatory body such as the GMC can be made without the patient’s consent

Question 13

Patient admitted from care home with abdo pain and emaciated appearance who died from ‘hyperkalaemia-induced cardiac tachyarrhythmia’

Answer 13

Starvation, ill-treatment or neglect should be suspected and therefore the death reported to the coroner

Question 14

A formal capacity assessment stating the patient does not have capacity must be documented before a patient can be treated under the MCA

Question 15

Driving in a patient with schizophrenia

Answer 15

Patients with schizophrenia must not drive and must notify the DVLA, until stable and well for 3 months and following a suitable psychiatristy report

Question 16

What must be done before the patient can be treated under the Mental Capacity Act (MCA)?

Answer 16

A formal capacity assessment must be performed and documented before treatment under the Mental Capacity Act (MCA)

Question 17

What is most important when determining consent in a 15 year old

Answer 17

they can understand the procedure

Question 18

emergency life saving treatment can be given to a child irrespective of the parents views

Question 19

What does an advanced directive refer to?

Answer 19

A specific treatment in a specific circumstance

Used only to refuse treatment, not to demand

Question 20

When are advanced directives valid

Answer 20

Only when the individual loses capacity

It can be overruled by a lasting power of attorney

Question 21

Can registered nurses verify death?

Answer 21

Yes - in certain circumstances