A patient with HTN was prescribed ARB, however the nurse and pharmacist administered digoxin instead. The patient deteriorated. The patient and family member are not aware. What is the liability?
Anonymous Quiz
2%
No liability as patient and family members are not aware
7%
No liability as it was unintentional
88%
The resident, nurse, and pharmacist responsible for the harm
3%
The resident
โค8๐ค3๐1
Electronic medical records are used for many purposes, including confidentiality. A physician accessed confidential information from a patient's Medicare record. Which of the following would justify accessing this information?
Anonymous Quiz
36%
The hospital administration asked for it
14%
The patient is neurologically impaired
7%
The patientโs family asked for a copy
44%
The physician accessed it because it is a unique disease (for a case report)
๐คฏ19โค2๐1
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๐ฅ3โค2๐2
An intern took a picture of a patientโs leg in the operating room and posted it on social media. The family later saw the post and became upset. What is the most appropriate action?
Anonymous Quiz
4%
Nothing, as the intern says it shows no identification
43%
Consult the hospital ethics committee
52%
The intern apologizes and deletes the picture
1%
Ignore since it was educational
๐ค19๐8๐คจ5โค3๐1
In a population of 200,000 live births, 450 infants died. What is the correct ratio of neonatal deaths to total live births?
Anonymous Quiz
5%
225 : 200,000
37%
450 : 200,000
4%
450 : 100,000
54%
225 : 100,000
๐7โค3๐ฅ3๐1
Calculate the odds ratio (OR) for the association between cesarean section (CS) and type 1 diabetes mellitus (DM).
Case: vaginal delivery 120, CS 80
Control: vaginal delivery 40, CS 160
Case: vaginal delivery 120, CS 80
Control: vaginal delivery 40, CS 160
Anonymous Quiz
20%
2.5
13%
4
6%
5
61%
6
โค7
A couple underwent in vitro fertilization (IVF) but have since divorced. What should be done with the stored embryos?
Anonymous Quiz
7%
Give to mother
2%
Give to father
40%
Preserve until reconciliation
51%
Discard them
๐คฏ23๐6๐3๐3๐ฅฐ1๐1
In a high lead exposure area, 50 children were selected. Which of the following statistical measures can best assess the degree of lead exposure of each individual?
Anonymous Quiz
20%
Mean
6%
Mode
14%
Median
60%
Standard deviation
๐ฅด15๐ค4๐3
In a high tuberculosis (TB) prevalence area, a new screening test was developed to detect even the missed cases. Which of the following characteristics is most likely high in this test?
Anonymous Quiz
12%
Specificity
71%
Sensitivity
14%
Positive predictive value
4%
Negative predictive value
๐9๐2โค1๐คฉ1
Two groups of children were divided as follows:
Group A watches TV for 2 hours daily, and Group B does not watch TV. What type of study design does this represent?
Group A watches TV for 2 hours daily, and Group B does not watch TV. What type of study design does this represent?
Anonymous Quiz
48%
Cohort
34%
Case-control study
10%
Cross-sectional study
8%
Randomized controlled trial
๐6๐ฅด2โค1
A nurse reviewing a patient's file before surgery notices that allergy history is not mentioned. At what point should allergies be checked and confirmed?
Anonymous Quiz
90%
Sign in
3%
Sign out
4%
Time out
3%
Postoperative
๐ฅฐ8
A first-trimester scan reveals a severe fetal anomaly, and the mother requests an abortion. Which of the following should be given the highest consideration in this situation?
Anonymous Quiz
15%
Fetal rights
2%
Societal interest
79%
Maternal autonomy
4%
Physicianโs personal beliefs
โค5๐4
An elderly man in poor health is not eating and flinches whenever his son raises his voice. What is the most appropriate next step in management?
Anonymous Quiz
76%
Report elder abuse
7%
Transfer to a nursing home
5%
Start enteral feeding
12%
Provide nutritional counseling
๐ข9๐คฌ5๐2
A COPD patient has a recorded Do Not Intubate (DNI) order. His condition deteriorates, and the medical team believes that intubation might prolong his life. What should be done in this situation?
Anonymous Quiz
79%
Respect his DNI
8%
Consult his family before making a decision
7%
Proceed with intubation as it may prolong his life
7%
Intubate the patient regardless of his DNI
โค3๐2
In a study of colon cancer in a population of 100,000 people, there are 300 new cases and 75 existing cases. What is the cumulative prevalence?
Anonymous Quiz
58%
0.375%
6%
0.45%
31%
0.375 per 1000
4%
0.45 per 1000
๐คฌ6๐4โค3
A new screening test for breast lesions was compared with a mammogram. Out of 1000 patients, the mammogram detected 200 positive cases. The new test detected 180 cases and missed 20 (false negatives). What is the sensitivity of the new test?
Anonymous Quiz
10%
95%
67%
90%
20%
80%
3%
70%
๐คฏ3๐ฅฐ2๐2โค1