SMLE Brain
12 year old obese girl brought by her mother, 5 months after menarche with irregular menstrual bleeding and increased weight. She has mild acne. The patient was uncomfortable, agitated and unable to cooperate to physical examination. BMI 26 kg/m2. What isโฆ
My evidence ๐ค
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A 27-year-old woman presented to the police department with bruises all over her body. Which of the following is the main predictor of domestic violence?
Anonymous Quiz
7%
Tobacco use
14%
Second marriage
14%
Personal bankruptcy
64%
Marital dissatisfaction
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The National Center Screening Program is to be established based on priority and impact, which of the following cancer populations is recommended?
Anonymous Quiz
18%
Lung cancer
79%
Colorectal cancer
2%
Pancreatic cancer
1%
Oral cancer
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SMLE Brain
Patient came to the ER with MI and needed PCI, when the cardiologist assessed his condition he noticed the patient was depressed with low mood, the patient refused the PCI. He demonstrated a good understanding of his problem to the doctor . Next step?
Alot of people messaged me about this question, so far Iโm still convinced the answer is further assessment then take consent.
I found a similar case scenario about a patient who is showing signs of depression and refusing dialysis. The approach was to further assess the patientโs competence as it is unethical to accept consent when the patient is not emotionally competent.
I found a similar case scenario about a patient who is showing signs of depression and refusing dialysis. The approach was to further assess the patientโs competence as it is unethical to accept consent when the patient is not emotionally competent.
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For the question of PCI and depression, regarding the competency they mentioned that he has good understanding of his own problem so yes heโs competent, another recall came with psychologist evaluation instead of psychiatrist so yes I believe C is the right answer not evaluate his status then consent.
The issue here is not his understanding of his problem, it is his ability to make emotionally sound decisions which are not influenced by a mental illness such as depression. Depression can cause people to be suicidal and that could be the reason he is refusing PCI, not because he doesnโt understand that he is having an MI. This is why further assessment is important. If depression was found to be influencing his decision then the physician can refuse to listen to the patient and continue life saving treatment.
The issue here is not his understanding of his problem, it is his ability to make emotionally sound decisions which are not influenced by a mental illness such as depression. Depression can cause people to be suicidal and that could be the reason he is refusing PCI, not because he doesnโt understand that he is having an MI. This is why further assessment is important. If depression was found to be influencing his decision then the physician can refuse to listen to the patient and continue life saving treatment.
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ู
ุณุงุก ุงูุฎูุฑ
ุงุฎุชุจุงุฑูุง ูุฐุง ุงูุงุณุจูุน ู ููู ุฌู ุนุฉ ูุถููุ ุงุฐูุฑููุง ุจุฏุนูุงุชูู ๐๐ป๐
ุงุฎุชุจุงุฑูุง ูุฐุง ุงูุงุณุจูุน ู ููู ุฌู ุนุฉ ูุถููุ ุงุฐูุฑููุง ุจุฏุนูุงุชูู ๐๐ป๐
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A scenario of a doctor who shared a medical report without consent. What is the justification?
Anonymous Quiz
9%
A family member requested a report
69%
It is a reportable disease
14%
The patient is mentally incompetent
8%
The hospital want to share the case with the public media
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SMLE Brain
SMLE Brain ethics V1.1.pdf
ุงููู ุงุฎุชุจุงุฑูู
ุงูุดูุฑ ุงูุฌุงู ูุง ูููุชูู
ู
ูู
ุฌุฏุง
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The doctor wanted to inform the patient that she has lung cancer, who should the doctor inform?
Anonymous Quiz
34%
The patient only
3%
The patient and her husband and kids
1%
The patient and her friends
62%
Whoever the patient chooses
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A case of suspected MER-COV, the patient asked you not to report it as he is afraid he may lose his job. An infection control senior is waiting for results so that he can send it to the ministry of health. What is the most appropriate action?
Anonymous Quiz
28%
Confirm the case then report
66%
Report as suspected case within 24 hours
4%
Treat the patient then report
1%
Respect the patientโs wishes and do not report
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SMLE Brain
A case of suspected MER-COV, the patient asked you not to report it as he is afraid he may lose his job. An infection control senior is waiting for results so that he can send it to the ministry of health. What is the most appropriate action?
Why not confirm first then report I donโt get it?
Smlebrain: I based my answer on the Saudi ministry of health guidelines for Mers-Cov. It clearly says report suspected cases within 24 hours. ๐ง ๐
Smlebrain: I based my answer on the Saudi ministry of health guidelines for Mers-Cov. It clearly says report suspected cases within 24 hours. ๐ง ๐
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