تطمنو اسئلة الethics كلها موجودة بالقناة على شكل اسئلة من اول، قبل الملزمة 👍🏻

مبروك شباب وعقبال التخصصات اللي تتمنون ❤️❤️👌🏻

مافي اسالة ethics جديدة؟ 😒

You receive a call from another physician about a former female patient, the patient recently moved to another city and you referred her to the physician who is calling you now. The physician needs to immunize the patient for trip overseas and requests that your office sends a copy of the patient’s immunization records; however, the patient never formally authorized you to release her information, what is the most appropriate course of action?

A) Send the patient’s immunization records to her new physician without her formal consent

😎 Consults the ethics committee of the state medical board about the appropriate course of action

C) Have the patient sign a consent form allowing the release of her medical information to her new physician

D) Refuses to send the patient’s immunization records to her new physician without the patient’s formal consent

Answer: A

Physicians may disclose health information between each other in the interest of patient care without explicit consent from the patient

رمضُان دخل علينا بالخير والبركة، فاللهُم أكمل أيامه ولياليه وأنت راض عنا وأهلنا وكل من نحب، كل عام وانتم بخير
و تذكرونّي في دعواتكم 🙏

A 29YO primigravida at 36 weeks gestation comes to the clinic with her husband for a routine prenatal visit, her pregnancy has been uncomplicated and she had no chronic medical condition, her only medication is daily prenatal vitamin, vital signs are normal. Fundal height is 36cm and fetal heart sounds are 150/min on Doppler ultrasound, the patient says she has created a detailed birth plan and would like to have a natural delivery, she says a vaginal birth is necessary for her to feel fully connected to her baby, and she is not interested in receiving any medication to decrease the pain. The patient’s wishes are acknowledged and documented in the chart; however the physician states that unexpected events can occur during labor and delivery that require a cesarean delivery. The patient replies “A Cesarean delivery is not part of my birth plan and I don’t want to have one” which of the following is the most appropriate response?

a. “I would only recommend a Cesarean delivery if it were absolutely necessary, let’s talk about what the indication would be”

b.” birth plans are good for uncomplicated deliveries, but in an emergency, you can trust that my recommendation is the safest option”

C. “If you do not want a cesarean delivery, I will not perform one, I will make sure to document this in your chart”

d. “my priority is to take care of you and your baby, so if the baby is in distress labor, I will need to do a cesarean delivery”

Answer: A

66yo Woman presented with stage 1 small cell carcinoma of the right lung, you explain that the cancer is operable and ask to schedule the operation for tomorrow; however, after thinking about it, the woman would like to forgo the operation and explore natural methods of treating her cancer. The woman does not display signs of mental incompetence and demonstrates a thorough knowledge of her disease and the treatment options. What is the next course of action?

A. Research natural methods of cancer treatment in order to help the patient navigate her desired treatment options.

B. Consults a psychiatrist to assess the patient’s medical decision-making capability.

C. Convinces the patient to the operating room for another indication and remove the carcinoma while she is sedated.

D. Informs the patient that she is making a disastrous mistake and convince her that refusing the surgery will lead to her death.

Lets exclude:

⁃ C is definitely wrong, you can’t lie to your patient about a surgical procedure or any medical matter!

⁃ D is wrong, using the word ‘Disaster’ and ‘Lead to your death’ is not professional and compassionate conduct.

⁃ B is wrong as the case mentions she does not display any mental incompetence and has good knowledge of her disease and treatment options. There was no mention of mental illnesses such as depression.

⁃ A is the most appropriate answer because of the last part, ‘help the patient navigate her desired treatment options’. The patient is refusing surgery despite having good knowledge on her disease and is competent. Your best option as a physician is to guide her through her treatment options and inform her on natural methods, if any, through your research.

السلام عليكم، اخباركم؟
حياكم الله في حساب تويتر smlebrain قريبا ان شاء الله راح انزل ثريدات مفيدة ساعدتني كثير شخصياً و زملائي للحصول ع درجات عاليه +90 بعد توفيق الله و لله الحمد في اختبار SMLE🙏🏻❤️

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primigravida at 18 weeks gestation comes to the clinic for a routine prenatal visit and an anatomy ultrasound. The patient feels well and has no concerns, she is accompanied by her mother as her husband was unable to get off work, and the patient has no chronic medical conditions and her only daily medications is a prenatal vitamin, ultrasound shows a cephalic singleton fetus measuring at less than 10th percentile consistent with severe growth restriction, there are bilateral choroid plexus cysts, clenched fists and a large ventricular septal defect, amniotic fluid level is normal, the placenta is posterior and fundal, which of the following is the most appropriate initial statement by the physician?

A. “There are some things about your ultrasounds that I need to discuss with you, is it okay to do that now?”

B. “Would it be okay if your mother stepped out of the room so we can talk about your results?”

C. “Let’s schedule a follow up visit to discuss the results when your husband can be there here with you”

D. “Could I speak to you in private about my concerns with your ultrasound findings?”

Answer: A