A 43 year old female is undergoing an intrabdominal surgery and a bile duct injury has occurred during surgery. The Injury was controlled, and patient was in stable condition. Which of the following is the correct approach?
Anonymous Quiz
87%
Inform the patient and reassurance
3%
Reassure the patient without informing the patient
2%
Inform the patient’s family to prevent patient panic
7%
Consult the compensation department before informing patient
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A 70-year-old man was brought to the clinic by his son because of a productive cough with green sputum. The patient was recommended to start IV antibiotics however the son refused. What is the best next step in management?
Anonymous Quiz
12%
Ignore the son and begin IV antibiotics
82%
Consult the patient and take his opinion
3%
Discharge the patient with oral antibiotics
3%
Refer the patient to assisted living and hospice
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An 83-year-old was brought to the clinic by his family because of weight loss for the last 2 months. The patient was diagnosed with colorectal cancer and the family requested that you do not inform the patient. What is the next best step in management?
Anonymous Quiz
4%
Consult the hospital legal committee
80%
Inform the patient of the diagnosis and discuss management options
9%
Consult the hospital ethical board
8%
Do not inform the patient until the family are comfortable
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A 39 year old female presented to the clinic for a regular check up with a large painless thyroid nodule. After further investigations, the diagnosis was thyroid cancer. You call the patient to inform her. Which of the following is the best next step?
Anonymous Quiz
3%
Inform the patient and family members together
25%
Inform only the patient and with empathy
70%
Ask the patient if she wishes to have family members present
1%
Inform the family members before informing the patient
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A 42-year-old man comes to the counselling clinic after a diagnosis of bronchogenic cancer and was encouraged to quit smoking. He is ignorant and completely refuses to quit smoking, which of the following is the best response?
Anonymous Quiz
4%
“We need to speak to your family about this”
71%
“We will do everything we can to help you stop smoking”
2%
“We cannot continue seeing you until you stop smoking”
23%
“Smoking is harmful, and you will eventually die if you don’t stop”
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A woman was admitted to the ward suspected of pneumonia. She is confused but oriented to time, place, and person. Her son refused antibiotic administration because he believes it will harm her. What is the most appropriate next step?
Anonymous Quiz
1%
Do not administer antibiotics
22%
Consult him and call the consultant
67%
Take consent from the patient
10%
Consult the ethical committee
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A 34 year old male underwent a tonsillectomy. The surgeon struggled to control an episode of bleeding. Eventually the bleeding stopped without complications. The next day the patient asked the surgeon why the operation took long. What is the best approach
Anonymous Quiz
2%
Do not inform the patient about what happened during the operation
1%
Consult the hospital ethical board
1%
Only inform the family and reassure them
95%
Inform the patient and reassure him that there are no complications
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A 90-year-old man diagnosed with inoperable bronchogenic carcinoma was admitted to ICU because he suddenly deteriorated. The patient had a DNR and the thoracic surgeon recommended a high risk procedure with a low survival rate. What is the best next step?
Anonymous Quiz
14%
Ask the patient if she wishes to have family members present
5%
Initiate the operation without consent on the basis of an emergency
71%
Inform the patient about the high risk operation and obtain a signed consent form
9%
Inform the patient and family members together
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All questions are from past SMLE recalls and the answers are verified 😉👩🏻🍳
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SMLE Brain pinned «All questions are from past SMLE recalls and the answers are verified 😉👩🏻🍳»
A 61-year-old patient was diagnosed with atrophic vaginitis but was not convinced by her diagnosis. She requested a consultation with another doctor. Which of the following is the best next step?
Anonymous Quiz
9%
Assure the patient that the diagnosis clear and there is no need for further consultation
88%
Write a report of the diagnosis and refer the patient
2%
Refuse the patients request
1%
Inform the patients family of the diagnosis and reassure them
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A 34-year-old female presented to the clinic with a painless lump on her left breast. The doctor recommended a breast examination, but the patient refused and asked to be examined by a female doctor. Which of the following is the best approach?
Anonymous Quiz
1%
Consult the family and ask for their permission to examine the patient
1%
Refuse the patient’s request as she is discriminating genders
1%
Examine the patient anyway as it may be a cancerous lump
97%
Respect the patient’s wishes
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A 32 week pregnant woman was recommended for CS. The patient refused to sign consent for the procedure as she insists to deliver “naturally”. Vaginal delivery will increase the risk of fetal death. Which of the following is the most appropriate approach?
Anonymous Quiz
20%
Refer her to another clinician
42%
Obtain consent from husband
35%
Consult hospital administration
3%
Force the patient to undergo surgery
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