A patient had colorectal cancer and does not wish to do the surgery. His wife and son do not agree with him. The patient went on to have a decreased level of consciousness and his family requested to do the surgery. What is the most appropiate management?
Anonymous Quiz
47%
Do the surgery if there is written consent
33%
Refuse the surgery as the patient wishes
13%
Do the surgery if there is benefit for life
6%
Consult the ethics committee
๐คจ21โค11๐9๐คฌ4๐1๐ฅ1
A neonate was coded blue. โDo not resuscitateโ was discussed with the parents but the discussion was not completed. What is the most appropriate action?
Anonymous Quiz
7%
Do not resuscitate the neonate
69%
CPR then complete the discussion
4%
Complete the discussion then do CPR
20%
Do CPR immediately
๐24โค3๐ข1
A man visits his family physician where he states he was diagnosed with Hepatitis B. You check his medical records which confirm he does have Hepatitis B. The man does not want his wife to know despite explaining the risk of infecting her. What to do?
Anonymous Quiz
62%
Call the local health department and report the patientโs Hepatitis B status
12%
Call the patientโs wife and warn her that she is at risk for Hepatitis B
10%
Listen to the patient and maintain confidentiality
16%
Encourage your patient to receive marriage counseling
โค18๐5
A 12 year old boy is terminally ill with osteosarcoma. He asks you how long he is likely to survive. His parents asked you in the past to avoid discouraging their son by withholding the true severity of his condition. What is the best course of action?
Anonymous Quiz
51%
Discuss the patientโs condition honestly without providing an estimated survival time
35%
Explain that a positive attitude will improve life expectancy and he shouldnโt worry about longevity
7%
Provide an estimate of survival time based on a literature review
7%
Refer this question to the patientโs parents
๐10๐ญ6๐5๐3๐ฅ2โค1๐1
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ุณุงุก ุงูุฎูุฑ ุนูููู
ุฌู
ูุนุงูุ ูุง ุงููุงู ูู ุงู ุงุญุฏ ุฌุฏูุฏ ู
ู ุงูุฏูุนุฉ ุงูุฌุฏูุฏุฉ ุฏุฎู ุงูููุงุฉุ ุนุดุงู ูุง ูุญุตู ููู
ุชุดุชุช ุฃูุถู ุชุชุจุนู ุงูุฑุณุงูู ุงูู
ุซุจุชู ู ุชูุฑููุง ูู ูููุง ุงูู
ูู
..
ู ุงูุง ุงู ุดุงุก ุงููู ุฑุงุญ ุงูู ู ู ุนุงูู ุจุญู ุงูุงุณุฆูุฉุ ูุญุงููุงู ุงููุฑ ุงูุธู ูุฑูุจุงุช ููุจุญูุซ ุจุญูุซ ูุณุงุนุฏ ุงูุงุบูุจ ุงูู ูุณูู ุจุญุซ ูููุฏุฑ ูุญุตู ุนูู ุงูููุงุท ูููุดุฑ.
ุจุงููุณุจู ููุฌุฏูุฏูู ๐ ูู ู ุดุฑูุน ุจุจูุบูู ุนูู ูุฑูุจุงู ุฑุงุญ ูููุฏูู ุจุฃุฎุชุจุงุฑ ุงู SMLE ุฌุฏุงู ุฅู ุดุงุก ุงููู ูุจุงูุชูููู ูููู ๐ซต๐ป๐ซถ๐ป
ู ุงูุง ุงู ุดุงุก ุงููู ุฑุงุญ ุงูู ู ู ุนุงูู ุจุญู ุงูุงุณุฆูุฉุ ูุญุงููุงู ุงููุฑ ุงูุธู ูุฑูุจุงุช ููุจุญูุซ ุจุญูุซ ูุณุงุนุฏ ุงูุงุบูุจ ุงูู ูุณูู ุจุญุซ ูููุฏุฑ ูุญุตู ุนูู ุงูููุงุท ูููุดุฑ.
ุจุงููุณุจู ููุฌุฏูุฏูู ๐ ูู ู ุดุฑูุน ุจุจูุบูู ุนูู ูุฑูุจุงู ุฑุงุญ ูููุฏูู ุจุฃุฎุชุจุงุฑ ุงู SMLE ุฌุฏุงู ุฅู ุดุงุก ุงููู ูุจุงูุชูููู ูููู ๐ซต๐ป๐ซถ๐ป
๐33โค26๐ฅ5๐5๐ฅฐ1๐คจ1
A child with muscle atrophy disease and recurrent chest infections requires resuscitation. However, the mother informs the medical team that the child has a "Do Not Resuscitate" (DNR) order in place. How should this situation be handled?
Anonymous Quiz
27%
Take the DNR order from the mother
24%
Seek consent for DNR from the hospital
36%
Take the order by hospital physician to carry out resuscitation
13%
Consult hospital administration
๐20โค8๐7๐4๐ฅ2๐ค2๐คจ2๐ณ1
Patient came for surgery, and during operation, doctor requested the nurse to administer a unit of blood. However, the nurse informed the doctor that the patient had already received a unit of blood as per a previous order. What is this situation called?
Anonymous Quiz
61%
Collaborative communication
27%
Order assessment
6%
Hand off
7%
Cut off
โค13๐6๐ฅด6๐ฅ3
A child๐ฆ๐ป is admitted to the PICU with a subdural hematoma. The father reports the child fell from his bed. On physical examination, the child has ecchymosis on the buttocks and back and bilateral femoral fractures๐ฅ๐ฆด. What's the most likely diagnosis?
Anonymous Quiz
1%
Hematoma
4%
Pathological fracture
90%
Battered child syndrome
5%
Accidental injury
๐ข17๐9โค6๐คฌ5๐ฅ2๐1
A female who recently got married has been taking oral contraceptive pills (OCPs) even before her marriage. She wishes to continue taking OCPs, but her husband wants her to stop. What is the most appropriate approach?
Anonymous Quiz
15%
Patient consent is enough
56%
Both the patient and her husband should be consented
27%
The patient's consent should be taken after discussion with her husband
1%
Husband's consent is enough
๐คฌ26โค12๐10๐ค5๐4๐คฉ4๐2๐ฅ1๐1
SMLE Brain pinned ยซู
ุณุงุก ุงูุฎูุฑ ุนูููู
ุฌู
ูุนุงูุ ูุง ุงููุงู ูู ุงู ุงุญุฏ ุฌุฏูุฏ ู
ู ุงูุฏูุนุฉ ุงูุฌุฏูุฏุฉ ุฏุฎู ุงูููุงุฉุ ุนุดุงู ูุง ูุญุตู ููู
ุชุดุชุช ุฃูุถู ุชุชุจุนู ุงูุฑุณุงูู ุงูู
ุซุจุชู ู ุชูุฑููุง ูู ูููุง ุงูู
ูู
.. ู ุงูุง ุงู ุดุงุก ุงููู ุฑุงุญ ุงูู
ู ู
ุนุงูู
ุจุญู ุงูุงุณุฆูุฉุ ูุญุงููุงู ุงููุฑ ุงูุธู
ูุฑูุจุงุช ููุจุญูุซ ุจุญูุซ ูุณุงุนุฏ ุงูุงุบูุจ ุงูู ูุณููโฆยป
A patient has recently stopped smoking and has started using nicotine replacement patches. The patient is motivated to quit smoking and is actively taking steps towards achieving that goal. Which stage of smoking cessation is the patient currently in?
Anonymous Quiz
69%
Action
15%
Preparation
12%
Contemplation
3%
Precontemplation
๐9๐9โค3๐1
A 27-year-old woman at 39 weeks of gestation experiences a complicated delivery due to shoulder dystocia. As a result, the infant develops brachial plexus palsy. What is the best approach to reduce complication rates for shoulder dystocia?
Anonymous Quiz
40%
Schedule simulation drills with the entire clinical team at regular intervals
8%
Conduct a debriefing for team members after each adverse event
14%
Perform a root cause analysis after every adverse event
38%
Use a checklist that categorizes shoulder dystocia risk in every patient chart
๐8๐7โค2๐2๐ฅ1
An 89-year-old man with a history of metastatic cancer asks you to prescribe medications that will end his life. While you personally have reservations about assisted suicide, you are in a state where its legal. What is the appropriate course of action?
Anonymous Quiz
41%
Inquire about the patient's reasons for wanting assisted suicide
5%
Comply with the patient's wishes and agree to help perform assisted suicide
15%
Encourage the patient not to pursue assisted suicide
39%
Refer the patient to a qualified medical provider who assists with performing assisted suicides
๐12โค6๐ฅฐ2
A 10-year-old child with a severe neurological progressive condition is under the care of a pediatrician. The parents ask about the duration of a DNR order for their child. How should the DNR order be managed in this case?
Anonymous Quiz
18%
DNR is valid for life
45%
DNR is reviewed annually
15%
DNR is reviewed every 3 months
22%
DNR is reviewed every 6 months
๐ฅ14๐ฅด5โค3๐3๐ฅฐ1๐ค1๐คจ1
A study was conducted on 1320 cases to investigate the effects of a new drug. In order to ensure a successful study, which of the following factors must be avoided?
Anonymous Quiz
68%
Plagiarism
10%
Explain the study to the cases
11%
Unknown identity of the cases
11%
Consent of the cases
๐12๐1
A critically ill patient is admitted to the intensive care unit (ICU). The medical team is considering a Do Not Resuscitate (DNR) order for the patient. Which of the following statements is true about DNR orders?
Anonymous Quiz
64%
DNR orders should be taken by 3 worthy doctors
16%
DNR orders should be discussed with the patient
16%
DNR orders should be discussed with the patientโs family
3%
DNR orders should be discussed with hospital administrators
๐คฌ14๐13๐9โค7๐ฅด3๐2๐ฅ1๐1
An 8-year-old girl has sustained a painful open fracture-dislocation that needs immediate treatment following a car accident. Her parents are out of town, and the babysitter is in a different hospital. Which of the following is the best course of action?
Anonymous Quiz
66%
Reduce the fracture and complete a thorough evaluation
17%
Do not treat the patient until given verbal consent over the phone by her parents
10%
Obtain verbal consent from the babysitter over the phone
7%
Obtain a court order to treat the patient
๐16๐ค7๐4โค3๐คฉ1
A patient is experiencing hemiplegia and weakness after a stroke. The patient is currently undergoing physiotherapy. What form of disease prevention is this?
Anonymous Quiz
62%
Tertiary
8%
Secondary
3%
Primary
27%
Rehabilitation without prevention
๐คฌ20๐13๐คฃ7๐ค2๐ฅฑ2๐ฅด2โค1๐ฅฐ1