ุงุณุงูุฉ ุงูcommunication ูุฐู ุฌุฏูุฏุฉ ุชู
ุงู
ุง ูู
ุง ูุงู ู
ูุฌูุฏ ุจูขู ูขูขุ ููุง ูู ูุชุจ ู
ู ุงูููุฆุฉ ุชุบุทู ุงูู
ูุถูุน ููุณ ุจุงูู ู
ูุงุถูุน ุงูุงุฎูุงููุงุช. ุงููู ูููููู
ุฌู
ูุนุง ููุง ุชูุณููู ู
ู ุงูุฏุนุงุก๐๐ป
โค30๐คฌ8๐8๐คฎ6๐ข4๐2
+ ุงุณุงูุฉ ุงูethics ุงูุณูุฉ ูุฐู ุญุฑููุฉ
๐คฌ28๐ฅ16๐ข11โก4๐ค2โค1
๐ The following question is most likely not SMLE, I donโt recommend studying non-SMLE questions for the exam ๐
A woman at 10 weeks gestation comes to the office for an initial prenatal visit, the patient has no chronic medical conditions and no prior surgeries, while discussing what to expect during the pregnancy and delivery, the patient states that she would like a primary cesarean delivery performed, the patientโs mother has struggled for years with urinary and fecal incontinence after having 3 vaginal deliveries and the patient does not want the same complications, the physician discusses the complications associated with cesarean delivery. Including the increased risk of complications in future pregnancies, based on the lack of medical and Obstetric indications, the physician is uncomfortable agreeing to perform the procedure, however the patient states that she understands the risk and still wants a cesarean delivery, which of the following is the most appropriate management of this patient?
A) Refer the patient to another obstetrician-gynecologist
B) Perform a caesarean delivery on maternal request
C) Tell the patient the procedure will not be covered by her insurance
D) Wait and discuss further when the patient is in active labor
Answer: A
A woman at 10 weeks gestation comes to the office for an initial prenatal visit, the patient has no chronic medical conditions and no prior surgeries, while discussing what to expect during the pregnancy and delivery, the patient states that she would like a primary cesarean delivery performed, the patientโs mother has struggled for years with urinary and fecal incontinence after having 3 vaginal deliveries and the patient does not want the same complications, the physician discusses the complications associated with cesarean delivery. Including the increased risk of complications in future pregnancies, based on the lack of medical and Obstetric indications, the physician is uncomfortable agreeing to perform the procedure, however the patient states that she understands the risk and still wants a cesarean delivery, which of the following is the most appropriate management of this patient?
A) Refer the patient to another obstetrician-gynecologist
B) Perform a caesarean delivery on maternal request
C) Tell the patient the procedure will not be covered by her insurance
D) Wait and discuss further when the patient is in active labor
Answer: A
๐ค15โค8๐6๐6๐5๐คจ4๐ฅ1๐1
ู
ุณุงุก ุงูุฎูุฑุฑ ุฌู
ูุนุงูุ ููู ุงูุฃุญูุงู ุจุดูุฑููุง ุ
ุงูุญู ุฏููู ุงูููุฏุจุงู ู ุง ูููุช ุน ุงูุชุทุจูู ุดูุฑุงู ููู ุ ุงุชู ูู ููู ุงูุถู ุงูุฏุฑุฌุงุช ุจุฃุฐู ุงูููโจ
ูุจุงูู ูุงุณุจุฉ ุน ููุงู ูู ุงูุทููุจ ูุงูุฏุนูุงุช ูุฐูุ ุงูู ูฅ ุงุดุฎุงุต ุญุงุจูู ูุดุชุฑููู ุจุงูุชุทุจูู ูููู ููู ูููู ููุฏ ุฎุตู ๐๐ฅ
ุงูุญู ุฏููู ุงูููุฏุจุงู ู ุง ูููุช ุน ุงูุชุทุจูู ุดูุฑุงู ููู ุ ุงุชู ูู ููู ุงูุถู ุงูุฏุฑุฌุงุช ุจุฃุฐู ุงูููโจ
ูุจุงูู ูุงุณุจุฉ ุน ููุงู ูู ุงูุทููุจ ูุงูุฏุนูุงุช ูุฐูุ ุงูู ูฅ ุงุดุฎุงุต ุญุงุจูู ูุดุชุฑููู ุจุงูุชุทุจูู ูููู ููู ูููู ููุฏ ุฎุตู ๐๐ฅ
โค19๐3๐ฅฐ2๐1๐ฅ1
Parents brought their child to the clinic. The child looks dirty and is dressed inappropriately. The patents looked careless and the child is not vaccinated. Their last visit to the clinic was 4 year ago. What is the form of abuse mentioned?
Anonymous Quiz
5%
Physical
3%
Emotional
1%
Sexual
91%
Neglect
๐คฃ32๐14๐ข8๐ฏ6๐5โค4๐ฅฑ4๐ฅฐ3๐1๐จโ๐ป1
A pregnant woman presented to the clinic. During her visit the doctor informed her that the fetus has anencephaly and advised for termination. The wife agreed but her husband is refusing. What is the appropriate action?
Anonymous Quiz
66%
You need both consent from her and husband
6%
Only need her consent
27%
Only need her consent and she should inform her husband
2%
Obtain consent from a representative
๐คฏ25๐15๐14โค11๐5๐ค2๐2๐ฅ1๐ณ1๐ฏ1
ู
ุณุงุก ุงูุฎูุฑุ ูููู ุงูุญู
ุฏ ุงูููุฏุจุงู ู
ุงุฒุงูุช ู
ุณุชู
ุฑู ุน ุงูุชุทุจูู โจ
๐ฅ14โค6
A q of pregnant pt diagnosed with UTI , doctor prescribe for her an ABX (which I fortgot), while she was in the ED , the nurse said to the doctor, that it is possible to diagnose UTI in pregnancy and prescribe antibiotic , but still you should make sure that it is safe for her, doctor said hurry please , nurse said sorry but I will stop the order of the ABX and will revise her medication, what describe this situation
A. call out
B. close loop communication
C. Concern, Unccomfortable, saftey
D. Situation, background, assesment, recommondatio.
Here the nurse shows concern for the patient and wants to follow safety protocol. Based on this recall and with this information. Most likely C.
A. call out
B. close loop communication
C. Concern, Unccomfortable, saftey
D. Situation, background, assesment, recommondatio.
Here the nurse shows concern for the patient and wants to follow safety protocol. Based on this recall and with this information. Most likely C.
๐30โค8๐1
โข ู
ุณุงุก ุงูุฎูุฑ ุจุดุฑููุง ุงููู ุงุฎุชุจุฑูุง ูู
ููููู ููุจุงูููู ๐ค
๐ (ุดูุฑ ุณูุจุชู ุจุฑ 9 ) ู ุชุงุญ ุงูุงู ุจุงูุชุทุจูู๐๐ฅ
ุงูุงุดุชุฑุงู ูุดู ู ุฌู ูุน ุงูุดููุฑ ุงูู ุชููุฑุฉ ูู ุงูุชุทุจูู ๐ฅ
๐ููู ุจุงูู ุงุณุฆูุฉ ุดูุฑ 9 ูุจูุถูููุง ุจุฃุฐู ุงููู ุฎูุงู ุงูุงูุงู ุงูุฌุงูุฉุ ุจุณ ุฑูุนุช ููู ุฌุฒุก ุนุดุงู ุงููู ุจูุฐุงูุฑูู ู ุงูุชุฃุฎุฑูู โจ
โข ุจุงูุชูููููู ูููู ๐ค
๐ (ุดูุฑ ุณูุจุชู ุจุฑ 9 ) ู ุชุงุญ ุงูุงู ุจุงูุชุทุจูู๐๐ฅ
ุงูุงุดุชุฑุงู ูุดู ู ุฌู ูุน ุงูุดููุฑ ุงูู ุชููุฑุฉ ูู ุงูุชุทุจูู ๐ฅ
๐ููู ุจุงูู ุงุณุฆูุฉ ุดูุฑ 9 ูุจูุถูููุง ุจุฃุฐู ุงููู ุฎูุงู ุงูุงูุงู ุงูุฌุงูุฉุ ุจุณ ุฑูุนุช ููู ุฌุฒุก ุนุดุงู ุงููู ุจูุฐุงูุฑูู ู ุงูุชุฃุฎุฑูู โจ
โข ุจุงูุชูููููู ูููู ๐ค
โค15๐ฅ4๐3๐ฑ1
SMLE Brain pinned ยซโข ู
ุณุงุก ุงูุฎูุฑ ุจุดุฑููุง ุงููู ุงุฎุชุจุฑูุง ูู
ููููู ููุจุงูููู ๐ค ๐ (ุดูุฑ ุณูุจุชู
ุจุฑ 9 ) ู
ุชุงุญ ุงูุงู ุจุงูุชุทุจูู๐๐ฅ ุงูุงุดุชุฑุงู ูุดู
ู ุฌู
ูุน ุงูุดููุฑ ุงูู
ุชููุฑุฉ ูู ุงูุชุทุจูู ๐ฅ ๐ููู ุจุงูู ุงุณุฆูุฉ ุดูุฑ 9 ูุจูุถูููุง ุจุฃุฐู ุงููู ุฎูุงู ุงูุงูุงู
ุงูุฌุงูุฉุ ุจุณ ุฑูุนุช ููู
ุฌุฒุก ุนุดุงู ุงููู ุจูุฐุงูุฑูู ู
ุงูุชุฃุฎุฑูู โจ โฆยป
ู
ุณุงุก ุงูุฎูุฑุฑุ ุงุฎุจุงุฑูู
ุ
ุนูู ููู ููู ุฏุฑุฌุงุช ุณูุจุชู ุจุฑ ๐ุ
ุงูุชุจููู ุชุฌุงุฑุจูู ุจุงูุฎุงุต ๐ค
ุนูู ููู ููู ุฏุฑุฌุงุช ุณูุจุชู ุจุฑ ๐ุ
ุงูุชุจููู ุชุฌุงุฑุจูู ุจุงูุฎุงุต ๐ค
๐38๐ข14๐11โค6๐คฏ3๐คฎ2
SMLE Brain pinned ยซู
ุณุงุก ุงูุฎูุฑุฑุ ุงุฎุจุงุฑูู
ุ ุนูู
ููู ููู ุฏุฑุฌุงุช ุณูุจุชู
ุจุฑ ๐ุ ุงูุชุจููู ุชุฌุงุฑุจูู
ุจุงูุฎุงุต ๐คยป