One of the female hospital staff went into labour at 23 weeks gestation. The baby had a congenital heart defect and needed intubation but the mother refused and did not want to resuscitate the baby for โpersonal reasonsโ. What is the best next step?
Anonymous Quiz
29%
Ignore the mother and intubate the baby
54%
Respect the mothers wishes
1%
Refer the case to another another physician
16%
Consult the ethical committee
๐ค49๐ข18๐15๐4โค3๐ฅฐ3๐ฑ3๐ฅ1๐1
Findings in a research report show that the incidence of a particular disease in Saudi Arabia is higher in females than in males but the prevalence is equal in both females and males. How can this be explained?
Anonymous Quiz
74%
Fatality cases are higher in females
11%
Fatality cases are higher in males
11%
Females carry the disease for longer
5%
Males carry the disease for longer
๐14๐7๐3โค2๐ฅ2๐คฉ2๐ฅฑ2๐2
A male doctor wants to examine a female patient, he called a female nurse to join him during the examination as a chaperone, what ethical principle did the physician practice?
Anonymous Quiz
5%
Justice
70%
Privacy
23%
Non-maleficence
3%
Informed consent
๐28๐16๐ข5๐4
A doctor examining a citizen returning from overseas found him positive for HIV. The patient begged the doctor to not inform his wife and said if she found out, she will leave him ๐ฅบ๐. What is the most appropiate action?
Anonymous Quiz
8%
Respect the patientโs wishes
34%
Inform his wife of his diagnosis
1%
Inform his boss of his diagnosis
57%
Report the case to the authorities
๐26๐ฑ18๐13๐5๐ค5๐คฌ5๐ข5๐ฅฐ4๐คฏ4๐ฅ2
A couple presented to the clinic complaining of infertility for the last 3 years. They asked about the availability of a surrogate option in the hospital and whether it was legal in KSA. Which of the following is the most appropriate option?
Anonymous Quiz
9%
Inform them that it is not an available option in the hospital
3%
Refer them to another consultant with connections to surrogacy centers
28%
Inform them that surrogacy is illegal in Saudi Arabia
60%
Schedule an appointment and read about the topic
๐46๐ค36๐15โค4๐4
A woman presented to the hospital with a broken arm ๐๐ฅบ๐ฆด caused by her husband who was angry she didnโt make him tea properly. Which of the following is the most common time domestic violence is increased?
Anonymous Quiz
74%
During pregnancy
14%
After retirement
1%
At family visits
10%
On holidays
๐คฌ42๐ข11๐5๐ฅด4โค2๐2๐คฏ1
The WHO requested health related data with regards to a particular health issue affecting the population. Which of the following should KSA share with the WHO?
Anonymous Quiz
76%
Health indicator
10%
Health determinant
6%
Risk factors
7%
Case fatalities
๐คฉ13๐11๐ฅ3๐ข3๐ณ3๐1๐ฅฐ1๐1
A researcher wants to examine the effectiveness of drug A. He does so by combining multiple researches to reach a conclusion. What type of study is the researcher trying to make?
Anonymous Quiz
7%
Case control study
8%
Cohort study
11%
Randomized control trial study
74%
Meta analysis study
โค7๐7๐5๐ข5
A 56-year-old male suffering from chronic illness was managed by a physician for the last 5 years. His hospital changed administration and a new physician was assigned. The patient was angry and demanded his previous physician. Whats the best next step?
Anonymous Quiz
25%
Assure the patient that there are many great physicians that can treat him
2%
Ignore the patient and continue management
71%
Send a medical report and refer the patient
1%
Warn the patient that you will call security if he does not behave
๐12โค7๐ข5๐ฅฐ3
A patient underwent a caesarean section and developed massive bleeding that was not being controlled by medical management. A decision for hysterectomy was made by the consultants but consent was not obtained. What is the most appropriate action?
Anonymous Quiz
20%
Obtain consent from the husband
73%
Perform the hysterectomy without consent
4%
Consult the ethics committee
3%
Do not perform the hysterectomy
๐17โค6๐คฏ5๐2๐2๐ฅฐ1
ุงูุณูุงู
ุนูููู
ุ ุฃุฑุญุจ ุจุฌู
ูุน ุงูู
ูุถู
ูู ุงูุฌุฏุฏ ุจุงูููุงุฉ, ูุฐู ุงูููุงุฉ ู
ุฎุตุตุฉ ูู ุฌู
ุน ุงุณุงูุฉ ุงูุงุฎูุงููุงุช ู ุญููุง ุจุงูุทุฑููุฉ ุงูุตุญูุญุฉ ุงูู
ุนุชู
ุฏุฉ ู
ู ุงูู
ุตุงุฏุฑ ุงูุงุณุงุณูุฉ
ุงุฑุฌู ู ู ุงูุฌู ูุน ุงููุดุฑ ููุงุณุชูุงุฏุฉ
ุดูุฑุงู ููู ๐ง ๐ฉบ
ุงุฑุฌู ู ู ุงูุฌู ูุน ุงููุดุฑ ููุงุณุชูุงุฏุฉ
ุดูุฑุงู ููู ๐ง ๐ฉบ
๐17โค16๐8๐7
SMLE Brain pinned ยซุงูุณูุงู
ุนูููู
ุ ุฃุฑุญุจ ุจุฌู
ูุน ุงูู
ูุถู
ูู ุงูุฌุฏุฏ ุจุงูููุงุฉ, ูุฐู ุงูููุงุฉ ู
ุฎุตุตุฉ ูู ุฌู
ุน ุงุณุงูุฉ ุงูุงุฎูุงููุงุช ู ุญููุง ุจุงูุทุฑููุฉ ุงูุตุญูุญุฉ ุงูู
ุนุชู
ุฏุฉ ู
ู ุงูู
ุตุงุฏุฑ ุงูุงุณุงุณูุฉ ุงุฑุฌู ู
ู ุงูุฌู
ูุน ุงููุดุฑ ููุงุณุชูุงุฏุฉ ุดูุฑุงู ููู
๐ง ๐ฉบยป
A newly diagnosed diabetic patient arrived on time for his appointment. The doctor on the other hand arrived late due to a medical emergency. The patient was furious ๐คฌ. Which of the following is the most appropriate next step?
Anonymous Quiz
27%
Explore the cause of anger
67%
Acknowledge the cause of anger
1%
Ignore the cause of anger
4%
Dismiss this as just anger due to being a newly diabetic
๐15๐ฅฐ4โค1๐คฏ1
An infant was brought to the well child clinic for a regular check up. Immunization records showed he didnโt take last monthโs vaccines. When offered the vaccines, the father refused and got angry. What is the best next step?
Anonymous Quiz
6%
Inform child protection services
91%
Educate the father about vaccinations
2%
Call the ethical committee
0%
Continue the check up as usual
๐12๐6โค1๐ฑ1๐1๐1
A 3-year-old child was brought by his mother for a regular check up. The child behaved badly, continued to shout โNO!โ and throw toys. His mother tried to stop him but he continued to ignore his mother. Which of the following would you advise this mother?
Anonymous Quiz
6%
Ignore the child when he does this
5%
Counsel the child
88%
Positive reinforcement
1%
Punish the child
๐11๐ค4๐ฅฐ2โค1๐1
A famous Saudi celebrity presented to the clinic for a follow up on her condition. After the celebrity left, another patient took pictures of her private information on the screen. It was revealed to the public this celebrity had an STD. Who is at fault?
Anonymous Quiz
4%
The nurse who didnโt check the screen after the doctor left
7%
The patient who took the picture
2%
No-one is at fault as it is in the public interest to know
86%
The doctor who did not sign out of the account
๐ฑ21๐8๐6๐ฅ3๐ฅด2๐ณ2๐1๐1๐พ1๐1
An 18-month child was brought to clinic for a regular checkup. The doctor found out that the child had not taken any of his scheduled vaccines. He asked the mother why and she replied โVaccines will make my son retarded!โ๐ก. What is the appropriate action?
Anonymous Quiz
1%
Refer the mother for psychiatric assessment
4%
Contact the child protection services
93%
Explain the benefits of the vaccines to the mother
2%
Contact the hospital ethics committee
๐13๐คฌ6โค5๐5๐3๐คฏ2๐1
A female presented to the ER with severe abdominal pain and was unstable. She was diagnosed with ovarian torsion and needed treatment however she refused to consent. Her husband wanted her to be treated and signed consent. What is the appropriate action?
Anonymous Quiz
22%
Proceed with the treatment without consent
26%
The husbands consent is enough
51%
Let her sign for discharge against medical advice (DAMA)
1%
Obtain consent from another relative
๐49๐คฏ23๐6๐5๐ฅด5๐ฅ4โค3๐ค3๐3๐ญ1
SMLE Brain
A female presented to the ER with severe abdominal pain and was unstable. She was diagnosed with ovarian torsion and needed treatment however she refused to consent. Her husband wanted her to be treated and signed consent. What is the appropriate action?
This is a controversial question, but the best answer is still B. I will explain why:
Signing for DAMA is out of the question because this is a medical emergency and her life may be in danger.
In cases of medical emergency, you have to treat the patient but this doesnโt mean you do not atleast attempt to gain consent, in this case they tried to gain consent from the patient but she refused, the next step is to gain consent from the husband. This is a valid approach according to the Ethics and professionalism handbook for residents approved by the Saudi Commision:
โin the case of a real emergency, her opinion should be listened to; if she refuses to sign the informed consent form, her husband or another near relative may sign. In these cases, an Emergency Medicine doctor can sign the form to protect a patientโs life.โ Page 61 -Ethics Handbook by the Saudi commission for health specialties
Bottomline: B is more correct than A
Signing for DAMA is out of the question because this is a medical emergency and her life may be in danger.
In cases of medical emergency, you have to treat the patient but this doesnโt mean you do not atleast attempt to gain consent, in this case they tried to gain consent from the patient but she refused, the next step is to gain consent from the husband. This is a valid approach according to the Ethics and professionalism handbook for residents approved by the Saudi Commision:
โin the case of a real emergency, her opinion should be listened to; if she refuses to sign the informed consent form, her husband or another near relative may sign. In these cases, an Emergency Medicine doctor can sign the form to protect a patientโs life.โ Page 61 -Ethics Handbook by the Saudi commission for health specialties
Bottomline: B is more correct than A
๐31๐9๐5๐2โค1
A baby was left at the hospital doors without a guardian and suspected to be born out of wedlock. Upon examination it was recommended by the pediatric surgeon to do a hernia repair. Which of the following is the most appropriate action?
Anonymous Quiz
10%
Inform the case to the police
17%
Inform the case to the social workers
64%
Consult the ethics committee
10%
Do the surgery without consent
๐12๐ค6๐2๐ข2โค1โก1