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AKADEMIK CIAMIK 2010 UTS BHP IV

For question number 1 to 5, refer toscena

rio below:

Fairy, a 24-month-old child presents to th

eclinic with a runny nose. Since she isothe

rwise well, Dr. Roe asked the nurse toadm

inister the immunizationsdue at 24months

. After the child and her motherleave the c

linic, Dr. Roe realizes that thepatient was i

n the clinic for check up amonth before an

d had also receivedimmunizations then.

1. What is the essentialmistakecausing Dr.Does error?

a. Dr. Roe did not give injectionbyhimself

b. Dr. Roe did not checkFairysmedical record

c. The nurse did not provideFairys medical record

d. The nurse did whatever Dr.Roeasked without question

e.Dr. Roe did not ask themotherabout Fairys

immunization

f. What principle that was violatedbyDr.Roe?

a. Autonomyb. Beneficentc. Non maleficenced. Justice

e. Which statement of doctorsoathwas violated by Dr.Roe?

a. The health of patient as thefirstconsiderations

b. To practice medicalprofessionwith conscience and

dignity

To maintain respect forhu

man life from thetime o

f conception

Not to use medicalknowled

ge contrary tothe laws

of humanity

To maintain the honor andt

he noble traditions ofmedical profession

c. Should Dr.Roe tell themotherabout his mistake?

a. No, to prevent lawsuitb. Yes, to prevent harmc. No, its a minor mistaked. Yes, when harm occurse. No, there will be no benefit

f. Is disclosing mistake adoctorsethical duty?

a. Yes, because it canpreventlawsuit

b. No, because it willl causeharmto the patient

c. Yes, because it is anobligationto be truthful

d.No, because it is anobligationto keep things

confidential

e. Yes, because it is better thantobe disclosed by others

For questions number 6 to 10, refer tosce

nario below:

Blondie comes to the hospital emergencyr

oom (ER) with fever and difficulty ofbreat

hing. She was referred by her familydoctor

after 3 days antibiotic treatmenthas been

unsuccessfuil. The ER doctorthen diagnos

ed him as having pulmonaryinfection whic

h becomes severe becausethe family doct

or made a mistake for notgiving her the la

test antibiotic. He told herto be careful wh

en choosing a doctor. Shefeels grateful for

this information.

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f. What mistake done by theERdoctor?

a. Making false accusationb. Making wrong diagnosisc. Making different diagnosisd. Disrespectful to his colleaguee. Disclosing othern

peoplesmistake

f. Which ethical principle hasbeenbreached by the ER doctor?

a. Autonomyb. Beneficentc. Non maleficenced. Justice

e. Which statement of doctorsoathwas violated by the ER doctor?

a. To consider colleagueasbrothers

b. To practice medicinewithconscience and dignity

To give teachers therespect

and gratitudewhich is their due

Not to use medicalknowled

ge contrary tothe laws

of humanity

To maintain the honor andt

he noble traditions ofm

edical professional

Which statement you wouldch

oose to say to a patientregarding other doctorspossibl

e error judgement?

a. Your doctor had madeamistake

b. Your doctor made awrongmistake

c. Your doctor had madeamedical error

d. Your doctor did not know

whathe had know

e. Your doctor had done whathethought is right

To say apology related to anerr

or is one of therepresentations of thisprofessional valu

e:

a. Honorb. Respectc. Honestyd. Integritye. Excellence

In relation with the principle of

beneficence, there is anethi

cal question in the caseof f

emale circumcisionwhich is

:

a. Whether it can causeinfectionor not

b. Whether it relateswithhealthiness or not

c. Whether it is accepted inthesociety or not

d. Whether it shoukd be doneinhospital or not

e. Whether it should be done byaprofessional or not

For questions number 12 to 19, refer tosc

enario below:

The face of Ms.Birdie, a 27-year-old, wasa

ccidentally disfigured caused by burninjur

y while she was younger. When sheasked

for face transplant, the doctors saidthey o

nly had a few cases of facetransplant, ther

efore they could notguarantee a full succe

ss. But they wouldappreciate her very mu

ch if she waswilling to try Ms.Birdie then d

ecided tohave face transplant although he

r parentsdisagree because they were worried. Aftera number of surgeries she realize

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s thenew face is not exactly what she had i

nmind.

The doctors limited experienc

eon face transplant cancau

se ethical problemduring in

formed consent,which is:

a. Whether the doctors havetheability to do the surgery

b. Whether the doctors havetoguarantee a success or not

Whether Ms.Birdies cande

cide when herparents d

isagreec. Whether the face transplant isa

treatment or an experiment

Whether the face should b

eexactly what she hadi

magine or not

d. The medical indication to dofacetransplant to Ms.Birdie would

be:

a. To make Ms.Birdie beautifulb. To increase Ms.Birdies

selfesteem

c. To develop facetransplanttechnology

d. To train doctors infacetransplant procedure

e. To give Ms.Birdie betterchancein the society

f. Whether Ms.Birdie has thecapacityto decide is an issue of:

a. Autonomyb. Beneficentc. Non-maleficentd. Justicee. Medico-legal

To prevent possiblepsychologic

al problem thatoccurs when the result isnot as what

Ms.Birdieexpected, is the is

sue of:


f. The term ofsuccess has towelldefined to avoid this problem:


A human face is related withid

entity; therefore a plan toc

hange the faceappearance

by surgeryshould consider t

his aspect:


Whether the hospital mustprio

ritize their resources tosup

port a trial on facetranspla

nt or not, is anethical ques

tion related tothis principle

:


The social dilemma in changing

someones appearancethro

ugh medical procedureis:

a. Whether to be beautiful isaright or a gift

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b. Whether face transplantshouldbe allowed or not

c. Whether face tranplant isamedical procedure or not

d. Whether beauty should be self-perceived or socially-perceived

Whether medicalprocedure

can makesomeone bea

utiful ornot

e. What is a standard of care?a. A standard on

professionalbehaviour

b. A standard on how to doamedical procedure

c. A standard on howdoctorsshould conduct their

life

d. A standard to manage apatientwith a certain condition

e. Should hospitals use thesamestandard of care?

a.It should be the samenationally

b. It should be thesameinternationally

c. It depends on thepatientsability to pay

d. It depends on the resourcesofeach hospital

e. It depends on the doctor-patients agreement

f. What is defensive medicine?a. A branch of medicine to

beused in war

b. Patient management topreventcomplication

c. Arguments used by doctorstodefend their profession

d. Medical arguments usedinmedical malpractice lawsuit

Overdoing examination ortr

eatment in worry ofmal

practice


enario below:

Ms.Cutie, a 25-year-old, come Dr.Moss,as

king for a liposuction. During operation,Dr

.Moss accidentally cut a large artery,causin

g longer operation and Ms.Cutie hadto stay

longer in the hospital. Aftercompletely rec

overed, Ms.Cutie planned tofile a malpract

ice lawsuit against Dr.Moss

23. what is medical malpractice:

a. an error made by a medical professionalb.A negligence made by a medicalprofessi

onal

c. A criminal conduct done by medicalprof

essional

d.Failure to meet professionals standardc

ausing injury

e. Improper medical practice whethercaus

ing or not causing injury

24...Ms Cutie came to Dr. Moss, askingtre

atment" is one of the evidence to file amalpractice law suit, particularly providingthis

aspect:

A.Neglect

B.Damage

C.Contract

D.Direct Cause

25. dr.moss accidently cut the large artery.

of the 4 evidence, which can be filedagains

t the malpractice lawsuit?

A. damage

B. indirect cause

C. neglect

d. duty

26) Do you think Mrs Cutie has evidenceof

damage against Dr Moss?

A. No, because the error was just anaccide

ntB. Yes, because she has to be hospitalizedl

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onger

C. No, because she has been curedcomple

tely

D. Yes, because she is the one paying forth

e treatment

E. No, she shouldve sue him while still inh

ospital


enario below:

Mrs. Blondie hit by car and complainedinj

ury to leg and hip. She was taken to EastH

ospital where Dr. Doe, general surgeonord

ers pelvic x-ray. No order for leg x-ray.She

was released from hospital for herpelvis normal. Some hours later pain in legincreas

es , she went to North hospitalwhere leg x-

ray taken reveal fracture. Shewas hospitali

zed for a month. She suedr.doe and east ho

spital for neglect.

27) Does Mrs. Blondie have strong caseag

ainst dr.boe?

a) no, because not all fracture needhospit

alizationb) yes, because dr.boe failed to diagnoset

he fracture

c) no, because error happenunintentionall

y

d) yes, because dr.boe is a surgeon notgen

eral practitioner

e) no, because dr.boe is aa generalsurgeo

n not orthopedist

28) Could Mrs. Blondie sue the Hospital?

a) no, because it is Dr.Boes mistake

b) yes, because it is hired an incompetents

urgeon

c) no, because mrs.blondie has changehos

pital

d) yes, because it should have hired anort

hopedic

e) no, because it only handles theadminist

rative matter

29. Besides facing malpractice lawsuit,Dr.Doe could receive attention from themedi

cal association related to possibleprofessi

onal neglect, which is?

A. mistrust from his collegues

B. MD cert will be cancelled

C.invitation to face ethical hearing

D. Cant be surgeon any longer

E. Take another course in surgery

30. according to beauchamp and childress

which published principle of biomedicalet

hics,which of the following is not thestate

ment for biomedical ethic principles?

A.respect for autonomy

B.beneficence

C.non malficenceD.justice

E.independent

31. the respect for patient rights for selfgo

vernance,choice of care and rights toacce

pt or refuse called as:

a. respect for autonomy

b. beneficence

c. non-maleficence

d. justice

e. veracity

32.the surgeon does not need to explaina

bout:

a. the probable of benefit of surgery

b. alternative non-surgical options

c. the risk of surgery

d. the risk of anesthesia

e. the risk of alternativemedicine

33. wat principle dat medical practionersact in the patients best interest?

a. respect for autonomy

b.non-malefience

c.beneficent

d. justice

e.verancity

34.The principle that is required to ensure

medical care is available to all

A. Autonomy

B. Beneficence

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C. Non-Maleficence

D. Justice

E. Veracity

35. Surgery on the female genitalia,vagina

and surrounding structures isdesign to improve appearance subjectiveby potentially

provide psychological andfunctional impr

ovement, or both in sexualstimulation and

satisfaction called as

A. Female cosmetic genital surgery

B. Male cosmetic genital surgery

C. Gynecologic surgery

D. Plastic sugery

E. Sexual surgery

36. wat is not included in female cosmetic

genital surgery

a)labiaplasty

b)perionoplasty

c)vaginaplasty

d)rozerplasty

e)clitoris unholding

37. truth telling is called

A. Non-malfience

B. Autonomy

C. Justice

D. Benefiece

E. Veracity

38. what procedure that stil controversial

because of no evidence base andpotential

ly harmful?

a. labiaplasty

b. perineoplasty

c. vaginoplastyd. clitoral unholding

e. hymenoplasty

39. Which of this following statement isno

t included into potential risk associatedfe

male genital surgery?

A.infections

B. Dysparenia

C. Adhesions

D. Altered sensationE. Carcinoma

40. this century we observed dramaticcha

nges in science, technology and healthcar

e. Which development has caused arise in

the prosecution of doctors?

a.a medical revolutionb. a biological revolution

c. respect for autonomy

d. empowerment of autonomy of patients

e. improvement of the educational levelof

the patients

41.if honouracy of medical ethics cannotd

ecide,this task is done by

a.panitia pertimbangan dan pembinaaneti

ka kedokteranb.majelis etika kodekteran

c.ikatan dokter indonesia

d.komitee kedokteran indonesia

e.panitia etika kedokteran

42. To know about punishment inmalpract

ice.

A.Ethical Guidelines in Medical Practice

B.Legal aspect in medicine

C. History in Medicine

D. Ethical Guidelines in Medical Service

E. Humaniora

43..inform concent is ?

A)a legal paper for the doctor to intervene

B)Doctor or nurse informing the patient'sf

amily about the patients status

C) information that the Doctor or nurseinf

orming the patient's family about howthe

y intervene

D) dialogue between the doctor andpatients family in a conductive saphere

E)inform and concent before they begin to

intervene

44.. not usual damage catagory by patient

a treatment fee

b money loss due to problems at workcau

sed by the treatment

c disability

dmoney used for treatmente education fee

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45. an informed consent, ethics wise, isco

vered in:

a. medical ethics (KODEKI)

b. hospital ethics (KODERSI)

c. medical ethics and hospital ethicsd.medical ethics and hospital ethics andho

spital by laws

e. hospital by laws

46. medical acts in informed consentinclu

de:

a. diagnostic acts

b. theurapetic acts

c. interventions

d. diagnostic, therapeutic acts, andinterventions

e. diagnostic acts and intervention

47. law protection can be acquired when:

a. medical acts correspond with thestanda

rds of profession

b. medical acts disregard patients rights

c. medical acts correspond with thestanda

rd of profession and do notdisregard the p

atients

d. the medical practitioner owns a permitf

or medical practice

e. the medical practitioner owns a permit

for medical practice and has not disregard

the patient

48. explanation to patients must beprovid

ed:

a. without fraud

b. without force

c. without feard. as a dpctors rights

e. adequately


enario below:

A 28 years old woman, married came toE

mergency Unit with chief complaint,gener

alized erythematous macules andpapules,

eye disorder and bleeding at lips.One week before, she had cough andconsumed An

talgina & Amoxicillin thatwas given by GP.

The doctor diagnosed asSteven Johnson S

yndrome. On 5th day ofadmission, patient

suddenly hadrespiratory failure, apnea an

d ended withdeath.

49. What should a doctor answer if herhus

band asked for the cause of thedisease ?

Doctor answered, that she haddrug allergi

c.....

A) caused by antalgin

caused by antalgin and amoxicillin

C) caused by amoxicillin

D) suspect caused by antalgin

E)suspect caused by antalgin & amoxicillin

50) wat will u do if u were the gp whogave

those suspected medicine 4 d 1sttime?

a) explain abt drug interaction of drug afta

consuming it

b)explain d adverse effect of drug

c) ask history of drug allergy to patient

d)ask history of drug allergy to husband

e) all correct

51.how to explain drug allergy?

a. hpersensitivity type 1,2,3,4

b.even in those who do not have allergyhi

story

c.easy to prove it

d.there is few drug allergy cases

e.hypersensentivity type 1 only


enario below:

A 63-year old woman came to aestheticsu

rgeon done some surgery such as facelift,

blepharoplasty, and to remove wrinklearo

und her eyes. Before that, she hasdone fa

ce lift and surgery to removewrinkle arou

nd lips and eyes. She said shewants to do t

hat to look younger and saveher marriage.

52.what is the 1st step the physician willd

o?

a.patient screening

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b.determine patient categories

c.asscess on motivation and expectation

d.inform consect

e.give instruction

53. screening of the patients must beperformed by:

a. administrative employee

b. pateint

c. patients family

d. nurse

e. physician

54. a 55-year-old woman, came with chief

complain hyperpigmented macula andagi

ng at her face. She wants her facebecome

white, smooth, and supplewithout wrinkleand looks younger like a25-year-old wom

an in a month. Whatshpuld you do as a ph

ysician?

a. performed chemical peeling twiceweekl

y for a month

b. refuse the patient because of her bigmo

tivation

c. consider to refuse the patient becauseo

f her unrealistic expectation

d. explain the procedure and result to thepatient but the decision is in her hand

e. refer her to another competencephysici

an

55. The vitiligo patient had done severalti

me PUVA treatment, but this disease stills

pread rapidly, the ethical issue?

a. The patient cant sue the doctor because

he had pay for the treatment

b. The patient cant sue the doctorbecause

the doctor had done malpractice

c. The patient cant sue the doctor because

the doctor had done this best

d. The patient can sue the doctor if thedoc

tor doesnt give informed consent

e. The patient can sue the doctor because

he had money to hire a lawyer

56.16 y.o girl with bat ears want to haveh

er ears operated to look more beautiful.Sh

e feels that she will get moreconfidence tosocialize. What are themoral principles of

bioethics in this case?

A. Beneficience

B. Non-malifience

C. Autonomy

D. justice

57. Among several modalities available for

therapy, you will choose the conservativet

herapy because it has the least sideeffect

among others.

What moral value do you apply?

A. Beneficience

B. Non-malifience

C. Autonomy

D. justice

58. Beauty comes in two kinds. It can bede

fined in terms of a persons physicalfeatur

es independent of othercharacteristics.

What is the broad concept of beauty?

A.Beauty depends on biologicallyanchored

universal beauty norms, basedon shape,

proportion and harmony

B. Beauty can be objectively evaluated,wit

hout referring to an observer orcontext

C. Beauty is relative to context andperson

al identity

D. Beauty is cross-cultural agreement

59. one of the ethical issues in medicine is

organ transplantation. In plastic surgery,t

ransplantation is performed skin, musclea

nd facial transplantation. What is ethicalis

sues of facial tranplantation in plasticsurg

ery?

a.it is technically difficult to perform yetth

e result is still uncertain

b. it is still very difficult to get donors

c. it still has to establish the legal aspect

d. it is a new method that need moresocia

lization

60. face is unique to our species. Itsimport

ance is difficult to underestimate.Surgery for children with Down Syndromeraises ma

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ny difficult ethical issues,concerning conse

nt and their capacity togive it. What is the

disadvantage of havingthe aesthetic surge

ryfor a Down syndromechild?

a. the justification given for the is thepresumed interest of the child

b. the surgery may result in a significantfu

nctional improvement

c. it will eradicate the typicalcharacteristic

s of down syndrome

d. ghe children might not want to looknor

mal

61. why beauty is important?a. because it could give you happiness

b. because it hs social and economicalvalu

e

c. because it gives a chance for havingsatis

fying

d. because good apperance means goodac

ceptance in social life

e. because beauty is relative to contextan

d persons.

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