bhp-iv-uts

7/29/2019 bhp-iv-uts

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AKADEMIK CIAMIK 2010 UTS BHP IV

For question number 1 to 5, refer to

scenario below:

Fairy, a 24-month-old child presents to

the clinic with a runny nose. Since she is

otherwise well, Dr. Roe asked the nurse to

administer the immunizationsdue at 24

months. After the child and her mother

leave the clinic, Dr. Roe realizes that the

patient was in the clinic for check up a

month before and had also received

immunizations then.

1. What is the essential mistakecausing Dr.Does error?

a. Dr. Roe did not give injectionby himself

b. Dr. Roe did not check Fairysmedical record

c. The nurse did not provideFairys medical record

d. The nurse did whatever Dr.Roe asked without question

e. Dr. Roe did not ask the motherabout Fairys immunization

2. What principle that was violatedby Dr.Roe?

a. Autonomyb. Beneficentc. Non maleficenced. Justice

3. Which statement of doctors oathwas violated by Dr.Roe?

a. The health of patient as thefirst considerations

b. To practice medical professionwith conscience and dignity

c. To maintain respect for humanlife from the time of

conception

d. Not to use medical knowledgecontrary to the laws of

humanity

e. To maintain the honor and thenoble traditions of medicalprofession

4. Should Dr.Roe tell the motherabout 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

5. Is disclosing mistake a doctorsethical duty?

a. Yes, because it can preventlawsuit

b. No, because it willl cause harmto the patient

c. Yes, because it is an obligationto be truthful

d. No, because it is an obligationto keep things confidential

e. Yes, because it is better than tobe disclosed by others

For questions number 6 to 10, refer to

scenario below:

Blondie comes to the hospital emergency

room (ER) with fever and difficulty of

breathing. She was referred by her family

doctor after 3 days antibiotic treatment

has been unsuccessfuil. The ER doctor

then diagnosed him as having pulmonary

infection which becomes severe because

the family doctor made a mistake for not

giving her the latest antibiotic. He told her

to be careful when choosing a doctor. She

feels grateful for this information.


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6. What mistake done by the ERdoctor?

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

mistake

7. Which ethical principle has beenbreached by the ER doctor?

a. Autonomyb. Beneficentc. Non maleficenced. Justice

8. Which statement of doctors oathwas violated by the ER doctor?

a. To consider colleague asbrothers

b. To practice medicine withconscience and dignity

c. To give teachers the respectand gratitude which is their

due

d. Not to use medical knowledgecontrary to the laws of

humanity

e. To maintain the honor and thenoble traditions of medical

professional

9. Which statement you wouldchoose to say to a patient

regarding other doctors possible

error judgement?

a. Your doctor had made amistake

b. Your doctor made a wrongmistake

c. Your doctor had made amedical error

d. Your doctor did not know whathe had know

e. Your doctor had done what hethought is right

10.To say apology related to an erroris one of the representations of

this professional value:a. Honorb. Respectc. Honestyd. Integritye. Excellence

11.In relation with the principle ofbeneficence, there is an ethical

question in the case of female

circumcision which is:

a. Whether it can cause infectionor not

b. Whether it relates withhealthiness or not

c. Whether it is accepted in thesociety or not

d. Whether it shoukd be done inhospital or not

e. Whether it should be done by aprofessional or not


scenario below:

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

accidentally disfigured caused by burn

injury while she was younger. When she

asked for face transplant, the doctors said

they only had a few cases of face

transplant, therefore they could not

guarantee a full success. But they would

appreciate her very much if she was

willing to try Ms.Birdie then decided to

have face transplant although her parents

disagree because they were worried. After

a number of surgeries she realizes the

new face is not exactly what she had inmind.


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12.The doctors limited experience onface transplant can cause ethical

problem during informed consent,

which is:

a. Whether the doctors have theability to do the surgery

b. Whether the doctors have toguarantee a success or not

c. Whether Ms.Birdies candecide when her parents

disagree

d. Whether the face transplant isa treatment or an experiment

e. Whether the face should beexactly what she had imagine

or not

13.The medical indication to do facetransplant to Ms.Birdie would be:

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

esteem

c. To develop face transplanttechnology

d. To train doctors in facetransplant procedure

e. To give Ms.Birdie betterchance in the society

14.Whether Ms.Birdie has thecapacity to decide is an issue of:

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

15.To prevent possible psychologicalproblem that occurs when the

result is not as what Ms.Birdie

expected, is the issue of:

a. Autonomyb. Beneficentc. Non-maleficent

d. Justicee. Medico-legal

16.The term of success has to welldefined to avoid this problem:


17.A human face is related withidentity; therefore a plan to

change the face appearance by

surgery should consider this

aspect:


18.Whether the hospital mustprioritize their resources to

support a trial on face transplant

or not, is an ethical question

related to this principle:


19.The social dilemma in changingsomeones appearance through

medical procedure is:

a. Whether to be beautiful is aright or a gift

b. Whether face transplantshould be allowed or not

c. Whether face tranplant is amedical procedure or not

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


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e. Whether medical procedurecan make someone beautiful

or not

20.What is a standard of care?a. A standard on professional

behaviour

b. A standard on how to do amedical procedure

c. A standard on how doctorsshould conduct their life

d. A standard to manage apatient with a certain condition

21.Should hospitals use the samestandard of care?

a. It should be the samenationally

b. It should be the sameinternationally

c. It depends on the patientsability to pay

d. It depends on the resources ofeach hospital

e. It depends on the doctor-patients agreement

22.What is defensive medicine?a. A branch of medicine to be

used in war

b. Patient management toprevent complication

c. Arguments used by doctors todefend their profession

d. Medical arguments used inmedical malpractice lawsuit

e. Overdoing examination ortreatment in worry of

malpractice


scenario below:

Ms.Cutie, a 25-year-old, come Dr.Moss,asking for a liposuction. During operation,

Dr.Moss accidentally cut a large artery,

causing longer operation and Ms.Cutie

had to stay longer in the hospital. After

completely recovered, Ms.Cutie planned

to file a malpractice lawsuit against

Dr.Moss

23. what is medical malpractice:

a. an error made by a medical professional

b. A negligence made by a medical

professional

c. A criminal conduct done by medical

professional

d. Failure to meet professionals standard

causing injurye. Improper medical practice whether

causing or not causing injury

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

treatment" is one of the evidence to file a

malpractice law suit, particularly providing

this 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

filed against the malpractice lawsuit?

A. damage

B. indirect cause

C. neglect

d. duty

26) Do you think Mrs Cutie has evidence

of damage against Dr Moss?

A. No, because the error was just an

accident

B. Yes, because she has to be hospitalized

longer

C. No, because she has been cured

completely

D. Yes, because she is the one paying forthe treatment


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E. No, she shouldve sue him while still in

hospital


scenario below:

Mrs. Blondie hit by car and complained

injury to leg and hip. She was taken to

East Hospital where Dr. Doe, general

surgeon orders pelvic x-ray. No order for

leg x-ray. She was released from hospital

for her pelvis normal. Some hours later

pain in leg increases , she went to North

hospital where leg x-ray taken reveal

fracture. She was hospitalized for a

month. She sue dr.doe and east hospital

for neglect.

27) Does Mrs. Blondie have strong case

against dr.boe?

a) no, because not all fracture need

hospitalization

b) yes, because dr.boe failed to diagnose

the fracture

c) no, because error happenunintentionally

d) yes, because dr.boe is a surgeon not

general practitioner

e) no, because dr.boe is aa general

surgeon not orthopedist

28) Could Mrs. Blondie sue the Hospital?

a) no, because it is Dr.Boes mistake

b) yes, because it is hired an incompetent

surgeonc) no, because mrs.blondie has change

hospital

d) yes, because it should have hired an

orthopedic

e) no, because it only handles the

administrative matter

29. Besides facing malpractice lawsuit,

Dr.Doe could receive attention from the

medical association related to possibleprofessional 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 biomedical

ethics,which of the following is not the

statement for biomedical ethic principles?

A.respect for autonomy

B.beneficence

C.non malficence

D.justice

E.independent

31. the respect for patient rights for self

governance,choice of care and rights to

accept or refuse called as:

a. respect for autonomy

b. beneficence

c. non-maleficence

d. justice

e. veracity

32.the surgeon does not need to explain

about:

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 practioners

act in the patients best interest?a. respect for autonomy

b.non-malefience

c.beneficent

d. justice

e.veracity

34.The principle that is required to ensure

medical care is available to all

A. Autonomy

B. BeneficenceC. Non-Maleficence


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D. Justice

E. Veracity

35. Surgery on the female genitalia,

vagina and surrounding structures is

design to improve appearance subjective

by potentially provide psychological and

functional improvement, or both in sexual

stimulation 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 cosmeticgenital surgery

a)labiaplasty

b)perionoplasty

c)vaginaplasty

d)rozerplasty

e)clitoris unholding

37. truth telling is called

A. Non-malfience

B. AutonomyC. Justice

D. Benefiece

E. Veracity

38. what procedure that stil controversial

because of no evidence base and

potentially harmful?

a. labiaplasty

b. perineoplasty

c. vaginoplastyd. clitoral unholding

e. hymenoplasty

39. Which of this following statement is

not included into potential risk associated

female genital surgery?

A.infections

B. Dysparenia

C. Adhesions

D. Altered sensationE. Carcinoma

40. this century we observed dramatic

changes in science, technology and health

care. Which development has caused a

rise in the prosecution of doctors?

a.a medical revolution

b. a biological revolution

c. respect for autonomy

d. empowerment of autonomy of patients

e. improvement of the educational level

of the patients

41.if honouracy of medical ethics cannot

decide,this task is done by

a.panitia pertimbangan dan pembinaan

etika kedokteranb.majelis etika kodekteran

c.ikatan dokter indonesia

d.komitee kedokteran indonesia

e.panitia etika kedokteran

42. To know about punishment in

malpractice.

A. Ethical Guidelines in Medical Practice

B. Legal aspect in medicine

C. History in MedicineD. 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's

family about the patients status

C) information that the Doctor or nurse

informing the patient's family about how

they interveneD) dialogue between the doctor and

patients 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 work

caused by the treatment

c disabilitydmoney used for treatment


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e education fee

45. an informed consent, ethics wise, is

covered in:

a. medical ethics (KODEKI)

b. hospital ethics (KODERSI)

c. medical ethics and hospital ethics

d. medical ethics and hospital ethics and

hospital by laws

e. hospital by laws

46. medical acts in informed consent

include:

a. diagnostic acts

b. theurapetic acts

c. interventionsd. diagnostic, therapeutic acts, and

interventions

e. diagnostic acts and intervention

47. law protection can be acquired when:

a. medical acts correspond with the

standards of profession

b. medical acts disregard patients rights

c. medical acts correspond with the

standard of profession and do notdisregard the patients

d. the medical practitioner owns a permit

for medical practice

e. the medical practitioner owns a permit

for medical practice and has not disregard

the patient

48. explanation to patients must be

provided:

a. without fraudb. without force

c. without fear

d. as a dpctors rights

e. adequately


scenario below:

A 28 years old woman, married came to

Emergency Unit with chief complaint,generalized erythematous macules and

papules, eye disorder and bleeding at lips.

One week before, she had cough and

consumed Antalgina & Amoxicillin that

was given by GP. The doctor diagnosed as

Steven Johnson Syndrome. On 5th day of

admission, patient suddenly had

respiratory failure, apnea and ended with

death.

49. What should a doctor answer if her

husband asked for the cause of the

disease ? Doctor answered, that she had

drug allergic.....

A) caused by antalgin

caused by antalgin and amoxicillin

C) caused by amoxicillinD) suspect caused by antalgin

E) suspect caused by antalgin &

amoxicillin

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

gave those suspected medicine 4 d 1st

time?

a) explain abt drug interaction of drug afta

consuming it

b)explain d adverse effect of drugc) 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 allergy

history

c.easy to prove it

d.there is few drug allergy casese.hypersensentivity type 1 only


scenario below:

A 63-year old woman came to aesthetic

surgeon done some surgery such as face

lift, blepharoplasty, and to remove wrinkle

around her eyes. Before that, she has

done face lift and surgery to remove


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wrinkle around lips and eyes. She said she

wants to do that to look younger and save

her marriage.

52.what is the 1st step the physician will

do?

a.patient screening

b.determine patient categories

c.asscess on motivation and expectation

d.inform consect

e.give instruction

53. screening of the patients must be

performed 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 and

aging at her face. She wants her face

become white, smooth, and supple

without wrinkle and looks younger like a

25-year-old woman in a month. What

shpuld you do as a physician?a. performed chemical peeling twice

weekly for a month

b. refuse the patient because of her big

motivation

c. consider to refuse the patient because

of her unrealistic expectation

d. explain the procedure and result to the

patient but the decision is in her hand

e. refer her to another competence

physician

55. The vitiligo patient had done several

time PUVA treatment, but this disease still

spread rapidly, the ethical issue?

a. The patient cant sue the doctor because

he had pay for the treatment

b. The patient cant sue the doctor

because 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 the

doctor 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 have

her ears operated to look more beautiful.

She feels that she will get more

confidence to socialize. What are the

moral principles of bioethics in this case?

A. Beneficience

B. Non-malifience

C. Autonomy

D. justice

57. Among several modalities available fortherapy, you will choose the conservative

therapy because it has the least side

effect 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 bedefined in terms of a persons physical

features independent of other

characteristics.

What is the broad concept of beauty?

A. Beauty depends on biologically

anchored universal beauty norms, based

on shape, proportion and harmony

B. Beauty can be objectively evaluated,

without referring to an observer or

contextC. Beauty is relative to context and

personal identity

D. Beauty is cross-cultural agreement

59. one of the ethical issues in medicine is

organ transplantation. In plastic surgery,

transplantation is performed skin, muscle

and facial transplantation. What is ethical

issues of facial tranplantation in plastic

surgery?


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a. it is technically difficult to perform yet

the 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 moresocialization

60. face is unique to our species. Its

importance is difficult to underestimate.

Surgery for children with Down Syndrome

raises many difficult ethical issues,

concerning consent and their capacity to

give it. What is the disadvantage of having

the aesthetic surgeryfor a Down

syndrome child?

a. the justification given for the is the

presumed interest of the child

b. the surgery may result in a significant

functional improvement

c. it will eradicate the typical

characteristics of down syndrome

d. ghe children might not want to look

normal

61. why beauty is important?

a. because it could give you happiness

b. because it hs social and economical

value

c. because it gives a chance for having

satisfying

d. because good apperance means good

acceptance in social life

e. because beauty is relative to context

and persons.

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