Chapter·Behavioral ScienceEthics/Biostatistics

IRB and regulatory oversightDownloads

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1

A 29-year-old man is admitted to the emergency department following a motorcycle accident. The patient is severely injured and requires life support after splenectomy and evacuation of a subdural hematoma. Past medical history is unremarkable. The patient’s family members, including wife, parents, siblings, and grandparents, are informed about the patient’s condition. The patient has no living will and there is no durable power of attorney. The patient must be put in an induced coma for an undetermined period of time. Which of the following is responsible for making medical decisions for the incapacitated patient?

AThe spouse

BAn older sibling

CPhysician

DLegal guardian

EThe parents

2

A 15-year-old female presents to her family physician for an annual school physical exam and check-up. She is accompanied by her mother to the visit and is present in the exam room. The patient has no complaints, and she does not have any past medical problems. She takes no medications. The patient reports that she remains active, exercising 5 times a week, and eats a healthy and varied diet. Which of the following would be the best way for the physician to obtain a more in-depth social history, including sexual history and use of alcohol, tobacco, or recreational drugs?

ADisallow the mother to be present in the examination room throughout the entirety of the visit

BGive the patient a social history questionnaire to fill out in the exam room

CAsk the mother to step outside into the hall for a portion of the visit

DAsk the patient the questions directly, with her mother still in the exam room

ESpeak softly to the patient so that the mother does not hear and the patient is not embarrassed

3

A 28-year-old woman dies shortly after receiving a blood transfusion. Autopsy reveals widespread intravascular hemolysis and acute renal failure. Investigation reveals that she received type A blood, but her medical record indicates she was type O. In a malpractice lawsuit, which of the following elements must be proven?

ADuty, breach, causation, and damages

BOnly duty and breach

COnly breach and causation

DDuty, breach, and damages

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