Chapter·CCS CasesTime Management

Critical decision points recognitionDownloads

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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 research group wants to assess the safety and toxicity profile of a new drug. A clinical trial is conducted with 20 volunteers to estimate the maximum tolerated dose and monitor the apparent toxicity of the drug. The study design is best described as which of the following phases of a clinical trial?

APhase 0

BPhase III

CPhase V

DPhase II

EPhase I

3

A medicine resident on her nephrology rotation notices that she has received more alerts of high serum potassium levels on her patients through the hospital electronic medical record despite her census not having changed. On inspection of the laboratory result reports, critical alert markers are seen for potassium values greater than 5.5 mEq/L 3 days ago, whereas the same alerts are seen for values > 5.0 mEq/L since yesterday. One of her patient's nurses asks if the patient should get an electrocardiogram. How has the potassium value reporting been affected?

ASensitivity increased and specificity increased

BSensitivity decreased and specificity increased

CSensitivity increased and specificity unchanged

DSensitivity decreased and specificity decreased

ESensitivity increased and specificity decreased

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