A 19-year-old man presents to an orthopedic surgeon to discuss repair of his torn anterior cruciate ligament. He suffered the injury during a college basketball game 1 week ago and has been using a knee immobilizer since the accident. His past medical history is significant for an emergency appendectomy when he was 12 years of age. At that time, he said that he never wanted to have surgery again. At this visit, the physician explains the procedure to him in detail including potential risks and complications. The patient acknowledges and communicates his understanding of both the diagnosis as well as the surgery and decides to proceed with the surgery in 3 weeks. Afterward, he signs a form giving consent for the operation. Which of the following statements is true about this patient?
AHe cannot provide consent because he lacks capacity
BHe has the right to revoke his consent at any time
CHis parents also need to give consent to this operation
DHe did not need to provide consent for this procedure since it is obviously beneficial
EHis consent is invalid because his decision is not stable over time
A 32-year-old man visits his primary care physician for a routine health maintenance examination. During the examination, he expresses concerns about not wanting to become a father. He has been sexually active and monogamous with his wife for the past 5 years, and they inconsistently use condoms for contraception. He tells the physician that he would like to undergo vasectomy. His wife is also a patient under the care of the physician and during her last appointment, she expressed concerns over being prescribed any drugs that could affect her fertility because she would like to conceive soon. Which of the following is the most appropriate action by the physician regarding this patient's wish to undergo vasectomy?
AExplain the procedure's benefits, alternatives, and potential complications
BRefer the patient to a psychotherapist to discuss his reluctance to have children
CDiscourage the patient from undergoing the procedure because his wife wants children
DInsist that the patient returns with his wife to discuss the risks and benefits of the procedure together
ECall the patient's wife to obtain her consent for the procedure
A 79-year-old man with a history of prostate cancer is brought to the emergency department because of lower abdominal pain for 1 hour. He has not urinated for 24 hours. Abdominal examination shows a palpable bladder that is tender to palpation. A pelvic ultrasound performed by the emergency department resident confirms the diagnosis of acute urinary retention. An attempt to perform transurethral catheterization is unsuccessful. A urology consultation is ordered and the urologist plans to attempt suprapubic catheterization. As the urologist is called to see a different emergency patient, she asks the emergency department resident to obtain informed consent for the procedure. The resident recalls a lecture about the different modes of catheterization, but he has never seen or performed a suprapubic catheterization himself. Which of the following statements by the emergency department resident is the most appropriate?
A“I would prefer that you obtain informed consent when you become available again.”
B“Suprapubic catheterization is not the treatment of choice for this patient.”
C“I would be happy to obtain informed consent on your behalf, but I'm not legally allowed to do so during my residency.”
D“I will make sure the patient reads and signs the informed consent form.”
E“I will ask the patient to waive informed consent because this is an urgent procedure.”
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