MOST REPEATED ETHICS QUESTIONS IN SMLE 2019

1. dr ask you to prepare the RT kidney for op but u are sure it was the LT one what should u do:
# tell the surgeon ✔
2. dr prescripe medication to the pt but the pharmacist thinks that the pt is allergic to it
what
should u do :
Ask him to sign it ✔
3. gyn explain to the pt that HRT will not help her menpousal symptom at this stage but the
pt insist to have it what should he do:
Dont give it to her.✔
4. pt were inappropriate clothes and speeks inappropritaly to the dr what should he do:
Get nurse speak same language .✔
5.6 months old infant his parent brought him for one complaints and through PEx u notice
some
signs of child abuse:
Call social service ✔
6.Mother with appeared with some mental retardation Parents wnt to take hime back
home:
Called child protection✔
7. coupls with infertility ask about serogate pregnancy u are not sure wither allowed in saudi
or not:
Warn them might not be allowed✔
8.elderly with endstage cancer in unbearable pain his family ask u to give him stronger pain
killer :
Give him stronger analgesic✔
9. pt doesn’t want to know the details, u r the surgeon appreciated that , but the anesthsi dr
insist:
Tell the pt the decision of th dr✔
10.pt result came back HIV +ve who came prior for infertility assessment:
Tell the patient first ✔
11.dr after explain to pt what is next mx and explor there emotion went through the main
points again.What did he do is:
Summarisation✔
12.pt with complete abortion while waiting for admission were tearfulness and husband was
emoitinally distress what to do :
Explore and reflect to thire emotions✔
13.DNR pt in respiratory distress surgeon thinks depulking surgery might be helpful butmight
be
fatal:
Dont do it respect patient wish .✔
14.u were late pt start to shout and angry:
Explore his anger ✔
15. female pt wants female to examine her
Respect
16.pt don’t belive this is the correct dx and wants another dr opinion:
Give her report as this is her right✔
17.not immunised child:
Explain the binfit to the family✔
18.consent in case of IUD to be taken from
wife✔
20. a pt. Wants u to do his surgery forcefully and threatens u :
refuse for surgery✔
21.a doc on round prescribed some medicine for pt. That is not good according to the
pharmacist but doctor insisted to prescribe that and tells
the intern to write down orders:
write it down and get it signed from the consultant✔
22. a doc preparing to operate ryt kidney but intern has some doubts that left kidney needs
to be operated :
inform about his concern to the consultant✔
23.a surgeon mistakenly left sth inside the abdomen of the pt during operation
explain to the pt ,apologize and remove that thing✔
24. Case of child newborn abanded by his mother as he result from out of marriage
relatioship .Child is in the hospital he has hernia and pediatric surgeon said he need repair
for his hernia now How u will act :
A. Reveiw ethics section in hospital ✔

B. Do the surgery without consent

C. Refuse to do it as no one to sign

25. You was talking to patient to get details on the history but the patient interrupted u and
start
to talk about his point of veiw regarding his diagnosis and the reason of his disease . How u
would act :

A. Refer him to another doctor

B. Let him finish his point of veiw ✔

c. Apologize to him and start with close ended questions

26.Patient need operation dr start to tell the patient about the positive and possible
complications but patient refuse to hear that but the anesthesia doctor insiseted that the
patient
should know the complications . How u will act :

A cancel the operation

B .Get another anaesthesia doctor
C tell the partient what anaesthesia doctor want ✔
D.let the anesthesia doctor deal woth the patient

27.Male smoker go to clinic asking that he want to quiet how to start this step is :

a. Preparation✔

28. Best way to stop smoking in pregnant is :

a. Behavioral way ✔
b. bupropion

c. Electronic smoking
d. Alternative to smoke

29. 67y old man felt dawn complain of pain on hip and knee assessment releved no fractures
foly catheter inserted on first day as he was unable to move with analgesic after 5 days he
discharged to nursing home with unchanged foly catheter now complain of fever urine
analysis show full wbc in urine with bacteria , this could be prevented by :

a. Prophylactic antibiotics
b. Increase iv fluid intake

c. Daily reveiw for the need of foly catheter ✔

d. Change foly catheter before discharge .

30. Patient admitted with stroke hemiplegia on 2nd day start to having 1st degree bed sores
the
physicin verbally tell the nurse to change patient position every 1 hr to avoid bed sores .
Nurse
forget to write this . 3 days later patient had fever on examination he had infected grade 3
bed sores . Where is the defect :

a. Communication between the doctor and the nurse inadequate way .✔

31. For newly hired female employee the sexual harrasment mostly include :

a. Client

b. Supervisore ✔
c. Colleges

D. Co worker.

32.Parents refuse to vaccinate their child what will u do :

a. Scocial service
b. Ethics department

C. Vaccinate him
d. Tell them about advantages of vaccines✔

33. 12y old attitude toward parent illness :

a. Cant comprehensive the concept of disease treatment prognosis ✔i chose this option

b. Depression withdrawal response

c. Forget

34. Post truma patient hah right side fractures in ribs fron rib 2 to 5 Patient had respiratory
distress cxr show wide mediastinum . U want to transfer the patient to other advanced
center most important step :

a. intubation

b. call the other center and talk to the senior surgeon there tell him details about case ✔

35. Forget guze in abdomen of post operative patient . What to do :

a. Dont tell the patient

B. Tell the patient apologize and get it out✔

36. Patient admitted to icu asked to not be resusitated before and sign form for this he had
arrested no resuscitstion done And die his son came complain why not resusciting hus father
:

a. Tell him that you respect his father wish ✔

b. Father has terminal illness

c. No resuscitation in brain death cases

37. Parents had preterm 24 weeks baby asked not to intubated him what to do :

a. Respect their wish ✔

b. Tell social services

c. Intubate

38.case u admitted dx with ebola want to leave the hospital what to do :

a. Call security ✔

b. Refer to infectiouse department

c. Sign form of leave against medical advice

39. Copd elderly admitted exerberation at night became aggresive disoreinted what the
nurse should do first:

a. Call the duty dr for lorazepsm iv

b. Restrain her

c. Call family sit beside her

d. Elevate head of bed put nasal oxygen try to oreinted her about place and time✔

40. Couple want to do surogacy came to you and you dont know if allowed what to do :

Warn them not allowed in KSA ✔

41. You entered operation for resection of kideny they want to do left but u think its the
right
one what to do :

Tell the surgeon✔

THE END