Professional Documents
Culture Documents
5. 24 weeks preterm delivered, mother she is a doctor and she asked not to Resuscitate
her baby. What you will do?
o A- Ignore the mother and Resuscitate
o B- Tell social services
o C- respect her wishes
6. Woman brought with the police with bruises. How to deal with her condition
52. The government has decided to set up campaigns to help increase the awareness
of hypertension to the public, as well as educate them about the risk factors of
hypertension and encourage low salt diets. What kind of prevention is this?
55. Which of the following strategy to avoid air bag injury under 12 yrs. child?
o A- Restrain in back seat B- Restrain in front seat
74. Female came with multiple injury, on examination detect she hited by her husband
what is the action
A- C-
83. A 12-year-old girl presents with severe right lower-quadrant abdominal pain and
marked tenderness and is found to have acute appendicitis. The child is at a sleep
away camp. You are not able to locate her parents. They are not at home and you
cannot reach them on the cell phone. The camp counselor and the director of the camp
bring in the child. What should you do?
98. Doctor want to examine female pt. and he call for nurse to attend with hem, which
is most related to ethical more?
109. Warfarin did not stop by patient regardless of clear instructions the nurse in OR
noticed that the patients didn't stop the drug as instructed and informs the surgeon,
So the surgeon postponed the operation
A- C-
160. Case scenario surgeon did something wrong his assistant tod him surgeon
change the action and no harm happened to patient good medical and surgical
practice include the following
Nothing to be done
161. Surgeon after nephrectomy injure intestine peritonitis but back up repair intestine
patient leave hospital without complication after one week patient know he can
165. ER call your senior went and leave you alone in OR in appendectomy you find
tumor over appendix what will you do?
173. You are consultant cardiothoracic surgeon and u will do operation success rate
10% and afraid to tell patient because he may not sign consent what will you do and
operation very useful for patient
A- C-
174. Child came to ER without his parents wound in face bleeding but he is stable
o A- suture without parent consent
189. Child came alone with crushed limb and sever bleeding and should amputate
o A- Amputate B- Wait parents
262. Patient threatened you for complaining if you don’t do the surgery
o A- Consult physician B- Call social workers
o C- Do it D- Ethical committee
308. Women want to take OCP and husband not want to take OCP
o A- Empathy B- Follow wife C- Follow both
يجب للحمل مانعة ادوية او الحمل منع بعمليات يتعلق ما كل سواءأ الوالدة بطبيعة الخاصة بالجراحة يتعلق ما ما طبيعي وأ
الزوجين موافقة.
autonomy فقط فهذا قيصرية جسمها ألنه بالمرأة يتعلق وهي حرة في ال معنى وده االختيار
A- C-
309. Your colleague in the hospital has HBV positive, what will you do??
o A- Ask him to tell his patients
o B- Write confidential report
o C- Don’t refer patient to him
316. A child presented with crushed limb with severe bleeding and need amputation,
what you will do??
325. Parents refused to vaccinate their child, what will you do?
326. 22 weeks newborn with severe congenital anomalies you want to intubate him
and his mother is your colleague and she refused to intubate, what will you do??
A- Respect her wishes B- Intubate C- Refer the patient to another doctor
396. While doing appendectomy in 12 yrs. old female you discovered simple ovarian
cyst
Leave the cyst you don't have consent
Go and get a written consent from the father
400. Child coming in car accident with isolated head injury with subdural hematoma,
needs urgent exploration and all his family with him his father is coming on the way of
hospital. What is the proper action?
A- C-
458. Resident want to do a procedure in the clinic but he never did it before:
504. Consultant transect CBD for the third time, what to do: report in the file.
511. Patient will undergo a major cardiothoracic surgery with 10% success rate, doctor
think that patient will refuse surgery, not doing the operation will harm the patient:
513. ER doctor will end his duty, there is a patient in the ER, his colleague has not
arrived
stabilize the patient till his colleague comes
A- C-
520. Surgeon marked the limb to be amputated before surgery, wrong side draped,
surgeon discovered the problem and corrected it how to prevent:
552. Scenario of a case doctor prescribed clindamycin for patient, later culture shows
resistant to the antibiotic, doctor was not informed about the result he continued same
a drug and patient died from sepsis, how to minimize this??
561. Scenario of list of two cases for cochlear implant, one will do left side cochlear
implant and the other will do bilateral, the turn now for the case of bilateral, but the
patient was cancelled for some reasons and no body informed the surgeon and they
pushed the one for unilateral left side and the surgeon opened on the right side, then
they discovered this mistake intraoperatively, where is the defect??
A- C-
562. Scenario of surgeon did site mark on left foot will go for amputation, but the nurse
sterilized and prepared the right, the surgeon remembered the correct site from
previous marking. Near miss
Time out
Operative technician does side marking
610. SCENARIO of a child with subdural Hge, need to enter the OR, what will you do?
Take consent from father by phone
612. Scenario of surgeon ligate CBD 3 times during lap chole, what will you do?
632. When screening is in low prevalence community, what kind of result do you
expect?
o False positive.
636. A couple comes to asking about surrogate pregnancy. You don’t know much about
this topic. What should you do? Give a follow up appointment and study the case further
A- C-
638. A primigravida pt., was trying to conceive for 10 years. She finally conceived and
reach 10 weeks but later on developed a complete abortion. This trauma emotionally
affected her and her husband a lot. The doctor tried to bring the couple together by
addressing their issue and emotions. What communication skills did the doctor
practice here? Reflection.
640. A 30-year-old lady came to the A/E department wearing inappropriate clothes and
speaking in a language not known in a seductive way. What should you do?
641. A pregnant woman went into labor. On examination, fetal distress was seen. She
was counseled for surgery but she refused bluntly. What appropriate action should be
taken?
860. A diagram of surgical resident and non- surgical resident followed for 4 years
outcome of depression stud, what is the type of study:
861. Study on effect of dairy products on group with colon cancer and group with no
colon cancer, what is the type of study:
862. During lap. Chole., you injured the CBD and told the patient post-operative, what
does this mean?
863. Study conducts to see the effect of earphone Bluetooth and brain tumor, what is
the best study?
882. Girl comes to ER with her mother, the father out of the town, diagnosis was
appendicitis
Prepare for surgery
Explain the procedure to the girl and take the mother signature
4. 30/500 babies who were exposed to Di-ethyl-stilbestrol in utero were followed up for
20 years and the occurrence of cancer in this group was compared with that of 1500
babies not exposed to DES, over the same period of time, what is the study design?
A- C-
887. Diabetes mellitus among health care workers is 30 out of 100 doctors were
diabetic as compared to 50 out of 200 nurses, remember (doctors-nurses) (diabetic-
non diabetic), which is the most appropriate statistical test?
922. Occurred medical mistake and you want to learn the students, what is the
appropriate method for learning? Make a meeting about mortality and morbidity
944. A newly diagnosed HIV patient worry to tell his wife and ask not to tell her, what
will you do?
Tell his wife’s mother and ask her to tell her daughter
Tell his wife
Protect the patient confidentiality
945. Seizure patient taking drug decrease attention, and he is a bus driver, your action?
Respect confidentiality and don’t tell anyone
Tell him not to drive
946. A study conducted to evaluate medication among depressed patients, they were
not taking their medications regularly:
A- C-
950. Patient undergo surgery for an abdominal neoplasm, he discusses it with his
surgeon, surgeon describes the procedure to him in detail, what is still necessary for
the patient to be able to give informed consent to this procedure?
A psychiatric assessment
951. A child presented to the emergency with wound in his head, with him was his
brother and nursemaid but father and mother were in their way starting to come to
hospital:
952. Cardiologist his patient need operation in heart but the patient doesn’t know the
procedure with many complications, what should be done?
You should inform the patient of all the details of the process
Abandoning the operation
A- C-
953. Patient 84 yrs. old, his wife 29 yrs. old, he presented to ER with vomiting, nausea,
abdominal pain, distended and tympanic abdomen, rebound tenderness, temp. 38.5,
RR 120, HR 101, H/O 2 MI & CVA 5 years ago, after CVA he has trouble in speaking, he
doesn’t have power of autonomy, patient needs operation, his wife refused, his son
demands that everything possible must be done to save his father’s life, what level of
care is appropriate?
959. Patient gave you a gift and you refused, next day patient attempted suicide
because she felt rejected, what you should do in this situation?
Explain for the patient that it’s unethical to accept gift then refuse
Write paper on OPD door that gifts are unacceptable
Accept the gift for yourself
A- C-
960. Patient RTA, he had fracture leg, needs foot amputation, after you explained the
risk and benefits of procedure, he agreed because he hears voices telling him to do it,
what do you do?
961. Which one is not correct in four principles of Beauchamp & Childress:
A- Beneficence B- Non-maleficence C- Respect for persons D- Justice
964. Patient underwent hemorrhoidectomy after 2 days he came at OPD for follow up,
he was with his son, doctor asked the nurse to nurse the patient, which one of the
following exceeds the privacy of the patient?
1003. Near miss هيبتر انه كويس افتكر والطبيب اليسرى عقمت والممرضة اليمنى سكرى لقدم بتر هيعمل كان مريض
اليسرى بتر فتفادى اليمنى
1005. A nurse with needle stick injury, she refused to report the infection control, what
will you do?
1015. Child with respiratory distress, critical case and need urgent procedure, parents
refuse the procedure, what is your action?
1048. For Whom you will report the device which is not working well, even in other
hospitals??
Hospital administration
1057. Patient with 25 % 2nd and 3rd degree burn, patient condition improved and burn
wounds healed, and patient is for discharge home, what is your advice to him?
Apply pressure garment all the day and take it off at night
Anesthesia put two different medication same shape and color. What call this error
o Medication error B- Latent error C- Anesthesia error
A- C-
Patient with gangrenous LL, unconscious, family refuse operation because they said
he
will die
While doing appendectomy in 12 yrs. female you discovered simple ovarian cyst and
you can do it efficiently without increase in operation time what to do?
Junior resident first time in appendectomy senior consultant assists him but
consultant was angry because he was late so he did operation by himself after closure
of fascia senior resident came to or and said in loud voice this is wrong patient about
this situation
A- C-
1228. Senior resident ortho noticed that rate of infection is high , on reviewing the OPD
he noticed that the consultant doesn’t take the proper anti septic measures, what’s the
type of this study?
A- Prospective B- Retrospective
wrong side of surgery, patient throw himself from his room (suicide attempt), what’s
the cause?
Female patient wants to have a weight reduction surgery but she is diagnosed with a
mental illness, what should be the management?
Female patient wants to have a cosmetic procedure in her face but she is diagnosed
with a psychiatric illness, what should you do?
A- C-
13 years old child, his parents brought him the emergency department, he needs urgent
intervention but his parents refused to sign the consent?
Doctor wants to do a chest surgery to the patient but success rate is 10% but if not
done the patient will deteriorate, doctor is afraid that the patient will refuse to sign the
consent?
A similar scenario but the doctor wants to do surgery to the patient that can be
complicated by amputation and if surgery not the disease will progress and amputation
will be also be a must?
o do the operation without consent because you know what is good for the patient
An old female with dementia, diagnosed with metastatic cancer breast, her sone asked
you in to tell her?
o tell her B- don't tell her C- ask him why he wants you not to tell her
1378. Short question just like that, surgical intervention is indicated in which patient?
A- no responders B- transient responders
C- responders D- unconscious
You found that certain drug lot with specific patch number causes a specific side effect
in your patient, who to tell? the hospital administrator
You discovered a problem in an energy device, same problem was discovered in other
hospitals also? report to the hospital administrator
A patient for right cochlear implant entered the OR instead of another with bilateral
cochlear implant and bilateral cochlear implants were inserted, how to prevent this
error?
A- C-
A patient for left lower limb amputation was admitted as for right lower limb amputation
due to a fault from the admission nurse, during surgery after the right lower limb was
almost amputated the error was discovered and bilateral amputation was done, how to
prevent this error? WHO safety chick list
old patient was planned for procedure (not urgent), he refused the operation but the
family want to do it, what to do? Respond to the pt. wishes
During lap. Chole. You injured the CBD and told the patient post-operative, what does
this mean?
Study conducts to see the effect of earphone Bluetooth and brain tumor, what is the
best study?
diagram of surgical resident and non-surgical resident followed for 4 years outcome of
depression study, what’s the type of study?
Study on effect of dairy products on group with colon cancer and group with no colon
cancer, what is the type of study?
Patient with BP 170/90, T3, T4, TSH are normal, Hb is normal, platelet is 100000, WBC
is normal, to control BP should send the patient to?
A- Cardiology B- Pulmonology C- Endocrinology D- Hematology
Diabetes mellitus among health care workers is 30 out of 100 doctors were diabetic as
compared to 50 out of 200 nurses, which is the most appropriate statistical test?
(Remember doctors-nurses, diabetic-non diabetic)
Best study to assess the relationship between Bluetooth headsets and brain cancer?
o Retrospective study B- Case control C- Ecological D- Correlation
30/500 babies who were exposed to Di-ethyl-stillbestrol in utero were followed up for
20 years and the occurrence of cancer in this group was compared with that of 1500
babies not exposed to DES over the same period of time, what’s the study design?
Girl came to ER with her mother, the father is out of town, diagnosis was appendicitis
o Prepare for surgery
o Explain the procedure to the girl and take the mother signature
Occurred medical mistake and you want to teach the students, what’s the appropriate
method for learning?
Patient underwent hemorrhoidectomy, after 2 days he came at OPD for follow up, he
was with his son, doctor asked the nurse to nurse the patient, which one of the
following exceeds the privacy of the patient?
Patient gave you a gift and you refused, next day pt. attempted suicide because she
felt rejected, what you should do in this situation?? A- Accept the gift and give it to
pt. charity
A- C-
pt. RTA, he had fracture leg, and need foot amputation, after you explain the risk,
benefits of procedure, he agreed because he hears voices, telling him to do it, what to
do??
Police man come with a guy to ER while you are the physician asking you for alcohol
screening but the guy refused, what do you do??
pt. 84 y his wife 29y he presents to ER e’ nausea, vomiting, Abd. Pain, distended,
tympanic, rebound, T•/38,5 PR/20 HR/101 h/o two mi, CVA 5 years ago, after CVA he has
trouble in speaking, he doesn’t have power of attorney, pt. need operation, his wife
refused, his son demands that everything possible be done to save his father’s life What
level of care is appropriate??
pt. undergo for surgery in Abd. Neoplasm he discusses it with his surgeon, surgeon
describes the procedure to him in details, what is still necessary for the pt to be able to
give informed consent to this procedure??
o Psychiatric assessment
o An explanation of alternative to surgery
o Consultations with one of family members of the pt. coagulation panel
1565. Child presents at emergency with wound in his head, with him was his brother,
nursemaid but his mother and father were in way starting to come at hospital
Cardiologist his pt. need operation in heart but pt. doesn’t know the procedure with
many complications what should you do??
Seizure pt. taking drug decreases attention and he a bus driver, what is your action??
o respect confidentiality and don’t tell anyone
o say no to drive
C-tell his supervisor
A study conducted to evaluate medication among depressed pts they weren’t taking
their medications regularly?
HIV newly diagnosed worry to tell his wife and ask not to tell his wife, what will you do?
o Tell his wife’s mother and tell her to tell her daughter
o Tell his wife
Businessman come to hospital and u consult him then he appreciates with u and need
to make friend relationship with u what will u do ethical point for u
pt. in hospital and on ICU then relative can`t pay for hospital what will u do
o Discharge pt.
o Referred to other hospital
o keep pt. on vent. Without any compromise
There is gangrene on lt. foot and pt. in OR and nurse prepare rt one, surgeon come and
amputate rt, instead of lt how to avoid these mistakes? marking
ER doctor finished his duty and waiting for his colleague who will come after 15 min,
there is patient in ER, what to do?
Old lady, has end stage tumor, her son requested not to tell his mom about her
condition, what to do?
Child post RTA, has huge hematoma on his thigh and profuse bleeding, needs urgent
intervention, his father on the way to the hospital, what to do?
Doctor is doing intra-articular injection for patients with osteoarthritis in his clinic
without optimum sterilization, as a registrar who wants to document the incidents what
to use?
While doing CPR to the patient, the nurse noticed that the doctor is going to give wrong
medication, and she told him but he ignored her?
Pt post operation, while in airport, the warning device used for body surveillance beeps,
what to do in OR to avoid that? sign out
Child in ICU, family couldn’t afford hospital stay because of the cost, what you will do
يفضل زي هو ماWrong sided nephrectomy, and accidental bowel injury, the pt.
should?
A- C-