COKO PROFESSIONAL 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔David, a kinesiologist, is registered with the College. David's father is no longer
registered with the College. David's father sometimes drops into David's office to treat
his former long term patients/clients. The office assistant refers to David's father as
"Doctor" when booking patients/clients. A patient/client complains to the College when
her extended health insurance refused to pay for David's father's services because he
was unregistered. Is David at risk for his father's conduct? - ✔✔The answer is yes. It is
professional misconduct to permit a person to hold themselves out as practising the
profession when they are not registered. Similarly, permitting a person to illegally use
the title "Doctor" in one's practice would often be seen as professional misconduct if
David knew about it. David condoned the conduct that occurred at David's office. David,
by being registered, gave credibility and status to the illegal conduct of his father. David
could face a discipline hearing.
✔✔Donna, a kinesiologist, does not really assess her patients/clients. She just asks the
patient/client what is wrong and then gives all of them exactly the same treatment. A
patient/client, Paula, came in with a serious condition. Donna did not recognize it.
Paula's condition worsened. Donna still did not recognize it. After three months Paula
went to the emergency department of the hospital and was immediately diagnosed and
treated correctly. What is this a case of? - ✔✔This is an Incompetence Scenario. Paula
complained to the College about Donna's incompetence. The Inquiries, Complaints and
Reports Committee looked at Donna's records and heard Donna's explanation for what
she had done. It sent the case to discipline. The Discipline Committee agreed that
Donna showed a lack of knowledge, skill and judgment. It ordered Donna to participate
in specific upgrading courses aimed at assessment.
✔✔David, a kinesiologist, has been drinking a lot more alcohol the last few months. He
has been coming to work with a hangover. More recently he has been drinking at lunch.
One day David comes back after lunch drunk. Paul, a patient/client, notices that David
smells of alcohol and that David is stumbling around the office. What is this a case of? -
✔✔This is an Incapacity Scenario.
Paul tells the College. At first David denies he has a problem. However, during the
investigation, the College learns that some of David's colleagues have noticed a
significant change in David's behaviour in recent months. The College also learned that
David has been charged with impaired driving. The College sends David to a medical
specialist who diagnoses David with a serious substance abuse disorder. The College
encourages David to go for treatment at a treatment centre in his area. David agrees.
The matter is referred to the Fitness to Practise Committee. David and the College
agree to an order requiring David to stop drinking, attend Alcoholics Anonymous group
meetings, see his new substance abuse specialist regularly and have a colleague watch
David at work and send regular reports to the College.
,✔✔The sentence "Kinesiologists are sensitive to the wishes of their patients/clients" is
most likely to be found in which of the following provisions?
i. The definition of incapacity.
ii. The definition of incompetence.
iii. The definition of professional misconduct.
iv. Professional standards published by the College.
v. The Code of Ethics. - ✔✔The best answer is v. Striving to be sensitive is an ideal that
kinesiologists strive towards. Answer i is not the best answer because incapacity deals
with the kinesiologist's health condition. Seriously insensitive behaviour may accompany
some illnesses (e.g., addictions), but it is the illness that must be treated first. Answer ii
is not the best answer because incompetence deals with kinesiologists having an
adequate level of knowledge, skill and judgment. Answer iii is not the best answer
because professional misconduct deals with the minimum conduct that is necessary to
avoid discipline. The corresponding professional misconduct provision would likely be
that kinesiologists shall not abuse their patients/clients. Answer iv is not the best answer
because professional standards deal with ways in which to practice safely, effectively
and professionally. A professional standard would likely provide practical suggestions
about how to practice sensitively (e.g., advice on how to listen to the patient/client first
before doing anything else.).
✔✔Consent Scenario No. 1 - ✔✔Donna, a kinesiologist, meets a new patient/client
Paula. Paula complains about feeling stressed and tired. Donna says: "I would like to
fully understand your personal and family background and your medical history. There
could be a lot of things making you feel tired and stressed and this information will help
me try to figure out why. If you are uncomfortable with any of my questions, please let
me know. OK?" Donna has just obtained informed consent for taking a full history.
✔✔Obtaining a broad consent (often called a "blanket consent") in writing from the
patient/client on his or her arrival at the office is probably a bad idea because:
i. The patient/client does not know if they will need someone to drive them home
afterwards.
ii. The patient/client does not have confidence in the kinesiologist yet.
iii. The patient/client does not know what they are agreeing to.
iv. The patient/client does not know how long the visit will be. - ✔✔The best answer is
iii. Informed consent requires the patient/client to understand the nature, risks and side-
effects of the specific procedure proposed by the kinesiologist, as well as who will be
performing the assessment or treatment. It is impossible for the patient/client to know
these things upon their arrival at the office. Answer i is not the best answer because it
focuses on a side-issue and does not address the main issue. Answer ii is not the best
answer because having confidence in the kinesiologist is not enough for there to be
informed consent. A patient/client may trust the kinesiologist and that may motivate the
giving of consent, but the patient/client still needs to know what they are agreeing to.
Answer iv is not the best answer because it focuses on a side-issue and does not
address the main issue.
✔✔Consent Scenario No. 2
, David, a kinesiologist, proposes that his patient/client Paul take a vitamin and mineral
supplement. David says: "Try these: they will make you think more clearly". Paul takes
one immediately and buys a bottle from the receptionist. When arriving at home Paul
reads about the supplement on the internet and learns that it contains megadoses of
Vitamin A1 which, if taken for a long period of time, could lead to liver and other
damage. Paul complains to the College. David tells the College that he was relying on
Paul's implied consent by swallowing the first pill and buying a bottle from the
receptionist. The Inquiries, Complaints and Reports Committee issues a decision critical
of David for not obtaining informed consent because: - ✔✔• David did not explain the
nature of the "pill" including that it had megadoses of Vitamin A;
• David did not explain how the supplement would make Paul think more clearly;
• David misrepresented the hoped for benefit of the supplement as there was little
evidence to support his very strong statement that it would make Paul think more
clearly;
• David did not explain the way in which the supplement was to be used (how often to
take the supplement and for what period of time);
• David did not explain the alternatives to taking the supplement including not taking
anything; and, perhaps more importantly,
• David did not explain the risks of taking the supplement to Paul.
✔✔Consent Scenario No. 3 - ✔✔Donna, a kinesiologist, proposes a procedure for her
patient/client Paula. Paula does not understand the proposed procedure at all. She is
clearly incapable. Donna knows that Paula appointed her friend Pat to be her power of
attorney for personal care. However, Pat is travelling outside of the country and cannot
be reached. Therefore Pat is not able to make the decision. Donna contacts Paula's
elderly mother, but Paula's mother is frail herself and does not feel confident in making
the decision. Thus Paula's mother is not willing to act as a substitute decision maker.
Paula's sister is willing and able to make the decision on Paula's behalf and appears to
understand the information and its consequences for Paula. Paula's sister is able to give
the consent even though she is not the highest ranked substitute.
✔✔Consent Scenario No. 4
David, a kinesiologist, proposes a procedure for his patient/client Paul. Paul does not
understand the proposed procedure at all. He is clearly incapable. David knows that
Paul appointed his friend Pat to be his power of attorney for personal care. Pat is going
to inherit Paul's money when Paul dies. Paul has a lot of money. Paul is going to die
within a few months. The proposed procedure is simple and painless, would make the
patient/client more comfortable through a difficult illness and has little risk of harm.
David is convinced that Pat is refusing to consent to the treatment in order to inherit
more money (even though treatment is not very expensive). The rest of Paul's family is
very upset because they want Paul to receive the treatment. What should David do? -
✔✔David suggests that the family contact the office of the Public Guardian and Trustee.
This will help the substitute decision-makers come to a decision.
✔✔Which of the following is the highest ranked substitute decision maker (assuming
that everyone was willing and able to give consent):
SOLUTIONS RATED A+
✔✔David, a kinesiologist, is registered with the College. David's father is no longer
registered with the College. David's father sometimes drops into David's office to treat
his former long term patients/clients. The office assistant refers to David's father as
"Doctor" when booking patients/clients. A patient/client complains to the College when
her extended health insurance refused to pay for David's father's services because he
was unregistered. Is David at risk for his father's conduct? - ✔✔The answer is yes. It is
professional misconduct to permit a person to hold themselves out as practising the
profession when they are not registered. Similarly, permitting a person to illegally use
the title "Doctor" in one's practice would often be seen as professional misconduct if
David knew about it. David condoned the conduct that occurred at David's office. David,
by being registered, gave credibility and status to the illegal conduct of his father. David
could face a discipline hearing.
✔✔Donna, a kinesiologist, does not really assess her patients/clients. She just asks the
patient/client what is wrong and then gives all of them exactly the same treatment. A
patient/client, Paula, came in with a serious condition. Donna did not recognize it.
Paula's condition worsened. Donna still did not recognize it. After three months Paula
went to the emergency department of the hospital and was immediately diagnosed and
treated correctly. What is this a case of? - ✔✔This is an Incompetence Scenario. Paula
complained to the College about Donna's incompetence. The Inquiries, Complaints and
Reports Committee looked at Donna's records and heard Donna's explanation for what
she had done. It sent the case to discipline. The Discipline Committee agreed that
Donna showed a lack of knowledge, skill and judgment. It ordered Donna to participate
in specific upgrading courses aimed at assessment.
✔✔David, a kinesiologist, has been drinking a lot more alcohol the last few months. He
has been coming to work with a hangover. More recently he has been drinking at lunch.
One day David comes back after lunch drunk. Paul, a patient/client, notices that David
smells of alcohol and that David is stumbling around the office. What is this a case of? -
✔✔This is an Incapacity Scenario.
Paul tells the College. At first David denies he has a problem. However, during the
investigation, the College learns that some of David's colleagues have noticed a
significant change in David's behaviour in recent months. The College also learned that
David has been charged with impaired driving. The College sends David to a medical
specialist who diagnoses David with a serious substance abuse disorder. The College
encourages David to go for treatment at a treatment centre in his area. David agrees.
The matter is referred to the Fitness to Practise Committee. David and the College
agree to an order requiring David to stop drinking, attend Alcoholics Anonymous group
meetings, see his new substance abuse specialist regularly and have a colleague watch
David at work and send regular reports to the College.
,✔✔The sentence "Kinesiologists are sensitive to the wishes of their patients/clients" is
most likely to be found in which of the following provisions?
i. The definition of incapacity.
ii. The definition of incompetence.
iii. The definition of professional misconduct.
iv. Professional standards published by the College.
v. The Code of Ethics. - ✔✔The best answer is v. Striving to be sensitive is an ideal that
kinesiologists strive towards. Answer i is not the best answer because incapacity deals
with the kinesiologist's health condition. Seriously insensitive behaviour may accompany
some illnesses (e.g., addictions), but it is the illness that must be treated first. Answer ii
is not the best answer because incompetence deals with kinesiologists having an
adequate level of knowledge, skill and judgment. Answer iii is not the best answer
because professional misconduct deals with the minimum conduct that is necessary to
avoid discipline. The corresponding professional misconduct provision would likely be
that kinesiologists shall not abuse their patients/clients. Answer iv is not the best answer
because professional standards deal with ways in which to practice safely, effectively
and professionally. A professional standard would likely provide practical suggestions
about how to practice sensitively (e.g., advice on how to listen to the patient/client first
before doing anything else.).
✔✔Consent Scenario No. 1 - ✔✔Donna, a kinesiologist, meets a new patient/client
Paula. Paula complains about feeling stressed and tired. Donna says: "I would like to
fully understand your personal and family background and your medical history. There
could be a lot of things making you feel tired and stressed and this information will help
me try to figure out why. If you are uncomfortable with any of my questions, please let
me know. OK?" Donna has just obtained informed consent for taking a full history.
✔✔Obtaining a broad consent (often called a "blanket consent") in writing from the
patient/client on his or her arrival at the office is probably a bad idea because:
i. The patient/client does not know if they will need someone to drive them home
afterwards.
ii. The patient/client does not have confidence in the kinesiologist yet.
iii. The patient/client does not know what they are agreeing to.
iv. The patient/client does not know how long the visit will be. - ✔✔The best answer is
iii. Informed consent requires the patient/client to understand the nature, risks and side-
effects of the specific procedure proposed by the kinesiologist, as well as who will be
performing the assessment or treatment. It is impossible for the patient/client to know
these things upon their arrival at the office. Answer i is not the best answer because it
focuses on a side-issue and does not address the main issue. Answer ii is not the best
answer because having confidence in the kinesiologist is not enough for there to be
informed consent. A patient/client may trust the kinesiologist and that may motivate the
giving of consent, but the patient/client still needs to know what they are agreeing to.
Answer iv is not the best answer because it focuses on a side-issue and does not
address the main issue.
✔✔Consent Scenario No. 2
, David, a kinesiologist, proposes that his patient/client Paul take a vitamin and mineral
supplement. David says: "Try these: they will make you think more clearly". Paul takes
one immediately and buys a bottle from the receptionist. When arriving at home Paul
reads about the supplement on the internet and learns that it contains megadoses of
Vitamin A1 which, if taken for a long period of time, could lead to liver and other
damage. Paul complains to the College. David tells the College that he was relying on
Paul's implied consent by swallowing the first pill and buying a bottle from the
receptionist. The Inquiries, Complaints and Reports Committee issues a decision critical
of David for not obtaining informed consent because: - ✔✔• David did not explain the
nature of the "pill" including that it had megadoses of Vitamin A;
• David did not explain how the supplement would make Paul think more clearly;
• David misrepresented the hoped for benefit of the supplement as there was little
evidence to support his very strong statement that it would make Paul think more
clearly;
• David did not explain the way in which the supplement was to be used (how often to
take the supplement and for what period of time);
• David did not explain the alternatives to taking the supplement including not taking
anything; and, perhaps more importantly,
• David did not explain the risks of taking the supplement to Paul.
✔✔Consent Scenario No. 3 - ✔✔Donna, a kinesiologist, proposes a procedure for her
patient/client Paula. Paula does not understand the proposed procedure at all. She is
clearly incapable. Donna knows that Paula appointed her friend Pat to be her power of
attorney for personal care. However, Pat is travelling outside of the country and cannot
be reached. Therefore Pat is not able to make the decision. Donna contacts Paula's
elderly mother, but Paula's mother is frail herself and does not feel confident in making
the decision. Thus Paula's mother is not willing to act as a substitute decision maker.
Paula's sister is willing and able to make the decision on Paula's behalf and appears to
understand the information and its consequences for Paula. Paula's sister is able to give
the consent even though she is not the highest ranked substitute.
✔✔Consent Scenario No. 4
David, a kinesiologist, proposes a procedure for his patient/client Paul. Paul does not
understand the proposed procedure at all. He is clearly incapable. David knows that
Paul appointed his friend Pat to be his power of attorney for personal care. Pat is going
to inherit Paul's money when Paul dies. Paul has a lot of money. Paul is going to die
within a few months. The proposed procedure is simple and painless, would make the
patient/client more comfortable through a difficult illness and has little risk of harm.
David is convinced that Pat is refusing to consent to the treatment in order to inherit
more money (even though treatment is not very expensive). The rest of Paul's family is
very upset because they want Paul to receive the treatment. What should David do? -
✔✔David suggests that the family contact the office of the Public Guardian and Trustee.
This will help the substitute decision-makers come to a decision.
✔✔Which of the following is the highest ranked substitute decision maker (assuming
that everyone was willing and able to give consent):
