COMLEX Level 2 (ETHICS) Exam Questions with Correct Answers

COMLEX Level 2 (ETHICS) Exam Questions with Correct Answers 1. 1. Law Enforcement 2. DCFS (department of children & family services): If you suspect child abuse of a child patient, and Child Protective Services is not an answer choice. What other Choices do we look for (hint: there are 2)? 2. Battery: is an intentional act that results in a harmful or offensive contact (unauthorized contact can be considered offensive) w/another person with the intent to cause them harmful or offensive contact. 3. 1. Military 2. Moving away from home 3. Marriage 4. Making their own money: Other than under-aged kids allowed to give consent for: pregnancy tx, drug abuse, STD's—what other situations make a person EMAN- CIPATED (hint: 4 main ones- 4 M's)? 4. Double Effect: Effect states that PAIN CONTROL may be given to a patient, even if it contributes to worsen her health or even death, so as long as the INTENTION is to DECREASE the patient's discomfort. 5. Genetic Condition (yes, doctor should warn the kids): It is a DOCTOR's duty to take rea- sonable steps toward warning those people they know to be at RISK of a Condition—ex: doctor who cared for dad who died of Familial Adenomatous Polyposis-should he warn that dad's kids? 6. Res Ipsa Loquitur: "the thing speaks for itself." Usu- ally does not require any more proof in a court of law to successfully win a lawsuit. 7. • Diagnosis • Risks/Benefits of this Tx • Alternative Tx's • Risks of refusing this Tx • Doctor NEEDS to answer all questions asked by patient (even if asked about the number of years of experience): Name as many factors that MUST be included when obtaining INFORMED CONSENT? 8. 1. Child Abuse 2. Elder Abuse 3. Pt reveals he/she will harm or kill someone: What are 3 MAJOR reasons a Doctor is legally Obligated to NOTIFY the authorities (and is NOT considered a breach of of confidentiality)? 9. Adult Protective Services: What is the PROPER agency to contact when you, the physician suspects elder abuse? 10. • When NO examination by patient is requested • When NO emergency medical condition is present: What specific SITUATIONS is the EMTALA (emergency medical treatment and active labor act) not applicable? 11. Capitation: What type of insurance payment process is this: when a physician is paid a contracted rate (FLAT RATE) for each member assigned regardless of the number or nature of services provided. 12. NO; if he had mentioned a CITY = YES: If patient A is in the hall of a clinic and overhears a doctor that works at that clinic, mention a "California patient is here for disease X". And, patient A tells patient B (who is that patient from California). Has the doctor violated HIPAA? Why or why not? 13. Stark Law ("stake holder" in a business): What is the name of this ETHICAL principle: is a set of laws that prohibit doctors from making referrals for specific health services (xrays, MRI's, etc) payable my Medicare to entities w/which the same doctor or doctor's family has a financial investment in? 14. Paternalism: What is the name of this principle: occurs when a clinician over- rides the decision-making capabilities of either a patient or surrogate decision-maker IF THEIR DECISIONS are DEEMED unreasonable or dangerous-to used ONLY when it is DUE to LIFE-threatening concerns. 15. Availability Bias: bias can lead to medical errors, where the physician relies upon recent or memorable cases in coming up with a diagno- sis-LEADING to a WRONG diagnosis.