M2T1 PCBM COMBANK Questions with Correct Answers Verified by Experts| Latest Update
A 34-year-old man is brought to the ED with a fever, headache, stiff neck and significant
disorientation. He needs an urgent head CT and lumbar puncture. He is agitated and pushes
away anyone who tries to get near him. Co-workers brought him in and contact information for
his family is unavailable.
What are your options?
What option is the most appropriate? In medical emergencies (i.e., potential for loss of life
or limb, or for serious permanent injuries) informed consent is not required based on the
presumption that a "reasonable person" would want to be saved.
This exception does not apply to patients who have previously stated their wishes to have life-
sustaining/life-saving treatment withheld, whether verbally or by way of an advance directive,
DNR Order or Declaration of Faith (e.g., Jehovah's Witness or Christian Scientist).
Physicians are obligated to make a good faith attempt to determine whether the patient has
already made decisions regarding the use of life-sustaining/life-saving measures.
A 43-year-old female Jehovah's Witness is currently in the ICU being treated for hepatic
encephalopathy and lacks decision-making capacity. The patient had previously made clear to
the ICU Attending that she is a devout Jehovah's Witness and does not want any blood
products. After the patient's condition further deteriorates the ICU Attending asks the resident
to order a blood transfusion. What is the most appropriate course of action for the resident?
A. Refuse to order the transfusion for the patient
B. Give the patient blood substitutes and only order the transfusion if still needed
C. Refer the case to the hospital ethics committee
D. Contact the hospital's legal department
E. Transfuse the patient per the attending physician's orders A. Refuse to order the
transfusion for the patient
,A 12-year-old male is brought into the emergency department by ambulance after being struck
by a car. He suffered multiple internal injuries and will die without an immediate blood
transfusion. His parents, who arrive at the hospital just behind the ambulance, state that a
transfusion is against their religious beliefs and refuse to consent. What should you do?
A. Follow the parent's wishes
B. Give the patient a blood transfusion
C. Consult the hospital ethics committee
D. Transfer the patient to another hospital
E. Call child protective services immediately B. Give the patient a blood transfusion
A 34-year-old married female is undergoing a laparoscopic appendectomy for acute
appendicitis. Immediately after inserting the laparoscope the surgeon notes an ovarian mass
and consults gynecology. Both agree that a biopsy of the mass is also indicated. The patient has
not consented to this second procedure.
The most appropriate course of action is to
A. finish the appendectomy and, once the patient is awake, obtain her consent for the biopsy
B. obtain consent from the patient's husband and perform the biopsy
C. perform the biopsy and obtain the patient's consent post-operatively
D. perform the biopsy but only inform the patient if the pathology is concerning
E. terminate the surgery, wake the patient up, and obtain a new consent for both procedures
B. obtain consent from the patient's husband and perform the biopsy
Which of the following is the best predictor of one's health?
A. Whether or not you smoke
B. What type of diet you eat
, C. Whether or not you are wealthy
D. Whether or not you have health insurance
E. Whether or not you exercise regularly C. Whether or not you are wealthy
Citizens of industrialized countries have longer life expectancies and better health because:
A. The spend more on medical care
B. They are more egalitarian
C. They smoke less
D. They eat better
E. They have universal health coverage B. They are more egalitarian
From the age of 5, African-American men in Harlem have a shorter life expectancy than which
group?
A. Japanese
B. Bangladeshis
C. Cubans
D. Algerians living in Paris
E. All of the above E. All of the above
A primary care physician refers a stable patient to a cardiologist who accepts all insurance
providers. After a short wait while on the phone trying to make an appointment, the patient is
informed that the cardiologist has declined to see her. Which of the following best describes
the ethical implications of this scenario?
A. abandonment on the part of the primary care physician
B. breach of duty on the part of the cardiologist
A 34-year-old man is brought to the ED with a fever, headache, stiff neck and significant
disorientation. He needs an urgent head CT and lumbar puncture. He is agitated and pushes
away anyone who tries to get near him. Co-workers brought him in and contact information for
his family is unavailable.
What are your options?
What option is the most appropriate? In medical emergencies (i.e., potential for loss of life
or limb, or for serious permanent injuries) informed consent is not required based on the
presumption that a "reasonable person" would want to be saved.
This exception does not apply to patients who have previously stated their wishes to have life-
sustaining/life-saving treatment withheld, whether verbally or by way of an advance directive,
DNR Order or Declaration of Faith (e.g., Jehovah's Witness or Christian Scientist).
Physicians are obligated to make a good faith attempt to determine whether the patient has
already made decisions regarding the use of life-sustaining/life-saving measures.
A 43-year-old female Jehovah's Witness is currently in the ICU being treated for hepatic
encephalopathy and lacks decision-making capacity. The patient had previously made clear to
the ICU Attending that she is a devout Jehovah's Witness and does not want any blood
products. After the patient's condition further deteriorates the ICU Attending asks the resident
to order a blood transfusion. What is the most appropriate course of action for the resident?
A. Refuse to order the transfusion for the patient
B. Give the patient blood substitutes and only order the transfusion if still needed
C. Refer the case to the hospital ethics committee
D. Contact the hospital's legal department
E. Transfuse the patient per the attending physician's orders A. Refuse to order the
transfusion for the patient
,A 12-year-old male is brought into the emergency department by ambulance after being struck
by a car. He suffered multiple internal injuries and will die without an immediate blood
transfusion. His parents, who arrive at the hospital just behind the ambulance, state that a
transfusion is against their religious beliefs and refuse to consent. What should you do?
A. Follow the parent's wishes
B. Give the patient a blood transfusion
C. Consult the hospital ethics committee
D. Transfer the patient to another hospital
E. Call child protective services immediately B. Give the patient a blood transfusion
A 34-year-old married female is undergoing a laparoscopic appendectomy for acute
appendicitis. Immediately after inserting the laparoscope the surgeon notes an ovarian mass
and consults gynecology. Both agree that a biopsy of the mass is also indicated. The patient has
not consented to this second procedure.
The most appropriate course of action is to
A. finish the appendectomy and, once the patient is awake, obtain her consent for the biopsy
B. obtain consent from the patient's husband and perform the biopsy
C. perform the biopsy and obtain the patient's consent post-operatively
D. perform the biopsy but only inform the patient if the pathology is concerning
E. terminate the surgery, wake the patient up, and obtain a new consent for both procedures
B. obtain consent from the patient's husband and perform the biopsy
Which of the following is the best predictor of one's health?
A. Whether or not you smoke
B. What type of diet you eat
, C. Whether or not you are wealthy
D. Whether or not you have health insurance
E. Whether or not you exercise regularly C. Whether or not you are wealthy
Citizens of industrialized countries have longer life expectancies and better health because:
A. The spend more on medical care
B. They are more egalitarian
C. They smoke less
D. They eat better
E. They have universal health coverage B. They are more egalitarian
From the age of 5, African-American men in Harlem have a shorter life expectancy than which
group?
A. Japanese
B. Bangladeshis
C. Cubans
D. Algerians living in Paris
E. All of the above E. All of the above
A primary care physician refers a stable patient to a cardiologist who accepts all insurance
providers. After a short wait while on the phone trying to make an appointment, the patient is
informed that the cardiologist has declined to see her. Which of the following best describes
the ethical implications of this scenario?
A. abandonment on the part of the primary care physician
B. breach of duty on the part of the cardiologist
