Ethics148. Mother Blames Herself for Smoking 5 Cigarettes a Day After IUFD
Answer: Tell her to stop smoking for future pregnancies (Encourage positive change).
Ethics149. Mom Complains She Can’t Leave the House Because Her Son Needs a Nebulizer
Answer: Stop nebulizer and give an inhaler (More practical and mobile solution).
Ethics150. Asthmatic Child’s Family States They Can’t Go Out Due to Nebulizer Requiring Electricity
Answer: Clearly instruct on inhaler use and stop nebulizer (Promote easier management).
Ethics part 2
Ethics21. Patient Wants to Express Feelings and Concerns During History Taking
Let the patient express without interruption.
Ethics252. Ethical Case About Surrogacy, Doctor Knows It’s Not Allowed in the Hospital but Unsure of National Rules
Answer: Inform them it’s not allowed at the hospital (Stick to institutional rules).
Ethics253. Intern Notices Surgeon Preparing for Surgery on the Wrong Kidney
Answer: Tell the surgeon (Patient safety is paramount).
Ethics254. Old Patient With End-Stage Cancer, Severe Pain, Strong Painkillers Requested by Family, May Hasten Death
Answer: Principles of double effect (Intention is pain relief, not hastening death).
Ethics255. Doctor Explaining Cystic Fibrosis From A to Z to Family
Answer: Summation (Detailed explanation of the case).
Ethics256. Female With Ovarian Torsion, Doctor Explained Surgery, Got Husband’s Consent, but Patient Refused
Answer: DAMA (Discharge Against Medical Advice; respect her autonomy).
Ethics257. Female Patient Requests a Female Doctor for Breast Examination
Answer: Respect her request.
Ethics258. Intern Forgets to Close the Curtain During Abdominal Examination
Answer: Principle of privacy (Curtain ensures privacy).
Ethics259. Consent for Surgery on a 15-Year-Old Patient
Answer: Parents’ consent and assent from the child.
Ethics260. Woman Wants OCP, but Husband Does Not Agree
Answer: Respect both (Counsel both and facilitate mutual understanding).
Ethics261. Patient Wants to Quit Smoking but Says He’ll Do It Next Year
Answer: Contemplation (Acknowledges the need but is not ready for immediate action).
Ethics262. Surgeon Assistant Leaves an Infected Sponge Inside the Patient, Removed Later
Answer: Inform the patient and apologize (Transparency and accountability are key).
Ethics263. Patient Diagnosed With Generalized Anxiety Disorder and Has Difficulty Sleeping
Answer: Alprazolam (Short-term management for sleep issues).
Ethics264. Elderly Patient With Metastatic Cancer, Son Asks Not to Inform the Patient About Diagnosis
Answer: Tell the patient (Patient has the right to know).
Ethics265. Doctor Gives Instructions About Symptoms That Require Further Medical Help
Answer: Safety netting (Guidance on when to return for medical help).
Ethics266. Patient Asks Inappropriate Questions to Strangers, Is Unaware, and Doesn't Respond
Answer: Perseveration (Repetitive behavior or speech).
Ethics267. Screening a Rare Disease in a Population, What Is the Most Likely Result?
Answer: False positive (Common in rare diseases).
Ethics268. Sensitivity
Answer: Used for screening tests (Identifies true positives).
Ethics269. Examining a Patient Without Closing Curtains
Answer: Privacy (Curtain ensures privacy; dignity relates to clothing).
Ethics270. Patient Threatens to Report You if Surgery Isn't Booked Despite Persistent Cough for 6 Months
Answer: Report him to the administration (Address threats professionally).
Ethics271. Child With Multiple Bruises Brought by Parents
Answer: Inform child protection services (Potential abuse must be reported).
Ethics272. Elderly With Advanced Cancer, Anaesthetist Advises Against Surgery but Surgeon Wants to Operate
Answer: Take a high-risk consent (Ensure patient awareness and agreement).
Ethics273. Early Identification of Disease
Answer: Secondary prevention (Focuses on early detection and treatment).
Ethics274. Wife Refuses Treatment, Who Decides?
Answer: Patient (Autonomy is prioritized).
Ethics275. Elderly Diagnosed With Atrophic Vaginitis, Unconvinced and Requests Another Consultation
Answer: Write a report and refer (Respect her request).
Ethics276. Consent for Surgery on a 15-Year-Old
Answer: Parents for consent, child for assent (Both are involved).
Ethics277. Pregnant Lady With Broken Arm After Domestic Violence, Most Likely Time for Increased Violence
Answer: Holidays (If pregnancy is not an option, choose holidays).
Ethics278. Mother of Newly Diagnosed Child With DM1 Refuses Medication, Saying He Will Be Normal
Answer: Denial (A common defense mechanism in such situations).
Ethics279. Pregnant Woman With Bilateral Ovarian Abscess at 20 Weeks Refuses Surgery
Answer: Accept her decision (Respect her autonomy and let her sign refusal).
Ethics280. Meningitis Suspected, Son Refuses IV Antibiotics for His Father
Answer: Ask the patient’s opinion (The patient’s decision takes priority).
Ethics281. Elderly With End-Stage Cancer in Unbearable Pain
Answer: Administer pain relief (Focus on comfort care; principles of palliative care).
Ethics282. Patient Does Not Want to Know Surgery Details, but Anesthetist Insists
Answer: Tell the patient the decision of the anesthetist (Informed consent is critical).
Ethics283. Patient Wears Inappropriate Clothes and Speaks Seductively to Doctor
Answer: Get a nurse who speaks the same language (Maintain professionalism and a safe environment).
Ethics284. 65-Year-Old With Facial Lesion Diagnosed as Melanoma, Known to Be Non-Compliant
Answer: Talk to him slowly step by step to make him understand (Build trust and compliance).
Ethics2 Patient Diagnosed With Squamous Cell Cancer, How to Break the News
Answer: Tell him by small steps over different times (Gradual disclosure to support emotional adjustment).
Ethics286. Female at 38 Weeks With Confirmed IUFD, No Cause Identified, Options for the Mother
Answer: She still has time to go home (Give her time to process and decide).
Ethics287. Pregnant Woman With HIV, Counseling
Answer: Advise her to have a CS to avoid transmitting to the child via vaginal delivery.
Ethics288. Baby With Hernia, Mother Absent, Pediatric Surgeon Wants to Operate Now
Answer: Take consent from the ethical committee.
Ethics2Answer: Take consent from the ethical committee. 89. Wife Came With Bruises Due to Domestic Violence, Most Common Cause of Violence Against Women
Answer: Cultural (Deep-rooted societal norms often drive violence).
Ethics290. What Determines the Prevalence of a Disease?
Answer: Predictive value (Relates to the occurrence of the disease in the population).
Ethics291. Doctor Explains Vaccination to Mother and Consequences of Not Vaccinating
Answer: Counseling (Providing education and guidance).
Ethics292. Parents Refuse to Vaccinate Their Child, What Should You Do?
Answer: Inform social services (Protect the child’s welfare).
Ethics293. Gauze Forgotten in the Abdomen of a Postoperative Patient, What to Do?
Answer: Inform the patient, apologize, and remove it (Transparency and accountability).
Ethics294. Case of Amputation, Patient Refuses
Answer: Discharge the patient because he refused (Respect his autonomy).
Ethics295. 7-Year-Old With Measles, Father Refused Vaccination Due to Beliefs, What to Do?
Answer: Explain to the father (Educate and address misconceptions).
Ethics296. Female With Incomplete Abortion, Husband Wants to Sign for Surgery but She Refuses
Answer: The patient (She has the autonomy to decide).
Ethics297. Scenario During Surgery: Injured CBD, and Patient Is Okay
Answer: Inform the patient (Transparency is key).
Ethics298. Couple Concerned About Post-Coital Bleeding and Are Sad
Answer: Acknowledge their emotions (Provide emotional support).
Ethics299. Suspicion of Appendicitis, Appendix Found Normal During Surgery, Removed Anyway
Answer: Tell the patient (Explain what happened and why).
Ethics2100. End-Stage Cancer Patient With DNR Signed, Son Angry About No Resuscitation
Answer: Explain that you respected his wife’s decision (Honor signed DNR).
Ethics part 3
Ethics3101. You Arrive Late to the Clinic and Patient Is Angry
Answer: Explore the reason for their anger (Acknowledge and address it).
Ethics3102. Mother With Mental Retardation, Parents Want to Take the Baby Home
Answer: Contact the ethics committee (Address the situation formally).
Ethics3103. Elderly With End-Stage Cancer in Unbearable Pain, Family Requests Stronger Painkillers
Answer: Administer stronger analgesics (Focus on palliative care).
Ethics3104. Male Patient’s HIV+ Test Result After Infertility Assessment
Answer: Tell the patient first (Confidentiality is critical).
Ethics3105. Doctor Explains Management Plan and Emotions, Then Reviews Main Points
Answer: Summarization (Reiterating the key points ensures clarity).
Ethics3106. Patient With Complete Abortion Tearful and Husband Emotionally Distressed
Answer: Explore and reflect on their emotions (Provide emotional support).
Ethics3107. Fetus Discovered Dead During Antenatal Visit, Mother Crying, Husband Upset
Answer: Explore, recognize their emotions, and empathize (Show understanding and support).
Ethics3108. You Were Late and Patient Starts Shouting
Answer: Acknowledge their anger (Validate their feelings and address concerns).
Ethics3109. Patient Doesn't Believe Diagnosis and Wants Another Doctor’s Opinion
Answer: Give her a report as it’s her right (Respect autonomy).
Ethics3110. Consent for IUD Insertion
Answer: Mutual consent from both wife and husband (Decision impacts both partners).
Ethics3111. Newborn Abandoned by Mother (Out-of-Marriage Relationship) Needs Hernia Repair
Answer: Review ethics section in the hospital (Ethical committee or court involvement is needed).
Ethics3112. Patient Interrupts and Shares Their Point of View on Diagnosis During History
Answer: Let the patient finish their point of view (Encourage communication and understanding).
Ethics3113. Patient Refuses to Hear About Complications, but Anesthetist Insists
Answer: Tell the patient what the anesthetist wants (Ensure informed consent).
Ethics3114. Best Way to Stop Smoking During Pregnancy
Answer: Behavioral therapy (First-line approach in pregnant women).
Ethics3115. 67-Year-Old Male With Fever and UTI After Prolonged Foley Catheter Use
Answer: Daily review of the need for a Foley catheter (Prevents infections).
