COVID-19 Clinical Presentation Quiz

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Questions and Answers

In the context of ethical decision-making, what is a prima facie obligation?

  • An obligation based on the patient's autonomy
  • A fundamental obligation that must always be fulfilled (correct)
  • An obligation that conflicts with other principles
  • An obligation that can be ignored in certain situations

When faced with conflicting prima facie obligations, what does a physician need to consider to determine the actual obligation to the patient?

  • The historical basis of each principle
  • The respective weights of the competing prima facie obligations based on content and context (correct)
  • The preferences of the medical team
  • The financial implications of each obligation

In the example provided, why does the principle of beneficence override that of nonmaleficence?

  • The physician was following paternalistic practices
  • The patient's autonomy was not considered in this case
  • The urgency of the situation required immediate action (correct)
  • The patient's refusal of treatment was not taken into account

What makes conflicts between the principles of beneficence and autonomy particularly challenging?

<p>The pronounced clash between two fundamental ethical principles (D)</p> Signup and view all the answers

What does giving primacy to beneficence over patient autonomy in medical decision-making resemble, according to the text?

<p>Paternalism akin to a father/mother-child relationship (A)</p> Signup and view all the answers

What obligation does the physician have towards the patient in the given scenario?

<p>To offer continued outpatient visits and advice against making decisions based on fear (B)</p> Signup and view all the answers

What is the appropriate term used to indicate evidence of physiological futility in the case?

<p>Clinically non-beneficial interventions (D)</p> Signup and view all the answers

What complications does the 67-year-old widow experience according to the text?

<p>Nausea, lack of appetite, and dark yellow urine (C)</p> Signup and view all the answers

What cultural perspective is highlighted in the case of the 67-year-old widow?

<p>The son's authority to make health-care decisions for dependent family members (D)</p> Signup and view all the answers

What principle provides the patient the option to delegate decision-making authority to another person?

<p>Principle of autonomy (A)</p> Signup and view all the answers

What is the dominant value in making a decision about who gets the ventilator?

<p>Maximizing benefits (D)</p> Signup and view all the answers

Who proposes that the decision about who gets a ventilator should not rest with front-line physicians and nurses?

<p>Clinical ethics scholars (D)</p> Signup and view all the answers

What is the potential instrumental value of the second patient mentioned in the text?

<p>Benefit to future patients (A)</p> Signup and view all the answers

Why do some ethics scholars propose that the burden of deciding who gets a ventilator should not be on front-line physicians and nurses?

<p>To reduce emotional toll on healthcare workers (B)</p> Signup and view all the answers

What is the subordinate consideration in making a decision about who gets a ventilator, according to the text?

<p>Promoting and rewarding instrumental value (B)</p> Signup and view all the answers

In Case 1, the conflict arises between which two ethical principles?

<p>Beneficence and autonomy (B)</p> Signup and view all the answers

According to Case 1, what factors support the decision to treat the patient against his will?

<p>The severity of illness and the urgency to treat (D)</p> Signup and view all the answers

What is the most probable diagnosis for the patient in Case 2?

<p>Lung cancer (A)</p> Signup and view all the answers

Why does the patient in Case 2 refuse the recommended treatment?

<p>Fear of surgery killing him (A)</p> Signup and view all the answers

How does the ethical dilemma in Case 2 differ from that in Case 1?

<p>In Case 2, autonomy prevails over beneficence, whereas in Case 1, beneficence prevails over autonomy. (B)</p> Signup and view all the answers

What is the ethical obligation of the surgeon in Case 5 according to the text?

<p>Inform the patient of the error and its consequences, offer an apology, and report the error to hospital committees (B)</p> Signup and view all the answers

What is the significance of truth-telling in patient autonomy according to the text?

<p>It allows patients to make informed decisions about their care (D)</p> Signup and view all the answers

What are some of the possible risk reduction mechanisms mentioned in the text?

<p>Risk Management Department and financial settlements (D)</p> Signup and view all the answers

What could reduce the threat of legal claims in situations like Case 5?

<p>A climate of honesty and trust between physicians and patients (D)</p> Signup and view all the answers

What is the ethical obligation of the physician in Case 6 according to the text?

<p>Provide appropriate care and treatment for the patient (D)</p> Signup and view all the answers

What is the primary difference between soft paternalism and hard paternalism?

<p>Soft paternalism involves nonautonomous patients, while hard paternalism involves fully informed and competent patients. (B)</p> Signup and view all the answers

What is the concept of consumerism in the context of patient autonomy?

<p>The physician's role is to provide all medical information and choices, with the patient making the final decision. (D)</p> Signup and view all the answers

How do Pellegrino and Thomasma argue that beneficence can be inclusive of patient autonomy?

<p>By emphasizing that patient preferences are intimately linked with their best interests. (B)</p> Signup and view all the answers

What is imperative when goals of treatment change in the course of disease, according to the text?

<p>The physician should communicate with the patient in clear and straightforward language about the changes in goals of treatment. (D)</p> Signup and view all the answers

In problem-solving in ethics in clinical practice, what does 'Context' refer to?

<p>The medical history, family background, and social status of the patient. (B)</p> Signup and view all the answers

What does the American College of Physicians recommend for allocation decisions during resource scarcity?

<p>Allocation based on patient need, prognosis, and effectiveness to maximize the number of patients who will recover (C)</p> Signup and view all the answers

What is at the core of professionalism in the physician-patient relationship?

<p>Competent and compassionate care by the physician (C)</p> Signup and view all the answers

What is the significance of discernment in decision-making, according to the text?

<p>It is especially valuable in decision-making when principles of ethics collide (A)</p> Signup and view all the answers

Which virtue leads to trust and is needed when patients place themselves in the hands of physicians?

<p>Trustworthiness (A)</p> Signup and view all the answers

What is the representation of the model envisioned by the author, as mentioned in the text?

<p>A figure representing qualities of both 'heart' and 'head' (D)</p> Signup and view all the answers

What does professionalism demand when it comes to placing the interest of patients?

<p>Placing the interest of patients above those of the physician (D)</p> Signup and view all the answers

What should allocation decisions during resource scarcity be based on, according to the American College of Physicians?

<p>Patient need, prognosis, and effectiveness (C)</p> Signup and view all the answers

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