COMLEX Level 2 CE - Medical
Law/Ethics
What are the reportable disease in most US states? - Answer HepA
HepB
Syphilis
Gonorrhea
Mumps
Measles
Rubella
Tuberculosis
Salmonellosis
Shigellosis
E.Coli (think food outbreaks)
AIDS (not HIV)
Varicella
Meningitis
***easily spread and/or dangerous diseases need to be reported
True or False: Parents can refuse to have their child receive Chemotherapy - Answer
False- if parents refuse consent for treatment for a non-emergent, but fatal medical
condition the physical should obtain a court order
In terms of consent, if both parents (who are divorced) have custody of a child, do both
need to give consent for the child to be treated? - Answer No- only one parent needs to
consent for treatment
What classifies one as an emancipated minor? - Answer Homeless
Parent (i.e. 16yo mother)
Married
Military
Finically independent
High School Graduate
What medical circumstances do minor not need parental consent? - Answer emergency
care
STIs
substance abuse
prenatal care
How long does a physician have to release records when requested by a patient? -
Answer 30 days
, What is the difference between competency and capacity? - Answer Competency= legal
definition
Capacity= medical definition
--ability to make decisions on their own
What is the Hospice Model? - Answer -focus on quality of life (not life prolongation)
-symptomatic control (i.e. pain, N/V, anxiety, depression)
-interdisciplinary team (medical, nursing, psychosocial, spiritual, bereavement care)
-services provided at home, assisted living, or dedicated facility
-requires a survival prognosis of <6mo
What are the 2 components of an advance directive? - Answer 1. Living will
2. Durable power of attorney
What happens if a durable power of attorney disagrees with the patients living will? -
Answer (the living will must ultimately be honored)
1st Step= meet with family and discuss situation (while providing supportive care) and
review living will
2nd Step=if conflicts arise- consult hospital's ethics committee.
What is the most common cause of medical errors? - Answer Miscommunication
between providers
True or False? A physician can respond to an employers request for health information
if given verbal permission by the patient? - Answer True- physicians can respond to an
employers request for health information either by a verbal or written consent.
Is it legal/ethical for students to practice medical procedures on recently deceased
patients? - Answer Yes- the attending physician must obtain permission from the family
(or patient prior to death) before a student can perform procedures. The training must
be a structured training sequence and performed under close supervision.
True or False? A pregnant mother who has the capacity to chose has the right to refuse
treatment even if it places her unborn child at risk. - Answer True
Autonomy - Answer Autonomy is the right or capacity to make one's own rational
decisions, using one's own value system, and act on those decisions, without undue
coercion from other people or influences. Thus autonomy requires an adequate degree
of freedom of thought and action.
Beneficence - Answer One should act in such a way that it produces beneficial results.
Usually in health care, beneficence is interpreted as a health care professional's duty to
act in a manner that in their best judgement will benefit the patient.
Law/Ethics
What are the reportable disease in most US states? - Answer HepA
HepB
Syphilis
Gonorrhea
Mumps
Measles
Rubella
Tuberculosis
Salmonellosis
Shigellosis
E.Coli (think food outbreaks)
AIDS (not HIV)
Varicella
Meningitis
***easily spread and/or dangerous diseases need to be reported
True or False: Parents can refuse to have their child receive Chemotherapy - Answer
False- if parents refuse consent for treatment for a non-emergent, but fatal medical
condition the physical should obtain a court order
In terms of consent, if both parents (who are divorced) have custody of a child, do both
need to give consent for the child to be treated? - Answer No- only one parent needs to
consent for treatment
What classifies one as an emancipated minor? - Answer Homeless
Parent (i.e. 16yo mother)
Married
Military
Finically independent
High School Graduate
What medical circumstances do minor not need parental consent? - Answer emergency
care
STIs
substance abuse
prenatal care
How long does a physician have to release records when requested by a patient? -
Answer 30 days
, What is the difference between competency and capacity? - Answer Competency= legal
definition
Capacity= medical definition
--ability to make decisions on their own
What is the Hospice Model? - Answer -focus on quality of life (not life prolongation)
-symptomatic control (i.e. pain, N/V, anxiety, depression)
-interdisciplinary team (medical, nursing, psychosocial, spiritual, bereavement care)
-services provided at home, assisted living, or dedicated facility
-requires a survival prognosis of <6mo
What are the 2 components of an advance directive? - Answer 1. Living will
2. Durable power of attorney
What happens if a durable power of attorney disagrees with the patients living will? -
Answer (the living will must ultimately be honored)
1st Step= meet with family and discuss situation (while providing supportive care) and
review living will
2nd Step=if conflicts arise- consult hospital's ethics committee.
What is the most common cause of medical errors? - Answer Miscommunication
between providers
True or False? A physician can respond to an employers request for health information
if given verbal permission by the patient? - Answer True- physicians can respond to an
employers request for health information either by a verbal or written consent.
Is it legal/ethical for students to practice medical procedures on recently deceased
patients? - Answer Yes- the attending physician must obtain permission from the family
(or patient prior to death) before a student can perform procedures. The training must
be a structured training sequence and performed under close supervision.
True or False? A pregnant mother who has the capacity to chose has the right to refuse
treatment even if it places her unborn child at risk. - Answer True
Autonomy - Answer Autonomy is the right or capacity to make one's own rational
decisions, using one's own value system, and act on those decisions, without undue
coercion from other people or influences. Thus autonomy requires an adequate degree
of freedom of thought and action.
Beneficence - Answer One should act in such a way that it produces beneficial results.
Usually in health care, beneficence is interpreted as a health care professional's duty to
act in a manner that in their best judgement will benefit the patient.
