MTLBE FINALS: PRACTICE QUESTIONS AND
CORRECT ANSWERS 2025/2026
A 39 year old white male with a past medical history of a Renal Cell Carcinoma,
currently stage 1, is seen in the Oncology office. He says that he does not want to
engage in cancer suppressing therapy, and does not want to hear about Chemotherapy
or Radiation or resection. He is content to die. The patient is judged to have full capacity
in making this decision. Which of the following is the best response? - Correct Answer
I respect your decision, but it is my obligation to tell you that this is not the best course
of action.
A 59 year old hispanic female is found to have elevated LFTs on routine screening. She
is recommended to undergo a liver biopsy. As part of the informed consent process, she
is explained all of the pertinent information. The explanation of risks vs benefits, in this
situation, is carefully balancing which ethical principle? - Correct Answer
Nonmaleficience vs Beneficience
A 28 year old black male with a past medical history of GERD is seen in the ED waiting
room for bloating and gas. He is concerned that he has a bowel obstruction. He is
triaged by the ED statff and waits in the waiting room for the next 3.5 hours. He sees
other patients, who arrived after him go straight back to the ED. In this situation, is the
ethical principle of justice being upheld for the patient forced to wait in the waiting room?
- Correct Answer Yes this patient treatment is equitable
A 64 year old obese male with Type 2 Diabetes Mellitus is brought to the ED
complaining of foot pain. Doppler ultrasound reveals drastically diminished blood flow to
the extremity. Physical exam reveals extensive wet gangrene and the limb is
determined to be incapable of repair. An amputation is recommended and the patient is
educated regarding the indications, risks, benefits, and alternatives to treatment. The
patient, after hearing all of this information and being deemed to have capacity refuses
treatment. - Correct Answer unknown
A 21 year old male is involved in a motor vehicle collision. He is brought in to the ED
where he codes three times. Return of spontaneous circulation is achieved but the
patient must be placed on ventilator. The patient is later determined to be brain dead.
The physician informs the patients family, who are the patients legal decision makers,
that in her professional opinion, life-sustaining measures should be withdrawn. The
patients family objects to the withdrawal of the ventilator. - Correct Answer unknown
A 55 year old white male with a past medical history of schizoprenia presents to the ED
complaining of fatigue, subjective, fever, cachexia, and productive cough. he is found to
have a consolidating lung mass and diagnosed with pneumonia. He is admitted to the
MICU where he decompensates, goes into septic shock, and codes. CPR is performed
per ACLS protocol and he achieves a return of spontaneous circulation. A few hours
later, he demands to leave the hospital against medical advice. - Correct Answer
unknown
, A patient is considering undergoing an elective procedure in which a band will be placed
around a portion of the stomach to help create early satiety to aid the patient in losing
weight. As part of the Informed Consent process, which of the following standards are
applied by most states in determining whether informed consent was adequate? -
Correct Answer What would the average patient need to know to make an informed
decision?
A 16 year old girl is brought to the ED by her mother for concern of depression. The
mom steps out of the room and the patient reveals that a pregnancy test done at home
was positive. She begins to cry and says that she feels overwhelmed. She pleads with
you not to tell her mother. - Correct Answer Do not tell patients mother
A 22 year old female, currently 28 weeks pregnant screens positive for high blood
pressure. She subsequently develops full blown Eclampsia and seizes on multiple
occasions. Your are concerned for the mother and fetures and recommend immediate
IV Magnesium an Diazepam. The mother refuses. She acknowledges this puts the fetus
at immediate risk of death. Which of the following is the correct immediate course of
action in this scenario? - Correct Answer Allow mom to refuse treatment if she has the
capacity to do so
You work in a high volume clinic that does allergy testing. On day, the electronic
medical record system has an internet outrage and as a result your patients wait time
increases. One patient comes back to the room after waiting 2.5 hours. He is frustrated
and lashes out at your staff for the inappropriate wait time. Which of the following is the
best initial response? - Correct Answer I am so sorry for the wait. You are entitled to
be angry about this terrible circumstance.
A 7 year old boy unfortunately loses his older sister to Glioblastoma multiforme. He is
diagnosed with adjustment disorder and feels responsible for the death of his sibling.
Which of the following is the best way to describe the events of his sister passing -
Correct Answer She had a problem in her brain that caused her death.
A 76 year old male is diagnosed with stage IV adenocarcinoma of the lung. He confides
with you privately that he does not want his family to know the details of his diagnosis
and wants to "die in dignity without burdening the family". As you exit the room, his
family sees you and wants to know what the result of the patient's biopsy showed.
Which of the following is the correct response? - Correct Answer I am not permitted to
disclose the results to you without express written or verbal permission fromm the
patient
The patient provides verbal permission for his information to be sent to his primary care
physician. The hospital where you reside has a policy where the patient must first sign a
" release of information" in order to release his confidential information. in this case,
which of the following is true regarding the release of the patients confidential protected
CORRECT ANSWERS 2025/2026
A 39 year old white male with a past medical history of a Renal Cell Carcinoma,
currently stage 1, is seen in the Oncology office. He says that he does not want to
engage in cancer suppressing therapy, and does not want to hear about Chemotherapy
or Radiation or resection. He is content to die. The patient is judged to have full capacity
in making this decision. Which of the following is the best response? - Correct Answer
I respect your decision, but it is my obligation to tell you that this is not the best course
of action.
A 59 year old hispanic female is found to have elevated LFTs on routine screening. She
is recommended to undergo a liver biopsy. As part of the informed consent process, she
is explained all of the pertinent information. The explanation of risks vs benefits, in this
situation, is carefully balancing which ethical principle? - Correct Answer
Nonmaleficience vs Beneficience
A 28 year old black male with a past medical history of GERD is seen in the ED waiting
room for bloating and gas. He is concerned that he has a bowel obstruction. He is
triaged by the ED statff and waits in the waiting room for the next 3.5 hours. He sees
other patients, who arrived after him go straight back to the ED. In this situation, is the
ethical principle of justice being upheld for the patient forced to wait in the waiting room?
- Correct Answer Yes this patient treatment is equitable
A 64 year old obese male with Type 2 Diabetes Mellitus is brought to the ED
complaining of foot pain. Doppler ultrasound reveals drastically diminished blood flow to
the extremity. Physical exam reveals extensive wet gangrene and the limb is
determined to be incapable of repair. An amputation is recommended and the patient is
educated regarding the indications, risks, benefits, and alternatives to treatment. The
patient, after hearing all of this information and being deemed to have capacity refuses
treatment. - Correct Answer unknown
A 21 year old male is involved in a motor vehicle collision. He is brought in to the ED
where he codes three times. Return of spontaneous circulation is achieved but the
patient must be placed on ventilator. The patient is later determined to be brain dead.
The physician informs the patients family, who are the patients legal decision makers,
that in her professional opinion, life-sustaining measures should be withdrawn. The
patients family objects to the withdrawal of the ventilator. - Correct Answer unknown
A 55 year old white male with a past medical history of schizoprenia presents to the ED
complaining of fatigue, subjective, fever, cachexia, and productive cough. he is found to
have a consolidating lung mass and diagnosed with pneumonia. He is admitted to the
MICU where he decompensates, goes into septic shock, and codes. CPR is performed
per ACLS protocol and he achieves a return of spontaneous circulation. A few hours
later, he demands to leave the hospital against medical advice. - Correct Answer
unknown
, A patient is considering undergoing an elective procedure in which a band will be placed
around a portion of the stomach to help create early satiety to aid the patient in losing
weight. As part of the Informed Consent process, which of the following standards are
applied by most states in determining whether informed consent was adequate? -
Correct Answer What would the average patient need to know to make an informed
decision?
A 16 year old girl is brought to the ED by her mother for concern of depression. The
mom steps out of the room and the patient reveals that a pregnancy test done at home
was positive. She begins to cry and says that she feels overwhelmed. She pleads with
you not to tell her mother. - Correct Answer Do not tell patients mother
A 22 year old female, currently 28 weeks pregnant screens positive for high blood
pressure. She subsequently develops full blown Eclampsia and seizes on multiple
occasions. Your are concerned for the mother and fetures and recommend immediate
IV Magnesium an Diazepam. The mother refuses. She acknowledges this puts the fetus
at immediate risk of death. Which of the following is the correct immediate course of
action in this scenario? - Correct Answer Allow mom to refuse treatment if she has the
capacity to do so
You work in a high volume clinic that does allergy testing. On day, the electronic
medical record system has an internet outrage and as a result your patients wait time
increases. One patient comes back to the room after waiting 2.5 hours. He is frustrated
and lashes out at your staff for the inappropriate wait time. Which of the following is the
best initial response? - Correct Answer I am so sorry for the wait. You are entitled to
be angry about this terrible circumstance.
A 7 year old boy unfortunately loses his older sister to Glioblastoma multiforme. He is
diagnosed with adjustment disorder and feels responsible for the death of his sibling.
Which of the following is the best way to describe the events of his sister passing -
Correct Answer She had a problem in her brain that caused her death.
A 76 year old male is diagnosed with stage IV adenocarcinoma of the lung. He confides
with you privately that he does not want his family to know the details of his diagnosis
and wants to "die in dignity without burdening the family". As you exit the room, his
family sees you and wants to know what the result of the patient's biopsy showed.
Which of the following is the correct response? - Correct Answer I am not permitted to
disclose the results to you without express written or verbal permission fromm the
patient
The patient provides verbal permission for his information to be sent to his primary care
physician. The hospital where you reside has a policy where the patient must first sign a
" release of information" in order to release his confidential information. in this case,
which of the following is true regarding the release of the patients confidential protected
