AKADEMIK CIAMIK 2010 UTS BHP IV For question number 1 to 5, refer to scenario below: Fairy, a 24-month-old child presents

to the clinic with a runny nose. Since she is otherwise well, Dr. Roe asked the nurse to administer the immunizationsdue at 24 months. After the child and her mother leave the clinic, Dr. Roe realizes that the patient was in the clinic for check up a month before and had also received immunizations then. 1. What is the essential mistake causing Dr.Does error? a. Dr. Roe did not give injection by himself b. Dr. Roe did not check Fairys medical record c. The nurse did not provide Fairys medical record d. The nurse did whatever Dr. Roe asked without question e. Dr. Roe did not ask the mother about Fairys immunization 2. What principle that was violated by Dr.Roe? a. Autonomy b. Beneficent c. Non maleficence d. Justice 3. Which statement of doctors oath was violated by Dr.Roe? a. The health of patient as the first considerations b. To practice medical profession with conscience and dignity c. To maintain respect for human life from the time of conception d. Not to use medical knowledge contrary to the laws of humanity e. To maintain the honor and the noble traditions of medical profession 4. Should Dr.Roe tell the mother about his mistake? a. No, to prevent lawsuit b. Yes, to prevent harm c. No, its a minor mistake d. Yes, when harm occurs e. No, there will be no benefit 5. Is disclosing mistake a doctors ethical duty? a. Yes, because it can prevent lawsuit b. No, because it willl cause harm to the patient c. Yes, because it is an obligation to be truthful d. No, because it is an obligation to keep things confidential e. Yes, because it is better than to be disclosed by others For questions number 6 to 10, refer to scenario below: Blondie comes to the hospital emergency room (ER) with fever and difficulty of breathing. She was referred by her family doctor after 3 days antibiotic treatment has been unsuccessfuil. The ER doctor then diagnosed him as having pulmonary infection which becomes severe because the family doctor made a mistake for not giving her the latest antibiotic. He told her to be careful when choosing a doctor. She feels grateful for this information.

AKADEMIK CIAMIK 2010 UTS BHP IV 6. What mistake done by the ER doctor? a. Making false accusation b. Making wrong diagnosis c. Making different diagnosis d. Disrespectful to his colleague e. Disclosing othern peoples mistake 7. Which ethical principle has been breached by the ER doctor? a. Autonomy b. Beneficent c. Non maleficence d. Justice 8. Which statement of doctors oath was violated by the ER doctor? a. To consider colleague as brothers b. To practice medicine with conscience and dignity c. To give teachers the respect and gratitude which is their due d. Not to use medical knowledge contrary to the laws of humanity e. To maintain the honor and the noble traditions of medical professional 9. Which statement you would choose to say to a patient regarding other doctors possible error judgement? a. Your doctor had made a mistake b. Your doctor made a wrong mistake c. Your doctor had made a medical error d. Your doctor did not know what he had know e. Your doctor had done what he thought is right 10. To say apology related to an error is one of the representations of this professional value: a. Honor b. Respect c. Honesty d. Integrity e. Excellence 11. In relation with the principle of beneficence, there is an ethical question in the case of female circumcision which is: a. Whether it can cause infection or not b. Whether it relates with healthiness or not c. Whether it is accepted in the society or not d. Whether it shoukd be done in hospital or not e. Whether it should be done by a professional or not For questions number 12 to 19, refer to scenario below: The face of Ms.Birdie, a 27-year-old, was accidentally disfigured caused by burn injury while she was younger. When she asked for face transplant, the doctors said they only had a few cases of face transplant, therefore they could not guarantee a full success. But they would appreciate her very much if she was willing to try Ms.Birdie then decided to have face transplant although her parents disagree because they were worried. After a number of surgeries she realizes the new face is not exactly what she had in mind.

AKADEMIK CIAMIK 2010 UTS BHP IV 12. The doctors limited experience on face transplant can cause ethical problem during informed consent, which is: a. Whether the doctors have the ability to do the surgery b. Whether the doctors have to guarantee a success or not c. Whether Ms.Birdies can decide when her parents disagree d. Whether the face transplant is a treatment or an experiment e. Whether the face should be exactly what she had imagine or not 13. The medical indication to do face transplant to Ms.Birdie would be: a. To make Ms.Birdie beautiful b. To increase Ms.Birdies self esteem c. To develop face transplant technology d. To train doctors in face transplant procedure e. To give Ms.Birdie better chance in the society 14. Whether Ms.Birdie has the capacity to decide is an issue of: a. Autonomy b. Beneficent c. Non-maleficent d. Justice e. Medico-legal 15. To prevent possible psychological problem that occurs when the result is not as what Ms.Birdie expected, is the issue of: a. Autonomy b. Beneficent c. Non-maleficent d. Justice e. Medico-legal 16. The term of success has to well defined to avoid this problem: a. Autonomy b. Beneficent c. Non-maleficent d. Justice e. Medico-legal 17. A human face is related with identity; therefore a plan to change the face appearance by surgery should consider this aspect: a. Autonomy b. Beneficent c. Non-maleficent d. Justice e. Medico-legal 18. Whether the hospital must prioritize their resources to support a trial on face transplant or not, is an ethical question related to this principle: a. Autonomy b. Beneficent c. Non-maleficent d. Justice e. Medico-legal 19. The social dilemma in changing someones appearance through medical procedure is: a. Whether to be beautiful is a right or a gift b. Whether face transplant should be allowed or not c. Whether face tranplant is a medical procedure or not d. Whether beauty should be selfperceived or socially-perceived

AKADEMIK CIAMIK 2010 UTS BHP IV e. Whether medical procedure can make someone beautiful or not 20. What is a standard of care? a. A standard on professional behaviour b. A standard on how to do a medical procedure c. A standard on how doctors should conduct their life d. A standard to manage a patient with a certain condition 21. Should hospitals use the same standard of care? a. It should be the same nationally b. It should be the same internationally c. It depends on the patients ability to pay d. It depends on the resources of each hospital e. It depends on the doctorpatients agreement 22. What is defensive medicine? a. A branch of medicine to be used in war b. Patient management to prevent complication c. Arguments used by doctors to defend their profession d. Medical arguments used in medical malpractice lawsuit e. Overdoing examination or treatment in worry of malpractice For questions number 23 to 26, refer to scenario below: Ms.Cutie, a 25-year-old, come Dr.Moss, asking for a liposuction. During operation, Dr.Moss accidentally cut a large artery, causing longer operation and Ms.Cutie had to stay longer in the hospital. After completely recovered, Ms.Cutie planned to file a malpractice lawsuit against Dr.Moss 23. what is medical malpractice: a. an error made by a medical professional b. A negligence made by a medical professional c. A criminal conduct done by medical professional d. Failure to meet professionals standard causing injury e. Improper medical practice whether causing or not causing injury 24...Ms Cutie came to Dr. Moss, asking treatment" is one of the evidence to file a malpractice law suit, particularly providing this aspect: A.Neglect B.Damage C.Contract D.Direct Cause 25. dr.moss accidently cut the large artery. of the 4 evidence, which can be filed against the malpractice lawsuit? A. damage B. indirect cause C. neglect d. duty 26) Do you think Mrs Cutie has evidence of damage against Dr Moss? A. No, because the error was just an accident B. Yes, because she has to be hospitalized longer C. No, because she has been cured completely D. Yes, because she is the one paying for the treatment

AKADEMIK CIAMIK 2010 UTS BHP IV E. No, she shouldve sue him while still in hospital For questions number 27 to 29, refer to scenario below: Mrs. Blondie hit by car and complained injury to leg and hip. She was taken to East Hospital where Dr. Doe, general surgeon orders pelvic x-ray. No order for leg x-ray. She was released from hospital for her pelvis normal. Some hours later pain in leg increases , she went to North hospital where leg x-ray taken reveal fracture. She was hospitalized for a month. She sue dr.doe and east hospital for neglect. 27) Does Mrs. Blondie have strong case against dr.boe? a) no, because not all fracture need hospitalization b) yes, because dr.boe failed to diagnose the fracture c) no, because error happen unintentionally d) yes, because dr.boe is a surgeon not general practitioner e) no, because dr.boe is aa general surgeon not orthopedist 28) Could Mrs. Blondie sue the Hospital? a) no, because it is Dr.Boes mistake b) yes, because it is hired an incompetent surgeon c) no, because mrs.blondie has change hospital d) yes, because it should have hired an orthopedic e) no, because it only handles the administrative matter 29. Besides facing malpractice lawsuit, Dr.Doe could receive attention from the medical association related to possible professional neglect, which is? A. mistrust from his collegues B. MD cert will be cancelled C. invitation to face ethical hearing D. Cant be surgeon any longer E. Take another course in surgery 30. according to beauchamp and childress which published principle of biomedical ethics,which of the following is not the statement for biomedical ethic principles? A.respect for autonomy B.beneficence C.non malficence D.justice E.independent 31. the respect for patient rights for self governance,choice of care and rights to accept or refuse called as: a. respect for autonomy b. beneficence c. non-maleficence d. justice e. veracity 32.the surgeon does not need to explain about: a. the probable of benefit of surgery b. alternative non-surgical options c. the risk of surgery d. the risk of anesthesia e. the risk of alternativemedicine 33. wat principle dat medical practioners act in the patients best interest? a. respect for autonomy b.non-malefience c.beneficent d. justice e.veracity 34.The principle that is required to ensure medical care is available to all A. Autonomy B. Beneficence C. Non-Maleficence

AKADEMIK CIAMIK 2010 UTS BHP IV D. Justice E. Veracity 35. Surgery on the female genitalia, vagina and surrounding structures is design to improve appearance subjective by potentially provide psychological and functional improvement, or both in sexual stimulation and satisfaction called as A. Female cosmetic genital surgery B. Male cosmetic genital surgery C. Gynecologic surgery D. Plastic sugery E. Sexual surgery 36. wat is not included in female cosmetic genital surgery a)labiaplasty b)perionoplasty c)vaginaplasty d)rozerplasty e)clitoris unholding 37. truth telling is called A. Non-malfience B. Autonomy C. Justice D. Benefiece E. Veracity 38. what procedure that stil controversial because of no evidence base and potentially harmful? a. labiaplasty b. perineoplasty c. vaginoplasty d. clitoral unholding e. hymenoplasty 39. Which of this following statement is not included into potential risk associated female genital surgery? A.infections B. Dysparenia C. Adhesions D. Altered sensation E. Carcinoma

40. this century we observed dramatic changes in science, technology and health care. Which development has caused a rise in the prosecution of doctors? a.a medical revolution b. a biological revolution c. respect for autonomy d. empowerment of autonomy of patients e. improvement of the educational level of the patients 41.if honouracy of medical ethics cannot decide,this task is done by a.panitia pertimbangan dan pembinaan etika kedokteran b.majelis etika kodekteran c.ikatan dokter indonesia d.komitee kedokteran indonesia e.panitia etika kedokteran 42. To know about punishment in malpractice. A. Ethical Guidelines in Medical Practice B. Legal aspect in medicine C. History in Medicine D. Ethical Guidelines in Medical Service E. Humaniora 43..inform concent is ? A)a legal paper for the doctor to intervene B)Doctor or nurse informing the patient's family about the patients status C) information that the Doctor or nurse informing the patient's family about how they intervene D) dialogue between the doctor and patients family in a conductive saphere E)inform and concent before they begin to intervene 44.. not usual damage catagory by patient a treatment fee b money loss due to problems at work caused by the treatment c disability dmoney used for treatment

AKADEMIK CIAMIK 2010 UTS BHP IV e education fee 45. an informed consent, ethics wise, is covered in: a. medical ethics (KODEKI) b. hospital ethics (KODERSI) c. medical ethics and hospital ethics d. medical ethics and hospital ethics and hospital by laws e. hospital by laws 46. medical acts in informed consent include: a. diagnostic acts b. theurapetic acts c. interventions d. diagnostic, therapeutic acts, and interventions e. diagnostic acts and intervention 47. law protection can be acquired when: a. medical acts correspond with the standards of profession b. medical acts disregard patients rights c. medical acts correspond with the standard of profession and do not disregard the patients d. the medical practitioner owns a permit for medical practice e. the medical practitioner owns a permit for medical practice and has not disregard the patient 48. explanation to patients must be provided: a. without fraud b. without force c. without fear d. as a dpctors rights e. adequately For questions number 49 to 51, refer to scenario below: A 28 years old woman, married came to Emergency Unit with chief complaint, generalized erythematous macules and papules, eye disorder and bleeding at lips. One week before, she had cough and consumed Antalgina & Amoxicillin that was given by GP. The doctor diagnosed as Steven Johnson Syndrome. On 5th day of admission, patient suddenly had respiratory failure, apnea and ended with death. 49. What should a doctor answer if her husband asked for the cause of the disease ? Doctor answered, that she had drug allergic..... A) caused by antalgin caused by antalgin and amoxicillin C) caused by amoxicillin D) suspect caused by antalgin E) suspect caused by antalgin & amoxicillin 50) wat will u do if u were the gp who gave those suspected medicine 4 d 1st time? a) explain abt drug interaction of drug afta consuming it b)explain d adverse effect of drug c) ask history of drug allergy to patient d)ask history of drug allergy to husband e) all correct 51.how to explain drug allergy? a. hpersensitivity type 1,2,3,4 b.even in those who do not have allergy history c.easy to prove it d.there is few drug allergy cases e.hypersensentivity type 1 only

For questions number 52 to 53, refer to scenario below: A 63-year old woman came to aesthetic surgeon done some surgery such as face lift, blepharoplasty, and to remove wrinkle around her eyes. Before that, she has done face lift and surgery to remove

AKADEMIK CIAMIK 2010 UTS BHP IV wrinkle around lips and eyes. She said she wants to do that to look younger and save her marriage. 52.what is the 1st step the physician will do? a.patient screening b.determine patient categories c.asscess on motivation and expectation d.inform consect e.give instruction 53. screening of the patients must be performed by: a. administrative employee b. pateint c. patients family d. nurse e. physician 54. a 55-year-old woman, came with chief complain hyperpigmented macula and aging at her face. She wants her face become white, smooth, and supple without wrinkle and looks younger like a 25-year-old woman in a month. What shpuld you do as a physician? a. performed chemical peeling twice weekly for a month b. refuse the patient because of her big motivation c. consider to refuse the patient because of her unrealistic expectation d. explain the procedure and result to the patient but the decision is in her hand e. refer her to another competence physician 55. The vitiligo patient had done several time PUVA treatment, but this disease still spread rapidly, the ethical issue? a. The patient cant sue the doctor because he had pay for the treatment b. The patient cant sue the doctor because the doctor had done malpractice c. The patient cant sue the doctor because the doctor had done this best d. The patient can sue the doctor if the doctor doesnt give informed consent e. The patient can sue the doctor because he had money to hire a lawyer 56.16 y.o girl with bat ears want to have her ears operated to look more beautiful. She feels that she will get more confidence to socialize. What are the moral principles of bioethics in this case? A. Beneficience B. Non-malifience C. Autonomy D. justice 57. Among several modalities available for therapy, you will choose the conservative therapy because it has the least side effect among others. What moral value do you apply? A. Beneficience B. Non-malifience C. Autonomy D. justice 58. Beauty comes in two kinds. It can be defined in terms of a persons physical features independent of other characteristics. What is the broad concept of beauty? A. Beauty depends on biologically anchored universal beauty norms, based on shape, proportion and harmony B. Beauty can be objectively evaluated, without referring to an observer or context C. Beauty is relative to context and personal identity D. Beauty is cross-cultural agreement 59. one of the ethical issues in medicine is organ transplantation. In plastic surgery, transplantation is performed skin, muscle and facial transplantation. What is ethical issues of facial tranplantation in plastic surgery?

AKADEMIK CIAMIK 2010 UTS BHP IV a. it is technically difficult to perform yet the result is still uncertain b. it is still very difficult to get donors c. it still has to establish the legal aspect d. it is a new method that need more socialization 60. face is unique to our species. Its importance is difficult to underestimate. Surgery for children with Down Syndrome raises many difficult ethical issues, concerning consent and their capacity to give it. What is the disadvantage of having the aesthetic surgeryfor a Down syndrome child? a. the justification given for the is the presumed interest of the child b. the surgery may result in a significant functional improvement c. it will eradicate the typical characteristics of down syndrome d. ghe children might not want to look normal 61. why beauty is important? a. because it could give you happiness b. because it hs social and economical value c. because it gives a chance for having satisfying d. because good apperance means good acceptance in social life e. because beauty is relative to context and persons.