Title 8 Ethics LMV 5.2.pdf ✅

1 | P a g e [ M e d i c a l E t h i c s ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com Ethics Version 5.2 Corrected, Updated, Lighter PLAB 1 Keys is for PLAB-1 and UKMLA-AKT (Based on the New MLA Content-Map) With the Most Recent Recalls and the UK Guidelines ATTENTION: This file will be updated online on our website frequently! (example: Version 2.6 is more recent than Version 2.5, and so on) Plab1keys.com Strict Copyrights! No Sharing or Copying Allowed by any means Compensations and Penalties Worldwide System is Active We believe that the best way to understand the Medical Ethics is to be studied through scenarios. This chapter will be based on scenarios with short, direct and not-complicated explanations.
2 | P a g e [ M e d i c a l E t h i c s ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com Key 1 A 15-year-old girl presents to her GP for Contraception. She is having sex with a boy who is in her class. She doesn’t want her parents to know because they would be upset. Which of the following should the GP inform? A. No one B. Her Parents C. Police D. school Nurse E. Social service - If her partner is the same age as her or slightly older, you should advise her to tell her parents first. If she refuses, then advice about safe sex and prescribe the contraceptive pills as long as she understands the aspects of the treatment and it is in her best interest physically and mentally. - As the boy she is having sex with nearly has the same age as her, you should not tell anyone if this is what she wants. Key 2 FY2 doctor had reviewed a chest X-ray of a patient who has chronic cough. The FY2 doctor considered the X-ray to be normal and thus sent the patient home on proton pump inhibitor thinking that his chronic cough is due to GERD. However, the following day, the X-ray was reported by a consultant radiologist which states that there are patchy opacities in the perihilar lungs.
3 | P a g e [ M e d i c a l E t h i c s ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com The A&E consultants then contacted the patient, started him on antibiotics, and wrote his finding on his clinical notes. What should the FY2 doctor do? a) Add an addendum to the initial notes, stating new findings with today’s date and sign b) No changes need to record c) Delete your previous documentationsand write a new one d) Write a letter to the patient apologizing and put a copy in the patient’s record Since the A&E consultants have already informed the patient’and documented his actions, the FY2 doctor does not need to do any action. A 50 YO woman who is admitted in the surgical ward starts to have shortness of breath. The surgical team suspects pulmonary embolism. The junior radiologist has reported her CT scan as Normal. Later on, the consultant radiologist has reviewed the CT scans and found that there is a mass in the left breast. What should the consultant radiologist do? a) Add an addendum to the initial notes, stating new findings with today’s date and sign b) no changes needed to record
4 | P a g e [ M e d i c a l E t h i c s ] © Copyright www.plab1keys.com (Constantly updated for online subscribers) Copyrights @ Plab1Keys.com c) Delete your 4revious’ documentation and write a new one d) Write a letter to the pa4reviousssspologizing and put a copy in the patient’s record Always document the events in the patient’s record. No del’tion or amendments on the previously added notes should be made. Just add a new addendum regarding the recent/ new events. Key 3 You suspect a college junior doctor to be under the effect of recreational drugs. What should you do? 1 st ➔ Confront him directly. If he does not respond: 2 nd ➔ Inform a senior consultant. Key 4 A delivering lady had abnormal CTG and thus an emergency Caesarean Section decision is made. However, the patient refuses to sign the consent. She has a mental capacity and she understands the risk for her baby. What should you do? Accept her wish and proceed with Vaginal delivery