AMA Journal of Ethics®

Illuminating the art of medicine

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AMA Journal of Ethics®

Illuminating the art of medicine

Virtual Mentor. March 2003, Volume 5, Number 3.

Test Questions

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Test Questions: Medical Residency

A test on topics covered in this issue of Virtual Mentor.

March 2003, Volume 5, Number 3

1. There is no evidence that ___________is effective in treatment of AWS.

  1. ethanol
  2. benzodiazepine
  3. beta blockers
  4. clonidine

2. A resident who thinks that a colleague's conduct warrants intervention should:

  1. talk to the colleague first and respect that person's wishes about taking the matter further.
  2. wait a while to be sure the colleague is not just having a bad few weeks before reporting him or her to the program director.
  3. go directly to the psychiatrist in the resident support services
  4. talk to the colleague first and, if the colleague does not consent to get help, to the program director or chief resident.

3. Which of the following set of symptoms is NOT commonly associated with alcohol withdrawal syndrome (AWS)?

  1. nausea, vomiting, fever
  2. insomnia, transient hallucinations, hand tremors
  3. psychomotor agitation, anxiety, nausea
  4. tachycardia, grand mal seizures, transient hallucination

4. Which of the following is NOT true concerning the performing of procedures on the newly deceased for training purposes?

  1. Studies to date show that relatives of newly deceased persons unanimously refuse permission for such procedures when asked.
  2. Performing procedures on newly deceased without consent could undermine trust in the medical profession
  3. Performing procedures on newly deceased individuals without having secured prior consent can be seen as a violation of respect for patient dignity and self-determination.
  4. Performing procedures on newly deceased individuals without their consent or that of their surrogates is prohibited by the AMA's Code of Medical Ethics

5. Authors cited in the Journal Discussion advance which of the following arguments AGAINST limiting resident work hours to 80 per week?

  1. Being a professional means working as long as needed; professionals do not punch time clocks.
  2. Working long hours trains residents in putting patient's needs before their own comfort.
  3. It has been shown that patients receive better care from residents than from staff physicians, so reducing resident hours would not be in the best interest of patients.
  4. By continuing to care for a newly admitted patient after his or her shift ends, a resident learns more about the developing course of the patient's disease.
  5. All of the above
  6. A, B, and D

6. In deciding whether to allow a medical student to participate in patient care procedures, the student's resident supervisor should consider:

  1. the inherent risk of the procedure
  2. the profession's obligation to equitably distribute the burden of participating in medical education
  3. the student's knowledge and prior experience.
  4. all of the above
  5. A and C

7. The Accreditation Committee for Graduate Medical Education's (ACGME's) work hour regulations that go into effect in July 2003:

  1. specify a minimum of 8 hours rest between duty shifts.
  2. forbid moonlighting of any type.
  3. will consider allowing an 88-hour work week if the program bases its request on sound educational rationale
  4. none of the above.

8. A resident is supervising a fourth-year medical student in a teaching hospital. A patient, with a non-emergent condition, is admitted who will require certain invasive procedures of moderate inherent risk. The resident should:

  1. ask the student to perform the procedures under supervision, after the patient has been informed of the student's status and role.
  2. not, under these circumstances, ask the student to perform any procedures.
  3. allow the student to perform the procedures without mentioning the student's status or role to the patient because patients in teaching hospitals expect students to be involved in their care.
  4. ask the student to get written informed consent from the patient before participating in each procedure

9. Medical students and residents must become proficient in life-saving procedures. An effective means toward achieving this goal is:

  1. educate patients about the role they can play in medical student and resident training.
  2. educate patients about the benefits of receiving care in teaching hospitals
  3. depend solely upon virtual reality and simulators for teaching life-saving procedures.
  4. practice life-saving procedures only when no family member or surrogate is present and the patient died before he or she could consent or refuse.
  5. A and B
  6. A, B and D

10. Which of the following circumstances creates an ethical duty to intervene in a resident's conduct?

  1. behavior impaired by sleep-deprivation
  2. evidence of increasing cynicism
  3. behavior that puts patients at risk
  4. evidence of anxiety about decision making
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