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

presents to th eclinic with a runny nose. Since she isothe rwise well, Dr. Roe asked the nurse toadm inister the immunizationsdue at 24months . After the child and her motherleave the c linic, Dr. Roe realizes that thepatient was i n the clinic for check up amonth before an d had also receivedimmunizations then. 1. What is the essential mistakecausing Dr.Does error? a. Dr. Roe did not give injectionby himself b. Dr. Roe did not check Fairysmedical record c. The nurse did not provide Fairys medical record d. The nurse did whatever Dr. Roeasked without question e. Dr. Roe did not ask the motherabout Fairys immunization f. What principle that was violatedby Dr.Roe? a. Autonomy b. Beneficent c. Non maleficence d. Justice e. Which statement of doctors oathwas violated by Dr.Roe? a. The health of patient as thefirst considerations b. To practice medical professionwith conscience and dignity To maintain respect forhu man life from thetime o f conception Not to use medicalknowled ge contrary tothe laws of humanity To maintain the honor andt he noble traditions ofm edical profession c. Should Dr.Roe tell the motherabout 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 f. Is disclosing mistake a doctorsethical duty? a. Yes, because it can preventlawsuit b. No, because it willl cause harmto the patient c. Yes, because it is an obligationto be truthful d. No, because it is an obligationto keep things confidential e. Yes, because it is better than tobe disclosed by others For questions number 6 to 10, refer tosce nario below: Blondie comes to the hospital emergencyr oom (ER) with fever and difficulty ofbreat hing. She was referred by her familydoctor after 3 days antibiotic treatmenthas been unsuccessfuil. The ER doctorthen diagnos ed him as having pulmonaryinfection whic h becomes severe becausethe family doct or made a mistake for notgiving her the la test antibiotic. He told herto be careful wh en choosing a doctor. Shefeels grateful for this information.

AKADEMIK CIAMIK 2010 UTS BHP IV f. What mistake done by the ERdoctor? a. Making false accusation b. Making wrong diagnosis c. Making different diagnosis d. Disrespectful to his colleague e. Disclosing othern peoplesmistake f. Which ethical principle has beenbreached by the ER doctor? a. Autonomy b. Beneficent c. Non maleficence d. Justice e. Which statement of doctors oathwas violated by the ER doctor? a. To consider colleague asbrothers b. To practice medicine withconscience and dignity To give teachers therespect and gratitudewhich is t heir due Not to use medicalknowled ge contrary tothe laws of humanity To maintain the honor andt he noble traditions ofm edical professional Which statement you wouldch oose to say to a patientrega rding other doctorspossibl e error judgement? a. Your doctor had made amistake b. Your doctor made a wrongmistake c. Your doctor had made amedical error d. Your doctor did not know whathe had know e. Your doctor had done what hethought is right To say apology related to anerr or is one of therepresentati ons of thisprofessional valu e: a. Honor b. Respect c. Honesty d. Integrity e. Excellence In relation with the principle of beneficence, there is anethi cal question in the caseof f emale circumcisionwhich is : a. Whether it can cause infectionor not b. Whether it relates withhealthiness or not c. Whether it is accepted in thesociety or not d. Whether it shoukd be done inhospital or not e. Whether it should be done by aprofessional or not For questions number 12 to 19, refer tosc enario below: The face of Ms.Birdie, a 27-year-old, wasa ccidentally disfigured caused by burninjur y while she was younger. When sheasked for face transplant, the doctors saidthey o nly had a few cases of facetransplant, ther efore they could notguarantee a full succe ss. But they wouldappreciate her very mu ch if she waswilling to try Ms.Birdie then d ecided tohave face transplant although he r parentsdisagree because they were worr ied. Aftera number of surgeries she realize

AKADEMIK CIAMIK 2010 UTS BHP IV s thenew face is not exactly what she had i nmind. The doctors limited experienc eon face transplant cancau se ethical problemduring in formed consent,which is: a. Whether the doctors have theability to do the surgery b. Whether the doctors have toguarantee a success or not Whether Ms.Birdies cande cide when herparents d isagree c. Whether the face transplant isa treatment or an experiment Whether the face should b eexactly what she hadi magine or not d. The medical indication to do facetransplant to Ms.Birdie would be: a. To make Ms.Birdie beautiful b. To increase Ms.Birdies selfesteem c. To develop face transplanttechnology d. To train doctors in facetransplant procedure e. To give Ms.Birdie betterchance in the society f. Whether Ms.Birdie has thecapacity to decide is an issue of: a. Autonomy b. Beneficent c. Non-maleficent d. Justice e. Medico-legal To prevent possiblepsychologic al problem thatoccurs whe n the result isnot as what Ms.Birdieexpected, is the is sue of: a. Autonomy b. Beneficent c. Non-maleficent d. Justice e. Medico-legal f. The term of success has to welldefined to avoid this problem: a. Autonomy b. Beneficent c. Non-maleficent d. Justice e. Medico-legal A human face is related withid entity; therefore a plan toc hange the faceappearance by surgeryshould consider t his aspect: a. Autonomy b. Beneficent c. Non-maleficent d. Justice e. Medico-legal Whether the hospital mustprio ritize their resources tosup port a trial on facetranspla nt or not, is anethical ques tion related tothis principle : a. Autonomy b. Beneficent c. Non-maleficent d. Justice e. Medico-legal The social dilemma in changing someones appearancethro ugh medical procedureis: a. Whether to be beautiful is aright or a gift

AKADEMIK CIAMIK 2010 UTS BHP IV b. Whether face transplantshould be allowed or not c. Whether face tranplant is amedical procedure or not d. Whether beauty should be selfperceived or socially-perceived Whether medicalprocedure can makesomeone bea utiful ornot e. What is a standard of care? a. A standard on professionalbehaviour b. A standard on how to do amedical procedure c. A standard on how doctorsshould conduct their life d. A standard to manage a patientwith a certain condition e. Should hospitals use the samestandard of care? a. It should be the samenationally b. It should be the sameinternationally c. It depends on the patientsability to pay d. It depends on the resources ofeach hospital e. It depends on the doctorpatients agreement f. What is defensive medicine? a. A branch of medicine to beused in war b. Patient management toprevent complication c. Arguments used by doctors todefend their profession d. Medical arguments used inmedical malpractice lawsuit Overdoing examination ortr eatment in worry ofmal practice For questions number 23 to 26, refer tosc enario below: Ms.Cutie, a 25-year-old, come Dr.Moss,as king for a liposuction. During operation,Dr .Moss accidentally cut a large artery,causin g longer operation and Ms.Cutie hadto stay longer in the hospital. Aftercompletely rec overed, Ms.Cutie planned tofile a malpract ice lawsuit against Dr.Moss 23. what is medical malpractice: a. an error made by a medical professional b.A negligence made by a medicalprofessi onal c. A criminal conduct done by medicalprof essional d.Failure to meet professionals standardc ausing injury e. Improper medical practice whethercaus ing or not causing injury 24...Ms Cutie came to Dr. Moss, askingtre atment" is one of the evidence to file amal practice law suit, particularly providingthis 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 filedagains t the malpractice lawsuit? A. damage B. indirect cause C. neglect d. duty 26) Do you think Mrs Cutie has evidenceof damage against Dr Moss? A. No, because the error was just anaccide nt B. Yes, because she has to be hospitalizedl

AKADEMIK CIAMIK 2010 UTS BHP IV onger C. No, because she has been curedcomple tely D. Yes, because she is the one paying forth e treatment E. No, she shouldve sue him while still inh ospital For questions number 27 to 29, refer tosc enario below: Mrs. Blondie hit by car and complainedinj ury to leg and hip. She was taken to EastH ospital where Dr. Doe, general surgeonord ers pelvic x-ray. No order for leg x-ray.She was released from hospital for herpelvis n ormal. Some hours later pain in legincreas es , she went to North hospitalwhere leg xray taken reveal fracture. Shewas hospitali zed for a month. She suedr.doe and east ho spital for neglect. 27) Does Mrs. Blondie have strong caseag ainst dr.boe? a) no, because not all fracture needhospit alization b) yes, because dr.boe failed to diagnoset he fracture c) no, because error happenunintentionall y d) yes, because dr.boe is a surgeon notgen eral practitioner e) no, because dr.boe is aa generalsurgeo n not orthopedist 28) Could Mrs. Blondie sue the Hospital? a) no, because it is Dr.Boes mistake b) yes, because it is hired an incompetents urgeon c) no, because mrs.blondie has changehos pital d) yes, because it should have hired anort hopedic e) no, because it only handles theadminist rative matter 29. Besides facing malpractice lawsuit,Dr. Doe could receive attention from themedi cal association related to possibleprofessi onal 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 biomedicalet hics,which of the following is not thestate ment for biomedical ethic principles? A.respect for autonomy B.beneficence C.non malficence D.justice E.independent 31. the respect for patient rights for selfgo vernance,choice of care and rights toacce pt or refuse called as: a. respect for autonomy b. beneficence c. non-maleficence d. justice e. veracity 32.the surgeon does not need to explaina bout: 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 practionersa ct in the patients best interest? a. respect for autonomy b.non-malefience c.beneficent d. justice e.verancity 34.The principle that is required to ensure medical care is available to all A. Autonomy B. Beneficence

AKADEMIK CIAMIK 2010 UTS BHP IV C. Non-Maleficence D. Justice E. Veracity 35. Surgery on the female genitalia,vagina and surrounding structures isdesign to im prove appearance subjectiveby potentially provide psychological andfunctional impr ovement, or both in sexualstimulation 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 andpotential ly harmful? a. labiaplasty b. perineoplasty c. vaginoplasty d. clitoral unholding e. hymenoplasty 39. Which of this following statement isno t included into potential risk associatedfe male genital surgery? A.infections B. Dysparenia C. Adhesions D. Altered sensation E. Carcinoma

40. this century we observed dramaticcha nges in science, technology and healthcar e. Which development has caused arise 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 levelof the patients 41.if honouracy of medical ethics cannotd ecide,this task is done by a.panitia pertimbangan dan pembinaaneti ka kedokteran b.majelis etika kodekteran c.ikatan dokter indonesia d.komitee kedokteran indonesia e.panitia etika kedokteran 42. To know about punishment inmalpract ice. 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'sf amily about the patients status C) information that the Doctor or nurseinf orming the patient's family about howthe y intervene D) dialogue between the doctor andpatien ts 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 workcau sed by the treatment c disability dmoney used for treatment e education fee

AKADEMIK CIAMIK 2010 UTS BHP IV talgina & Amoxicillin thatwas given by GP. The doctor diagnosed asSteven Johnson S yndrome. On 5th day ofadmission, patient suddenly hadrespiratory failure, apnea an d ended withdeath. 49. What should a doctor answer if herhus band asked for the cause of thedisease ? Doctor answered, that she haddrug allergi c..... 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 whogave those suspected medicine 4 d 1sttime? 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 allergyhi story c.easy to prove it d.there is few drug allergy cases e.hypersensentivity type 1 only For questions number 52 to 53, refer tosc enario below: A 63-year old woman came to aestheticsu rgeon done some surgery such as facelift, blepharoplasty, and to remove wrinklearo und her eyes. Before that, she hasdone fa ce lift and surgery to removewrinkle arou nd lips and eyes. She said shewants to do t hat to look younger and saveher marriage. 52.what is the 1st step the physician willd o? a.patient screening

45. an informed consent, ethics wise, isco vered in: a. medical ethics (KODEKI) b. hospital ethics (KODERSI) c. medical ethics and hospital ethics d.medical ethics and hospital ethics andho spital by laws e. hospital by laws 46. medical acts in informed consentinclu de: a. diagnostic acts b. theurapetic acts c. interventions d. diagnostic, therapeutic acts, andinterve ntions e. diagnostic acts and intervention 47. law protection can be acquired when: a. medical acts correspond with thestanda rds of profession b. medical acts disregard patients rights c. medical acts correspond with thestanda rd of profession and do notdisregard the p atients d. the medical practitioner owns a permitf or medical practice e. the medical practitioner owns a permit for medical practice and has not disregard the patient 48. explanation to patients must beprovid ed: a. without fraud b. without force c. without fear d. as a dpctors rights e. adequately For questions number 49 to 51, refer tosc enario below: A 28 years old woman, married came toE mergency Unit with chief complaint,gener alized erythematous macules andpapules, eye disorder and bleeding at lips.One wee k before, she had cough andconsumed An

AKADEMIK CIAMIK 2010 UTS BHP IV b.determine patient categories c.asscess on motivation and expectation d.inform consect e.give instruction 53. screening of the patients must beperfo rmed 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 andagi ng at her face. She wants her facebecome white, smooth, and supplewithout wrinkle and looks younger like a25-year-old wom an in a month. Whatshpuld you do as a ph ysician? a. performed chemical peeling twiceweekl y for a month b. refuse the patient because of her bigmo tivation c. consider to refuse the patient becauseo f her unrealistic expectation d. explain the procedure and result to the patient but the decision is in her hand e. refer her to another competencephysici an 55. The vitiligo patient had done severalti me PUVA treatment, but this disease stills pread rapidly, the ethical issue? a. The patient cant sue the doctor because he had pay for the treatment b. The patient cant sue the doctorbecause 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 thedoc tor 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 haveh er ears operated to look more beautiful.Sh e feels that she will get moreconfidence to socialize. What are themoral 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 conservativet herapy because it has the least sideeffect 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 bede fined in terms of a persons physicalfeatur es independent of othercharacteristics. What is the broad concept of beauty? A.Beauty depends on biologicallyanchored universal beauty norms, basedon shape, proportion and harmony B. Beauty can be objectively evaluated,wit hout referring to an observer orcontext C. Beauty is relative to context andperson al identity D. Beauty is cross-cultural agreement 59. one of the ethical issues in medicine is organ transplantation. In plastic surgery,t ransplantation is performed skin, musclea nd facial transplantation. What is ethicalis sues of facial tranplantation in plasticsurg ery? a.it is technically difficult to perform yetth e 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 moresocia lization 60. face is unique to our species. Itsimport ance is difficult to underestimate.Surgery f or children with Down Syndromeraises ma

AKADEMIK CIAMIK 2010 UTS BHP IV ny difficult ethical issues,concerning conse nt and their capacity togive it. What is the disadvantage of havingthe aesthetic surge ryfor a Down syndromechild? a. the justification given for the is thepres umed interest of the child b. the surgery may result in a significantfu nctional improvement c. it will eradicate the typicalcharacteristic s of down syndrome d. ghe children might not want to looknor mal 61. why beauty is important? a. because it could give you happiness b. because it hs social and economicalvalu e c. because it gives a chance for havingsatis fying d. because good apperance means goodac ceptance in social life e. because beauty is relative to contextan d persons.