Copy of professionalism questions for medical students.ppt

The more asked questions in medical professionalism exams

1. What is Professionalism?
A.A professional man or woman is one who does
any work useful to the society
B.Is the conduct, aims or qualities that
characterize a professional a professional
person
C.Is about having a strong sense of what is right or
wrong
D.Is an ability to set priorities in order to
accomplish a given task on time
E.Is the person who always looks smart, punctual
and never accept bribery 

2. What is the difference between ethics
and morality?
A.Morality is the distinction between right and
wrong while Ethics are standards of conduct
(or social norms) that prescribe behavior
B.Morality are standards of conduct (or social
norms) that prescribe behavior while Ethics is
the distinction between right and wrong
C.Morality is that which falls within the limits
prescribed by ethical behavior
D.Ethical behavior is that which falls beyond the
limits prescribed by morality
E.A, B, C and D are correct answers

3. One of the following statements is
not true patterning ethics and
morality
A.Moral standard distinguish between right and wrong,
good and bad, virtue and vice, justice and injustice.
B.Ethics are inborn trait therefore cannot be taught
C.Ethics are not general standards of conduct but the
standards of a particular profession, occupation,
institution, or group within society
D.Ethics is used as a modifier for another word e.g.
medical ethics
E.Most people can improve their ethical decision-
making through education and practice

4. What is the difference between ethics
and Law?
A.We use the coercive power of government to enforce
ethics while we often “punish” people who disobey
laws by simply expressing our disapproval
B.Ethics and morals tend to be less technical and
complex while Laws are often expressed in highly
technical and complex jargon.
C.In laws the authority is both internal and external
while in ethics the authority is internal only
D.Much of ethical issues are addressed in laws
E.In laws the authority and external only while in ethics
the authority is both internal and external

5. Professionalism incorporate all of the
following competences except:
A.Accountability
B.Passion
C.Selflessness
D.Sensitivity to culture, age, gender and
Disability
E.Uprightness

6. One of the following is not among the
common profession values in health
care
A.Infidelity
B.Veracity
C.Respect for persons
D.Informed consent
E.Confidentiality

7. Health worker are required to be honesty
when carrying their duties to increase patient
trust, which of the following describe features
of honesty and integrity?
A. Never admit errors to the patient and refrain
from misleading pretenses
B.Advice patients truthfully and avoid misleading
pretenses
C.Use numbers when you are not sure of
explanation
D.Often is ethically right to say X to the patient
while you mean Y
E.Giving promises as a shortcut to solve patient
problems and avoiding disturbances

8. A person who disclose wrong-doing of
other workers or the system is called:
A.A bioethicist
B.A mediator
C.A whistleblower
D.A traitor
E.A spy

9. One of the following is not among
the challenges of professionalism
A.Overconfidence
B.Conflict of interest
C.Falsification
D.Pleasure-seeking
E.Compassion

10. Professional responsibility involve all
of the following except:
A.Commitment to improving quality and access
of care
B.Commitment to maintaining appropriate
relations with patients
C.Commitment to maintaining conflicts of
interest
D.Commitment to a just distribution of finite
resources
E.Commitment to scientific knowledge

11. Medical Ethics
A. Is the study of moral aspects on issues arising
out of the practice of medicine
B.Is the study of legal aspects of a doctor’s
professional life
C.Is the code of conduct of doctor’s professional
life
D.Is covered by Hippocratic oath
E.Is the study of moral and Legal aspects on issues
arising out of the practice of medicine

12. A young mother has just been informed that her2-year-old
son has leukemia. The mother refuses permission to
begin chemotherapy and informs the oncology team that
their family physician (a naturopath) will follow the
child's illness. What should you do as the team medical
care?
A.You should wait to hear from the family physician.
B.You should honor the mother’s request in this situation.
C.You should arrange promptly a care conference with both
the mother and the family's naturopathic physician to
discuss the chemotherapy.
D.If chemotherapy offers a clear and compelling survival
benefit as the only hope this child has, and the mother
refuses treatment, you are professionally obligated to seek
a court order to appoint a guardian for the child.
E.The mother has her limits in decision making so she should
be sued for this

13. Your 36-year-old patient has just tested positive for HIV.
He asks that you not inform his wife of the results
and claims he is not ready to tell her yet. What would
you say to your patient?
A.Encourage the patient to share the information with
his wife on his own, giving him a bit more time if
necessary.
B.Tell the patient that his wife is at serious risk for being
infected with HIV, and that you have a duty to ensure
that she knows of the risk.
C.Tell the patient that public health law requires
reporting both the patient and any known sexual
partners to local health officers.
D.You should respect the patient wishes as he has the
right for confidentiality
E.A and B are correct answers

14. A 13-year-old pregnant woman shows signs of sexual abuse
that appears to be inflicted by her uncle. As he is her primary
caregiver, she feels dependent on him and pleads with you not
to say anything to him about it. How would you handle this
situation?
A.This is a case of gender-based violence and you are required to
always report incidents of abuse to the authorities.
B.You are not permitted under to report the abuse if the victim
ask you not to do so.
C.This girl has not reached a consent age and laws supporting
reporting incidents of abuse allow the doctor/care giver to
break confidentiality and report suspected abuse.
D.The patient should not be reported. Instead, she should obtain
support and access to other services in order to maintain her
primary caregiver.
E.You should for her uncle to test for HIV to find out if he might
have infected her

15. An 18-month-old child presents to the clinic with a
runny nose. Since she is otherwise well, the
immunizations due at 18 months are administered.
After she and her mother leave the clinic, you realize
that the patient was in the clinic the week before and
had also received immunizations then. Should you tell
the parents about your mistake?
A.No because the error is a minor one.
B.No because no harm is done.
C.No because the mother will never find out.
D.No because this will distort the image of the hospital
E.Yes because an open and honest approach to errors is
most appropriate.

16. Which of the following is not part of
the original Hippocratic Oath?
A.Respect your teacher as you respect your
parents
B.Share your earnings with your teachers if they
are in need
C.Provide services for termination of pregnancy
for women with medical indications
D.Avoid sexual relations with family members of
clients
E.Avoid divulging details of patients’ illness

17. Regarding duties and responsibilities
of health professionals it is proper to:
A.Ensure treatment is administered to patients
who refuse it out of ignorance
B.Report incompetent or unethical practice by
colleagues to relevant authorities
C.Accept due payment for referring patients to
appropriate specialists
D.Assist in ending the life of terminally ill patients
E.Accept payment from the manufacturers for
prescribing their product if it is the best
available

18. Which of the following is true about
an oath?
A.It is universally applicable
B.It is a declaration that you will carry out certain
actions or behave in a certain way
C.It carries legal obligations
D.It ensures the oath taker behaves morally
E.Without swearing an oath there is no guarantee
of professional integrity

19. Regarding the Hippocratic oath
A.Only the original oath is valid
B.It must involve swearing an oath rather than
making a declaration
C.A practitioner must swear allegiance to their
respective professional association
D.It is no more than a strengthening of one’s
resolve to behave with honesty and integrity
E.Any health professional who has not taken it is
practicing illegally

20. One of the following statements is
not true for surrogate decision
making
A.Person must be unable to make decision
B.No Advanced Directive given
C.There is no law that designates hierarchy
D.Two physicians must certify
E.All statements are true

21. Regarding advance directive in clinical
care, which statement is not true?
A.Authorizes a specific decision maker (Agent)
B.Agent may not be healthcare service provider
C.Directive can authorize specific decisions or
give broad authority
D.Can be effective upon signature or specify
conditions to become effective
E.Living Will orders are not types of advance
directive

22. In the following circumstances, it is essential to protect the
child by any means, even if it requires legal help EXCEPT:
A.In an emergency settings, if transfussion is needed, it must
be given, as long as it is safe
B.In a comatose patient with massive brain damage, whose
parents have consented to ‘DO NOT RESURSCITATE’ and who
collapses, resuscitation should be done as usual
C.In a diabetic Ketoacidosis comatose child, if only porcine
insulin is available, use it irrespective of ethnicity of child
D.Provision of oral contraceptive pills to a 15 year sexually
active girl
E. Allowing the child to engage in strenous, hard working,
exploitative income generation, which hampers his/her
normal physical, social and mental development

23. •a) Adult (over 18)
•b) No court appointed guardian
•c) Communicate – voluntarily designating
someone else to make decisions
•d) Capacity to give informed consent at the
time of making advance directive
• e) Must be endorsed by close relatives

24. The basic principle in care of minors or those
who cannot give consent is that:
A.Do not bother to ask, inform or advise, just treat them
B.Make sure that all the costs are covered before
undertaking treatment, since after treatment they will
not be accessible
C.Beneficence, Non-malfecence, Justice and Autonomy
must be ensured
D.Unless accompanied by an adult, don’t perform any
treatment
E.Allow the child to make the decision, whether positive
or negative and abide to it

25. In discussing the clinical care with the
patient, the physician should not cover:
A.The patient's diagnosis, if it is cancer.
B.The alternatives to the proposed treatment
or procedure.
C.Th cost, regardless of whether they will likely
be covered by the patient's health insurance.
D.The risks and benefits of an alternative
treatments or procedures.
E.Spouse preference treatment

26. Informed consent
A.Is not primarily intended as legal protection of
the practitioner
B.Is a requirement for the professionals to obtain
a signature from the client
C.Should be stated in technical language to avoid
misunderstanding
D.Should be obtained as close to the intended
intervention as possible
E.Involves the client but not the relatives

27. Which of the following statements about
informed consent is FALSE?
A.Clients should be told about alternative
interventions
B.The practitioner is obliged to make
recommendations to the client
C.Under some conditions the practitioner may have to
act without the client’s consent
D.It is proper to obtain consent for minor procedures
such as drawing blood for the laboratory
E.Telling the client about risks and complications
should be avoided as it may scare them

28. Which one does not constitute a moral
dilemma?
A.A situation where the person can not perform all
the required alternatives
B. A situation that demand a person adopt each of
two or more alternative actions
C.A situation where some arguments may indicate
that the act is morally right while others argue that
it is morally wrong
D.Moral Dilemmas are circumstances like those raised
by issues in abortion and euthanasia
E.Situation where there are conflicting moral
principals and rules

29. Which of the following is not a category
determining moral actions
A.Actions that are right and obligatory eg telling
truth
B.Actions that are wrong and prohibited eg
murder
C.Actions that are optional and morally neutral
(neither wrong nor obligatory)
D.Actions that are optional but morally
meritorious and praiseworthy.
E.Actions that may be judged as detrimental to
the family by the father

30. Which of the following is not a basic
moral principle?
A.Respect for autonomy
B.Non maleficiency
C.Beneficiency
D.Justice
E.Honesty

31. A teenager who is involved in household care
and make decisions for younger siblings fall
into a category termed
A.Parens patriae
B.Locus parenti
C.Minor rights
D.Children’s Right
E.Court Injuction

32. Many adolescents have a capacity to make a
decision, but this capacity will be determined
by the following EXCEPT
A.Ability to understand and communicate relevant
information
B.Ability to think and choose with some degree of
independence
C.Ability to access the potential for benefit, risks or
harms as well as to consider consequences
D.Achievement of fairly stable set of values
E.Ability to avoid being influenced by individual vested
interests

33. Parents can provide ‘consent by proxy’
under these circumstances EXCEPT
A.For children below 5 years
B.For mentally retarded children
C.For adolescent children above the age
of 16 years
D.For comatose children
E.Infants below 12 months

34. Pediatricians should not assume that children cannot
understand the consequences of treatment; they
should therefore seek an ‘Assent’ from them. All these
statements are true EXCEPT
A. To help develop awareness in the child
B.To inform child what to expect from the
treatment
C. To clinically assess the child
D.Solicit an expression from the child
E.Not to consider any emotional or spiritual
feelings of children, as this will bias decision

35. The following categories form the
‘vulnerable’ population: except
A.Children
B.Pregnant Women
C.Poor Men
D.Prisoners
E.Mentally Handicapped

36. Informed consent in the following
situations is necessary:
A.Pelvic examination of a 16 year old
B.Diagnostic evaluation of headache in a 18 year old
C.Long-term antibiotics for 15 year old for Acne
treatment
D.Surgical intervention of bone cancer in 19 year
old
E.Emergency intervent in unconscious trauma
patient

37. A good consent form or interview will
include following elements:
A.What is the purpose of the procedure
B.What are the risks involved
C.Ability to refuse to participate in that
procedure
D.Keeping the information on participant
confidential
E.None of the above
F. All of the above

38. A 16-year-old girl comes to hospital with complaints of abdominal pain that is
persistent but not extreme. Workup reveals that she has an abortion. Her mother
is quiet all this time but father insists he want to know what is wrong with his
daughter. The girls is a secondary school student and she afraid if her father
knows might not pay her school fees and might abandon her. However, the girl
has to be taken to the operating for emergency D&C to arrest bleeding and
abdominal clamps.
Should you tell him his daughter’s diagnosis? Or Withhold telling the diagnosis of his
daughter for fear of consequences?
A.The father should be told the diagnosis regardless of the consequences as he is
the one who is supposed to sign the informed consent for all procedures to be
performed on her daughter
B.A physician should talk to her parents first to arrest their anger, educate them on
the importance of being close to their daughter at this time.
C.The father should be told the diagnosis, as he is the one who is supposed to
sign the informed consent for all procedures to be performed on her daughter.
Then the physician should have a parental counseling with both parents on
adolescence and the importance of being close to their daughter at this time.
D.The father should not be told of the diagnosis due to the consequences which
might come after
E.A girl who can become pregnant is old enough to make her own decision
therefore her wishes should be respected.