Q1. An 67 man who used to work in the shipyard industry presented with cough and shortness of breath for duration weeks to months. He was given salbutamol nebulization and antibiotics and admitted to the ward. He died 3d later. CT thorax: patchy infiltrates, pleural thickening and pleural effusion. Why is this a coroner’s case?
Death could be due to occupational illness
Pt got wrong dx or management
Pt died soon after admission
Nebulized salbutamol
so answer is Death could be due to occupational illness
Q2. A man with dementia has an ulcerative lesion on his forehead. He wanted to remove the lesion,he sayed ‘it can help improve his memory’. Wife says he is not fit to give consent. What will you do?
Get letter signed from the GP
Get letter signed from the wife
Get letter signed from the patient
Refer to psychiatrist to assess the mental capacity to give consent
answer is Refer to psychiatrist to assess the mental capacity to give consent.
Q3. A 81 year old patient is diagnosed with metastatic lung cancer; there is no cure for his condition. His son tells the physician that in the case of a diagnosis of cancer, the physician must not tell his father. He wishes that his father does not suffer any psychological distress caused by the knowledge of a terminal diagnosis. Which one of the following ethical principles supports the son’s request?
Patient autonomy
Non-maleficence
Beneficence
Justice
answer is Non-maleficence Nonmaleficence means non-harming or inflicting the least harm possible to reach a beneficial outcome