Medical Informed Consent > Self-Evaluation


1) Which of the following is an example of Implied Consent?

Treatment provided in emergency situation to prevent death.
Patient standing in line to receive an Influenza vaccine.
Surgeon finding a tumor during operation and proceeding in its removal.
Providing treatment based upon what the patient's spouse wishes.
Providing information based upon what the police have requested.

2) Discussion of each of the following must be included when giving Informed Consent except:

Risks and benefits of treatment
Alternatives to treatment
Family's wishes
Risks of not receiving treatment

3) In which of the following cases would informed consent NOT be necessary:

When immediate treatment is necessary to prevent death or permanent impairment
When a child is recognized as emancipated
When a patient is found to be incompetent
When a child is under care of the state

4) During performance of a procedure, when an unexpected finding is encountered, in which of the following cases would it not be OK to address that finding?

Placement of a chest tube for pneumothorax
Renal mass encountered during colon resection for cancer
Removal of ovary for incidentally encountered ovarian mass

5) In which of the following cases may it not be OK for the patient to refuse treatment?

Refusal based on religious belief despite risk of death
Given adequate understanding of information, refusal based on uncertainty regarding success
Single parent at risk of death without family to care for child
Concern regarding risks of procedure

6) In Virginia, a minor may consent for themselves in all of the following cases except:

Treatment of venereal disease
Birth control
Outpatient treatment of substance abuse
Outpatient treatment of mental illness
Sterilization procedure

7) A minor may be considered an adult for the purpose of their own consent in each of the following cases except:

Minor with a child
Minor on active military duty
Minor who is married
Minor who has been considered emancipated by the court

8) In a case when a minor has been left in the temporary care of another, when would it not be acceptable to provide treatment?

When parent has provided written authorization
When the temporary caretaker conveys that the parent wished care to be performed
When a court order has been given to provide care
When an emergency situation exists that threatens the minor's life

9) A patient is considered incompetent when which of the following criteria are met?

Involuntarily committed patient
Dysphasia or other inability to communicate
Individual who displays poor judgment
Inability to adequately receive or evaluate information

10) Regarding guardian decision-making for an incompetent patient, in which case may a court order be needed to provide treatment?

Surgery for appendicitis
Medical treatment for pneumonia
Surgery to amputate limb
Medical treatment for systemic infection

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