ECFMG Professionalism & Ethics 2

Question 1

A patient with limited English proficiency refuses a professional interpreter and asks her adult son to translate during a sensitive gynecologic exam. What is the most appropriate next step?

Accepted Answer

Use a professional interpreter after explaining the risks of using a family member

Answer

Proceed with the son as interpreter to respect patient autonomy

Answer

Decline to see the patient until a professional interpreter is available

Answer

Document that the patient refused care and discharge her

Question 2

During a residency program, a supervising attending asks a resident to document a procedure as 'performed by attending' when the resident actually performed it independently. The resident should:

Accepted Answer

Document accurately and report the discrepancy to the program director if pressured

Answer

Comply to maintain the attending-resident relationship

Answer

Document as instructed since the attending supervised remotely

Answer

Refuse to document the case at all

Question 3

An IMG receives a gift of significant monetary value from a grateful patient's family after a successful surgery. According to ECFMG professional standards, what is the best response?

Accepted Answer

Decline the gift and explain the professional reasons for doing so

Answer

Accept the gift graciously as it does not affect future care

Answer

Accept only if the value is under $100

Answer

Accept and report it to the hospital ethics committee

Question 4

A physician discovers that a colleague has been practicing while impaired by alcohol during overnight shifts. The physician's primary obligation is to:

Accepted Answer

Report concerns to the appropriate authority to protect patient safety

Answer

Confront the colleague privately and wait for self-correction

Answer

Avoid involvement to preserve collegial relationships

Answer

Document observations but take no action unless a patient is harmed

Question 5

A terminally ill patient who is a Jehovah's Witness and has decision-making capacity refuses a life-saving blood transfusion. The ethical principle that most directly supports honoring this refusal is:

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Non-maleficence

Answer

Justice

Question 6

An IMG applying for ECFMG certification discovers an error on a previously submitted application form. What should the applicant do?

Accepted Answer

Correct the error proactively by contacting ECFMG immediately

Answer

Ignore the error if it does not affect certification eligibility

Answer

Wait to see if ECFMG notices the discrepancy

Answer

Submit a new application and abandon the prior one

Question 7

A medical student on clinical rotation witnesses an attending make a demeaning comment about a patient's weight in front of the care team. The most professional response is to:

Accepted Answer

Privately speak with the attending afterward and express concern about the comment

Answer

Laugh along to fit into the team culture

Answer

Immediately confront the attending in front of the patient

Answer

Report the attending to hospital administration without speaking to them first