SPEX Analysis Exam Flashcards
7 cards from real SPEX practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 SPEX Analysis Exam flashcards as text
A competent adult patient refuses a blood transfusion on religious grounds, even though the physician believes it is life-saving. What is the ethically correct action?
Answer: Respect the patient's refusal and document it
Competent adults have the right to refuse medical treatment, including life-saving measures, based on the principle of autonomy.
According to USPSTF guidelines, at what age should colorectal cancer screening begin for average-risk adults?
Answer: 45 years
The USPSTF updated its recommendation in 2021 to begin colorectal cancer screening at age 45 for average-risk adults.
A physician is treating a patient who is a mandatory reporter situation — the patient discloses child abuse occurring at home. What must the physician do?
Answer: Report to child protective services immediately
Physicians are mandatory reporters and are legally required to report suspected child abuse to child protective services, overriding patient confidentiality.
Which of the following vaccines is recommended annually for all adults regardless of age?
Answer: Influenza vaccine
Annual influenza vaccination is recommended by the ACIP for all individuals 6 months of age and older.
A patient asks their physician to provide a fraudulent sick note to avoid work. What is the appropriate physician response?
Answer: Refuse, as providing false documentation violates medical ethics
Providing fraudulent documentation is a breach of medical ethics and professional integrity, and constitutes fraud.
Which of the following is the most effective primary prevention strategy for cardiovascular disease in the general population?
Answer: Smoking cessation, diet modification, and exercise
Lifestyle modifications including smoking cessation, healthy diet, and regular physical activity are the cornerstone of primary cardiovascular disease prevention.
An elderly patient with dementia cannot make medical decisions. There is no advance directive, but the patient previously expressed treatment preferences to family. What guides decision-making?
Answer: Substituted judgment using the patient's prior expressed wishes
Substituted judgment requires surrogates to make decisions based on what the patient would have wanted, not what the surrogate prefers.