UWorld Medical Ethics and Communication 2

Question 1

A 40-year-old Jehovah's Witness with decision-making capacity refuses a blood transfusion for life-threatening GI bleeding after being informed of the risks. What is the most appropriate action?

Accepted Answer

Respect the refusal and offer alternative treatments

Answer

Competent adults may refuse any treatment, including life-saving care, after informed refusal.

Question 2

A 16-year-old pregnant girl requests prenatal care but does not want her parents informed. What is the most appropriate response?

Accepted Answer

Provide prenatal care confidentially

Answer

In most US states, minors can consent to prenatal care without parental involvement.

Question 3

A Spanish-speaking patient arrives with her bilingual 12-year-old son for discussion of a new cancer diagnosis. What is the best approach?

Accepted Answer

Use a professional medical interpreter

Answer

Professional interpreters ensure accuracy and confidentiality; children should not interpret medical information.

Question 4

When delivering a new diagnosis of metastatic disease, what should the physician do first after ensuring privacy?

Accepted Answer

Ask what the patient already understands about the condition

Answer

Assessing the patient's perception (SPIKES) guides how information is delivered.

Question 5

An unconscious patient has no advance directive or healthcare power of attorney. His wife, adult daughter, and brother are present. Who is typically the surrogate decision-maker?

Accepted Answer

Wife

Answer

Most state hierarchies place the spouse first, followed by adult children, parents, and siblings.

UWorld Practice Test

UWorld Practice Test

UWorld Medical Ethics and Communication 2