Exam Details
| Subject | Clinical Ethics | |
| Paper | ||
| Exam / Course | Post Graduate Diploma In Bioethics | |
| Department | School of Health Science (SOHS) | |
| Organization | indira gandhi national open university | |
| Position | ||
| Exam Date | December, 2016 | |
| City, State | new delhi, |
Question Paper
1. The word "patient" is of the following origin
Greek
Latin
Spanish
English
2. Doctor-patient relationship can be viewed as
A contractual relationship only
A client-driven relationship
A professional relationship
A paternalistic relationship
3. The physician has a right as well as a duty to intervene where a treatment may be required.
The statement is true
The statement is false
The statement is partly true
The statement makes no sense
4. Which of the following attributes is not that of a patient?
One who seeks medical attention
One who gets medical treatment
One who goes for routine check-up in case of clinical exigency
One who can do whatever he wants to do as part of his daily chore
5. Which is not a negative right of the patient?
Right not to be killed or 'right to life' is a negative right. To enjoy the right to life someone should not harm us.
Right not to have bodily injury or pain inflicted on one's self. A patient waives off this right when he gives a consent for surgery.
Right to be respected as a person.
Confidentiality is the fourth negative right that protects the doctor-patient relationship.
6. Which is not a positive right of the patient?
The right to be aided in times of need
The right to have authority on how decisions should be taken on how one will be treated
Right to be respected as a person
Right not to be deceived by others
7. In medicine, physicians may not want to disclose the whole truth to the patient under certain pretext but for one
Benevolent deception
Not to infuse the fear factor
Patient's intelligence
Patient may not want to know
8. An individual's genetic information and DNA sample individual except
When the sample is used in an anonymous research
When the sample is used by the bio-bank
When the sample is identified
When the sample has been stored for a long time
9. Professional fidelity does not have the following:
Doctors' priority to the patients (patient first)
Preventing charging fees
Helping the system like criminal justice system
Taking favour from the client if the doctor deems fit
10. Confidentiality can be broken in all these conditions except
Patient's consent
Imminent danger to the patient
Relatives request
Imminent danger to others
11. Which one of the following is not an Allogenic transplant?
Transplant from wife
Transplant from identical twin
Transplant from friend
Transplant from neighbour
12. Medical negligence is are the property of an
The omission to do something which a reasonable person will do
The omission to not do something which a reasonable person will do
The omission of something which an unreasonable and prudent person would not do
None of the above
13. All of these are elements of negligence except
Breach in duty of care
Breach in standard of care
Patient suffered an injury which cannot be appropriately compensated
Causation
14. Bolam's Test
Does not incorporate clinical negligence being claimed
Imposes duty of care between the doctor and his patient
Ensures equal responsibility of duty in both doctor and patient
Considers the act of omission of the doctor as breach of duty of care
15. Medical Practice is a
Contract involving financial material
Covenant
Contract for service
Contract of service
16. In dealing with Pharmaceutical and allied health sector industry, a medical practitioner shall not follow and adhere to which of the following stipulations?
Not avail sponsorship for hotel stay and journey for conference
Not take any sample drug for treatment of the poor
Not take any gift or incentive
Not do unusual favour to a particular pharma company
17. CME stands for
Clinical Medical Education
Calcutta Medical Education
Continuing Medical Education
Canadian Medical Education
18. A medical practitioner is not permitted to make a formal announcement in press regarding the following:
Resumption of another practice
Succeeding at another practice
Public declaration of charges
Announcing freebees at the clinic
19. Preferential treatment by the doctor to a certain category of patient is
Ethically correct
Ethically incorrect
Ethics has nothing to do with it
Under certain circumstances, it may be correct
20. What does PLWHA stand for?
People Living with HN AIDS
People Living with Herpes and AIDS
Pretending to be Living with HN AIDS
Poor Lumpen Whore Hijra and AIDS
21. Wrongful pregnancy is
Failure of the physicians to warn the parents of the harms
Injuries suffered during pregnancy
Failure of permanent methods of sterilization
Failure of temporary methods of sterilization
22. Sex selection of the foetus may be justified by which of the following ethical principles?
Beneficence
Non-maleficence
Autonomy
Justice
23. All of these are negative rights of the patient except
Right not to be deceived by others
Right not to be killed
Right not to have bodily injury
Right not to have authority over decisions concerning them MHSE-012 5
24. All of these are positive rights of the patient except
Right to be aided in times of need
Right to life
Right to have authority on how decisions are made
Right to be respected as a person
25. Which of the following is a quality that the patients do not accept from their physicians
To be confident
To be knowledgeable
To treat with dignity
To charge less fees
26. Paternalistic model is
Used while dealing with incompetent patient
Used while performing surgeries
Used while immunizing communities
Applicable in an emergency situation
27. When terminating a doctor-patient relationship, the doctor
Must not give any reason for terminating a relationship
Must give a reason for terminating the relationship
Must give adequate notice to the patient
Must make arrangement for another physician to take care of the patient
28. Benevolent deception is justified best by the following ethical principle
Beneficence
Non-maleficence
Autonomy
Justice
29. Professional fidelity means that the physician will give priority to
Scientific interest
Patient's interest
Physician's interest
Community interest
30. Physicians experience problems with professional fidelity when
Dealing with children
Dealing with the insurance companies
Dealing with prisoners
Dealing with unconscious patients
31. Advertisement by the doctor is permitted
While starting a practice
After each surgery
After completion of research project(s)
After winning an award
32. All of these are boundary crossing except when the physician's behaviour
Produces no harm to the patient
Produces harm to the patient
Is not accepted by the society
Produces unhappiness to the patient
33. Which one of the following is not a part of Indian type of euthanasia
Sati
Prayopravesha
Phansi
Samadhi
34. In critical care ethics, the following principle is a major determinant of allocating beds:
Beneficence
Non-maleficence
Autonomy
Justice
35. Sometimes, futile treatment may be provided by the physicians
To help families to come to terms with the loss
To help the institution
To help the patient to die at an auspicious time
To help the political situation
36. Ordinary means of preserving life include all of the following except when
Treatment offers a reasonable hope of benefit
Treatment can be obtained easily
Treatment must not produce undue pain and suffering
It must be the most accepted treatment
37. Which of the following applies to withdrawing of treatment
Legal permission is needed
Surrogate decision-maker must give consent
Legal permission must be obtained
Doctor can withdraw futile treatment
38. According to the court, legal permission is needed for
Withholding treatment from the patient
Withholding treatment when surrogate decision-maker wants
Withdrawing treatment when surrogate decision-maker wants
Withdrawing treatment when patient wants
39. HIV patients confidentiality can be broken when asked by
Wife
Children
Friend
Colleague
40. Pre-test counselling of HIV is based on the principle of
Beneficence
Non-maleficence
Autonomy
Justice
41. In which year did the Supreme Court give landmark judgement on blood banking?
1999
1987
1990
1995
42. Which component does not belong to patients will of rights
Refusing treatment
Privacy
Confidentiality
Payment for each test and treatment
43. AYUSH does not include which of the following?
Allopathy
Yunani
Unani
Siddha
44. Medical Council of India controls/governs which stream of practitioners?
Ayurvedic Practitioners
Unani Practitioners
Allopathic Practitioners
Siddha Practitioners
45. The Code of Medical Ethics of MCI Section 2.1 does not describe which of the following obligations of the physicians to the sick?
It gives the physician the right to select his patients
It allows the physician to get adequately compensated for the service done
It does not allow a physician to arbitrarily refuse treatment to a patient
It enjoins that the physician should treat a patient during emergencies
46. MCI does not register one of the following practitioners:
BUMS
MBBS
MDIMS
DM/MCH
47. Which one of the qualities of the doctor is not welcomed by patients?
To be confident, empathetic and humane
To have personal touch, be forthright and respectful
Strictness in rules and commanding in behaviour
Thorough about the methodology and art of medicine
48. A doctor is highly revered in Indian society because
The doctor wears white coat
He has a stethoscope around neck
He is a cure-giver
Mostly doctor is an empathetic individual
49. Non-beating heart donation is made when the
Patient is brain dead
Heart is not beating and the brain is dead
Patient's respiration and heart are not functioning but the brain is working
Heart has failed but not the brain
50. The principle of utilitarianism uses the following to justify brain stem death except
The harvested organs are used for saving or prolonging the life of an affected person
It reduces the life of a person who is sustained by artificial means
It helps the non-productive members of the society to live
It reduces the cost of health care
Write short notes on any four of the following in 200 -300 words each. Each carries five marks.
51. Fidelity in Doctor-Patient Relationship
52. Ethical Issues in Domestic Violence
53. Status of Organ Donation in India
54. Ethical Issues in Dealing with Pharma Companies
55. Ethical Issues in Mental Health Care
56. Principles of Virtue Ethics
Greek
Latin
Spanish
English
2. Doctor-patient relationship can be viewed as
A contractual relationship only
A client-driven relationship
A professional relationship
A paternalistic relationship
3. The physician has a right as well as a duty to intervene where a treatment may be required.
The statement is true
The statement is false
The statement is partly true
The statement makes no sense
4. Which of the following attributes is not that of a patient?
One who seeks medical attention
One who gets medical treatment
One who goes for routine check-up in case of clinical exigency
One who can do whatever he wants to do as part of his daily chore
5. Which is not a negative right of the patient?
Right not to be killed or 'right to life' is a negative right. To enjoy the right to life someone should not harm us.
Right not to have bodily injury or pain inflicted on one's self. A patient waives off this right when he gives a consent for surgery.
Right to be respected as a person.
Confidentiality is the fourth negative right that protects the doctor-patient relationship.
6. Which is not a positive right of the patient?
The right to be aided in times of need
The right to have authority on how decisions should be taken on how one will be treated
Right to be respected as a person
Right not to be deceived by others
7. In medicine, physicians may not want to disclose the whole truth to the patient under certain pretext but for one
Benevolent deception
Not to infuse the fear factor
Patient's intelligence
Patient may not want to know
8. An individual's genetic information and DNA sample individual except
When the sample is used in an anonymous research
When the sample is used by the bio-bank
When the sample is identified
When the sample has been stored for a long time
9. Professional fidelity does not have the following:
Doctors' priority to the patients (patient first)
Preventing charging fees
Helping the system like criminal justice system
Taking favour from the client if the doctor deems fit
10. Confidentiality can be broken in all these conditions except
Patient's consent
Imminent danger to the patient
Relatives request
Imminent danger to others
11. Which one of the following is not an Allogenic transplant?
Transplant from wife
Transplant from identical twin
Transplant from friend
Transplant from neighbour
12. Medical negligence is are the property of an
The omission to do something which a reasonable person will do
The omission to not do something which a reasonable person will do
The omission of something which an unreasonable and prudent person would not do
None of the above
13. All of these are elements of negligence except
Breach in duty of care
Breach in standard of care
Patient suffered an injury which cannot be appropriately compensated
Causation
14. Bolam's Test
Does not incorporate clinical negligence being claimed
Imposes duty of care between the doctor and his patient
Ensures equal responsibility of duty in both doctor and patient
Considers the act of omission of the doctor as breach of duty of care
15. Medical Practice is a
Contract involving financial material
Covenant
Contract for service
Contract of service
16. In dealing with Pharmaceutical and allied health sector industry, a medical practitioner shall not follow and adhere to which of the following stipulations?
Not avail sponsorship for hotel stay and journey for conference
Not take any sample drug for treatment of the poor
Not take any gift or incentive
Not do unusual favour to a particular pharma company
17. CME stands for
Clinical Medical Education
Calcutta Medical Education
Continuing Medical Education
Canadian Medical Education
18. A medical practitioner is not permitted to make a formal announcement in press regarding the following:
Resumption of another practice
Succeeding at another practice
Public declaration of charges
Announcing freebees at the clinic
19. Preferential treatment by the doctor to a certain category of patient is
Ethically correct
Ethically incorrect
Ethics has nothing to do with it
Under certain circumstances, it may be correct
20. What does PLWHA stand for?
People Living with HN AIDS
People Living with Herpes and AIDS
Pretending to be Living with HN AIDS
Poor Lumpen Whore Hijra and AIDS
21. Wrongful pregnancy is
Failure of the physicians to warn the parents of the harms
Injuries suffered during pregnancy
Failure of permanent methods of sterilization
Failure of temporary methods of sterilization
22. Sex selection of the foetus may be justified by which of the following ethical principles?
Beneficence
Non-maleficence
Autonomy
Justice
23. All of these are negative rights of the patient except
Right not to be deceived by others
Right not to be killed
Right not to have bodily injury
Right not to have authority over decisions concerning them MHSE-012 5
24. All of these are positive rights of the patient except
Right to be aided in times of need
Right to life
Right to have authority on how decisions are made
Right to be respected as a person
25. Which of the following is a quality that the patients do not accept from their physicians
To be confident
To be knowledgeable
To treat with dignity
To charge less fees
26. Paternalistic model is
Used while dealing with incompetent patient
Used while performing surgeries
Used while immunizing communities
Applicable in an emergency situation
27. When terminating a doctor-patient relationship, the doctor
Must not give any reason for terminating a relationship
Must give a reason for terminating the relationship
Must give adequate notice to the patient
Must make arrangement for another physician to take care of the patient
28. Benevolent deception is justified best by the following ethical principle
Beneficence
Non-maleficence
Autonomy
Justice
29. Professional fidelity means that the physician will give priority to
Scientific interest
Patient's interest
Physician's interest
Community interest
30. Physicians experience problems with professional fidelity when
Dealing with children
Dealing with the insurance companies
Dealing with prisoners
Dealing with unconscious patients
31. Advertisement by the doctor is permitted
While starting a practice
After each surgery
After completion of research project(s)
After winning an award
32. All of these are boundary crossing except when the physician's behaviour
Produces no harm to the patient
Produces harm to the patient
Is not accepted by the society
Produces unhappiness to the patient
33. Which one of the following is not a part of Indian type of euthanasia
Sati
Prayopravesha
Phansi
Samadhi
34. In critical care ethics, the following principle is a major determinant of allocating beds:
Beneficence
Non-maleficence
Autonomy
Justice
35. Sometimes, futile treatment may be provided by the physicians
To help families to come to terms with the loss
To help the institution
To help the patient to die at an auspicious time
To help the political situation
36. Ordinary means of preserving life include all of the following except when
Treatment offers a reasonable hope of benefit
Treatment can be obtained easily
Treatment must not produce undue pain and suffering
It must be the most accepted treatment
37. Which of the following applies to withdrawing of treatment
Legal permission is needed
Surrogate decision-maker must give consent
Legal permission must be obtained
Doctor can withdraw futile treatment
38. According to the court, legal permission is needed for
Withholding treatment from the patient
Withholding treatment when surrogate decision-maker wants
Withdrawing treatment when surrogate decision-maker wants
Withdrawing treatment when patient wants
39. HIV patients confidentiality can be broken when asked by
Wife
Children
Friend
Colleague
40. Pre-test counselling of HIV is based on the principle of
Beneficence
Non-maleficence
Autonomy
Justice
41. In which year did the Supreme Court give landmark judgement on blood banking?
1999
1987
1990
1995
42. Which component does not belong to patients will of rights
Refusing treatment
Privacy
Confidentiality
Payment for each test and treatment
43. AYUSH does not include which of the following?
Allopathy
Yunani
Unani
Siddha
44. Medical Council of India controls/governs which stream of practitioners?
Ayurvedic Practitioners
Unani Practitioners
Allopathic Practitioners
Siddha Practitioners
45. The Code of Medical Ethics of MCI Section 2.1 does not describe which of the following obligations of the physicians to the sick?
It gives the physician the right to select his patients
It allows the physician to get adequately compensated for the service done
It does not allow a physician to arbitrarily refuse treatment to a patient
It enjoins that the physician should treat a patient during emergencies
46. MCI does not register one of the following practitioners:
BUMS
MBBS
MDIMS
DM/MCH
47. Which one of the qualities of the doctor is not welcomed by patients?
To be confident, empathetic and humane
To have personal touch, be forthright and respectful
Strictness in rules and commanding in behaviour
Thorough about the methodology and art of medicine
48. A doctor is highly revered in Indian society because
The doctor wears white coat
He has a stethoscope around neck
He is a cure-giver
Mostly doctor is an empathetic individual
49. Non-beating heart donation is made when the
Patient is brain dead
Heart is not beating and the brain is dead
Patient's respiration and heart are not functioning but the brain is working
Heart has failed but not the brain
50. The principle of utilitarianism uses the following to justify brain stem death except
The harvested organs are used for saving or prolonging the life of an affected person
It reduces the life of a person who is sustained by artificial means
It helps the non-productive members of the society to live
It reduces the cost of health care
Write short notes on any four of the following in 200 -300 words each. Each carries five marks.
51. Fidelity in Doctor-Patient Relationship
52. Ethical Issues in Domestic Violence
53. Status of Organ Donation in India
54. Ethical Issues in Dealing with Pharma Companies
55. Ethical Issues in Mental Health Care
56. Principles of Virtue Ethics
Other Question Papers
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