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, 2015 | |
| City, State | new delhi, |
Question Paper
1. Doctor-patient relationship can be viewed as
A contractual relationship only
A client driven relationship
A professional relationship.
An amateuristic relationship
2. The physician has a right as well as a duty to intervene where treatment may be required.
The statement is true
The statement is false
The statement is partly true and false
The statement makes no sense
3. The word "patient" is of the following origin
Greek
Latin
Spanish
English
4. Which of the following attribute is not there in 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 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 consent for surgery
Right to be respected as a person
Confidentiality is the fourth negative right that protects the doctor-patient relationships
6. Which is not a positive right of the patient?
The right to be aided in times of need. This right has been upheld by the Supreme Court
The right to have authority on how decisions should be taken on how one will be treated. This entails the patient to decide about his treatment. In the west, this right is exercised by executing living wills
Right to be respected as a person is the third important positive right
Right not to be deceived by others is a negative right that is important for informed consent and for research
7. Which component does not belong to patients will of rights
Refusing treatment
Privacy
Confidentiality
Payment for each test and treatment
8. AYUSH does not stands for:
Allopathy
Yunani
Unani
Sidha
9. Medical Council of India controls/governs which stream of practitioners
Ayurvedic Practitioners
Unani Practitioners
Allopathic Practitioners
Sidha Practitioners
10. The Code of Medical Ethics of MCI Sec 2.1 does not describe which of the 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 doctor should treat a patient during medical emergencies
11. MCI does not register one of the following practitioners
BDS
MBBS
MD/MS
DM/MCH
12. Which one of the qualities of the doctor is not welcome by patient
To be confident, empathetic and humane
To have personal touch, be forthright and respectful
Strictness in rules and commanding in behaviour
Thorough about methodology-art of medicine
13. Doctor is highly revered in Indian society because:
The doctor wears white coat
He has a stethoscope around neck
He is cure giver
Mostly doctor is an empathetic individual
14. Which is not part of doctor patient relationship?
The activity-passivity model or paternalistic model
The guidance-Cooperation model
The mutual Participation model-Shared Responsibility
A contractual model
15. Bargaining power of patient should not incorporate the following
To act coquettish
To entice monetarily
To claim that treatment is too powerful
To claim that treatment is too weak
16. 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
17. Which one of the following is not part of patient privacy clause?
Deciding the shop to procure medicine
Decisional privacy
Proprietary privacy
Relational or associated privacy
18. Professional fidelity does not have the following:
Doctors priority to the patient (patient first)
It does not prevent charging fees
Should help the system like criminal justice system
Should take favour from client if, he (doctor) deems fit
19. Confidentiality can be broken in all these condition except
Patient's Consent
Imminent Danger to the Patient
Relatives Request
Imminent Danger to Others
20. Which one of the following is not an Allogenic transplant
Transplant from wife
Transplant from identical twin
Transplant from friend
Transplant from neighbour
21. Medical negligence is:
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
22. All of these are elements of negligence except:
Breach in duty of care
Breach in standard of care
Patient suffered an uncompensable injury
Causation
23. Bolams Test does not incorporate:
Clinical negligence being claimed
Bolams imposes duty of care between doctor and his patient
This test ensure equal responsibility of duty in both doctor and patient
The act of omission of the doctor is considered as breach of duty of care
24. Medical Practice is
Contract involving financial material
Covenant
Contract for service
Contract of service
25. In dealing with Pharmaceutical and allied health sector industry, a medical practitioner shall not follow and adhere to which of the 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 doing unusual favour to a particular pharma company
26. CME stands for:
Clinical Medical Education
Calcutta Medical Education
Continuing Medical Education
Canadian Medical Education
27. A medical practitioner is not permitted to make a formal announcement in press regarding the following:
On resumption of another practice
On succeeding at another practice
Public declaration of charges
Announcing freebees at the clinic
28. Preferential treatment by doctor to a certain category (not general patient) of patient is
Ethically correct
Ethically incorrect
Ethics has nothing to do with it
Under certain circumstances it may be correct
29. Sexual misconduct has been classified into three categories by the Medical Council of New Zealand. Which one does not belong to the stated category
Sexual Violence
Sexual impropriety
Sexual transgression
Sexual violation
30. Wrongful pregnancy is
Failure of the physicians to warn the parents of the harms
Injuries suffered during pregnancy
Failure of permanent methods of sterilisation
Failure of temporary methods of sterilisation
31. Sex selection·of the foetus may be justified by which of the following ethical principle
Beneficence
Non-maleficence
Autonomy
Justice
32. 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 decision
33. 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 person
34. Which of the following is a quality that patients do not except from their pysicians
To be confident
To be knowledgeable
To treat with dignity
To charge less fees
35. Paternalistic model is
Used while dealing with incompetent patient
Used while performing surgeries
Used while immunising communities
Applicable in an emergency situation
36. 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
37. Benevolent deception is justified best by the following ethical principles
Beneficence
Non-maleficence
Autonomy
Justice
38. Professional fidelity means that physician will give priority to
Scientific interest
Patient interest
Physician interest
Community interest
39. In which of the following situation do physicians experience problems with professional fidelity
Dealing with children
Dealing with the insurance
Dealing with prisoners
Dealing with unconscious patients
40. Advertisement by the doctors are permitted:
While starting a practice
After each surgery
After completion of research project
After winning an award
41. All these are boundary crossing except when physicians behaviour
Produces no harm to the patient
Produces harm to the patient
Is not accepted by the society
Produces unhappiness to the patient
42. Sexual transgression is said to occur when:
There is inappropriate or sexual touching of the patient
There are behaviours that are disrespectful and demeaning to a patient
There is sexual relationship in the form of intercourse
There is sexual relationship that stops short of intercourse
43. In critical care ethics the following priniciple is a major determinant of allocating beds
Beneficences
Non-maleficence
Autonomy
Justice
44. Sometimes futile treatment may be provide 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
45. Ordinary means of preserving life include all of the following except when:
Treatment offers a reasonable hope of benefit
It can be obtained easily
It must not produce undue pain and suffering
It must be the most accepted treatment
46. 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
47. 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
48. HIV patients confidentiality can be broken when asked by:
Wife
Childern
Friend
Colleague
49. Pre test counselling of HIV is based on the principle of:
Beneficence
Non-maleficence
Autonomy
Justice
50. Pre-employment testing is allowed for
Cook
Driver
Policeman
Armed Forces Personnels
PART
Write short notes (200-300 words) on each of the following. Each carries five(5) marks.
51. Ethical Issues in abortion
52. Fidelity in doctor patient relationship
53. Ethical Issues in Domestic Violence
54. Ethical Issues in Dealing with Pharma Companies
A contractual relationship only
A client driven relationship
A professional relationship.
An amateuristic relationship
2. The physician has a right as well as a duty to intervene where treatment may be required.
The statement is true
The statement is false
The statement is partly true and false
The statement makes no sense
3. The word "patient" is of the following origin
Greek
Latin
Spanish
English
4. Which of the following attribute is not there in 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 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 consent for surgery
Right to be respected as a person
Confidentiality is the fourth negative right that protects the doctor-patient relationships
6. Which is not a positive right of the patient?
The right to be aided in times of need. This right has been upheld by the Supreme Court
The right to have authority on how decisions should be taken on how one will be treated. This entails the patient to decide about his treatment. In the west, this right is exercised by executing living wills
Right to be respected as a person is the third important positive right
Right not to be deceived by others is a negative right that is important for informed consent and for research
7. Which component does not belong to patients will of rights
Refusing treatment
Privacy
Confidentiality
Payment for each test and treatment
8. AYUSH does not stands for:
Allopathy
Yunani
Unani
Sidha
9. Medical Council of India controls/governs which stream of practitioners
Ayurvedic Practitioners
Unani Practitioners
Allopathic Practitioners
Sidha Practitioners
10. The Code of Medical Ethics of MCI Sec 2.1 does not describe which of the 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 doctor should treat a patient during medical emergencies
11. MCI does not register one of the following practitioners
BDS
MBBS
MD/MS
DM/MCH
12. Which one of the qualities of the doctor is not welcome by patient
To be confident, empathetic and humane
To have personal touch, be forthright and respectful
Strictness in rules and commanding in behaviour
Thorough about methodology-art of medicine
13. Doctor is highly revered in Indian society because:
The doctor wears white coat
He has a stethoscope around neck
He is cure giver
Mostly doctor is an empathetic individual
14. Which is not part of doctor patient relationship?
The activity-passivity model or paternalistic model
The guidance-Cooperation model
The mutual Participation model-Shared Responsibility
A contractual model
15. Bargaining power of patient should not incorporate the following
To act coquettish
To entice monetarily
To claim that treatment is too powerful
To claim that treatment is too weak
16. 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
17. Which one of the following is not part of patient privacy clause?
Deciding the shop to procure medicine
Decisional privacy
Proprietary privacy
Relational or associated privacy
18. Professional fidelity does not have the following:
Doctors priority to the patient (patient first)
It does not prevent charging fees
Should help the system like criminal justice system
Should take favour from client if, he (doctor) deems fit
19. Confidentiality can be broken in all these condition except
Patient's Consent
Imminent Danger to the Patient
Relatives Request
Imminent Danger to Others
20. Which one of the following is not an Allogenic transplant
Transplant from wife
Transplant from identical twin
Transplant from friend
Transplant from neighbour
21. Medical negligence is:
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
22. All of these are elements of negligence except:
Breach in duty of care
Breach in standard of care
Patient suffered an uncompensable injury
Causation
23. Bolams Test does not incorporate:
Clinical negligence being claimed
Bolams imposes duty of care between doctor and his patient
This test ensure equal responsibility of duty in both doctor and patient
The act of omission of the doctor is considered as breach of duty of care
24. Medical Practice is
Contract involving financial material
Covenant
Contract for service
Contract of service
25. In dealing with Pharmaceutical and allied health sector industry, a medical practitioner shall not follow and adhere to which of the 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 doing unusual favour to a particular pharma company
26. CME stands for:
Clinical Medical Education
Calcutta Medical Education
Continuing Medical Education
Canadian Medical Education
27. A medical practitioner is not permitted to make a formal announcement in press regarding the following:
On resumption of another practice
On succeeding at another practice
Public declaration of charges
Announcing freebees at the clinic
28. Preferential treatment by doctor to a certain category (not general patient) of patient is
Ethically correct
Ethically incorrect
Ethics has nothing to do with it
Under certain circumstances it may be correct
29. Sexual misconduct has been classified into three categories by the Medical Council of New Zealand. Which one does not belong to the stated category
Sexual Violence
Sexual impropriety
Sexual transgression
Sexual violation
30. Wrongful pregnancy is
Failure of the physicians to warn the parents of the harms
Injuries suffered during pregnancy
Failure of permanent methods of sterilisation
Failure of temporary methods of sterilisation
31. Sex selection·of the foetus may be justified by which of the following ethical principle
Beneficence
Non-maleficence
Autonomy
Justice
32. 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 decision
33. 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 person
34. Which of the following is a quality that patients do not except from their pysicians
To be confident
To be knowledgeable
To treat with dignity
To charge less fees
35. Paternalistic model is
Used while dealing with incompetent patient
Used while performing surgeries
Used while immunising communities
Applicable in an emergency situation
36. 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
37. Benevolent deception is justified best by the following ethical principles
Beneficence
Non-maleficence
Autonomy
Justice
38. Professional fidelity means that physician will give priority to
Scientific interest
Patient interest
Physician interest
Community interest
39. In which of the following situation do physicians experience problems with professional fidelity
Dealing with children
Dealing with the insurance
Dealing with prisoners
Dealing with unconscious patients
40. Advertisement by the doctors are permitted:
While starting a practice
After each surgery
After completion of research project
After winning an award
41. All these are boundary crossing except when physicians behaviour
Produces no harm to the patient
Produces harm to the patient
Is not accepted by the society
Produces unhappiness to the patient
42. Sexual transgression is said to occur when:
There is inappropriate or sexual touching of the patient
There are behaviours that are disrespectful and demeaning to a patient
There is sexual relationship in the form of intercourse
There is sexual relationship that stops short of intercourse
43. In critical care ethics the following priniciple is a major determinant of allocating beds
Beneficences
Non-maleficence
Autonomy
Justice
44. Sometimes futile treatment may be provide 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
45. Ordinary means of preserving life include all of the following except when:
Treatment offers a reasonable hope of benefit
It can be obtained easily
It must not produce undue pain and suffering
It must be the most accepted treatment
46. 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
47. 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
48. HIV patients confidentiality can be broken when asked by:
Wife
Childern
Friend
Colleague
49. Pre test counselling of HIV is based on the principle of:
Beneficence
Non-maleficence
Autonomy
Justice
50. Pre-employment testing is allowed for
Cook
Driver
Policeman
Armed Forces Personnels
PART
Write short notes (200-300 words) on each of the following. Each carries five(5) marks.
51. Ethical Issues in abortion
52. Fidelity in doctor patient relationship
53. Ethical Issues in Domestic Violence
54. Ethical Issues in Dealing with Pharma Companies
Other Question Papers
Departments
- Centre for Corporate Education, Training & Consultancy (CCETC)
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Subjects
- Bioethics And Law
- Clinical Ethics
- Educational Technology And Communication
- Introduction To Bioethics
- Research Ethics - I
- Research Ethics-Ii
- Research Methodology
- Social Science Research Related To Health
- Special Issues In Research Ethics