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Category: Obstetrics & Gynecology--->Ethical and Legal Issues in Obstetrics and Gynecology
Page: 2

Question 6#Print Question

Your patient is a 44-year-old G4P4 with symptomatic uterine fibroids that have been unresponsive to medical therapy. The patient has severe menorrhagia to the point that when she menstruates, she cannot leave the house. Since she has failed medical management, you recommend a hysterectomy. You counsel her that she may need a blood transfusion if she has significant blood loss during the surgical procedure. Her current hematocrit is 25.0%. The patient is a Jehovah’s Witness who adamantly refuses to have a blood transfusion, even if it results in her death.

Which of the following is not an ethical concern that needs to be considered when working through this case?

a. Legal issues
b. Patient preferences
c. Quality-of-life issues
d. Medical indications
e. Comorbid conditions


Question 7#Print Question

Your patient is a 44-year-old G4P4 with symptomatic uterine fibroids that have been unresponsive to medical therapy. The patient has severe menorrhagia to the point that when she menstruates, she cannot leave the house. Since she has failed medical management, you recommend a hysterectomy. You counsel her that she may need a blood transfusion if she has significant blood loss during the surgical procedure. Her current hematocrit is 25.0%. The patient is a Jehovah’s Witness who adamantly refuses to have a blood transfusion, even if it results in her death.

The patient’s insurance company refuses to pay for the surgical procedure.

Which of the following ethical areas is involved?

a. Autonomy
b. Justice
c. Contextual issue
d. Patient preference
e. Quality of life


Question 8#Print Question

Your patient is a 44-year-old G4P4 with symptomatic uterine fibroids that have been unresponsive to medical therapy. The patient has severe menorrhagia to the point that when she menstruates, she cannot leave the house. Since she has failed medical management, you recommend a hysterectomy. You counsel her that she may need a blood transfusion if she has significant blood loss during the surgical procedure. Her current hematocrit is 25.0%. The patient is a Jehovah’s Witness who adamantly refuses to have a blood transfusion, even if it results in her death.

Respect for the patient’s autonomy requires that which of the following be assessed?

a. The needs of society
b. The duty not to inflict harm
c. The impact that the treatment will have on the patient’s quality of life
d. Consideration of what is the best treatment
e. The patient’s personal values


Question 9#Print Question

Your patient is a 44-year-old G4P4 with symptomatic uterine fibroids that have been unresponsive to medical therapy. The patient has severe menorrhagia to the point that when she menstruates, she cannot leave the house. Since she has failed medical management, you recommend a hysterectomy. You counsel her that she may need a blood transfusion if she has significant blood loss during the surgical procedure. Her current hematocrit is 25.0%. The patient is a Jehovah’s Witness who adamantly refuses to have a blood transfusion, even if it results in her death.

Prior to performing the hysterectomy, you must obtain the patient’s informed consent.

Which of the following is not a key element of informed consent?

a. The patient must have the ability to comprehend medical information
b. Alternatives to the procedure must be presented
c. If the patient is incapable of providing consent, the procedure cannot be performed
d. The risks of the procedure must be presented
e. The benefits of the procedure must be presented


Question 10#Print Question

Your patient is a 44-year-old G4P4 with symptomatic uterine fibroids that have been unresponsive to medical therapy. The patient has severe menorrhagia to the point that when she menstruates, she cannot leave the house. Since she has failed medical management, you recommend a hysterectomy. You counsel her that she may need a blood transfusion if she has significant blood loss during the surgical procedure. Her current hematocrit is 25.0%. The patient is a Jehovah’s Witness who adamantly refuses to have a blood transfusion, even if it results in her death.

The patient requests that you do not talk at all to her husband about her medical care.

This request falls under which of the following ethical concepts?

a. Informed consent
b. Confidentiality
c. Nonmaleficence
d. Advanced directive




Category: Obstetrics & Gynecology--->Ethical and Legal Issues in Obstetrics and Gynecology
Page: 2 of 5