Wife Refuses Brain Biopsy on her Husband - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 12-10-2011
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 281
Threads: 74
Thanked 131 Times in 68 Posts
Reputation: 141
Medicolegal and Ethics Wife Refuses Brain Biopsy on her Husband

A 65 year-old man is admitted to the hospital for a seizure. The head CT shows a ring or contrast-enhancing lesion consistent with a brain abscess.
The patient remains persistently confused, but is not deteriorating. You need to perform a brain biopsy but the wife decides against the biopsy. Whats the best course of action?

A. Not do the biopsy
B. Do the biopsy as the wife may be bored of him and want him dead.
C. Go to the court.
D. Tell her since she is not a medical professional the decision is not hers.

Reply With Quote Quick reply to this message
The above post was thanked by:
aknz (12-10-2011), doxorubicin (12-10-2011), mulchandani161 (12-10-2011), riya_rai84 (12-11-2011), zohra (12-13-2011)



  #2  
Old 12-10-2011
USMLE Forums Scout
 
Steps History: Not yet
Posts: 11
Threads: 0
Thanked 8 Times in 5 Posts
Reputation: 18
Default

the answer maybe C
Reply With Quote Quick reply to this message
  #3  
Old 12-10-2011
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 623
Threads: 111
Thanked 424 Times in 264 Posts
Reputation: 434
Default

Do the biopsy as the wife may be bored of him and want him dead.
Reply With Quote Quick reply to this message
 
  #4  
Old 12-10-2011
USMLE Forums Newbie
 
Steps History: Not yet
Posts: 9
Threads: 0
Thanked 3 Times in 1 Post
Reputation: 13
Default hey

the answer is A as the husband is confused and then in the case the closest next kin of the patient, in this case his wife has the power to decide for her husband.
Reply With Quote Quick reply to this message
The above post was thanked by:
dr shamail (12-10-2011), dr-ahmed (12-10-2011), mulchandani161 (12-10-2011)
  #5  
Old 12-10-2011
USMLE-Syndrome's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,203
Threads: 180
Thanked 1,251 Times in 441 Posts
Reputation: 1265
Default

C. Go to the court.
Reply With Quote Quick reply to this message
  #6  
Old 12-10-2011
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 281
Threads: 74
Thanked 131 Times in 68 Posts
Reputation: 141
Default

Not doing the biopsy is the correct answer as wife is the surrogate in this case

Its not for you to decide if she is bored of him or not.
Reply With Quote Quick reply to this message
The above post was thanked by:
riya_rai84 (12-11-2011)
  #7  
Old 12-12-2011
USMLE Forums Newbie
 
Steps History: Not yet
Posts: 2
Threads: 0
Thanked 0 Times in 0 Posts
Reputation: 10
Default

Go to da court
Reply With Quote Quick reply to this message
  #8  
Old 12-12-2011
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 296
Threads: 41
Thanked 167 Times in 102 Posts
Reputation: 177
Default hi indigo

Quote:
Originally Posted by indigo View Post
Not doing the biopsy is the correct answer as wife is the surrogate in this case

Its not for you to decide if she is bored of him or not.
hi thanks for the question.
pls i dont really understand how not doing the biopsy is correct.
i want to use the blood transfusion question as an example, if a married JW woman needs blood to save her life and is unconscious and not carrying her card, we transfuse regardless of what her husband says.

if this man were deteriorating wouldn't we carry on with the procedure regardless of what his wife says? besides she is not even refusing the procedure because she thinks her husband would have refused it if he was conscious.

i am wondering if going to court shouldn't be the answer, just because he is not deteriorating now doesn't mean he won't in maybe 2 hours.

pls can you kindly explain better.
thanks
Reply With Quote Quick reply to this message
  #9  
Old 12-13-2011
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 281
Threads: 74
Thanked 131 Times in 68 Posts
Reputation: 141
Default

Quote:
Originally Posted by nativedoc2 View Post
hi thanks for the question.
pls i dont really understand how not doing the biopsy is correct.
i want to use the blood transfusion question as an example, if a married JW woman needs blood to save her life and is unconscious and not carrying her card, we transfuse regardless of what her husband says.

if this man were deteriorating wouldn't we carry on with the procedure regardless of what his wife says? besides she is not even refusing the procedure because she thinks her husband would have refused it if he was conscious.

i am wondering if going to court shouldn't be the answer, just because he is not deteriorating now doesn't mean he won't in maybe 2 hours.

pls can you kindly explain better.
thanks
Since he is not deteriorating we wont do the biopsy,even in JW if there is an advence directive card and it is an emergency we wont transfuse
Reply With Quote Quick reply to this message
The above post was thanked by:
nativedoc2 (12-13-2011)



Reply

Tags
MedicoLegal-Ethics, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
HIV Patient refuses to tell wife! indigo USMLE Step 1 Forum 17 12-07-2011 12:49 PM
What brain tumor here; CT-image and Biopsy! Evergreen USMLE Step 1 Forum 9 11-03-2011 04:24 PM
Brain Tumor with MRI and biopsy? Evergreen USMLE Step 1 Forum 4 11-03-2011 03:39 AM
Husband does not want to tell his wife about his cancer INCOGNITO USMLE Step 1 Forum 15 07-31-2011 01:12 PM
Husband Translating for his wife! RRMadukha USMLE Step 2 CK Forum 2 05-19-2010 07:43 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)