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  #1  
Old 01-07-2012
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Medicolegal and Ethics Patient asking to end his life!

65 year man recently diagnosed with metastatic colon cancer but he is not in pain or nauseated. Denies depression. He is asking for prescription to end his life. What is most appropriate response ?
a. psychiatric evaluation
b. give antidepressants
c. give him pain medications to end his life
d. give him pain medications appropriate but not means to end life.
e. tell the patient you can not help him in this request.
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  #2  
Old 01-07-2012
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give antidepressants
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  #3  
Old 01-07-2012
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I will go with D.
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  #4  
Old 01-07-2012
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I would go with D.
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  #5  
Old 01-07-2012
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b. give antidepressants
iremember this q from step 2 uw
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  #6  
Old 01-07-2012
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I think D is the most appropriate , but need to know the write answer and why
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  #7  
Old 01-07-2012
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I feel A is the answer....can anyone explain when he himself denies depression and not in pain, whats the point in prescribing those???????
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  #8  
Old 01-07-2012
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answer is D. There is nothing in the stem of the question that tells you that the patient is suffering from depression, if he was he probably ended his life by his own, without asking for help.
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  #9  
Old 01-07-2012
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consult an ethical committee
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  #10  
Old 01-07-2012
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Quote:
Originally Posted by Ergo Proxy View Post
consult an ethical committee
never ask for a second opinion on your usmle answers, they are looking for you to resolve your own problems. Read kaplans rules for answering ethical questions.
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  #11  
Old 01-08-2012
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Default I'll go with (A)

There is nothing like the patient is suffering from pain, so why to give pain medications??? I'll go with (A) - as the patient is 65+ male and terminally ill...!
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  #12  
Old 01-08-2012
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Quote:
Originally Posted by LatinGeorge View Post
answer is D. There is nothing in the stem of the question that tells you that the patient is suffering from depression, if he was he probably ended his life by his own, without asking for help.
You recently added option E, which wasn't there before everyone answered the q, i would go with that. And will offer him pain medications if he needed them
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  #13  
Old 01-08-2012
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which book? do you have an amazon link?

Quote:
Originally Posted by LatinGeorge View Post
never ask for a second opinion on your usmle answers, they are looking for you to resolve your own problems. Read kaplans rules for answering ethical questions.
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  #14  
Old 01-08-2012
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I would go with E, which is the UK's current law. I can't speak for the states though.
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  #15  
Old 01-08-2012
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Quote:
Originally Posted by Ergo Proxy View Post
which book? do you have an amazon link?
No man, the behavioral/ethics lecture notes of kaplan. Last pages of it, there are some rules for answering ethic questions.

pg 207: When answering exam questions, you make the decision. Don't seek legal counsel, talk to ethics committee, or seek the advice of another physician. Also avoid going to court.
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  #16  
Old 01-08-2012
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answer is D.
but i dont get why would you give him pain med even if appropriate if he doesnt has symptom yet!!!

I think E should be answer. you have jus inform him you cannot be a part of this.

does conrad fisher has mistakes???
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  #17  
Old 01-08-2012
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D is the answer.
Refer page 59 FA
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  #18  
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Actually i too was confused with no pain but since he is suffering from metastatic cancer i think he will most probably require pain medications.
I hate behav science qns my weakest topic
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  #19  
Old 01-08-2012
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Quote:
Originally Posted by jinni View Post
Actually i too was confused with no pain but since he is suffering from metastatic cancer i think he will most probably require pain medications.
I hate behav science qns my weakest topic
totally agreed these qs make me feel even if i study i will not get answers right.
i will just read FA and do UW.and listem to dr dougherty kaplan video close to exam .thats it!

i have read ppl studying really hard for behav science still get Qs wrong.what if they r experimental Qs even if we work on them we will get them wrong anyway
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  #20  
Old 01-08-2012
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[QUOTE=step_enhancer;87088]totally agreed these qs make me feel even if i study i will not get answers right.
i will just read FA and do UW.and listem to dr dougherty kaplan video close to exam .thats it!

can you send me video link. thx
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  #21  
Old 01-08-2012
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[QUOTE=doxorubicin;87091]
Quote:
Originally Posted by step_enhancer View Post
totally agreed these qs make me feel even if i study i will not get answers right.
i will just read FA and do UW.and listem to dr dougherty kaplan video close to exam .thats it!

can you send me video link. thx
www.torrentz.com search 'kaplan usmle' it is a very big file so uncheck everything except behavioral science .

i hope u know how to download torrent file
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  #22  
Old 01-08-2012
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i am thinking A but then i am thinking you only give pain meds when he is in pain and since he wants to die u better evaluate him know why he want s to die and counsel him and support him.
even HIV+ pts after Dx wants to end their life but u give the moral and psychological support right before prescribing them meds...
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  #23  
Old 01-15-2012
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well,now that there's ''e'' option,i'd go with that.
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