Family requested to hasten the death of the patient! - 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 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 08-14-2011
USMLE-Syndrome's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,203
Threads: 180
Thanked 1,251 Times in 441 Posts
Reputation: 1265
Medicolegal and Ethics Family requested to hasten the death of the patient!

A 75-year-old man with end-stage renal disease is in the hospital after suffering bladder CA, he develops spontaneous bacterial peritonitis. He has numerous decubitus ulcers and pain from a fractured hip that has not healed properly. He and his family have requested that the attending physician take active measures to hasten his death. Which of the following is the most appropriate course of action?

A. Place a “do not resuscitate” order on his chart and ask that no heroic measures be taken to extend his life
B. Take no active role but describe simple and painless measures that will achieve the desired effect
C. Tell the patient that, as a physician, you can do nothing to hasten his death
D. Withhold all treatment
Reply With Quote Quick reply to this message
The above post was thanked by:
step1an (08-15-2011)



  #2  
Old 08-14-2011
dr-ahmed's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 333
Threads: 61
Thanked 388 Times in 90 Posts
Reputation: 398
Default It's C for sure

It's C for sure
Reply With Quote Quick reply to this message
  #3  
Old 08-14-2011
Kais_MD's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 299
Threads: 26
Thanked 177 Times in 103 Posts
Reputation: 187
Default

C..>you cant participate or take a role in assisted suicide..you can however increase the dose of painkiller to a maximum to alleviate his pain without having to worry about addiction..
Reply With Quote Quick reply to this message
  #4  
Old 08-14-2011
USMLE-Syndrome's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,203
Threads: 180
Thanked 1,251 Times in 441 Posts
Reputation: 1265
Default

Quote:
Originally Posted by Kais_MD View Post
C..>you cant participate or take a role in assisted suicide..you can however increase the dose of painkiller to a maximum to alleviate his pain without having to worry about addiction..
wrong answer and that what I answered too
Reply With Quote Quick reply to this message
  #5  
Old 08-14-2011
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 32
Threads: 7
Thanked 9 Times in 5 Posts
Reputation: 19
Default

i think it should be B. u can do tat and co-incidentally it may help in hastening death.
Reply With Quote Quick reply to this message
  #6  
Old 08-14-2011
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 58
Threads: 0
Thanked 10 Times in 8 Posts
Reputation: 20
Default

C)Tell the patient that, as a physician, you can do nothing to hasten his death
Reply With Quote Quick reply to this message
  #7  
Old 08-14-2011
cool_atomic's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 472
Threads: 29
Thanked 224 Times in 135 Posts
Reputation: 247
Default

it should be B
You can give pain meds that indirectly acheive the desired effect of the patient.
Reply With Quote Quick reply to this message
  #8  
Old 08-14-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS+3
Posts: 73
Threads: 7
Thanked 89 Times in 23 Posts
Reputation: 99
Default

this is really confusing every where it is mentioned that u shud do nothing to hasten pts death by any means then how can it be b?
Reply With Quote Quick reply to this message
  #9  
Old 08-14-2011
USMLE-Syndrome's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,203
Threads: 180
Thanked 1,251 Times in 441 Posts
Reputation: 1265
Default

the correct answer is

A. Place a “do not resuscitate” order on his chart and ask that no heroic measures be taken to extend his life


c answer is rude reaction to the patient and family they written

i dont know how i dont understand i choose c too like mtb 2ck say
Reply With Quote Quick reply to this message
The above post was thanked by:
step1an (08-15-2011)
  #10  
Old 08-14-2011
cool_atomic's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 472
Threads: 29
Thanked 224 Times in 135 Posts
Reputation: 247
Default

Quote:
Originally Posted by miss patho View Post
the correct answer is

A. Place a “do not resuscitate” order on his chart and ask that no heroic measures be taken to extend his life


c answer is rude reaction to the patient and family they written

i dont know how i dont understand i choose c too like mtb 2ck say
god help us all miss patho!!!! i donno how they expect us to "connect" with the question writers mind! lol
Reply With Quote Quick reply to this message
The above post was thanked by:
USMLE-Syndrome (08-14-2011)
  #11  
Old 08-14-2011
Kais_MD's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 299
Threads: 26
Thanked 177 Times in 103 Posts
Reputation: 187
Default

Quote:
Originally Posted by miss patho View Post
the correct answer is

A. Place a “do not resuscitate” order on his chart and ask that no heroic measures be taken to extend his life


c answer is rude reaction to the patient and family they written

i dont know how i dont understand i choose c too like mtb 2ck say
Ok that question was worded incorrectly..>you as a physician cant place a DNR order on someone's chart.>They have to sign it implying their own will of DNR......I hope this didnt come from u world..>Cuz thats just wrong...a concept so easy and they purposely mislead you with deceptive wording...
Reply With Quote Quick reply to this message
The above post was thanked by:
step1an (08-15-2011), USMLE-Syndrome (08-14-2011)
  #12  
Old 08-14-2011
USMLE-Syndrome's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,203
Threads: 180
Thanked 1,251 Times in 441 Posts
Reputation: 1265
Default

ifelt too it is wrong q and thats y i post it
Reply With Quote Quick reply to this message
  #13  
Old 08-14-2011
cool_atomic's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 472
Threads: 29
Thanked 224 Times in 135 Posts
Reputation: 247
Default

Quote:
Originally Posted by Kais_MD View Post
Ok that question was worded incorrectly..>you as a physician cant place a DNR order on someone's chart.>They have to sign it implying their own will of DNR......I hope this didnt come from u world..>Cuz thats just wrong...a concept so easy and they purposely mislead you with deceptive wording...
of all the 2300 something questions i did on uworld, i felt like there was not even 1 controversial question!!!! some standards they have! huh
Reply With Quote Quick reply to this message
  #14  
Old 08-17-2011
USMLE Forums Scout
 
Steps History: Not yet
Posts: 70
Threads: 5
Thanked 13 Times in 10 Posts
Reputation: 23
Default

Mmmm....option B
Reply With Quote Quick reply to this message
  #15  
Old 12-07-2011
USMLE Forums Veteran
 
Steps History: Not yet
Posts: 281
Threads: 74
Thanked 131 Times in 68 Posts
Reputation: 141
Default

may I know the source of this question miss patho, did it appear on your CK? If so how did you know the correct answer was A
Reply With Quote Quick reply to this message






Reply

Tags
MedicoLegal-Ethics, Step-2-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
Cause of death usmle2011 USMLE Step 1 Forum 8 08-04-2011 10:11 AM
Requested by members - Latest q-bank for step 1 aktorque USMLE Links & Free Ads 8 05-07-2011 11:21 AM
Cause of death? basicq USMLE Step 1 Forum 14 04-16-2011 08:54 PM
I requested password change unintentionally! need help please MidoUSMLE ECFMG Forum 5 02-28-2011 09:30 PM
When to stop treatment if the patient has brain death? hashim1 USMLE Step 1 Forum 2 02-21-2011 11:39 AM

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)