A 58-year-old man is admitted for a radical nephrectomy for renal cell carcinoma. He has an uncomplicated postoperative course and after one week is ready for discharge home. You are the house officer on the urology team and have attended him daily. He hands you an envelope and inside you find a thank you card with a voucher for a department store for £500. What should you do regarding the gift you have received?
A 28-year-old woman with a history of bipolar disorder is exhibiting erratic behavior, causing concern among her neighbors who fear for her safety. Despite attempts to reach out to her at home, she has not responded. To ensure she can be assessed in a place of safety, which Section of the Mental Health Act would be most appropriate to issue?
A 14-year-old girl presents to her GP requesting contraception.
In which of the following scenarios could contraception be legally withheld?
A colleague of yours admits to being romantically involved with a patient who was discharged 2 days ago. She claims they hit it off when he was an in-patient and have now started dating.
Which of the following is the most appropriate action if the patient was a minor?
A 16-year old boy is admitted to a hospital in Scotland with a two day history of abdominal pain. He tells you the pain is worsening and that he has been vomiting. The patient has a history of autism and after discussing the possibility of a diagnosis of appendicitis with the patient and his parents, you feel that he does not have the capacity to give consent for surgery.
In Scotland, what are the provisions for treatment of 16-year olds who lack capacity to consent to treatment and investigation?
You went away for the summer and are driving back to school on the Monday morning. You are involved in a minor accident but are okay although very shaken. You will miss the morning class because of the delay caused by the accident.
Which of the following is the most appropriate action?
A 75-year-old woman with mild dementia falls at her home in Scotland, causing significant pain and total external rotation of her left leg, which strongly suggests a fractured neck of femur. As her GP, you are called to the scene and find an ambulance waiting. However, despite the presence of family and friends she trusts, she refuses to get into the ambulance. There is no welfare attorney or guardian with the power to consent on her behalf. You determine that she lacks capacity and that without treatment, she will suffer from pain and deformity.
What is your next course of action?
A 14-year-old high-school student wishes to have a seborrheic wart removed from her right upper arm as it frequently catches on clothes and she finds it unsightly.
Regarding consent in minors in England and Wales, which one of the following statements is correct?
You are the foundation year 2 (FY2) on the ward with a patient who has suffered a recent trauma. You are concerned about the patient and ask the surgical registrar on call to review them. When she arrives, she is rude, states it is not her problem and refuses to see the patient. She does not document anything in the patient’s notes.
Who is the most appropriate person to report this to in the first instance?
A 16-year-old is brought in by her friend to the Emergency Department (ED). She is intoxicated, and you suspect that she has taken an overdose of an unknown drug. Her friend leaves before you can gather any additional information from her.
Despite your best resuscitation efforts, the patient ultimately passes away. Upon reviewing her medical records, you discover that she has no prior medical or psychiatric history and has never been hospitalized before.
In terms of medicolegal considerations, who should you notify first in this situation?