MSFinals-1300
A medical registrar is obtaining consent from a 42-year-old patient with longstanding ulcerative colitis who is listed for a surveillance colonoscopy that afternoon.
Regarding consent, which one of the following statements is correct?
Archives: Medical Student Finals
MSFinals-1267
A 80-year-old woman is admitted to hospital with pneumonia. She has extensive comorbidities and following a discussion with her family, treatment is withdrawn. She dies six days after admission, and you are asked to complete her cremation form.
Prior to cremation, what needs to be reported and checked?
MSFinals-1268
You are called to confirm the death of a 86-year-old man who is registered with your practice. The person used to live alone. You complete the necessary checks to verify this man’s death.
In which one of the following scenarios would it be most acceptable to issue a death certificate immediately?
MSFinals-1269
An 85-year-old man attends his General Practitioner (GP) with his daughter to discuss advance care planning. He has a background history of metastatic lung cancer, mild dementia and a previous stroke with residual mild dysphasia. He wishes to make an advance care directive to state that if he becomes acutely unwell with a life-threatening illness, he wishes to be managed in a palliative manner.
Which of the following would make the writing of an advance directive invalid?
MSFinals-1270
A 30-year-old woman presents to the Emergency Department with an arm fracture and bruising around her neck and on her abdomen. She is 12 weeks pregnant. While assessing her, you suspect that she may be a victim of domestic abuse. You enquire about this, but she quickly denies any issues at home with her husband, with whom she lives in a rural area. She instead tells you that these injuries were a result of her falling over at work.
Which of the following factors would make her more likely to be a victim of domestic violence?
MSFinals-1271
A patient in a small hospital in the Highlands of Scotland has been detained under an emergency detention order. A psychiatrist attends the patient after 26 hours and conducts an examination of the patient’s mental state. She finds that the patient has paranoid ideation, believing that hospital staff are trying to kill him, is experiencing auditory hallucinations and is talking of causing harm to his wife, who ‘got’ him ‘into all this.’
What is the psychiatrist’s most likely course of action?
MSFinals-1272
A 75-year-old man was admitted to a medical ward in Scotland a week ago, after a fall. This is his second admission due to a fall in the last 3 months. He is known to have mild dementia, hypertension and osteoporosis with previous hip fracture.
He lives alone in his own home, with the bathroom and bedroom upstairs. He has poor balance, but refuses to use a walking aid as he doesn’t want people to think that he is an ‘old man’. His Mini-Mental State Examination (MMSE) was 23/30.
The team recommend a move into sheltered housing, which he declines. After a week in hospital, you are called to see the patient, who insists on going home. A discharge plan of ‘meals-on-wheels’ and a package of care including a community alarm and twice-daily visits have been arranged, but he firmly declines these offers as well.
MSFinals-1273
A 30-year old man with severe learning disabilities and a known low IQ is being seen by his GP for review of his asthma medication. The GP believes that a slight adjustment to his treatment plan could improve his management. The patient resides in Scotland.
Would this patient be able to provide consent for this minor modification to his treatment?
MSFinals-1274
Who sets the rules on treatment and investigation of 16-year olds who lack capacity to consent in Scotland?
MSFinals-1275
A 79-year-old man is admitted after a fall. On clinical examination, he is disorientated and appears neglected. He has a history of recurrent admissions after falls and infections. He lives alone and has severe dementia. Despite offers of assistance at home and suggestions to move to a care home, he has refused both. His daughter is worried about his safety and well-being. Which legal Act will be taken into account when deciding whether to move him to a care home?