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  • Question 1 - A 6 year old boy is brought to the ER after being hit...

    Correct

    • A 6 year old boy is brought to the ER after being hit by a car. He is hemodynamically unstable with bilateral femoral shaft fractures and a suspicion of splenic rupture. Despite having thoroughly explained the risks, the parents have refused blood transfusions and any invasive measures on account of religious beliefs. What would be the most appropriate response by the physician?

      Your Answer: Proceed with treatment

      Explanation:

      In an emergency, where consent cannot be obtained, doctors should provide medical treatment that is in the patient’s best interests and is immediately necessary to save a life or avoid significant deterioration in the patient’s health. There is clearly insufficient time here to apply to a court. The GMC and common law advises that emergency life saving treatment can be given to a child irrespective of the parents views.

    • This question is part of the following fields:

      • Management And Legal Issues In Surgery
      • Principles Of Surgery-in-General
      9.2
      Seconds
  • Question 2 - A group of surgeons in the colorectal unit wish to identify if there...

    Incorrect

    • A group of surgeons in the colorectal unit wish to identify if there is a significant difference in their individual leak rates for anterior resection of the rectum. Which investigation would be appropriate?

      Your Answer: Unpaired T test

      Correct Answer: Kruskall Wallis test

      Explanation:

      Answer: Kruskall Wallis test

      Kruskall Wallis test is a non-parametric method for testing whether samples originate from the same distribution. It is used for comparing two or more independent samples of equal or different sample sizes. It extends the Mann–Whitney U test, which is used for comparing only two groups. The parametric equivalent of the Kruskal–Wallis test is the one-way analysis of variance (ANOVA).
      T-tests are useful for comparing the means of two samples. There are two types: paired and unpaired.

      Paired means that both samples consist of the same test subjects. A paired t-test is equivalent to a one-sample t-test.

      Unpaired means that both samples consist of distinct test subjects. An unpaired t-test is equivalent to a two-sample t-test.
      A chi-squared test, also written as χ2 test, is any statistical hypothesis test where the sampling distribution of the test statistic is a chi-squared distribution when the null hypothesis is true. The chi-squared test is used to determine whether there is a significant difference between the expected frequencies and the observed frequencies in one or more categories.

      Fisher’s exact test is a statistical test used to determine if there are non-random associations between two categorical variables.

    • This question is part of the following fields:

      • Management And Legal Issues In Surgery
      • Principles Of Surgery-in-General
      7
      Seconds

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Management And Legal Issues In Surgery (1/2) 50%
Principles Of Surgery-in-General (1/2) 50%
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