Ethics & Jurisprudence

Question 1

List of notifiable disease

Answer 1

All STI’s
Measles
COVID-19

Question 2

driving restriction for MI

Answer 2

– Private vehicles-2 weeks.
– Commercial vehicles-4 weeks.

Question 2

Legal requirements of physicians caring for a rape victim

Answer 2

Documentation of history, examination and notation of injuries, and collection of
clothing and vaginal, rectal, oropharynx, pubic hair samples, and fingernail scrapings,
as appropriate, for testing

Question 3

In what circumstances is a patient’s living will invalid?

Answer 3

Pregnancy

Question 4

3 fundamental principles of processualism

Answer 4

1. primacy of patient welfare (dedication to serving the interest of
   the patient, and deals with doing no harm)
2. The principle of patient autonomy (empowering patients to make
   informed decisions regarding their treatment)
3. principle of social justice (working to eliminate discrimination in health care)

Question 5

List of professional responsibilities

Answer 5

Professional competence

Question 6

driving restriction post coronary artery bypass

Answer 6

private: 4 weeks
commercial: 3 months

Question 7

How to deal with a patient that wants to know about Huntington’s disease?

Answer 7

px needs to be at least 18

Question 8

Instances when the patient’s privacy and confidentiality may be breached

Answer 8

1.patient consents to personal details to be revealed to a third party
2.other health professionals who have a legitimate therapeutic interest
in the care of the patient (NOT medical students).
3.If there is overriding public interest.
4. disclosure of the information is required by law
5.confidentiality includes patients under the age of 18 years who do not want their parents notified

Question 9

significant risk factors for elder abuse

Answer 9

– Inability to cope with stress (lack of resilience).
– Depression, which is common among caregivers.
– Lack of support from other potential caregivers.
– The caregiver’s perception that taking care of the elder is burdensome and without
psychological reward.
– Substance abuse

Question 10

driving restriction for diabetes

Answer 10

Controlled on diet:
No restrictions private & commercial
Controlled by insulin:
conditional driving license subject to annual or 2-yearly review

Question 11

forms of domestic violence

Answer 11

-Sexual intercourse against the will amongst the married couple.
-Slapping and hitting.
-Stalking.
-Withholding money/finances

Question 12

driving restriction for epilepsy

Answer 12

1st time diagnosis:
conditional licence may be considered, subject to at least annual review
in 12 months

1. The person has been treated for at least 6 months.
2. There have been no seizures in the preceding six months.
3. If any seizures occurred after the start of treatment, they happened only in the
   first 6 months after starting treatment and not in the last 6 months.
4. The person follows medical advice, including adherence to medication.

Question 13

How long is a patient referral valid?

Answer 13

• GP referral is valid for a single course of treatment for a period of one year after the first service
• Referrals from a specialist are valid for only three months (after the first visit
  by the practice the patient has been referred to).
• referral for admitted patients is valid for three months, or the duration of
  the admission, whichever is the longer

Question 14

Intern struggling and asking for help/prescription

Answer 14

Refer him to his GP

Question 15

Cut off MMSE score to assess patients competency to make decisions

Answer 15

<24

Question 16

Gillick competency principle

Answer 16

• 13 years of age or older, AND
• Lives independent of his/her parents AND
• appears to fully understand the situation, treatment options, risks and benefits.

Question 17

Domestic violence protocol

Answer 17

If the patient ADMITS to being domestically abused:
- COUNSEL the patient about domestic violence.
- After counselling, make evidence of the abuse (notes, photos)
- Make a safety plan with the patient (brochures about emergency numbers, safe places)

If patient DOESN’T admit to domestic abuse:
-Take evidence of the abuse.
-Try to establish rapport and hope that patient will confide with you regarding the abuse
- Give brochures if necessary