Ethics & Communication – Exam Review Set 4

What this deck covers

Ethics & Communication – Exam Review Set 4 in 50 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. The cannula she will not allow
2. Everyone is already on the ward
3. He is walking to the door
4. Six staff in the corridor
5. Three staff, ten minutes
6. A request for his full history
7. The consent form says everything
8. A letter for the hearing
9. His mother telephones instead
10. Seen once, on the first day
11. A shadow nobody was looking for
12. The panel found something else
13. Both parents were tested
14. Her sister is pregnant
15. The result is sitting in the file
16. The insert says not under eighteen
17. The word on the bottle
18. A drug still in trials abroad
19. His sister telephones
20. About to crush it
21. He has never done it before
22. The parents ask to come in
23. Burial within a day
24. What to say to her brothers
25. Six weeks, and no contact
26. A drug chart on the group
27. She takes out her phone
28. The picture keeps freezing
29. Her neighbour’s child
30. The tool said low risk
31. She has two younger sisters
32. A ceremony next month
33. Her parents are in the waiting room
34. Two phones and a lot of cash
35. He waits outside
36. He has never felt one
37. A small airway to learn on
38. Eight candidates in an afternoon
39. Three in the morning
40. Twenty-five minutes away
41. She has no documents
42. Placed this week
43. An official asks for an age
44. A deposit before imaging
45. Three spellings of his name
46. The only doctor free
47. What will she be like at ten
48. His son on his own ward
49. Halfway through the night
50. Twice told it is being looked at

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Wait until she agrees, however long that takes, Give an intramuscular sedative to settle him quickly, That she may join a trial instead, Prescribe, then write it in the child’s record, Keep them out; it is distressing to watch, Offer a meeting later to go through what was found, Prescribe an antibiotic to be safe, The other girls in the family need assessing as well, He is a child being exploited, not an offender, Permissible; no harm can be done now, Nothing; the consultant is on the telephone, Take the radiograph; bone age gives an answer, Nothing; he must take part as the rota requires, Continue until the care is properly handed over.

Clinical pearls from this deck

• Justify it by necessity, keep it to the least and the shortest, and say it out loud first.
• If the answer to why now is that the team is free, the answer is not now.
• Drowsy and repeating himself is a symptom, not a refusal. Keep him, minimally, and write it down.
• Take people away before you add any. A crowd is an escalation, not a plan.
• Write it down and go back to them. An unrecorded hold cannot be told from an unjustified one.
• Answer the question the school actually has, not the sentence on its form.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all ethics and communication case decks · pediatric reference values.