Ethics and Communication – Set 1

What this deck covers

Ethics and Communication – Set 1 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. Teenager asks to set his own doses
2. Freeing a bed for the many
3. Vaccine for all in an outbreak
4. Trial information sheet with a gap
5. Father who knows the director
6. Two terms a student confuses
7. Opening move with a hesitant mother
8. Lung function from visits never made
9. Parents ask for silence on leukaemia
10. Approval route for a diary study
11. Policy first, whatever the bed state
12. Tighter control versus more lows
13. Programme versus bedside decisions
14. Who needs extra protection in a trial
15. Interrupted while siting a cannula
16. Field covering donation and stem cells
17. Answering a fear of further harm
18. Website plan to halve basal insulin
19. A phone call with nothing recorded
20. Whom to tell about invented results
21. Irritation on a long night shift
22. Siting the first paediatric hospital
23. Suspending large public gatherings
24. Cash for families who finish a trial
25. Coaching a junior after a hard talk
26. Branch that settles one child’s case
27. Still declining after a full talk
28. Consent to a new regimen at sixteen
29. Untrained assistant taking consent
30. Borrowed paragraphs in a manuscript
31. What would a good doctor do tonight
32. Insurer that excludes smokers
33. Beyond vaccines, the authority’s job
34. Protocol with no comparison group
35. One-line notes on a staff dispute
36. Sixteen and stopping all injections
37. Plain words for an unsure father
38. Sample drawn from one private school
39. Delegating the treatment talk
40. Speeding up publication
41. Compass while a dilemma is unsettled
42. Free flu vaccine with a smoking test
43. Unvaccinated as measles circulates
44. Harm signal halfway through a trial
45. Completing the four-part framework
46. First source of Islamic guidance
47. Kerosene kept in a juice bottle
48. Origin of freely given agreement
49. Unlicensed sleep medicine samples
50. Co-author paid by the manufacturer

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Beneficence, The liver risk is explained only if his father asks, Ask what she has read and what worries her most, Expedited review by the registered ethics committee, They apply only to children who are already ill, Metaethics, Write up the phone call afterwards as her consent, Where children’s health needs are greatest, Veracity, Deontology, Children may never take part in trials of new drugs, Coercion, Send it to both and accept the first offer, The Sunnah.

Clinical pearls from this deck

• Autonomy = self-governance: the right to be told, and to accept or refuse.
• Utilitarianism: greatest good for the greatest number, a teleological theory.
• Public health: community interest first, by proportionate means.
• Full disclosure, simple words, free choice: all three or no valid consent.
• Procedural justice = a fair, agreed process followed for everyone.
• Morality = right and wrong; ethics = the study of it.

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.