Ethics and Communication – Set 3

What this deck covers

Ethics and Communication – Set 3 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. Parent phones about pills found
2. Framework for telling a tumour result
3. What kind of clinic session is this
4. A positive test kept from a wife
5. A parent walks out mid-sentence
6. One role, spelled out for a resident
7. No cubicle free and a sore abdomen
8. Insisting her baby is only cold
9. Preventer stopped over a growth fear
10. Lift chat with a doctor friend
11. Biopsy result due in a busy bay
12. A history going round in circles
13. Worried parent at a teenage review
14. Father shouts about a late finding
15. Three of four visits missed
16. A sign proposed above the bed
17. First question once all are seated
18. Power cuts and a home nebuliser
19. Male surgeon must examine her
20. A plea to treat a stillborn girl
21. Main points repeated at the close
22. Teenager asks who will be told
23. Three topics named at the start
24. Leaving hospital after ketoacidosis
25. Secrecy persists despite counselling
26. Sharing without the family’s agreement
27. Sorting the parts of going-home advice
28. Examined in view of the corridor
29. Naming a step in a hard conversation
30. When to narrow the questioning
31. Plans to write up this case
32. What a bereaved mother can do next
33. A herbal bottle beside the insulin
34. Permission to tell a parent
35. Tears halt the conversation
36. Did the message get through
37. Agrees, yet cannot say it alone
38. After they ask to hear everything
39. A family that felt unheard
40. Shy girl wants a woman doctor
41. Closing a long talk with parents
42. Injections stopped a fortnight ago
43. Phone enquiry from a stranger
44. Still crying daily at six weeks
45. What goes home with the family
46. Family court demands a child’s file
47. Carer who will forget by tomorrow
48. Twenty minutes left undressed
49. Convinced her pancreas works again
50. Cigarettes on the balcony only

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Tell the mother at once, since she is at risk, Examine her on the chair, as the department is full, Nothing, as her name is never mentioned, See only the mother, since she raised the concern, Only if her parents agree to the sign, Alone, to protect her privacy, Everything she says will stay secret, whatever it is, Keep the secret, because his refusal is final, Her privacy, protected by closing the curtain fully, Blur only her eyes in the photographs, Wait for a court order before speaking to her mother, A meeting in, Explain that, Tell him, since the boy has died.

Clinical pearls from this deck

• Protect the teenager’s confidence, support the parent.
• SPIKES: Setting, Perception, Invitation, Knowledge, Emotions, Strategy and summary.
• Counselling teaches; consent authorises; bad news informs.
• Persuade before you disclose.
• One parent leaves: continue with the other, return later.
• Communicator: relate, exchange information, decide together.

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.