MCCQE_Set1_Part3

A patient requests their medical records be sent to a complementary medicine practitioner. The physician believes the practitioner is not qualified and may provide harmful treatment. Which of the following is the most appropriate action?

A physician notices that a colleague consistently orders unnecessary tests, increasing healthcare costs. Which of the following is the most appropriate action?

A patient with terminal cancer asks the physician to hasten their death. The patient does not meet MAID criteria but is suffering. Which of the following is the most appropriate response?

A physician is asked to provide a medical report for a patient’s disability insurance claim. The patient asks the physician to exaggerate symptoms to ensure approval. Which of the following is the most appropriate response?

A physician discovers that a patient’s spouse is physically abusive. The patient has not consented to disclosure. Which of the following is the most appropriate action?

A patient with capacity refuses a blood transfusion based on religious beliefs, understanding that refusal may result in death. Which of the following is the most appropriate action?

A physician is considering accepting a gift from a grateful patient. The gift is of modest value. Which of the following is the most appropriate action?

A medical error results in patient harm. The patient is unaware of the error. Which of the following is the most appropriate action?

A patient requests that their personal health information not be shared with their insurance company. The insurance company is requesting the information for a claim. Which of the following is the most appropriate action?

A physician is asked to provide a telephone prescription for a patient they have never examined. The patient is a friend of the physician’s spouse. Which of the following is the most appropriate action?

A patient with chronic pain is prescribed opioids. The physician becomes concerned about misuse but the patient denies any problems. Which of the following is the most appropriate next step?

A physician is asked to provide a medical certificate for a patient’s workplace absence. The physician did not assess the patient during the illness. Which of the following is the most appropriate action?

A patient with capacity refuses life-sustaining treatment. The family insists on continued treatment. Which of the following is the most appropriate action?

A physician discovers that a medical student has been accessing patient records out of curiosity, without educational purpose. Which of the following is the most appropriate action?

A patient requests a treatment that the physician believes is not medically indicated. The patient is well-informed and has capacity. Which of the following is the most appropriate action?

A physician is asked to complete a form stating a patient is disabled when the physician does not believe the patient meets disability criteria. Which of the following is the most appropriate action?

A patient with advanced dementia has a feeding tube. The patient pulls at the tube and appears distressed. The substitute decision-maker insists on continued tube feeding. Which of the following is the most appropriate next step?

A physician is considering posting about a difficult patient encounter on social media, without identifying details. Which of the following is the most appropriate action?

A patient requests that their same-sex partner be involved in healthcare decisions. The patient’s family is unaware of the relationship and the patient has not formally designated a substitute decision-maker. Which of the following is the most appropriate action?

A physician is asked to provide a letter supporting a patient’s medical marijuana application for chronic pain. The physician is not convinced that medical marijuana is appropriate for this patient. Which of the following is the most appropriate action?