MCQ of Block 2 (2007/2008)

1. Doctors cannot cure the patient perfectly…A. Patient can do nothing against the doctorB. Patient has the right to sue doctorC. Doctor should pay compensation to the patientD. Patient always win this case in court

2. In order to do medical practice in Indonesia… A. Doctor should have the police clearanceB. Doctor should have Surat Tanda Registrasi Issued by Departement of lawC. Doctor should have Surat Tanda Registrasi Issued by Konsil Kedokteran IndonesiaD. Doctor should be registered to government medical faculty

3. Patient can get human organ donor…A. Buy an organ from donor, in case of emergencyB. If unmatch, the patient can sale the organ to some one elseC. Doctor do the transplantation with no fee at allD. Doctor do the transplantation with reasonable fee

4. What is the most suitable communication method in doctor, patient relationship…A. PaternalisticB. ConsumeristicC. MutualisticD. Default

5. Criminal abortion is an illegal act in Indonesia, however it is legal in the situation…A. If the mother doesn’t ready to have a kidB. If the conception was the result of raped caseC. Do by the medical reason to save the mother’s lifeD. Do by the general practitioner

6. Professional doctor…A. Ask the expensive paymentB. Well inform to the patient about risk and benefitC. Treat the patient without agreementD. Healed the patient is the main goal

7. Law that regulate medical practice in Indonesia…A. Undang-Udang Kesehatan No. 23 tahun 1992B. Kitab Undang-Undang Hukum PidanaC. Undang-Undang No. 29 tahun 2004D. Kitab Undang-Undang Hukum Acara Pidana

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8. A drug abused patient visit the doctor, what will the doctor do…A. Report to the policeB. Blamed the patient for doing such risky thingsC. Referred to the expert for proper treatmentD. Do nothing and ask the patient to go home

9. Such a condition that can lead to physical violent abuse is… A. Parents who suffered physical violence during adolescentB. Mothers who had delivered a baby in adult age or unmarriedC. There were continued pressure from family environment such as povertyD. Unfair actions during childhood wouldn’t influence this condition

10. Physical violence was suspected if we found…A. Haematoma lesions with history of accident.B. Complaints, such as nausea, abdominal pain or abdominal enlargement with unknown

etiologyC. Just ignore if we found any lesions that was similar as household appliancesD. Children who suffered physical handicap were more sensitive to be hurt

11. Sexual abuse could be happened in…A. If there were any appointment from the two personsB. The moral standard that was revolved by adult persons to childrenC. Afraid of the punishment from the family that could worsen the conditionD. Friendship or fulfilling the necessity from adult person to children who suffered from

poverty

12. Sexual abuse frequently hard to express and known unintentionally. It could happen because…A. The transparency of the victim about what has happened to herB. There were a threat from the actor of the violent actions that was frequently ignorantC. The actor was closed with familyD. The victim’s ignorance to report the actions

Physician: I have a 35-year-old stomach cancer case but I did not tell him he had cancer. Although every patient should know about the nature of his disease and the possible prognosis, I did not explain that he had cancer due to the psychological stress it would cause him. He is young, has been admitted for two weeks, and his prognosis is very poor. He has the signs and symptoms of gastric outlet obstruction. We diagnosed the disease and are planning to operate on him. Interviewer: Would you kindly tell me the mental state of the patient? Physician: Yes, he is assumed to be depressed.

13. In beneficence criteria including… A. Duty to help emergency patientB. Developing professionalism continuouslyC. Struggle for getting more benefit than worseD. Minimalize satisfication of patient’s happiness/preference

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14. In autonomy criteria including… A. Appreciate privacyB. Not to be openedC. Get informed consentD. Keeping up the relationship (contract)

15. In justice criteria including…. A. To establish all the thing universallyB. To do macro allocation wiselyC. To Appreciate patient health rights conformability equality, accessibility, availability,

quality)D. To give contribution that relatively similar with patients needs

16. In non maleficence criteria including.... A. Helping patient with emergencyB. Avoid misrepresentation from patientC. Not giving spirit of lifeD. Not place patient as an object

Physician: This patient lived here in the city but had an accident in another part of the country. He had a knee injury. A physician accompanied him when he was referred for treatment here. He had no problem in terms of expenses, because he was covered by an insurance company. It had been explained to him that there was no problem and we would provide the facilities for the surgical intervention. However, he refused to be treated by us. I advised the patient and his family that if no intervention was performed, the configuration of the patient’s knee would change, and this would result in disturbance of his movement. There would also be some pain if the patient took a long walk. There would be post-trauma arthritis. A deformity would occur which would cause the patient to walk unsteadily. He remained adamant even though he was advised about all these things. He asked to be sent to a place to be treated by a famous traditional healer. His family agreed with him. I was unable to change their minds, so I left it to them to decide. It turned out that the healer to whom this patient went had a lot of patients – more than the hospital or physicians.

17. In beneficence criteria including… A. Duty to help emergency patientB. Applegate the patient’s right entirelyC. Ensure the primer values of human beingD. Developing professionalism continuously

18. In autonomy criteria including…. A. Appreciate privacyB. Not to intervene patients in decision-making (in elective condition)C. Keeping patients secretsD. Not to lie to the patient even for his/her own sake

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19. In justice criteria including… A. To appreciate others rightsB. To appreciate privacyC. giving spirit of lifeD. To maintain vulnerable groups (most pragile)

20. In non maleficence criteria including…A. Treatment for injury patientB. Not insult/ taking advantage of patientC. Not giving spirit of lifeD. Not protect patient from attack

The case of a HIV-positive man and his HIV-negative wife A 50-year-old man was admitted to a hospital with multiple non-specific symptoms for investigation. His HIV test turned out to be positive. Without informing the man of the test or its outcome, the doctor discussed the situation with the patient's wife and encouraged her to undergo an HIV test. She turned out to be negative. Though the wife was quite upset about the situation, she showed that she was a bold woman. She asked the doctor several questions on the disease transmission, treatment and curability. Later, she came to the doctor and made just one request. The husband and wife were living with the wife's brother, "Please don't tell my brother that my husband is HIV-positive. We are laborers without any land and need my brother's help for shelter and survival. If he finds out about this he may ask us to leave the house."

21. In beneficence criteria including… A. Look the patient/ family/something, not only for giving benefit to doctorB. Ensure the primer values of human beingC. Duty to help emergency patientD. Apply the golden rule principle (the highest standard)

22. In autonomy criteria including… Not to lie to the patient even for his/her own sakeTo let adult and competent patient to make his/her decisionKeeping patients’ secretsEnsure the primer values of human being

23. In justice criteria including… A. Not to give liability unevenly without props reasonB. To establish all the thing universallyC. To Appreciate patient health rights conformability equality, accessibility, availability,

quality)D. To maintain vulnerable groups (most fragile)

24. In non maleficence criteria including... A. Not giving spirit of lifeB. Not to give liability unevenly without props reasonC. Apply the golden rule principle (the highest standard)D. Protect patient from attack

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Dr. R, a general practitioner in a small rural town, is approached by a contract research organization (C.R.O.) to participate in a clinical trial of a new non-steroidal anti-inflammatory drug (NSAID) for osteoarthritis. She is offered a sum of money for each patient that she enrolls in the trial. The C.R.O. representative assures her that the trial has received all the necessary approvals, including one from an ethics review committee. Dr. R has never participated in a trial before and is pleased to have this opportunity, especially with the extra money. She accepts without inquiring further about the scientific or ethical aspects of the trial.

25. If he gives that drug for his patient, in beneficence criteria including… A. Look the patient/ family/something, only for giving benefit to doctorB. Struggle for getting more benefit than worseC. Give potency drug but cheap enoughD. Take no honorarium abnormally

26. If he gives that drug for his patient, in autonomy criteria including… A. To lie to the patient even for his/her own sake B. Keeping up the relationship (contract)C. to intervene or to inhibit patients autonomyD. Appreciate the rights to decide, appreciate patients dignity

27. If he gives that drug for his patient, in justice criteria including… A. To abuseB. To give contribution that relatively similar with patients needsC. To give similar chance to everyone at the same positionD. To ask patients participation that suitable with their ability

28. If he gives that drug for his patient, in non maleficence criteria including… A. Give treatment not in proportionB. Avoid misrepresentation from patientC. To place patient as an objectD. Not act as White Collar Crime in medical / hospital that give a loss for patients family

29. A medical doctor has to know good or bad value that correlates to his/her scientific knowledge. In philosophy, a field that deals with good or bad value is…A. MetaphysicB. OntologyC. AxiologyD. Epistemology

30. Human being is an object of medical science. In philosophy, a field that deals with scientific object is……A. MetaphysicB. OntologyC. AxiologyD. Epistemology

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31. A medical doctor has to have skills of lifelong learning. These skills are the characteristics of…….A. Professional independency B. Professionalism of professionC. Professional autonomy D. Professional integrity

32. A medical doctor that does not perform a medical action appropriately, but this action does not result in a sue from the patient, because there is no adverse event, therefore the doctor is actually still has legal/formal responsibility. This legal/formal responsibility includes in responsibility of….A. “Pidana”B. DisciplineC. “Perdata”D. Ethic

33. In medical practice act (undang-undang praktik kedokteran) there is a body which is formed to build the medical discipline. This body is…A. KKIB. MKDKIC. MKEKD. IDI

34. Mrs. Bahar and his wife, is a couple who have an inherited familial disease, and to know whether their next baby is a normal or might be have abnormality, her wife do a prenatal diagnostic procedures…A. The procedureB. The resultsC. Medical decisionD. Parent decision

35. If the result showed their baby with genetic disorders, what is your opinion to this couples…A. Continue the pregnancyB. Terminated the pregnancyC. Guidance the parent to chooseD. No opinion

36. If your suggestion is to terminate the pregnancy, what is moral or ethical conduct you choose…A. Embryo as objectB. Embryo as subjectC. Pro-futureD. Mother Pro-life

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37. Human can be object of science and also subject of research stated by…A. FalibilismB. SocratesC. PlutoD. John Austin

38. Voluntary active Euthanasia … A. Without the consent of a capable patientB. Without requestC. Administration of lethal agentsD. Administration of fluid therapy

39. Criteria of the termination… A. ReversibleB. Abnormality diseaseC. Good prognosisD. Healthy person

40. The following are with holding support … A. Refers to both with drawing and with holding therapyB. Refers to discontinuing therapy that has already been institutedC. Never providing the patient with a particular therapyD. Removal of the support

41. Brain stem death determination for organ transplantion, need… A. Three (3) DoctorsB. Four (4) DoctorsC. Two (2) DoctorsD. One (1) Doctors

42. The purpose of Pharmacy Law …A. Provides a mechanism through which adverse outcomesB. Provides a mechanism about drug distributionC. Protects patients from harm that might occur if medications were used unreasonablyD. Protects the open market in any old chemical distribution

43. The step three in ethical problem solving is clarify principles, these who are involved with ethical can determine ….A. The pharmacist rightsB. The patient dutiesC. The patient duties and the pharmacist rightsD. The pharmacist duties and the patient rights

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44. Definitions of prescriptions by Bernhard Fantus …A. Designate a specific medication and dosageB. An order for medication by physician, dentist, veterinarian and nurseC. The key stone to the whole arch of therapeutics endeavorD. An order represent a professional relationship

45. According Code of Ethics for Pharmacists, the nature of the relationship between pharmacists and patients is …

A. A consistent relationshipB. A constitutional relationshipC. A convenient relationshipD. A covenantal relationship

Issue for questions 68 - 72A 64 year-old man asked certain Farmacy to repeat his receipt for some medicines such as

aspirin, erythromycin, vitamin B complex and some food supplements. He did not know whether he suffered from coronary heart disease or other heart diseases because dr X who examined him last week did not tell anything to him. Dr X advised him to repeat those medicines whenever he feels bad.

46. What do you thing about this ethical problem?A. Dr X is right because he thought that the patient’s disease is mildB. Dr X is right because the patient is his relativesC. Dr X is wrong because of his wrong advice D. Dr X is wrong because the patient did not pay his advice

47. Is it the patient’s right to know his disease?A. Yes because the patient paid forB. Yes because it is his awarenessC. No because it is secret for all patientsD. No because it is not just true or false diagnosis

48. About asking the repeatable receipt ..A. It is allowed even though without any further examinationB. It is allowed because the medicines are fit for the patientC. It is wrong for the patientD. It is wrong for the dr X

49. Do you blame the patient? A. Yes because he asked the Farmacy without any re-examinationB. No because dr X asked him to repeat and just make a copy receiptC. Yes because his brave enough to ask the FarmacyD. No because of the rule to force him to do that

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50. Is it right to give aspirin for long-term use? A. No since its side effect for the old patient is harmfulB. No because the therapeutic objective do not knowC. Yes because this medicine is safeD. Yes because of low cost

Issue for question 73 - 77Dr Y just three months ago celebrated her degree and now she is writing the receipt for

her patient of cerebral hemorrhage with high dose of ginkgo biloba. Actually she does not know much about this medicine, but she just try to give it due to her close friend told that ginkgo biloba is just the best substance for cerebral hemorrhage.

51. What do you think about dr Y’s competency?A. It won’t be a problem because she is a true doctorB. It is legal because dr Y has certificate to practice her competencyC. It is false because she does not know much about the medicineD. It is false since she believes that her friend is always right

52. Do you agree that ginkgo biloba can cure cerebral hemorrhage?A. Yes because the right information from dr Y’s close friendB. Yes because ginkgo biloba is the famous medicineC. No because the medicine is costly D. No because there is no evidence

53. Is it safe to give ginkgo biloba for cerebral hemorrhage?A. Yes because it will act just as antioxidantB. Yes because of the information from dr Y’s close friendC. No since it will enhance the hemorrhagic processD. No because I do not know either

54. Are you brave enough to do the same as dr Y does?A. No because I do not agree that ginkgo biloba as a safe substanceB. No because this substance is expensiveC. Yes because the medicine is safe all the timeD. Yes because there are many information about the substance

55. What class of medicine the ginkgo biloba is? A. Over-the-counter medicineB. Food supplementC. AntioxidantsD. Antibiotics

56. The morality which is developed through deontology moral philosophy is named…A. EthicsB. MaximC. Moral value

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D. Responsibility57. Kode Etik Kedokteran Indonesia is codified and issued by…

A. WMAB. WHOC. IDID. Indonesian Ministry of Health

58. Formal financial compensation for malpractice is decided by… A. MKEKB. MKDKIC. Criminal CourtD. Civil Court

59. Responding to the needs for ethical platform for rapidly developing medical practice, WMA or IDI issuing relevant medical ethics norm, which is labeled as…A. AccordB. Medical ethics normC. Temporary medical ethics codeD. Ethical guidelines

60. Anthropology is distinguished from other disciplines dealing with study of human beings by its.. A. Holistic approach B. Attempt to understand human behaviourC. Concentration on an aspects of human conditionD. Concern about the similarity of humans and human behaviors.

61. Medical anthropologists interested in .. .A. An involvement of a doctor in an health care systemB. A person’s perception of illnessC. A pathological condition of the bodyD. The cross-cultural study of health care systems

62. According to anthropologic and sociologic studies, illness is .. .A. A feeling of being normal and healthy that can be measured objectivelyB. A subjective feeling of not being healthy that must be due to a diseaseC. An objective malfunctioning of biologic process D. A subjective feeling of not being normal that may be due to a feeling of spiritual

imbalance.

63. The definition of health adopted by the World Health Organization is .. .A. Close to the biomedical modelB. Based on the belief that mind and body is fundamentally different substances.C. Broadly related to mental and social functioning as well. D. Not compatible with the biopsychososial model.

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64. The biomedical model .. .A. Do not take psychosocial factors into accountB. Is effective dealing with lifestyle diseaseC. Is associated with holismD. Maintains that mind and body are one.

65. The right of patients to control the course of their own medical treatment and participate in the treatment decision-making process is called .. .A. IncompetencyB. IncapacityC. AutonomyD. Moral obligation

66. Patient autonomy does allow for health care providers to.. .A. Educate the patientB. Make the decision for the patient.C. Reject a patient.D. Provide treatment based on a patient demand

67. As a physician, once you having undertaken a case, you can.. .A. Neglect the patient. B. Withdraw from the case without giving adequate notice to the patient and his family.C. Consult to other physician in the interest of you.D. Ask for any other diagnostic lab investigation judiciously.

68. The prime object of the medical profession is to.. .A. Render service to humanity; B. Get financial gainC. Make decision based on patient’s wishesD. Follow patient’s demand about certain treatment

69. A medical doctor has to behave ”empathy” which is showed by…. A. Taking decision efficiently B. Dislike feeling C. Understanding other people wishD. The tendency to behave with his own way

70. “UU HAM” is approved, which is based on…A. Religion B. “Aliran kepercayaan”C. “Mitos di pedesaan”D. Presence of “suku anak dalam”

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71. Hospital by laws, made by…A. Medical committee B. Medical doctors in hospitalsC. Hospital direction staff D. Governing Body

72. What are Informed consent aspects? A. Subjective samples selectionB. Limiting research object numberC. Voluntarily acknowledgement from research objectD. Under pressured participants

73. What is the use of sympathy? A. Imitating people’s mind setB. Imitating people’s behaviorC. Helping a relativeD. Value people’s feeling

74. When is the empathy value fulfilled? A. Doing things regarding people’s thought and wishB. Doing things regarding his mind and feelingC. Doing things against his willD. Doing things regarding family relationship

75. Which one of the following describes the key functions of medical interview? A. Diagnosis and teartmentB. Information of gathering and patient educationC. Information gathering, relationship building, and patient educationD. Information gathering and patient partnership

76. Which one of the following is the optimal approach for giving the patient information during the medical interview? A. Provide printed material about the patient’s conditionB. Explain the condition and treatment carefullyC. Answer the patient’s questions carefullyD. Use an ask-tell-ask format

77. One of the characteristic of a person with virtue ethic (”berbudi pekerti luhur”) is…A. Brave to take riskB. Have interesting and convinced performanceC. Behave on timeD. Shows empathy

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78. The duties of KOMNAS HAM.....A. To give punishment to people who abuse human right (HAM) B. To monitor and mediate human right (HAM) C. To arrange the rule of HAM implementation D. To help”LSM” in conducting a demonstration

79. The characteristic of people who has inappropriate virtue ethic (berahklak)…A. Love sacrifice B. StubbornC. Clever D. Love and caring

80. In making the doctor-nurse collaboration, it is needed to have the both parties’ behaviour, such as…A. The doctor’s instructions to the nurseB. The doctor makes clear and detail medical planning, which is interpreted by the nurse in

the nursing planningC. The doctor makes medical planning, while the nurse makes their own nursing planningD. The collaboration is performed solely by the doctor or the nurse according to the patient’s

demand

81. ”Surat keterangan dokter”... A. Authentic document B. Expert explanationC. Informal letter D. Statements

82. The duty of hospital to the patients…A. Maintenance of medical record B. Honest and open minded C. Care of patient human right D. Responsibility in patient problems in hospital care

83. What kind of transplantation does heart transplant in a patient in which the heart donor taken from newly dead? A. AutograftB. AllograftC. IsograftD. Xenograft

84. Main ethic aspect about organ trade is included in? A. KODEKIB. PP NO. 18 TH. 1981C. SK. PB. IDI NO. 231/PB.A.4/07/90D. SK. PB. IDI. 336/PBIDI/A.1988

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85. Which one of the following is true about a patient – centered interview? A. It takes more time than physician-centered interviewB. It elicits only psychosocial information about patientC. It uses continuers to allow patients to express all their concernsD. It means only the patient determines the agenda

86. Which one of the following best describes why the physician interrupts the patient during physician – centered interview? A. The patient has disclosed all his or her concernsB. About 18 seconds of the interview has passedC. The patient is ramblingD. The physician wants to express empathy an concern

87. To reach perfect quality of work, it is necessary to have….A. Knowledge and loyaltyB. “Sabar” and “ihklas”C. Knowledge and skillD. Skill and seriousness

88. In religion point of view, a person who has well name such as potential, active, dynamic, productive, and professional, is because of….A. Intellectual quotientB. “Budi pekerti”C. Prestige of workD. Emotional quotient

89. Physiology disturbance on the body could happen because of …A. Our emotional reaction B. Redundant Emotional reaction C. Heavy emotional reaction D. Emotional reaction for along time

90. Religion can make good action when add with…A. IQB. SQC. EQD. Knowledge

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91. Understanding EQ only without learning and practice can be...A. SuccessB. FailureC. No changeD. Good attitude

92. If you learn religion, it can make better...A. IQB. EQC. CQD. SQ

93. EQ knowledge only can result ...A. ForgetB. Good habitC. FailureD. Good character

94. Virtue ethic is the act and behavior based on the values of …A. Daily routineB. EducationC. ReligionD. Culture

95. Behave to God/Khaliq, the priority is …A. Natural phenomenonB. FaithC. Believe to HoroscopeD. Pray

96. Especially to the parents we must behave by …A. Playing kindness to parentsB. Helping the parentsC. Praying for the parentsD. Obeying the parents

97. Plants should not be tortured when unwanted, it should be …A. DisposedB. BarteredC. Destroyed

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D. Given away98. When someone poor come to us for help should …

A. Reject themB. Scold themC. Ask for forgiveness for being uncaringD. Give help as necessary

99. One who sleeps with full stomach while his neigbour sleeps in hunger we call it …A. ImpoliteB. UnfaithfulC. No shameD. Stingy

100. Among the possession of a rich person there is the right for …A. Country as taxesB. RenteunirC. Orphan and the poor peopleD. His children and wife

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