WBR1023: Difference between revisions

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|MainCategory=Ethics
|MainCategory=Ethics
|MainCategory=Ethics
|MainCategory=Ethics
|Prompt=The patient has an absolute right to his privacy. It’s a physician’s duty to respect
|MainCategory=Ethics
this privacy and not share it with anyone, whether it be patients family, colleagues or some random person. In which of the following conditions does this not hold true?
|Prompt=The patient has an absolute right to maintain all his medical information confidential. It’s a physician's duty to respect this privacy and to withhold share any private medical matters with anyone, including family members, close friends, or colleagues. Which of the following conditions does not uphold this principle?
|Explanation=There are certain circumstances in which a physician can disclose patient information:
|Explanation=There are certain circumstances in which a physician can disclose patient information:
* When authorized by the patient.  
* When authorized by the patient.  
* When police holds a warrant demanding information.  
* When police holds a warrant demanding information.  
* When asked by court of law.  
* When asked by a court of law.  
* When withholding a disease may be a public threat. Such as Sexually transmitted diseases.
* When withholding a disease may be a public threat.
 
|AnswerA=A physician withholds information from a spouse demanding to know more about her husband's diagnosis
Educational objective: Even police cannot be divulged medical information without a valid warrant.
|AnswerA=Spouse of a cancer patient is extremely worried about his health and wants to
know about the illness, so that she can support him emotionally.
|AnswerAExp=Unless the patient specifically permits sharing his medical information, it cannot be shared even with his wife.
|AnswerAExp=Unless the patient specifically permits sharing his medical information, it cannot be shared even with his wife.
|AnswerB=An employee has been absent from work for about 2 weeks and the employer
|AnswerB=A physician withholds information from an employer calls to ask about the reason an employee has been absent
calls the physician threatening him that his patient might lose the job, unless he
is told about the specific nature of the illness.
|AnswerBExp=The situation demands a valid written consent from patient, which must be calmly explained to the employer.
|AnswerBExp=The situation demands a valid written consent from patient, which must be calmly explained to the employer.
|AnswerC=A colleague asks about his son, who tested positive for syphilis.
|AnswerC=A physician withholds information from a colleague that asks about his son who tested positive for syphilis
|AnswerCExp=Even sharing medical knowledge with a fellow physician is not permitted by privacy laws.
|AnswerCExp=Even sharing medical knowledge with a fellow physician is not permitted by privacy laws.
|AnswerD=State police wants to gather a person’s medical records, who is convicted of  
|AnswerD=A physician divulges information to state police officers who call about a man suspected of rape and murder.
rape.
|AnswerDExp=Police needs a valid warrant to be given any patient information.
|AnswerDExp=Police needs a valid warrant to be given any patient information.
|AnswerE=A 16 year old boy demanding to withhold his syphilis positive test from his parents.
|AnswerE=A physician divulges the diagnosis to the family of a patient with pertussis.
|AnswerEExp=The boy can withhold this information from his parents but not his sexual partners.
|AnswerEExp=Pertussis is a highly contagious respiratory disease that can have severe consequences in patients of all ages. Individuals in close contact with patients diagnosed with pertussis require post-exposure prophylaxis to prevent transmission and symptomatic disease. Physicians are allowed to divulge specific medical information when withholding it may be a public threat.
|RightAnswer=D
|RightAnswer=D
|WBRKeyword=HIPPA,
|Approved=Yes
|Approved=Yes
}}
}}

Revision as of 17:29, 18 September 2014
Author [[PageAuthor::Vidit Bhargava, M.B.B.S [1]]]
Exam Type ExamType::USMLE Step 1
Main Category MainCategory::Ethics
Sub Category
Prompt [[Prompt::The patient has an absolute right to maintain all his medical information confidential. It’s a physician's duty to respect this privacy and to withhold share any private medical matters with anyone, including family members, close friends, or colleagues. Which of the following conditions does not uphold this principle?]]
Answer A AnswerA::A physician withholds information from a spouse demanding to know more about her husband's diagnosis
Answer A Explanation AnswerAExp::Unless the patient specifically permits sharing his medical information, it cannot be shared even with his wife.
Answer B AnswerB::A physician withholds information from an employer calls to ask about the reason an employee has been absent
Answer B Explanation AnswerBExp::The situation demands a valid written consent from patient, which must be calmly explained to the employer.
Answer C AnswerC::A physician withholds information from a colleague that asks about his son who tested positive for syphilis
Answer C Explanation AnswerCExp::Even sharing medical knowledge with a fellow physician is not permitted by privacy laws.
Answer D AnswerD::A physician divulges information to state police officers who call about a man suspected of rape and murder.
Answer D Explanation AnswerDExp::Police needs a valid warrant to be given any patient information.
Answer E AnswerE::A physician divulges the diagnosis to the family of a patient with pertussis.
Answer E Explanation [[AnswerEExp::Pertussis is a highly contagious respiratory disease that can have severe consequences in patients of all ages. Individuals in close contact with patients diagnosed with pertussis require post-exposure prophylaxis to prevent transmission and symptomatic disease. Physicians are allowed to divulge specific medical information when withholding it may be a public threat.]]
Right Answer RightAnswer::D
Explanation [[Explanation::There are certain circumstances in which a physician can disclose patient information:
  • When authorized by the patient.
  • When police holds a warrant demanding information.
  • When asked by a court of law.
  • When withholding a disease may be a public threat.

Educational Objective:
References: ]]

Approved Approved::Yes
Keyword
Linked Question Linked::
Order in Linked Questions LinkedOrder::
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