AETCOM Quiz

You suggest a dilated eye exam to a patient, but they are reluctant due to inconvenience and fear. How should you handle this situation?

• Insist firmly on the exam without further discussion

• Dismiss their concerns and move on

• Explore their reasons, provide education about the importance, and address misconceptions

• Refuse to continue care unless they comply

An elderly patient scheduled for intraocular surgery expresses significant anxiety on the day of the procedure. What is the best communication approach?

• Reassure briskly and proceed quickly

• Allow the patient to express concerns, listen actively, and explain the procedure in understandable terms

• Prescribe a sedative without explanation

• Ignore the anxiety and begin surgery

To confirm patient understanding, which communication strategy is most effective?

• Assume understanding if the patient does not ask questions

• Ask the patient to repeat back the key instructions in their own words

• Only give written instructions

• Speak more loudly and slowly

A 60-year-old patient undergoes cataract surgery. During the procedure, the posterior capsule ruptures, leading to a change in surgical plan and change in the intraocular lens that has been implanted. The complication is managed well by the ophthalmologist and the final visual outcome is good. What is the MOST appropriate action regarding disclosure?

• Tell the patient only if vision is worse than expected

• Document the complication, but need not inform the patient

• Wait for the patient to notice on their own

• Disclose the complication, explain what happened, and outline the follow-up plan

After cataract surgery, a patient receives an intraocular lens of incorrect power, resulting in unexpected refractive error. How should the ophthalmologist disclose this error?

• Apologize, explain the error in clear terms, discuss possible options for correction, and document the conversation

• Adjust the glasses prescription and not mention the error

• Wait to see if the patient notices and then decide

• Avoid discussing the possibility of reoperation

Which of the following is an essential component of valid informed consent?

• Consent must be in writing only

• Consent must be given by a relative

• Consent must be given voluntarily

• Consent must be taken only by a legal expert

Which of the following best defines 'informed consent'?

• Patient signs a form before treatment

• Doctor tells the patient what to do

• Patient is informed about risks, benefits, and alternatives before agreeing

• Consent taken in the operation theatre

A 17-year-old boy presents with appendicitis. Who is legally authorized to give consent for surgery?

• The patient himself

• The nurse

• His friend

• His parent or legal guardian

In a medical emergency where the patient is unconscious and no relatives are present, what should the doctor do?

• Wait for consent

• Refer to another hospital

• Proceed with necessary treatment under implied consent

• Avoid treating to avoid legal complications

Which of the following types of consent is best practice in routine physical examination?

• Verbal consent

• Written consent

• No consent required

• Implied consent from hospital admission