BHP IV 2008

1. A 12-year-old boy has pituitary tumor resulting in GH and ACTH deficiency. The doctor recommends an operation to remove the pituitary tumor. The boy’s parents refuse because of financial problems. His grandfather is worried about treatment failure.
Regarding the patient’s refusal, you consider it as:
A. Patient’s preference
B. Autonomy on behalf of the patient
C. Cultural belief
D. Nonmalficence
E. Justice

2. Which of the following is the ethical issue regarding the financial problem and the grandfather’s concern?
A. Patient’s …
B. Patient’s surrogate
C. Patient’s responsibilities
D. Quality of life
E. Contextual factors

3. The doctor ignores the parents’ refusal. What principle is applied by the doctor?
A. Paternalism
B. Beneficence
C. Autonomy and self-determination
D. Patient’s incapability
E. Quality of life

4. A 45-year-old man is admitted to emergency room with impaired consciousness due to diabetic ketoacidosis. He didn’t agree with all treatment. Treatment initiated on authorization of his wife. What is the most reasonable objection?
A. Treatment will be painful such as frequent IV blood sampling
B. Decision is incapacitated by diabetic encephalopathy
C. …
D. Not informed about the treatment
E. He was dying

5. In the case of an emergency like this, even if the patient had intact decision-making capacity and no one around could give permission to do the treatment, which of the following is the most appropriate decision and most ethically permissible?
A. Do not give treatment
B. Consultation with the ethical committee
C. Respect the patient’s right
D. Ask the patient to sign the statement of refusal
E. Directly treat the patient properly without any permission

6. Type II diabetic gave birth to a newborn with congenital anomaly of anencephaly. Which of the following is your decision as a doctor?
A. Not resuscitating the baby because the baby won’t survive
B. Not telling the mother
C. Resuscitate and assist respiration
D. Ask the mother’s opinion
E. Give oxygen by mask
7. While examine a patient with gangrene foot, you cover your nose with handkerchief. What is the category of your behavior?
A. Beneficence
B. Against respect for the person
C. Justice
D. Malficence
E. Unclassified

8. –

9. A 15-year-old adolescent girld suffers from non-toxic goiter. She asks the doctor to do operation. Which is the appropriate response?
A. Agree to do the operation
B. Operation will be done without parent’s permission
C. Doctor refuses because there is medical indication
D. Doctor recommends radiotherapy
E. Doctor does the operation with special fee

10. –

11. A 45-year-old man is diagnosed having type 2 diabetes mellitus. As a doctor, what is the appropriate information that should be given to this patient?
A. Alternative treatment
B. Personal hygiene
C. Change of job
D. Diabetes health care play a role in making sure that the patient’s consent is an informed one
E. Recommendation of not doing any sport

12. –

13. A 24-year-old man comes to the doctor to ask about his fiancée. She has type I diabetes mellitus. What should you do as a doctor?
A. Verocity (truth-telling)
B. Don’t tell anything without his fiancée permission
C. Ask both of them to see you
D. Tell Mr. Beny that Mona has a life-long disease
E. Ask him to ask her parent

14. –

15. A 25-year-old woman is a diabetic, now is 18 weeks pregnant. Ultrasonography shows severe congenital anomalies in the baby. Doctor recommends her to do abortion but she refuses. What is the appropriate action of the doctor?
A. Ask the husband to consent on behalf of Nina
B. Respect her decision
C. Persuade her to do abortion by giving more information
D. Give abortive medicine without Nina’s consent
E. Refer to another doctor

16. –
17. –
18. –
19. –
20. –


From past years

1. You’re a doctor in remote area. A patient with diabetes comes to you. The only live-saving treatment is insulin, and the only available insulin is porcine insulin. The patient is a Moslem, and you’re a Moslem too.
A. Give insulin without telling the family
B. Ask permission from Moslem leader in the community
C. Just give saline infusion
D. Ask the family to pray for a miracle
E. None of the above

2. During the last few months, Mr. Don’s HbA1c level is always above 10%. Doctor recommend treatment with injection of insulin, but he refuses. What should the doctor do?
A. Do not insist because he has the right to refuse
B. Ask his wife to persuade him for the treatment
C. Stop treating him
D. Ask for help from health community
E. Alternatively change his diet

3. Baby boy born from diabetic mother has anencephaly. What would you do?
A. No resuscitation
B. Ask hospital ethic committee
C. Ask religious person
D. Don’t tell the mother about the baby’s abnormality
E. Ask father of the baby for consent to not resuscitate

4. Mrs. Cicih would like to increase weight. Doctor gives green tablet without any information regarding side effects, for how long she should take the drug. The green tablet is prednisone. From ethical point of view, doctor provides…
A. Beneficence
B. Malficence
C. Justice
D. Patient’s demand
E. None

materi BHP IV : ETHICS IN PEDIATRIC CARE

tinggal di klik aja gambarnya yaah..

BHP III ( YANG MDE SELASA KEMARIN!! )

BHP III ( YANG MDE SELASA KEMARIN!! )
1.Which of the following sentences is true about rights and responsibilities…
a.Law covers only rights
b.Ethics covers only rights
c.Law covers only responsibilities
d.Ethics covers only responsibilities

2.Yang mana conduct ethically…
a.Patient have to pay
b.Patient don’t have to pay
c.Doctor have right to get paid
d.Doctor have obligation
e.Doctor have obligation to treat patient and have right to get paid

3.Patient’s right termuat dalam…
a.KODEKI
b.Circular letter from ministry of health
c.Government law
d.A and b
e.B and c

4.Hubungan antara medical ethical and government laws…
a.Many articles of medical ethics found in government law
b.Many articles of government law found in medical ethics
c.Medical ethics found in government law
d.Few articles of medical ethics found in government law
e.Few articles of government law found in medical ethics

5.Informed consent diatur dalam…
e.All of above

ESSAY!
1.Similar and difference between ethical responsibility and legal responsibility!
2.Explain about standard operational procedure!

GUDLUCK SMUA BWT COMPRE BESOOOOKKK!!!
SMANGAAATTT,, SMANGAAATTT!!!

BHP III - MDE 1

BHP III – MDE 1

1. Which one is not an ethical issue in Reproductive Medicine?
a. Sex selection
b. Sperm donor
c. Surrogate mother
d. Feticide
e. Sperm insemination husband

2. PGD disadvantage?
a. Successful rate 97%
b. Escaped inherited disease
c. Prevent risk of miscarriage due to chromosomal abnonormalities
d. Can be used for sex selection
e. Can be used to avoid passing x-linked disease

3. During ISCI
a. Amicroscopic hole is drilled into ovum or chemical is used to dissolve the outer shell of the ovum
b. A single sperm is injected into center of an ovum
c. The ova are put in a dish and mixed with sperm ; the zigote are implanted
d. The zygote is placed in the fallopian tube allowing it to implant naturally
e. Ova and sperm are placed in the fallopian tube before conception

4. Contraception leads to immoral behaviour because...
Contraception make it easier to have sex outside marriage

5. Bad consequence of contraception?
Answer: lead to depopulation

6. IVF?
Answer: test tube babies are conceived in Petri Dish and then implanted in the uterus

7. Hormonal method?
a. Patch
b. IUD
c. Spermicide
d. Introitus
e. Tubal ligation

8. Barrier method?
a. Patch
b. IUD
c. Spermicide
d. Introitus
e. Tubal ligation

9. Disadvantage of IUD
Leading to a temporary risk of pelvic inflammatory disease (PID)

10. Statement related to sperm donation and intrauterine insemination
Answer: Catalogs can aid a couple in choosing the sperm from which their child may acquire certain characteristics, such as eye color, hair color, body type, intelligence, and interests.

11. Universal moral phylosophy of bioethics?
Answer: nonmalficence, beneficence, autonomy, justice

12. Yang harus diberikan ke pasien kanker stadium akhir
a. Semua treatment yang sesuai dengan protokol
b. Cure baru care
c. Care lebih dominan
d. Cure & care secara seimbang
e. Segala sesuatu yang diinginkannya walaupun itu beresiko terhadap kesehatannya

13. Included in reproductive system
a. Obstetry, gynecology, pediatrics
b. Obstetry, gynecology, pediatrics, family planning
c. Obstetry, gynecology
d. Obstetry, gynecology, contraceptive service

14. WHEN CAN BIOETHICAL ISSUES OCCUR IN GYNECOLOGICAL CASES ?
a. Anamneses
b. GE
c. Lab exam
d. Treatment and follow up
e. It can happen in every stages

15. Bagaimana menghadapi ibu yang baru saja melahikan anak dengan kondisi ambigous genitalia?
a. Langsung mamberitahunya
b. Memberitahunya tapi tidak secara keseluruhan
c. Memberitahunya step by step
d. Phsychology counseling baru memberitahu

16. Included in gynecology?
Woman reproductive system, outside pregnancy

17. Suborgan involve in menstruation
a. Vagina and uterus
b. Vagina & ovaries
c. Uterus, fallopian tube, vagina
d. Ovaries, fallopian tube, vagina
e. Uterus, ovaries, vagina

18. Main function of female reproductive system
Answer: Sex, reproductive, menstruation

19. Female reproductive tract?
Answer: 1 uterus, 2 tubes, 2 ovaries, 1 vagina

20. Location of choriocarcinoma?
a. Ovaries
b. Uterine myometrium
c. Gestational throphoblastic disease
d. Uterine endometrium
e. Cervix

21. Ethically statement untuk pasien choriocarcinoma stage I?
a. Memberitahu kalau dia terkena cancer agar dia bisa mempersiapkan keadaan psychology-nya
b. Tenang saja karena masih early stage

22. Choriocarcinoma, terminal stage, symptom vaginal bleeding dan metastasis to lung and brain. Psychological aspect?
a. Denial
b. Depression
c. Palliative care
d. Anger
e. Isolation



23. Which of the following is NOT the goal of reproductive health service
a. To prevent pregnancy
b. To increase the outcome of pregnancy
c. To prevent mother & fetus morbidity
d. To decrease patients dependence
e. To increase patient satisfaction

24. Which are the following NOT ethical aspect...
a. Is adolscence need family planning?
b. Is induction of menstrual need legal law
c. Is STI need condoms

N.B: Maav soalnya cuma ada seginih soalnya waktu itu banyak yang lupa bwat nyatet soal...

BHP 3 (18-21)

18. Which of the following included in Obstetric?
A. Normal pregnancy & high pregnancy
B. Normal pregnancy & reproductive failure
C. Normal pregnancy, high risk pregnancy, & reproductive failure
D. All kind of pregnancy
E. All kind of pregnancy that ends well
Answer : D.
Explanation : Ga ada di slide sih, tapi menurut diskusi kemaren, reproductive failure belum tentu pada saat kehamilan. Jadi jawaban yang dipilih D.
(Obstetri / Ilmu Kebidanan = ilmu yang mempelajari kehamilan/gravid, persalinan/partus, nifas/puerperium. -Obfis Unpad- )

19. Bioethical issues does not occur, if normal pregnancy :
A. Normal delivery, but mother having postpartum fever
B. Normal delivery, healthy and mature baby, happy parents
C. Delivery runs smoothly, doctor charges fantastically for fee
D. Delivery runs smoothly, mother furious
Answer : B.
Explanation : Ga ada di slide sih, tapi menurut diskusi kemaren, karena postpartum fever, doctor charges fantastically for fee, dan mother furious menimbulkan bioethical issue. Sedangkan option B. semuanya baik-baik saja. Jadi jawaban yang dipilih B.

20. What is purpose of FP (Family Planning)?
A. Prevent high risk and unwanted pregnancy
B. Postpone or limit pregnancy
C. Small, happy, and welfare pregnancy
D. Maintain fertility
E. Prevent unwanted, high risk pregnancy, and postpone pregnancy
Answer : D. / E.
Explanation :
Jika soalnya ada “except”(kecuali), jawabannya D, karena FP tidak me-maintain fertility.
Jika soalnya sama seperti di atas, jawabannya E, karena A,B,C,E semuanya juga tujuan FP, namun option E. yang paling lengkap (dan panjang…^ ^;)

21. GP (General Practitioner) are suppose to be able to give service :
A. All kind of contraceptive method
B. All kind of contraceptive method, except implantation and sterilization
C. All kind of contraceptive method, except sterilization
D. Hormonal, IUD, Barrier method only
E. Oral contraceptive and Barrier method only
Answer: E.
Explanation: Ga ada di slide sih, tapi menurut diskusi kemaren, dokter umum tidak melayani kontrasepsi implantation, sterilization, dan IUD. Jadi jawaban yang dipilih E.

Temen-temen, buat setiap penjelasan yang ga ada di slide, tolong di cross-check lagi, ok?
Thanx. Sukses ujian BHPnya... ^ ^

Soal BHP 3 (10-13)

10. Disadvantage of IUD :
A. Leading to a temporary higher risk of Pelvic Inflammatory Disease (PID)
B. …………….
C. …………….
D. …………….
E. …………….
Answer: A.
Explanation: Slide “Family Planning” (page 25)
“Intrauterine Device : Some risk of bacterial contamination during insertion, leading to a temporary higher risk of pelvic inflammatory disease (PID)”

11. Which of the following statements is related to sperm donation and intrauterine insemination?
A. Sperm and egg are fertilized in a petri dish and the zygote is transferred to uterus for implantation
B. Sperm’s catalog is available so the child may acquire certain characteristics, e.g. hair, eye, colour, skin and colour
C. Sperm donation does not allow genetic disease
D. Success rate being 30%
E. The technique has twice birth defect 20%
Answer: B.
Explanation: Slide “Advanced Technology in Reproductive Medicine” (page31)
“Sperm donation and intrauterine insemination : Catalogs can aid a couple in choosing the sperm from which their child may acquire certain characteristics, such as eye color, hair color, body type, intelligence, and interests.”

12. GP (General Practitioner) are suppose to be able to give service :
A. All kind of contraceptive method
B. All kind of contraceptive method, except implantation and sterilization
C. All kind of contraceptive method, except sterilization
D. Hormonal, IUD, Barrier method only
E. Oral contraceptive and Barrier method only
Answer: E.
Explanation: Ga ada di slide sih, tapi menurut diskusi kemaren, dokter umum tidak melayani kontrasepsi implantation, sterilization, dan IUD. Jadi jawaban yang dipilih E.

12. Which is psychological aspect and hydatidiform mole?
A. Medical complication
B. Distress, disappointed, and fear of repetition
C. Fear of repetition and malignancy
D. Profuse bleeding, reproductive failure, and fear of repetition, and malignancy
E. Decrease in general health condition
Answer: C.
Explanation: Ga ada di slide sih, tapi menurut diskusi kemaren, option A,B,D,E mengandung unsur physiology. Jadi jawaban yang dipilih C.

13. To be professional one has to fulfill which of the following criteria?
A. Intensive preparation, including cognitive, psychomotor, and effective aspect and long life education
B. Intensive long life education, member of solid organization, commiting to individual and service
C. Intensive long life education, member of solid organization, commiting to individual and public service
D. Intensive long life education, member of solid organization, commiting to individual and public service
Answer: D.
Explanation: Slide “Introduction to Medical Professional” (page2)
“A calling requiring specialized knowledge and often long and intensive preparation including instruction and skills and methods as well as in the scientific, historical or scholarly principles, underlying such skills and methods, maintaining by force or organization or concerned opinion, high standard of achievement and conduct, and committing its members to continue study and to a kind of work which has for its prime purpose the rendering of public service.”

SOAL BHP 3

1. Which one is not an ethical issue in Reproductive Medicine?
a. sex selection
b. sperm donor
c. surrogate mother
d. feticide
e. sperm insemination husband

Ans: e
ethical issue: sex selection, destruction of unwanted embryos (feticide), sperm donor, surrogate mother.
klo sperm insemination husband dari sperma suaminya sendiri

2. Preimplantation Genetic Disease (PGD) disadvantage?
a. succesful rate 97%
b. escaped inherited disease
c. prevent risk of miscarriage due to chromosomal abnormalities
d. can be used for sex selection
e. can be used to avoid passing x-linked disease

Ans: d
PGD advantage: helps prevent the risk of miscarriage due to chromosomal abnormalities, success rate 97%, escaped many different kinds of inherited disease, used to avoid passing on x-linked disease.
problem: cause ethical boundaries when it is used for sex selection

3. During Intracellular Sperm Injection (ICSI)
a. a microscopic hole is drilled into ovum or chemical is used to dissolve the outer shell of the ovum
b. a single sperm is injected into the center of an ovum
c. the ova are put in a dish and mixed with sperm, the zygote are implanted
d. the zygote is placed in the fallopian tube allowing it to implant naturally
e. ova and sperm are placed in the fallopian tube before conception

Ans: b
a: zonal dissection
c: in vitro fertilization
d: zygote intra-fallopian tube transfer
e: gamete intra-fallopian tube transfer

4. Which is psychological aspect of hydatidiform mole?
a. medical complication
b. distress, disappointed and fear repetiton
c. fear of repetition and malignancy
d. profuse bleeding, reproductive failure, fear of repetition and malignancy
e. decrease in general health condition

Ans: c
hydatidiform mole adalah keadaan yang terjadi sebagai akibat rusaknya sirkulasi vili korionik pada sel telur abnormal, ditandai dengan proliferasi tropoblas dan edema disolusi serta pembentukan celah kista stroma, yang membentuk kista menyerupai buah anggur

5. What are the objectives of family planning?
a. regulate fertility
b. postpone/space and limit pregnancy
c. prevent high risk and pregnancy
d. build small welfare and happy family
e. regulate fertility, prevent high risk, pregnancy and build welfare happy family

Ans: e
lihat slide family planning

6)Contraception leads to immoral behavior because…
A)Contraceoption makes it easier for people to have sex outside marriage
B)Contraception carries health risk
C)Contraception prevents potential human beings being conceive
D)Enables women whose health would be risk if conceive to continue have sex
E)Contraception may lead to depopulation
Jawab A
Jawaban b merupakan efek samping,c merupakan fungsi dari contrasepsi ,d keuntungannya,e merupakan kerugian didalam segi masyarakat

7)What is in vitro Fertilization (IVF)…
A)Test tube babies are conceived in Petri dish and then is implanted in the uterus
B)Fertility drugs
C)Artificial insemination
D)Mthod of contraception
E)Therapeutic cloning
Jawaban A
Di slide Advanced Technology in reproductive medicine hal 3

8)Hormonal method….
A)Patch
B)IUD
C)Spermicide
D)Introitus
E)Tubal ligation

Jawaban A
Di slide family planning

9)Barrier method…
A.Tubal Ligation
B)IUD
C)Spermicid

Jawaban C
Di slide family planning

14 universal moral philosophy of bioethics are
a. beneficence, honesty, compassion, non maleficence
b. beneficence, honesty, compassion, justice
c. autonomy, beneficence, honesty, justice
d. non maleficence, autonomy, beneficence, justice
e. beneficence, non maleficence, autonomy, honesty

jawaban d karena yang ada pilihan honesty dan compassion salah

15 what is the most important current issues in medical profession
A. people are full of admiration for biomedical technologies
b. dissatisfaction for malpractice and ethical misconduct
c. shift the paradigm from paternalistic to equality
d. ambivalent feeling between admistration in CURE and dissatisfaction in CARE
e. doctor are taking a “defensive medicine” attitude

jawab d care n cure dari kedokteran merupakan art n science nya

16what differentiates medical profesion from other profesion
Jawab a doctor are not supposed to treat patients as commodity business

17which is included in the reproductive system
a. obstetrict
b. obstetrict and ginecology
c. obstetrict, ginecology, pediatrict
d. obstetrict, ginecology, family planning, contraceptive service
e. obstetrict, ginecology, family planning, pediatrict

jawab d karena pediatrict merupakan cabang ilmu yang berbeda dengan repro system