Advertise Your Pathology Fellowships With Us All fellowship ads appear for one year on our Fellowship page. Postings within the last 90 days are also listed in our. EzineArticles. com allows expert authors in hundreds of niche fields to get massive levels of exposure in exchange for the submission of their quality original articles. Best Canadian Pharmacy Medications. Canadian Pharmacy Meds. My Canadian Pharmacy. Canadian Drug Pharmacy. Online Canadian Pharmacy. CMU Caribbean Medical University Academic transcripts from non U. S. Canadian Schools Not applicable to transfer students from other Caribbean medical schools. Students from non U. S. Canadian schools must request a course by course and GPA evaluation and translation if applicable of their official school transcripts, and they can contact Education Credential Evaluators ECE https www. World Education Services WES http www. National Association of Credential Evaluation Services NACES, http www. High Secondary school transcripts General evaluation GPA. Only evaluated transcripts will be accepted. Anyone looking ethics question get them A 2. 5 year old mother refused immunization for her 2 month old son. The social worker spoke to the mother. Important for Board examinationNext step in management immunization should be given for the benefit of the child. CORRECTIONIMMUNIZATION CAN BE WITH HELD FROM THE CHILD IF PARENTS ARE AGAINST IT. BECUZ LACK OF IMMUNIZATION POSES VERY LITTLE THREAT AND IT IS NEITHER LIFE OR LIMB SAVING. HOWEVER IF GLOBAL CAMPAIGN ON IMMUNIZATION REFUSED APPROPRIATE HEALTH AUTHORITIES SHUD BE NOTIFIEDBREAK CONFIDENTIALETY BECUZ POSING RISK TO OTHERS2. A 3. 0 year old mother refused surgery for suspected appendicitis for her 6 year old daughter. The social worker spoke to the mother. Tabtight professional, free when you need it, VPN service. This Website Is Intended To Provide Medical Ebooks For Free Download By Doctors Medical Students. Important for Board examinationNext step in management surgical removal of the appendix should be preformed for the benefit of the child. RULE PARENTS CANNOT WITHHOLD LIMB OR LIFE SAVING PROCEDURE TO THEIR CHILD3. A 1. 6 year old boy was diagnosed with osteosarcoma of the right thigh. The surgeon recommended amputation. The boy refuses amputation. He is doing very well otherwise. He is aware that death is certain without surgery. Boy lives alone Important. Next step in management amputation should NOT be preformed. Adolescent patients or adults who are competent in making decisions have an absolute right to determine what shall be done with their own bodies. However, most pediatric patients are not competent to make their own decisions. Please remember, children 1. Therefore physicians may respond to their request, except in a case of irreversible sterilization. A 1. 7 year old girl is a Jehovahs Witness. She refuses a lifesaving blood transfusion. She is aware of the consequences. She spoke to the social worker. ImportantNext step in management blood transfusion should NOT be given because she is competent to make the decision. A 5 year old girl is a Jehovahs Witness. She requires emergency blood transfusion. Her mother refuses blood transfusion. A social worker along with two physicians spoke to the mother. ImportantNext step in management blood transfusion should be given because the patient is not competent. Mother cannot refuse her daughters treatment. LIFE SAVING6. A 2 year old boy was brought to the ER by his parents for an injury. Physicians made the diagnosis of child abuse. There are three other children living in the same household. Both parents confess to child abuse but request the physician to keep it confidential. Social worker was involved. ImportantNext step in management the case should be reported to Child Welfare Agency CWA. All children should be removed from the parents by the CWA. CWA can and take the custody of children. A 1. 5 year old boy with STD sexually transmitted disease came to see a physician. He asked the physician not to tell his parents. VERY IMPORTANTNext step in management the physician should treat the patient and notify the appropriate health authority, but should not tell his parents. A 1. 6 year old boy wants to use a condom. He comes to the clinic for free samples. He requested the physician, however, not to tell his parents. ImportantNext step in management condom should be given and physician should not tell his parents. A 3. 0 year old male patient is recently diagnosed with HIV. He lives with his wife and two other children but is promiscuous. He requested the physician not to tell his wife. He lost his job recently. Social worker spoke to the patient. Very ImportantNext step in management physician should notify the appropriate authority e. The physician however, should ask the patient to divulge the diagnosis to his wife and other sexual partners. A very small premature infant was born in the delivery room by NSVD normal spontaneous vaginal delivery. The attending physician decided not to resuscitate the newborn. Physician spoke to the mother. Mother started to cry. Newborn expired after 3. Is the physician liable for the newborns deathAnswer NO. Please remember, no physician in the USA has ever been found liable for withholding or withdrawing any life sustaining treatment from any patient for any reason. DNR from parents. A physician picked up a car accident victim from the street and brought him to the ER in his car. He did not want to wait for an ambulance because the patients condition was critical. Physical examination in the ER reveals quadriplegia. Is the physician liable for this consequence Very ImportantAnswer YES, because the physician did not protect the neck of the patient resulting in quadriplegia. Samaritan laws not fully fulfilled. A policeman brought an alcoholic patient to the ER. The policeman asked the physician to give him a sample of gastric contents by putting a nasogastric tube for laboratory study. The patient refused insertion of a nasogastric tube. Very ImportantNext step in management nasogastric tube should not be placed. Blood alcohol level however should be preformed. The policeman should not give orders to a physician. A 6. 0 year old man with a history of myocardial infarction MI suddenly develops ventricular tachycardia. A physician from another department was present. The patient needs resuscitation. Very ImportantNext step in management the physician must resuscitate that patient. Physician should not refuse treatment because he belongs to another department. A 1. 5 year old homosexual boy wanted to change his sexual orientation. He was not successful. He needed help. He requested the physician not to tell his parents. ImportantNext step in management physician should help him avoid homosexual activities. Physician should not tell his parents about his homosexual activities. A 1. 5 year old homosexual boy is brought by his parents to a physician. His parents do not accept their sons sexual orientation. The boy refuses to change. ImportantNext step in management physician should tell his parent that homosexual activity is considered as an alternative life style. Parents should talk to his son but should not force him to change his homosexual activities. A 1. 6 year old girl becomes pregnant. Her mother wanted her to abort this pregnancy. The girl wanted to continue her pregnancy despite difficulties. Her boyfriend is a high school drop out. ImportantNext step in management physician should advise to continue this pregnancy because the girl is partailly competent to make this decision only about her pregnancy. controversial, diff states diff rules, so unlikely to be tested on exam1. A 1. 5 year old girl recently becomes pregnant. She went to a doctor for abortion. She told the doctor not to tell her parents about this pregnancy. ImportantNext step in management abortion should be done and parents should not be notified. Please remember, strict requirements for parental consent may deter many adolescents from seeking health care. abortion contraversial. Can a physician provide sterile needles for intravenous drug abusers ImportantAnswer YES. It reduces the risk of acquiring HIV or hepatitis. The patients should be referred to appropriate health facilities. A 2. 6 year old pregnant woman went for antenatal check up. Sonogram revealed a 2. Doctor recommended intrauterine fetal blood transfusion. She refused the procedure. Social worker discussed the case with the mother. ImportantNext step in management doctor should receive a court to do the procedure which will help the fetal condition. A HIGHLY DEBATABLE ASPECT.