AMA Journal of Ethics®

Illuminating the art of medicine

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AMA Journal of Ethics®

Illuminating the art of medicine

Virtual Mentor. January 2004, Volume 6, Number 1.

Test Questions

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Test Questions: Physician Activism

Physician Activism

1. According to Clinical Case 3 Physician Activism and Civil Disobedience, which of the following considerations would make a physician's act of civil disobedience least defensible?

A. The physician has not exhausted other less radical means first.
B. Many in the medical profession believe that the law in question is not morally defensible.
C. The physicians has already mounted an expensive but unsuccessful public political campaign to have the law in question repealed.
D. The law in question would require the physician to act in ways that he or she personally finds morally reprehensible.
E. None of the above.

2. Which of the following types of political activities is least ethically defensible for physicians?

A. Donating funds to a candidate's campaign.
B. Advising a candidate on her health care policy platform.
C. Providing free voter registration materials in a clinic waiting room.
D. Speaking to a group of physician colleagues in support of a particular candidate.
E. Asking patients to vote for a particular candidate.

3. According to Alan Lippman, MD, the main goal of physician work stoppages in relation to increasing malpractice insurance premiums is to:

A. Withhold care from patients in the hopes that persons denied services will contact their legislators.
B. Draw public attention to the malpractice insurance crisis many physicians are experiencing.
C. Protect physicians from increasing numbers of malpractice lawsuits.
D. Demand higher salaries so physicians can afford malpractice insurance premiums.
E. Punish patients that have sued them in the past.

4. One of the explanations that Howard Brody, MD, PhD, offers for why some physicians choose not to become members of the American Medical Association is:
A. Organizational membership has traditionally been too expensive for many physicians to afford.
B. The AMA has overwhelmingly supported only Democratic candidates in elections.
C. They feel that the AMA has often advocated on behalf of physicians' interests under the guise of protecting the nation's health.
D. A series of scandals in the 1980s involving AMA leadership caused many physicians to discontinue their memberships.
E. The AMA lacks formal efforts to improve the ethics of medicine.

5. One reason Nancy Dickey, MD, proposed for participating in medicine's major professional association instead of smaller specialty societies is:

A. Most medical specialties do not have their own professional associations.
B. Policymakers may be more likely to listen and respond to 1 group that speaks for all of the nation's physicians.
C. Many specialty associations do not engage in any type of advocacy.
D. None of the above.

6. Reasons to encourage medical students to become activists include:
A. In their future practices, they may recognize developing problems that have not yet reached public awareness.
B. They may have better access to data sources than nonprofessionals.
C. Health professionals are generally afforded greater authority in the health advocacy arena.
D. A, B, and C.
E. None of the above.

7. The roots of medical student activism can be traced to the:

A. 1920s, when students advocated for the creation of more medical schools in the United States.
B. 1930s, when students encouraged the construction of free clinics as part of the New Deal.
C. 1940s, when students protested the experiments of Nazi physicians.
D. 1950s, when students took to the streets to advocate for President Truman's national health insurance plan.
E. 1960s, when students protested disparities in health care delivery between public and private hospitals.

8. Traditional criteria for acceptable acts of civil disobedience include:

A. Acts of protest be open and nonviolent.
B. Punishment for breaking the law be accepted.
C. The situation under protest be widely recognized as wrong.
D. The protests be likely to improve the situation or at least not make it worse.
E. All of the above.
F. A, C, and D.

9. Tens of thousands of Korean doctors demonstrated and then went on strike in 2000:

A. To protest the separation of prescribing drugs from dispensing drugs, a government action that forbade physicians to dispense drugs.
B. To protest the licensing of oriental medicine doctors.
C. Because Korea's health insurance finance system was in the red and facing bankruptcy, which would cause the doctors great economic loss.
D. All of the above.
E. A and C.

10. Naltrexone is used in conjunction with other medications to treat withdrawal from opiate medications. The advantage of using naltrexone is:

A. It prevents hepatotoxicity.
It shortens withdrawal time with less cost.
C. It helps treat insomnia.
D. It is safe for patients with liver disease.
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