AMA Journal of Ethics®

Illuminating the art of medicine

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AMA Journal of Ethics®

Illuminating the art of medicine

Virtual Mentor. May 2004, Volume 6, Number 5.

Test Questions

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Test Questions: Medicine's Response to Terrorism

Medicine's Response to Terrorism

1. Which of the following is a true statement about resident physicians' duty to treat:

A. Since residents spend the most time at the hospital, it is appropriate for them to be the first or only physician to treat patients with infectious diseases that require quarantine.
B. Residents are the first-line of defense in treating patients with infectious diseases because they do most of the hospital grunt work.
C. Residents should be involved with treating patients that are possibly the victims of bioterrorism with the assistance of an attending physician.
D. Residents should not be asked to treat patients that are possibly the victims of bioterrorism because of the possibility that residents will bear an undue burden to treat due to their place in the hospital hierarchy.

2. Physicians' responsibilities in caring for patients during disaster situations include:

A. Offering psychotherapy.
B. Assuring patients that everything will be fine.
C. Inquiring about past traumatic events.
D. Delivering important information in person.

3. Which of the following conditions is not considered by David Resnik to be necessary condition for the government to legitimately override a patent in response to terrorism?

A. Failure of good faith negotiations.
B. Public demand for the drug.
C. National emergency.
D. Agreement to compensate the patent holder for loss.

4. In the opinion of Drs Victor Sidel and Barry Levy, the diversion of resources into terrorism preparedness has contributed to:

A. The worst outbreak of tuberculosis in Seattle in 30 years.
B. A decline in pediatric vaccination rates in more than 10 states.
C. Strengthened community trust in the public health system.
D. An outbreak of anthrax in military personnel.

5. A patient who has not been exposed to anthrax requests ciprofloxacin as a prophylactic antibiotic. The physician's most appropriate response is:

A. "Prescribing this antibiotic for you would be harmful to public health, so I cannot do it."
B. "Okay, but make an appointment immediately if you observe any symptoms."
D. "Why do you think you need this medication?"
E. "Why don't I prescribe a sleeping aid instead?"

6. In a disaster triage situation, such as a major terrorist attack:

A. The worst-off patients must be attended to first.
B. A utilitarian rationale (do the most good for the most people) should generally be followed.
C. It is not ethically defensible to consider official or societal functions in triage assessment.
D. Ambulatory patients should not be asked to care for or console more seriously injured patients.

7. According to the journal discussion, within Alex John London's generic concept of the common good human, subjects cannot consent to participate in biochemical weapons research unless:

A. Community survival is threatened.
B.The research must be likely to confer a clinically significant benefit or protection to the trial participant.
C. There is high societal demand.
D. All of the above.
E. B, C.

8. According to Shane K. Green, universal access to medical care is a primary defense against bioterrorist attacks because it may allow for the isolation of index cases and close contacts and thus limit the spread of the disease.

A. True.
B. False.

9. The goals of the Bioterrorism Training and Curriculum Development Program are for the health care workforce to:

A. Detect and recognize a terrorist event.
B. Provide care patients and victims in a safe and appropriate manner.
C. Report any suspicious illnesses to the Homeland Security Department so they may investigate possible
D. Understand how to rapidly alert the public health and emergency response systems at the local, state, and
national levels.
E. All of the above.
F. B, C, D.
G. A, B, D.

10. Lisa A. Eckenwiler suggests that to understand the nature of the terrorism threat we should concentrate on:

A. The global economic structures that contribute to insecure production systems and jobs markets.
B. Current religious clashes and how they shape international politics.
C. Weak democracies.
D. The international weapons trade.
E. All of the above.
F. A, C, D.

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