Virtual Mentor. March 2005, Volume 7, Number 3.

Test Questions

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Test Questions: Ethics in Adolescent Medicine

1. When parents request a drug screen for an asymptomatic teen patient, the physician should:

A.	Discuss the fact that a urine test is not conclusive evidence of drug use or nonuse.
B.	Recommend counseling and drug evaluation.
C.	Perform the test at the parents’ request without the patient’s consent.
D.	All of the above.
E.	A and B.

2. A physician who is managing the care of a teen with an eating disorder faces the ethical dilemma of:

A.	Protecting patient autonomy in vulnerable populations.
B.	Obtaining informed consent from a minor.
C.	Limits of confidentiality in treating a minor patient.
D.	Evidence for use of medication in treating eating disorders.

3. Appropriate steps to take when transferring care for a patient from pediatric or adolescent teams to adult subspecialists include:

A.	Early emphasis on independent management of illness.
B.	Introducing transition of care several years before it is to occur.
C.	Giving the adult team responsibility for all communication with the patient.
D.	All of the above.
E.	A and B.

4. According to the JAMA study reviewed in this month’s issue, which of the following are appropriate treatments for adolescents with depression?

A.	Antidepressant medication.
B.	Cognitive behavior therapy.
C.	Both.
D.	Neither.

5. Which societal change in the 20th century contributed to the establishment of adolescent medicine as a subspecialty of it own?

A.	Rise in death rates from disease among the adolescent population.
B.	Rising rates of teenage pregnancy, substance abuse, and accidents.
C.	Increase in percentage of teens who remained in school and college rather than seeking jobs and becoming independent.
D.	Reluctance of pediatricians to treat adolescent patients.
E.	All of the above.

6. Adolescent medicine can be incorporated into medical school curricula:

A.	In behavioral science courses in MS1 and 2.
B.	In communications courses in MS1 and 2.
C.	As an adolescent medicine rotation in MS 4.
D.	By exposing medical students to adolescent patients on ER, family practice, OB/GYN, internal medicine and pediatric rotations.
E.	All of the above.

7. Ethical concerns faced by physicians who care for incarcerated adolescents include:

A.	Caring for pregnant teens in states that have restrictive laws governing minors and abortion services.
B.	Some jurisdictions do not have a mandate to provide medical care for incarcerated adolescents that meets local standards.
C.	The American Academy of Pediatrics has no published position paper on care of juveniles in correctional facilities.
D.	All of the above.
E.	B and C.

8. Physicians advising adolescents who seek cosmetic plastic surgery should:

A.	Inquire whether the teens’ parents are in favor of the surgery.
B.	Understand that postponing plastic surgery for a disfigurement can expose the teen to harmful ridicule.
C.	Understand that teens may request plastic surgery that they will later regret.
D.	Inform teens that body image satisfaction is known to improve between adolescence and adulthood among those who don’t have surgery as well as among those who do.
E.	All of the above.
F.	A, C, and D.

9.In the HEADSS mnemonic for interviewing adolescents, all of the following are correct EXCEPT:

A.	D stands for driving.
B.	H stands for home.
C.	E stands for education/employment.
D.	A stands for activities.
E.	S stands for sex and suicidality.

10. Many states have exceptions to the requirement for parental consent when it comes to providing medical care for:

A.	Emancipated minors.
B.	Pregnant teens.
C.	Teens who seek advice about substance abuse.
D.	Teens who request contraception.
E.	All of the above.

11. Which methods can doctors use to diagnose gender identity disorder in teenagers?

A.	Ask the patient about his or her sexual orientation and activity.
B.	Consult the DSM-IV for criteria that match patient's reports and the doctor's observations.
C.	Notice signs of bullying, depression, avoidance of school/classes, hesitancy surrounding dating.
D.	All of the above.
E.	B, C, and D.