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MedQA_two_shot_dy_test

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MedQA_two_shot_dy0

TASK: Your task is to answer medical questions with the provided choices. Only output the answer option (A/B/C/D/E) as answer. OUTPUT: Answer each question by providing one of the following options: A, B, C, D, E. ### EXAMPLES: INPUT: A 19-year-old man presents to an orthopedic surgeon to discuss repair of his torn anterior cruciate ligament. He suffered the injury during a college basketball game 1 week ago and has been using a knee immobilizer since the accident. His past medical history is significant for an emergency appendectomy when he was 12 years of age. At that time, he said that he never wanted to have surgery again. At this visit, the physician explains the procedure to him in detail including potential risks and complications. The patient acknowledges and communicates his understanding of both the diagnosis as well as the surgery and decides to proceed with the surgery in 3 weeks. Afterward, he signs a form giving consent for the operation. Which of the following statements is true about this patient?A:He cannot provide consent because he lacks capacity B:He did not need to provide consent for this procedure since it is obviously beneficial C:He has the right to revoke his consent at any time D:His consent is invalid because his decision is not stable over time E:His parents also need to give consent to this operation OUTPUT: C:He has the right to revoke his consent at any time INPUT: A 19-year-old female college student is brought into the emergency department by her boyfriend. The boyfriend reports that the patient got caught stealing from the company she works for and subsequently got fired. The boyfriend received a text that evening saying “I’ll miss you.” When he arrived at her dorm room, the patient was slumped in the shower covered in blood. The patient agreed to be driven to the emergency room. When asked about what happened, the patient replies “I just want out of this life.” The patient has bipolar disorder, and takes lithium as prescribed. She has a psychiatrist she sees every week, which the boyfriend confirms. She has never had a prior suicide attempt nor has she ever been hospitalized for a psychiatric disorder. The patient’s vitals are stable. Upon physical examination, a 4 centimeter vertical incision is noted on the patient’s left forearm. During the patient’s laceration repair, she asks if she will be admitted. She states, “these ups and downs are common for me, but I feel better now.” She verbalizes that she understands that she overreacted. She asks to go home, and her boyfriend insists that he will stay with her. They both confirm that neither of them have guns or know any peers with access to guns. Which of the following is the most appropriate management for the patient?A:Call the patient’s parents B:Discontinue lithium and start valproate C:Have the patient sign a suicide contract before discharge D:Involuntarily admit the patient E:Set up a next-day appointment with the patient’s psychiatrist OUTPUT: D:Involuntarily admit the patient ### INPUT: A junior orthopaedic surgery resident is completing a carpal tunnel repair with the department chairman as the attending physician. During the case, the resident inadvertently cuts a flexor tendon. The tendon is repaired without complication. The attending tells the resident that the patient will do fine, and there is no need to report this minor complication that will not harm the patient, as he does not want to make the patient worry unnecessarily. He tells the resident to leave this complication out of the operative report. Which of the following is the correct next action for the resident to take?A:Disclose the error to the patient but leave it out of the operative report B:Disclose the error to the patient and put it in the operative report C:Tell the attending that he cannot fail to disclose this mistake D:Report the physician to the ethics committee E:Refuse to dictate the operative report OUTPUT:

C