Deck 8: Physicians Public Duties and Responsibilities

Question 1

Answer the following questions in the spaces provided.
List five physical and five behavioral clues that may indicate that a patient has been a victim of abuse.
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Answer 1

The Unborn Victims of Violence Act was passed by the government in 2004. This act provides prosecution provisions of the person who has caused death or injury to fetus in uterus.
The abuse can be indentified in many aspects. The abuse can be physical or behavioral. The physical abuse relates to the abuse done on or to the body of the person and behavioral abuse refers to the abuse done to the person which is not visible.
The signs of physical of abuse are:
1. Fractures caused due to unknown reasons
2. Injuries in repeated mode.
3. Marks on body due to biting, burns and others.
4. Dehydrated or malnourished body.
5. Harm to genital areas
The signs of behavioral abuse are:
1. Unreasonable injuries.
2. Irregular medical appointments.
3. Hiding the injuries
4. Loss of control on emotions and anxious
5. Loss of appetite and problems at work place.

Question 2

Answer the following questions in the spaces provided.
Are public health statutes in all states the same? Why or why not?
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Answer 2

Public health status:
Public health is defined as the science of preventing diseases. The government takes initiative for increasing life of the citizens and promoting initiatives for organizing health of the humans and taking efforts in the same regards. In every country, there is an organization who presents status of the public health on timely basis. The status provides the status of the physical, social and mental well-being of the public and not stating the absence of the disease.
In all the states, the physicians and other health care practitioners are required to provide the data regarding the births, deaths, diseases i.e. communicable or non-communicable, injuries, and abuse in regards to the drug and child.
The public health status varies from state to state which depends on the deaths of the fetus and the status of the stillbirths, time period allowed to file the reports and the manner in which the information is required to be reported.
Hence, it can be said that the public health status vary from state to state because of the reasons as stated above.

Question 3

Match each of the following descriptions with the correct term by writing the appropriate letter in the space provided.
Created a no-fault compensation program for citizens injured or killed by vaccines, as an alternative to suing vaccine manufacturers and providers.
a. Unborn Victims of Violence Act
b. Drug Enforcement Administration (DEA)
c. National Childhood Vaccine Injury Act of 1986
d. Food and Drug Administration (FDA)
e. Amendments to the Older Americans Act
f. Controlled Substances Act
g. Child Abuse Prevention and Treatment Act of 1974
h. public health statutes

Answer 3

c

Question 4

Match each of the following descriptions with the correct term by writing the appropriate letter in the space provided.

Question 5

Birth certificates must be filed for_____.
Requirements vary with states for _____.

Question 6

Answer the following questions in the spaces provided.
Who may legally file birth certificates for newborns?
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Question 7

Match each of the following descriptions with the correct term by writing the appropriate letter in the space provided.
The federal law that makes killing or injuring a fetus a crime separate from killing or injuring the pregnant mother.
a. Unborn Victims of Violence Act
b. Drug Enforcement Administration (DEA)
c. National Childhood Vaccine Injury Act of 1986
d. Food and Drug Administration (FDA)
e. Amendments to the Older Americans Act
f. Controlled Substances Act
g. Child Abuse Prevention and Treatment Act of 1974
h. public health statutes

Question 8

Answer the following questions in the spaces provided.
Give five examples of noncommunicable diseases for which reporting may be mandated in certain states.
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Question 9

Answer the following questions in the spaces provided.
Should a physician report to the state a greater than normal influenza outbreak in his or her community? Why or why not?
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Question 10

Use your critical-thinking skills to answer the questions that follow the case study.
Barbara, a medical assistant, noticed that her aunt, who suffered chronic pain from a neck injury, carried two bottles of Percodan in her purse. "Two doctors write prescriptions for me," Barbara's aunt confided, "but neither knows about the other. That's the only way I can get enough medication to control my pain."
In Barbara's place, would you report your aunt's deception to the physicians named on her prescriptions? Explain your answer
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Question 11

Name three circumstances in which an attending physician may not legally complete a death certificate.
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Question 12

Answer the following questions in the spaces provided.
Which physicians must register with the federal Drug Enforcement Administration?
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Question 13

Use your critical-thinking skills to answer the questions that follow the case study.
Barbara, a medical assistant, noticed that her aunt, who suffered chronic pain from a neck injury, carried two bottles of Percodan in her purse. "Two doctors write prescriptions for me," Barbara's aunt confided, "but neither knows about the other. That's the only way I can get enough medication to control my pain."
What would you tell your aunt?
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Question 14

Answer the following questions in the spaces provided.
Four vital statistics that the government collects are _____, _____ _____, _____, and_____.
Of these, the physician should be concerned with documenting _____ and _____.

Question 15

Answer the following questions in the spaces provided.
The _____ is responsible for testing and approving drugs for public use, while the _____ regulates the sale and use of drugs.

Question 16

Answer the following questions in the spaces provided.
Referring to the drug schedules, name the category/categories of drugs for which prescriptions may not be renewed.
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Question 17

Use your critical-thinking skills to answer the questions that follow the case study.
Barbara, a medical assistant, noticed that her aunt, who suffered chronic pain from a neck injury, carried two bottles of Percodan in her purse. "Two doctors write prescriptions for me," Barbara's aunt confided, "but neither knows about the other. That's the only way I can get enough medication to control my pain."
How can physicians guard against such abuses by patients?
One of a physician's patients, a well-respected citizen in a small community, saw the doctor with a complaint of blood in his urine (hematuria). The physician asked the patient if he'd had any new sexual partners recently, and the patient admitted that he had. The physician explained to the patient that his urine specimen had been positive for the STD chlamydia. The physician urged the patient to discuss his medical condition with his wife, who was also the physician's patient, but the man seemed reluctant.

Question 18

Define vital statistics.
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Question 19

What two federal agencies control the manufacture and standardization of drugs and their sale and use?
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Question 20

Answer the following questions in the spaces provided.
If physicians may not prescribe Schedule I drugs for patients, what is the value of those drugs?
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Question 21

ETHICS ISSUE 1: In 2007, Andrew Speaker, a personal injury attorney, flew via public transportation from Atlanta, Georgia, to Paris, to get married. He returned to the United States on a flight from Prague, Czech Republic, to Montreal, Canada, then crossed the border into the United States. Speaker was thought to have an extremely contagious and untreatable form of multidrug-resistant tuberculosis, diagnosed before he left the United States. Upon Speaker's return to the United States, the Centers for Disease Control used a provision of the Public Health Service Act to involuntarily hospitalize and isolate him. Speaker's diagnosis was later corrected: He had a treatable form of drug-resistant tuberculosis. At least nine individuals who were passengers on the flights Speaker took later filed civil suits against him for knowingly exposing them to the disease. Speaker was the first person to be quarantined by the CDC since 1963.
Thinking as a health care practitioner, in your opinion should Mr. Speaker's autonomy as a person have taken precedence over the CDC's desire to enforce public health law? Explain your answer.

Question 22

Answer the following questions in the spaces provided.
List eight federal recommendations to be followed in completing birth and death certificates.

Question 23

Answer the following questions in the spaces provided.
There are _____ schedules of controlled drugs. Schedule _____ drugs are the most addicting and have the most stringent controls. Schedule_____drugs have the least potential for abuse of all the schedules for controlled substances.

Question 24

Answer the following questions in the spaces provided.
Which federal agency tests and approves drugs before releasing them for public use and oversees drug quality and standardization?
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Question 25

Complete the activities and answer the questions that follow.
Visit the Web site for federal statistics at www.fedstats.gov. For what year are the most recent statistics available? What is the birth rate for the United States for that year?
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Question 26

Define autopsy.
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Question 27

Use these three terms correctly in the sentences that follow: prescribe, dispense, administer.
Dr. Wellness will _____ the drug to his patient, Mrs. Doe, when he starts an intravenous injection.

Question 28

Answer the following questions in the spaces provided.
In the medical office, who is generally responsible for keeping accurate records concerning prescribing and dispensing drugs?
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Question 29

ETHICS ISSUE 2: A minor is admitted to the hospital as a result of a sexual assault, which she says was perpetrated by an uncle who lives in the household. The minor's mother indicates that the uncle is under treatment for gonorrhea with a local physician. A caseworker with Children's Protective Services is called and she has asked the local physician named for permission to review the uncle's medical records.
What values are involved in Ethical Issue 2?
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Question 30

Answer the following questions in the spaces provided.
After a person is pronounced dead, the attending physician must complete the medical portion of the death certificate. What information does this generally include?
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Question 31

Answer the following questions in the spaces provided.
Does your community have a coroner or a medical examiner? Is this an elective or an appointive office? Where will you find this information?
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Question 32

ETHICS ISSUE 1: In 2007, Andrew Speaker, a personal injury attorney, flew via public transportation from Atlanta, Georgia, to Paris, to get married. He returned to the United States on a flight from Prague, Czech Republic, to Montreal, Canada, then crossed the border into the United States. Speaker was thought to have an extremely contagious and untreatable form of multidrug-resistant tuberculosis, diagnosed before he left the United States. Upon Speaker's return to the United States, the Centers for Disease Control used a provision of the Public Health Service Act to involuntarily hospitalize and isolate him. Speaker's diagnosis was later corrected: He had a treatable form of drug-resistant tuberculosis. At least nine individuals who were passengers on the flights Speaker took later filed civil suits against him for knowingly exposing them to the disease. Speaker was the first person to be quarantined by the CDC since 1963.
In your opinion, should Mr. Speaker's concern for others have superseded his plans to fly to Europe to get married? Explain your answer.
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Question 33

Complete the activities and answer the questions that follow.
Visit the Web site for the National Vaccine Injury Compensation Program (VICP) at www.hrsa.gov/vaccinecompensation/. Who is eligible to file a claim? Is the vaccine for the human papilloma virus covered under the VICP?
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Question 34

Define coroner.
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Question 35

Use these three terms correctly in the sentences that follow: prescribe, dispense, administer.
Under the law, medical assistants may not _____ drugs for patients but may _____ or _____ them under a physician's direct order.

Question 36

Match each of the following descriptions with the correct term by writing the appropriate letter in the space provided.
Tests and approves drugs for public use.
a. Unborn Victims of Violence Act
b. Drug Enforcement Administration (DEA)
c. National Childhood Vaccine Injury Act of 1986
d. Food and Drug Administration (FDA)
e. Amendments to the Older Americans Act
f. Controlled Substances Act
g. Child Abuse Prevention and Treatment Act of 1974
h. public health statutes

Question 37

ETHICS ISSUE 3: Laws that require the reporting of cases of suspected abuse of children and elderly persons often create a dilemma for health care practitioners. The parties involved, both the suspected offenders and the victims, will often plead that the matter be kept confidential and not be disclosed or reported for investigation by public authorities.
What could you do to protect the woman if she does not admit abuse, but you are reasonably sure that she is being abused?
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Question 38

Answer the following questions in the spaces provided.
Explain the difference between a coroner and a medical examiner.
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Question 39

ETHICS ISSUE 1: In 2007, Andrew Speaker, a personal injury attorney, flew via public transportation from Atlanta, Georgia, to Paris, to get married. He returned to the United States on a flight from Prague, Czech Republic, to Montreal, Canada, then crossed the border into the United States. Speaker was thought to have an extremely contagious and untreatable form of multidrug-resistant tuberculosis, diagnosed before he left the United States. Upon Speaker's return to the United States, the Centers for Disease Control used a provision of the Public Health Service Act to involuntarily hospitalize and isolate him. Speaker's diagnosis was later corrected: He had a treatable form of drug-resistant tuberculosis. At least nine individuals who were passengers on the flights Speaker took later filed civil suits against him for knowingly exposing them to the disease. Speaker was the first person to be quarantined by the CDC since 1963.
In your opinion, did the CDC act within its ethical and legal authority in involuntarily quarantining Mr. Speaker? Explain your answer.
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Question 40

ETHICS ISSUE 2: A minor is admitted to the hospital as a result of a sexual assault, which she says was perpetrated by an uncle who lives in the household. The minor's mother indicates that the uncle is under treatment for gonorrhea with a local physician. A caseworker with Children's Protective Services is called and she has asked the local physician named for permission to review the uncle's medical records.
Does the minor's best interest supersede the alleged offender's right to privacy? Explain your answer.
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Question 41

Complete the activities and answer the questions that follow.
Find the Web site for your state's Department of Health. Which communicable diseases must be reported in your state? To whom must you report communicable diseases? What is the process involved? At this Web site, can you tell which diseases are prevalent in your state? How?
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Question 42

Define medical examiner.
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Question 43

Answer the following questions in the spaces provided.
What are the reportable diseases mandated by law in your state? Where did you find this information?
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Question 44

Match each of the following descriptions with the correct term by writing the appropriate letter in the space provided.
Also known as the Comprehensive Drug Abuse Prevention and Control Act of 1970.
a. Unborn Victims of Violence Act
b. Drug Enforcement Administration (DEA)
c. National Childhood Vaccine Injury Act of 1986
d. Food and Drug Administration (FDA)
e. Amendments to the Older Americans Act
f. Controlled Substances Act
g. Child Abuse Prevention and Treatment Act of 1974
h. public health statutes

Question 45

Complete the activities and answer the questions that follow.
Visit the Web site for federal statistics at www.fedstats.gov. For what year are the most recent statistics available? What is the birth rate for the United States for that year?
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Question 46

Answer the following questions in the spaces provided.
List four situations in which a death certificate must be completed by a medical examiner or coroner.
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Question 47

Use these three terms correctly in the sentences that follow: prescribe, dispense, administer.
When a pharmacist fills a patient's prescription, he or she then _____ the drug to the patient.

Question 48

ETHICS ISSUE 3: Laws that require the reporting of cases of suspected abuse of children and elderly persons often create a dilemma for health care practitioners. The parties involved, both the suspected offenders and the victims, will often plead that the matter be kept confidential and not be disclosed or reported for investigation by public authorities.
If the woman protests that she is simply "accident prone," how might you phrase your response? Would you drop the matter at this point or continue to question the woman?
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Question 49

What was the death rate? What were the three leading causes of death in the United States?
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Question 50

Define forensics.
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Question 51

ETHICS ISSUE 2: A minor is admitted to the hospital as a result of a sexual assault, which she says was perpetrated by an uncle who lives in the household. The minor's mother indicates that the uncle is under treatment for gonorrhea with a local physician. A caseworker with Children's Protective Services is called and she has asked the local physician named for permission to review the uncle's medical records.
Should the caseworker be allowed to review the uncle's medical records? Why or why not?
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Question 52

Match each of the following descriptions with the correct term by writing the appropriate letter in the space provided.
As a branch of the Department of Justice, regulates the sale and use of drugs.
a. Unborn Victims of Violence Act
b. Drug Enforcement Administration (DEA)
c. National Childhood Vaccine Injury Act of 1986
d. Food and Drug Administration (FDA)
e. Amendments to the Older Americans Act
f. Controlled Substances Act
g. Child Abuse Prevention and Treatment Act of 1974
h. public health statutes

Question 53

Visit the Web site for the National Vaccine Injury Compensation Program (VICP) at www.hrsa.gov/vaccinecompensation/. Who is eligible to file a claim? Is the vaccine for the human papilloma virus covered under the VICP?
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Question 54

Answer the following questions in the spaces provided.
What is the purpose of a coroner's inquest?
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Question 55

Answer the following questions in the spaces provided.
What regulations apply in your state to the reporting of HIV and AIDS cases? Is identity of the patient protected by law? Where did you find this information?
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Question 56

Match each of the following descriptions with the correct term by writing the appropriate letter in the space provided.
Require reports of communicable diseases and certain injuries, as mandated by state laws.
a. Unborn Victims of Violence Act
b. Drug Enforcement Administration (DEA)
c. National Childhood Vaccine Injury Act of 1986
d. Food and Drug Administration (FDA)
e. Amendments to the Older Americans Act
f. Controlled Substances Act
g. Child Abuse Prevention and Treatment Act of 1974
h. public health statutes

Question 57

Find the Web site for your state's Department of Health. Which communicable diseases must be reported in your state? To whom must you report communicable diseases? What is the process involved? At this Web site, can you tell which diseases are prevalent in your state? How?
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Question 58

Where are birth certificates and death certificates filed?
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Question 59

ETHICS ISSUE 3: Laws that require the reporting of cases of suspected abuse of children and elderly persons often create a dilemma for health care practitioners. The parties involved, both the suspected offenders and the victims, will often plead that the matter be kept confidential and not be disclosed or reported for investigation by public authorities.
Assume you are a member of the health care team that has repeatedly treated a woman for injuries that appear to have been inflicted by another. How might you phrase an opening question in order to learn whether or not she is the victim of abuse?
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Question 60

Match each of the following descriptions with the correct term by writing the appropriate letter in the space provided.
Mandates reporting of child abuse.
a. Unborn Victims of Violence Act
b. Drug Enforcement Administration (DEA)
c. National Childhood Vaccine Injury Act of 1986
d. Food and Drug Administration (FDA)
e. Amendments to the Older Americans Act
f. Controlled Substances Act
g. Child Abuse Prevention and Treatment Act of 1974
h. public health statutes

Question 61

ETHICS ISSUE 2: A minor is admitted to the hospital as a result of a sexual assault, which she says was perpetrated by an uncle who lives in the household. The minor's mother indicates that the uncle is under treatment for gonorrhea with a local physician. A caseworker with Children's Protective Services is called and she has asked the local physician named for permission to review the uncle's medical records.
What is the first duty of health care practitioners caring for the minor in Ethical Issue 2?
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