5-topnotch-legal-medicine-and-juris-superexam1

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] DEAR TOPNOTCH FRIENDS: PLEASE FOLLOW THESE INSTRUCTIONS: 1. These questions are previous diagnostic, midterm, and finals exams of Topnotch, almost all of them made by Topnotch Board Exam Topnotchers. 2. Answer this Topnotch Superexam seriously 100-items at a time. Cover the “Explanations” Column. Do not immediately look at the answers from the answer key. That’s not the correct way of answering sample exams. You need to treat these MCQs as exercises and not as handouts. 3. Time yourself. 1.5 hours per 100-item block. 4. After answering each 100-item block, refer to the Topnotch Answer Key for the correct answers. Please be careful of “frameshift mutations” when checking your answers – check every 10 items. (the format of the answer key was designed for you to practice against “frameshift mutations”) 5. The Topnotch Superexams are EXERCISES for the actual med boards. They will not appear verbatim in your future exams. More than knowing what’s the correct answer, it’s more important for you to: a. Know why the other choices are wrong b. Know why the other choices were included in the first place c. Know the explanation to the correct answer 6. Sharpen your mind by answering the Topnotch Superexams. Most of these questions based on past feedback are more difficult than the actual questions in the med boards. In these exams made by Board Exam Topnotchers, if you’re getting a score of 60/100 , that’s already a good score. More than 80/100 is outstanding. Item QUESTION EXPLANATION AUTHOR TOPNOTCH # EXAM 1 Medical service is referred to in the physician-patient The professional fee is the cause or the KRISTEL TANHUI DIAGNOSTIC relationship as: consideration. (TOP 3 - AUG 2015 EXAM - MARCH A. Object of the contract The nature of the relationship is consensual MED BOARDS; 2016 B. Cause or consideration and fiduciary. TOPNOTCH MD C. Consent FROM LA SALLE) D. Professional fee Source: Topnotch handout on legal medicine. E. All of the above

2

The preliminary examination of the Physician licensure examination in the Philippines includes: A. Anatomy, Physiology, Biochemistry only B. Anatomy, Physiology, Biochemistry, Microbiology only C. Anatomy, Physiology, Biochemistry, Microbiology, Pathology only D. Anatomy, Physiology, Biochemistry, Pathology and Pharmacology only E. Anatomy, Physiology, Biochemistry, Microbiology, Pathology, Pharmacology only

Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

3

Who comprises the board of medicine? A. 1 chairman and 4 members B. 1 chairman and 5 members C. 1 chairman and 6 members D. 2 co-chairs and 4 members E. 2 co-chairs and 6 members

Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

4

The nature of the physician-patient relationship is/are: A. Fiduciary B. Consensual C. Serendipitous D. A and B E. All of the above

Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

5

Which of the following is the site of remote action of arsenics and thus will have pathologic findings on autopsy? A. Peripheral nerve B. Mucous membrane C. Liver D. Heart E. GIT

Postmortem findings of epicardial hemorrhage is suggestive of arsenic poisoning. Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

6

Fingerprints appear in the fetus as early as: A. 2nd month B. 3rd month C. 4th month D. 5th month E. 6th month

Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 1 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 7

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM DIAGNOSTIC EXAM - MARCH 2016

Which of the following is not helpful in distinguishing the sex of the skeleton? A. Pelvis B. Sternum C. Skull D. Humerus E. 3rd Proximal Phalanges

Parts of the skeleton which are useful in determining the sex of the skeleton: Pelvis, sternum, skull, humerus, femur. The pelvis is the most informative. Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

8

A method of identification which utilizes anthropometrics: A. Rougue’s gallery B. Bertillion system C. Portrait parle D. Photographic profile E. All of the above

The rogue’s gallery and photographic profile both utilize pictures or sketches for identification. Portrait parle is a verbal, accurate and picturesque description of the person identified. Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

9

On postmortem examination, cutis galina or washerwoman’s hands were noted on the body. This signifies: A. The cause of death is drowning B. The occupation of the deceased involved water exposure C. The corpse has been submerged in water for a long period of time D. The deceased had a chronic skin disorder prior to death E. The deceased died of anaphylaxis

Cutis galina – submerged in water Cutis galina – submerged in water…. Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

10

On changing the position position of a cadaver, the location of lividity does not shift. Which form of suggilation is this? A. Disinterment B. Hypostatic C. Osmotic D. Diffusion E. Algor mortis

Kinds of portmortem lividity - Hypostatic: Early stage, blood is still fluid within the blood vessels, any change in position of the body leads to the formation of lividity in another place - Diffusion: Later stage, blood has coagulated and changes in position will not change the location of lividity Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

11

The most prominent sign of the death is: A. Algor mortis B. Rigor mortis C. Cadaveric spasm D. Negative respiration E. Negative heart rate and BP

Algor mortis is a progressive fall of the body temperature. It is the most prominent sign of death. Algor mortis – most prominent sign of death Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

12

The instantaneous stiffening of a cadaver postmortem an example of which is a victim tightly grasping a weapon is called: A. Cadaveric spasm B. Rigor mortis C. Cadaveric rigidity D. Death stiffening E. Algor mortis

Rigor mortis, cadaveric rigidity, and death stiffening are synonymous. It is universal and its onset is around 3-6 hours postmortem. Cadaveric spasm may or may not occur. Its onset is instantaneous Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

13

What makes up the primer? A. Antimony, Copper, Lead B. Antimony, Barium, Lead C. Copper and Lead D. Antimony and Lead E. Lead only

Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

14

Which test used to determine live birth involves submerging the lungs in water and observing for flotation: A. Fodere’s Test B. Wredin’s Test C. Breslau’s Test D. Icard’s Test E. Magnus Test

Fodere’s Test/Hydrostatic Test – observation of floating lungs Wredin’s Test – The middle ear of a child, before birth is filled with gelatinous embryonic connective tissues. After birth, this disappears. Breslau’s Test – floating organs (stomach, intestines) Icards and Magnus Test are for identifying circulation in a cadaver and is not for identification of live birth. Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 2 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 15

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM DIAGNOSTIC EXAM - MARCH 2016

Dr. Juan dela Cruz witnessed a stabbing incident while doing his groceries. He was called upon in court to describe what he saw and heard during the incident. What form of witness is he appearing for? A. Expert witness B. Professional witness C. Ordinary witness D. Medical witness E. Civilian witness

Ordinary witness describes only what he perceived without providing interpretation of giving professional opinions. Expert witness provides interpretation and opinions regarding facts according to his/her field of expertise. Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

16

Dr. John Doe was appalled by something the judge said during a hearing wherein he was a witness. He hits the judge of the face. He may be cited for: A. Direct contempt of court B. Indirect contempt of court C. Disrespect for the court D. Homicide E. Murder

Direct contempt of court: misbehavior in the presence of or near a court/judge. Indirect contempt of court: misbehavior outside the court (ex. Not showing up for a hearing when there is no good excuse) Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

17

A beautician got ahold of some clindamycin topical ointment and has been prescribing it to her clients for treating acne. Which of the following applies? A. She is performing a cosmetic function as a beautician B. She can invoke her right of occupation to make a living and support herself C. This is freedom of action D. She is illegally practicing medicine E. None of the above

Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

18

Who is authorized to perform an autopsy? A. Medical officers of law enforment agencies B. Health officers of local health departments C. Medical staff members of accredited hospitals D. A and B only E. All of the above

Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

19

An IQ range of which is exempting from criminal liability: A. 0-20 B. 20-40 C. 40-70 D. A and B E. All of the above

0-20: Idiot – exempt (functionally equivalent to <2y/o) 20-40: Imbecile – exempt (2-7y/o) 40-70: Moron – mitigating (7-12y/o) My mnemonic for this is idiot, imbecile and moron are alphabetically arranged. Source: Topnotch handout on legal medicine.

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

20

Paraplegic patient promised to pay Dr. Juan dela Cruz P1M if he can make him walk again. This form of professional fee is called: A. Contingent fee B. Package deal fee C. Fee splitting D. Simple contractual fee E. Retainers fee

KRISTEL TANHUI (TOP 3 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM LA SALLE)

DIAGNOSTIC EXAM - MARCH 2016

21

After graduating from medical school, you begin using the title MD after your name. You are A. Commiting malpractice B. Commiting fraud C. Academically entitled to use MD D. Illegally practicing medicine E. Academically entitled to use MD after passing the revalida

Contingent, package deal fee and fee splitting are unethical. - Contingent: payment after results. Unethical because doctor should not be gambling - Package deal and fee splitting (referral fee sharing) are unethical because the practice of medicine is not a business venture Simple contractual fee and retainers fee are ethical. - Simple contractual fee: fee for service - Retainers fee: fee for hours of duty regardless of how many services rendered during that period of time Source: Topnotch handout on legal medicine.

LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 3 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 22

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 1 EXAM - MARCH 2016

What is the study of identification of fingerprints by comparison? A. Dactyloscopy B. Dactylography C. Poroscopy D. Dermatoglyphics E. Graphology



LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

23

Disinternment is also known as A. Embalming B. Euthanasia C. Exhumation D. Disembowelment E. Dissection



LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

24

Manceras children are children born to A. Live-in partners B. Incestuous couples C. Homosexual couples D. Prostitutes E. Families below poverty line



LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

25

A physician who stubbornly refuses to go to court when summoned may be cited for: A. Disobedience B. Dereliction of civic duty C. Direct contempt D. Indirect contempt E. May not be cited

Direct contempt occurs when a person speaks words or commits acts in the presence of the court or a judge acting judicially or when a person resists or interferes with the lawful authority of the court in its presence or so near the court or judge as to interrupt or hinder judicial proceedings.

LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

26

Wood alcohol is otherwise known as: A. Propylene glycol B. Isopropyl alcohol C. Ethylene glycol D. Ethyl alcohol E. Methyl alcohol



LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

27

Kimberly Chu. sues Dr. Balu for mental anguish, social humiliation and loss of sleep after a botched facelift operation. What type of damages can Ms. Chu recover from this situation? A. Actual damages B. Compensatory damages C. Exemplary damages D. Moral damages E. Nominal damages

Actual or compensatory damages simply make good or replace the loss caused by the wrong. Nominal damages vindicate or recognize the injured party’s right to a property that has been violated or invaded, with minimal or no compensation. Exemplary or corrective damages are intended to serve as a deterrent to serious wrongdoings.

LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

28

Jejo scratched Mar in the face in an altercation. You attended to the injury that resolved in less than 10 days but a resultant keloid scar formed. The legal classification of this injury is: A. Serious physical injuries B. Less serious injuries C. Slight injuries D. Mutilation E. Scarring injury



LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

29

If the parents are type A and type B, which of the following would be the blood group of their children? A. Types O, A and B B. Types A, B, AB and O C. Types A and B D. Types A, B and AB E. Type AB

LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

30

A verbal and accurate description of the person identified is termed A. Anthropometry B. Bertillon System C. Verbal Drawing D. Portrait Parle E. Oral description

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE. Both A and B alleles are dominant over O. O is a recessive allele. As a result, individuals who have an AO genotype will still have an A phenotype. People who are type O have OO genotypes. In other words, they inherited a recessive O allele from both parents. The A and B alleles are codominant. Therefore, if an A is inherited from one parent and a B from the other, the phenotype will be AB. A parent with phenotype A may have genotype AA or AO, a parent with phenotype B may have genotype BB or BO. Therefore, they may produce children with O phenotype (OO genotype).

LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 4 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 31

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 1 EXAM - MARCH 2016

Type of medical evidence which is addressed to the senses of the court? A. Autoptic evidence B. Corpus delicti evidence C. Documentary evidence D. Physical evidence E. Circumstantial evidence



LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

32

This finding in death is not consistent and may or may not appear on a person who died: A. Rigor mortis B. Algor mortis C. Putrefaction D. Cadaveric spasm E. Decomposition



LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

33

The following medical fees are considered immoral or unethical under the Code of Medical Ethics EXCEPT? A. Contingent fee B. Dichotomous fee C. Retainer fee D. Fee splitting E. Straight fee



LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

34

If a patient died or became incapacitated, the claim for medical fees shall be borne the following persons in the order of: A. Spouse, parents, children, siblings B. Spouse, parents, siblings, children C. Spouse, children, parents, siblings D. Children, spouse, siblings, parents E. Children, spouse, parents, siblings



LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

35

Which of the following is NOT an inherent right of the physician? A. Choose patients B. Exemption from execution of instruments and library C. Avail of hospital services D. Limit the practice of medicine E. Determine the appropriate management and procedures for his patients



LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

36

For a child to be legitimate, he must be born in a lawful wedlock or within these number of days after the dissolution of marriage: A. 120 days B. 180 days C. 300 days D. 100 days E. 365 days



LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

37

Saturnine gout pertains to: A. Pseudogout B. Gout caused by excess thiazide use C. Gout caused by cyclosporine toxicity D. Gout caused by lead poisoning E. Gout in people with Lesch-Nyhan syndrome



LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

38

A man marries his stepdaughter and they conceive a child. The child is considered: A. adulterous B. natural child by legal fiction C. natural child by presumption D. legitimated E. Natural child by wedlock

LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016

39

Principle applied when the medical fee is not specified: A. "Assumpsit on quanthum merit" B. "lex Loci contract" C. "Dura lex sed Lex" D. "Sine Qua now" E. "Quis custodiet ipsos custodes"

LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 1 EXAM - MARCH 2016



TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 5 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 40

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 1 EXAM - MARCH 2016

A patient was found dead in his room with multiple stab wounds. On autopsy, you saw prominent superficial veins with reddish discoloration on his flanks. This finding is called? A. Postmortem lividity B. Maceration C. Marbolization D. Cadaveric lividity E. Adipocere formation



LESTER BRYAN CO (TOP 10 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

41

Which of the following laws is enforced by state? A. Moral Law B. Natural Law C. Divine Law D. Law of Gravity E. Adjective Law

GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

42

The following are the functions of the Board of Medicine EXCEPT: A. Determine and prepare contents of licensure examination B. Administering and conducting the licensure examination in accordance to its rules and regulations C. Promulgate rules and regulations for the proper conduct of the examinations, corrections and registrations D. Administer oath E. Issue Certificate of Registration Which of the following is an Inherent Right of a physician A. Avail of hospital services B. Right of exemption from execution of instruments and library C. To hold certain public or private offices D. Right to compensation E. Right to membership in medical societies

Law which is not enforced by the state: Natural Law (e.g law of gravity, law of nature), Divine Law (e.g. 10 commandments), Moral Law Law which is enforced by state: Substantive Law (e.g. law om property rights), Procedural/Adjective/Remedial Law (law on criminal procedure) Functions of Board of Medicine: 1. To determine and to prepare contents of the licensure examination 2. Promulgate rules and regulations for the proper conduct of the examinations, corrections and registrations 3. Administer oath 4. Investigate violations, issues subpoena 5. Issue Certificate of registration 6. Suspend, revoke or reissue Certificate of Registration Administering and conducting licensure examination: Function of PRC Inherent Rights: 1. To choose patients 2. Limit the practice 3. Determine the appropriate management 4. Avail of hospital services Incidental Rights: 1. Right of way while responding to call of emergency 2. Right of exemption from execution of instruments and library 3. Determine appropriate management procedures 4. Avail of hospital services Ethical fees: Simple contractual fee; Retainer fee Unethical fees: Contingent fee, Dichotomous/commission/fee splitting; Straight fee

GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

43

44

Which of the following fees is considered ethical? A. Commission Fee B. Retainer Fee C. Fee Splitting D. Straight Fee E. Contingent Fee

45

Revocation of license is a sanction imposed against a doctor when he is guilty of what liability? A. Criminal liability B. Administrative liability C. Civil liability D. No liability E. AOTA

Prison/fine: Criminal liability; Damages: Civil liability; Reprimand, Suspension, Revocation: Administrative Liability

GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

46

Dr. X operated on a patient and inadvertently left behind a needle. Which doctrine is applicable in this case? A. Captain of the ship B. Doctrine of Forseeabiity C. Fellow Servant D. Res Ipsa Loquitor E. Ostensible agent

Doctrine of Res Ipsa Loquitor (Common knowledge doctrine) is the nature of the wrongful act is suggestive of negligence

GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

47

The following are conditions for award of moral damages EXCEPT: A. There must be an injury B. There must be a culpable act C. Award of damages is based on Article 2217 of the Civil code D. Wrong doing act is the proximate cause of the injury E. NOTA Immediate transplantation should be done after death to ascertain success on which of the following organs? A. Kidney B. Cornea C. Blood vessels D. AOTA E. NOTA

Conditions for award of moral damages: 1. There must be an injury 2. There must be a culpable act 3. Wrong doing act us the proximate cause of the injury 4. Award of damages is based on Article 2219 of the civil code

GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

Immediate transplantation: kidney, heart, lung and liver Transplanation may be done several hours after removal from the donor: Cornea, skin, bone, blood vessels

GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

48

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 6 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 49

QUESTION Type of asphyxial death characterize by failure of arterial blood to become naturally saturated with oxygen. A. Histotoxic Anoxia B. Stagnant anoxia C. Anoxia death D. Anemic anoxia death E. NOTA

EXPLANATION

AUTHOR

TOPNOTCH EXAM Anoxia death: failure of the arterial blood to GEORGE MICHAEL MIDTERM 2 become naturallly saturated with oxygen SOSUAN (TOP 5 - EXAM - MARCH Anemic anoxia death: due to decrease AUG 2015 MED 2016 capacity of blood to carry oxygen Stagnant BOARDS; TOPNOTCH anoxia: due to failure of circulation MD FROM UST) Histotoxic anoxia: failure of cellular oxidation process

50

One of the following is not helpful in determining the sex of the skeleton A. Femur B. Humerus C. Pelvis D. Sternum E. NOTA

Following bones are helpful in determining the skeleton sex: skull, sternum, pelvis, humerus, femur

GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

51

Dactyloscopy is: A. Art of comparing fingerprints for identification B. Art and study of recording fingerprints as a means of identification C. Art of changing fingerprints D. The study of the pores on the papillary or friction ridges of the skin for the purpose of identification E. NOTA

Dactyloscopy: Art of comparing fingerprints for identification

GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

52

Which of the following is TRUE in estimating how long a person has been dead from cooling of the body? A. When the body temperature is normal at the time of death, the average rate of fall of the temperature during the second hour is one-half the difference of the body temperature and that of air B. During the next two hours, the temperature fall is 1/3 of the previous rate, and during the succeeding two hours, it is 1/2 of the last mentioned rate C. As a general rule the body attains the temperature of the surrounding air from 8-10 hours after death in tropical countries D. To make an approximate estimate of the duration of death from the body temperature the ff formula is used: (Rectal temperature) 98.4 - (Normal Temp)/1.5 E. NOTA

Methods of estimating how long a person has been dead from cooling of the body: 1. When the body temperature is normal at the time of death, the average rate of fall of the temperature during the first hour is one-half the difference of the temperature and that of air 2. During the next two hours, the temperature fall is 1/2 of the previous rate, and during the succeeding two hours, it is 1/2 of the last mentioned rate 3. As a general rule the body attains the temperature of the surrounding air from 12-15hours after death in tropical countries 4. To make an approximate estimate of the duration of death from the ff formula: (Normal temp) 98.4 - (Rectal temp)/1.5

GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

53

Which of the following tests determines whether the specimen is of human blood or not: A. Acetone-hemin of Wagenhaar Test B. Puramine Test C. Takayama test D. Precipitin Test E. Berberio's Test



GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

54

Which of the following is a characteristic of exit wounds? A. Abrasion collar present B. Products of combustion present C. Size is bigger in cases of contact fire D. Edges are inverted E. Variable shape

Exit wounds: Size bigger except in contact fire, shape is variable, abrasion collar absent, products of combustion absent, edges are everted and punch out

GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

55

Cadaveric spasm is also known as: A. Rigor Mortis B. Postmortem muscular irritability C. Instantaneous rigidity D. Postmortem rigidity E. AOTA



GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

56

Killing a child less than 3 days old is called? A. Parricide B. Murder C. Infanticide D. Abortion E. NOTA



GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 2 EXAM - MARCH 2016

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 7 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 57

QUESTION Method of conducting a search in which in which the area is blocked out in the form of a rectangle in which the searcer proceeds slowly at the same pace along the path parallel to the one side of the rectangle? A. Zone B. Wheel C. Spiral D. Strip E. Grid

EXPLANATION

AUTHOR

TOPNOTCH EXAM Strip Method: area is blocked out in the form GEORGE MICHAEL MIDTERM 2 of rectangle. The searcher proceeds slowly at SOSUAN (TOP 5 - EXAM - MARCH the same pace along the path parallel to the AUG 2015 MED 2016 to the side of the rectangle. BOARDS; TOPNOTCH Grid Method: the searchers will traverse first MD FROM UST) parallel to the base and then parallel to the side Spiral Method: the searchers follow each other in the path in the spiral manner beginning from the center towards the outside or vice versa Wheel Method: the searchers gather at the center and proceed outwards along radii or spokes Zone Method: Whole area is divided into subdivision or quadrants and search is made in the individual quadrants GEORGE MICHAEL MIDTERM 2 SOSUAN (TOP 5 - EXAM - MARCH AUG 2015 MED 2016 BOARDS; TOPNOTCH MD FROM UST)

GEORGE MICHAEL SOSUAN (TOP 5 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

58

these are the damages imposed on a physician as a punishment and to serve as an example for the medical profession A. Liquidated damages B. Temperate damages C. Compensatory damages D. Nominal damages E. Corrective damages

59

TRUE of simple seduction EXCEPT: A. The offended party over 12 years old but less than 18 years old B. Offended party must be single or a widow of good reputation C. Sexual intercourse with the offended party D. Deceit E. The offender commits the act by abuse of authority

Simpe Seduction: 1, The offended party over 12 years old but less than 18 years of age 2. Offended party must be single or a widow of good reputation 3. Sexual Intercourse with the offended party 4. deceit

60

Requires a MD to produce documents or papers in his possession A. Subpoena ad testificandum B. Subpoena duces tecum C. Subpoena duces tecum et ad testefecandum D. Injunction E. NOTA

61

This type of law pescribes the right and obligations of persons in their daily relation with each other and with society. A. Natural law B. Substantive law C. Procedural law D. Public law E. Divine law

Subpoena ad testificandum: MD is required GEORGE MICHAEL MIDTERM 2 to appear before a trial or investigation SOSUAN (TOP 5 - EXAM - MARCH Subpoena duces tecum: MD is required to AUG 2015 MED 2016 produce some documents which are under BOARDS; TOPNOTCH his control or possession that are pertinent MD FROM UST) to the issues of the controversy Subpoena duces tecum et ad testificandum: combination of 2 SIMILAR TO PREVIOUS BOARD EXAM JAN CHRISTIAN MIDTERM 3 CONCEPT/PRINCIPLE FELICIANO (TOP 2 - EXAM - MARCH AUG 2015 MED 2016 BOARDS; TOPNOTCH MD FROM UST)

62

One of the ff is not a function of the Board of Medicine A. Determining and preparing contents of the licnesure exams B. Promulgaging rules and rgulation for the proer conduct of the examinations C. Administering the licensure examinations D. Administering the oath E. Investigating violations, issues and subpoenas

Administering and conducting the licensure exam is a function of the Professional Regulatory Commision and not the Board of Medicine

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

63

Which one of the following is an act that constitutes the practice of Medicine? A. Any medical student enrolled in the medical school under direct supervision of a physician B. Registered nurse who takes blood pressure of patients and gives advices to lower blood pressure C. Registered optometrist engaged in mechanical examination of the eye D. A lay person who gives CPR to a stranger who had a heart attack E. A grandmother who gives salabat to his grandchild who has cough

A registered nurse can take a patient's BP but if one gives advices or precribes treatment one is ocnsdered practice of Medicine and is therefore illegal. All other acts does not constitute practice of Medicine

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

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MIDTERM 2 EXAM - MARCH 2016

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 64

QUESTION

EXPLANATION

AUTHOR

ALl of the ff persons can have limited practice without any certificate of registration EXCEPT? A. MD's from other countries called for consultation and exclusively for specific cases B. Foreign MDs employed as exhange professors in special branches of Medicine C. Commisioned Medical officers of the US armed forces D. Graduates of medicine during ROTC training E. Plastic surgeons from the US form Operation Smile with proper authorization

Med students who have completed the first 4 years of Medicine, graduates of Medicine and RN may be given limited and special authorization by the secretary of Health durign epidemics or national emergencies only.

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

65

A patient follows the advice of his physician fully because he trusts that his doctor knows best. What kind of psychological pattern of MD-patient relationship is being described? A. Guidance-cooperation relation B. Activity-passivity relation C. Mutual paricipation relation D. Fraternity-trust relation E. Camarederie-respect relation

In a guidance cooperation relation- patient is conscious, seeks advice and hel and is willing to cooperate. MD is in a position of trust.

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

66

The ff are duties and obligations imposed on the physician in the MD patient relationship A. He should possess the knowledge and skill of which an average MD is expected. B. He should use use such skill and knowledge with ordinary care and diligence C. He is obliged to exercise the best judgement D. He has a duty to observe the utmost good faith E. He has a duty that the treatment will benefit and not harm the patient

The MD-Patient relationship does NOT imply any promise that the treatment will benefit the patient not does not promise that the treatment will not harm the patient i.e. cancer chemotherapy

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

67

One of the ff is an incidental right of a physician and not SIMILAR TO PREVIOUS BOARD EXAM an inherent right? CONCEPT/PRINCIPLE A. To choose patients B. Limit one's practice C. Exemption from execution of instruments and library D. Determine the appropriate management E. Avail of hospital services

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

68

Dr. Octavius works in Oscorp Industries as a company doctor. He treats the employyes of the patients exclusively during office hours and does it poorly. What kind of medical fee is he under? A. Simple contractual fee B. Straight fee C. Contingent fee D. Dichotomous fee E. Retainer fee

Retainer fee is measured by the space of time and not by the quality and quantitiy of medical services rendered.

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

69

All of the ff are instances wherein the MD cannot recover the professional fee EXCEPT? A. When the patient died due to an honest mistake by the doctor B. When there is an agreement that the service is gratitious C. Doctors in government charity hospitals, health centers and rural health units D. Those covered in Medicare E. When there is expressed contract to cure and the MD fails to comply with such agreement

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

70

What is the evidence needed for conviction of a physician in an administrative case A. Guilt beyon reasonable doubt B. Preopenderence of evidence C. Substantial evidence D. Autoptotic evidence E. Circumstantial evidence

Criminal- Guilt beyond reasonable doubt; Civil- Prepoderence of evidence; Adminstrative- Substantial evidence

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

71

The pathologist diagnosed a tissue as being malignant when it was infact benign leading to a accidental mastectomy. The patient filed charges to the pathologist and the hospital as well. Filing of charges agaisnt the hospital is according to what doctrine? A. Borrowed servant doctrine B. Captain of the ship doctrine C. Doctrine of Res Ipsa Loquitur D. Doctrine of Ostensible Agent E. Doctrine of Vicarious liability

Doctrine of ostensible agent states that pathologists, radiologiss and anesthesiologists are employees and at the same time indepedendent contractors of the hospital.

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

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TOPNOTCH EXAM MIDTERM 3 EXAM - MARCH 2016

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 72

QUESTION

EXPLANATION

AUTHOR

After incision and drainage in the OPD, the pateint failed to take his antbiotics and developed sepsis. He cannot recover damages from the doctor under what doctrine? A. Doctrine of Contributory negligence B. Doctrine of Continuing negligence C. Doctrine of Assumption of risk D. Doctrine of last clear chance E. Doctrine of foreseeability

It is also known as the doctrine of common fault. It is conduct on the part of the plaintiff, contributing as a legal cause of the harm that he has sufferred which falls below the standrard to which he is req'd to conform for his own protection.

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

73

Doctor X maliciously harmed the patient with intent because of a personal grudge. Other than the usual damages, he was asked by the court to pay additional damages because of the oppresive nature of the act. What are these damages? A. Actual damages B. Compensatory damages C. Moral damages D. Corrective damages E. Nominal damages

There should have been the word EXCEPT in the question. Exemplary or corrective damages are monetary compensation over and abive actual or compensatory damages awarded as punishment or deterrent bec of the wanton, reckless, malicious or oprresive nature of the wrong committed.

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

74

It is the art of identification by comparison of fingerprints? A. Dactyloscopy B. Dactylography C. Poroscopy D. Graphology E. Gonioscopy

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

75

All of the ff bones can be used to determine the sex of a human skeleton EXCEPT? A. Pelvis B. Skull C. Femur D. Sternum E. Tibia

To determine the sex: Pelvis, skull, sternum, femur and humerus; to determine the height: Femur, humerus, tibia and radius

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

76

Which of the ff is a microscopic examination to determine rpesence of blood? A. Berberio's test B. Florence test C. Gonzales test D. Guaiacum test E. Teichmann's test

Guaiacum test is a chemical examinaiton of the blood not a microscopic exam.

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

77

It is the complete, persistent and continuous cessation of the vital functions of the brain, heart and lungs which maintain life and health? A. Molecular death B. Cellular death C Brain death D. Somatic death E. Permanent death

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

78

Which of the statements is true regarding post-mortem rigidity? A. It is also known as heat stiffening B. Usually the whole body becomes stiff in 12 hours C. It occurs immediately after death D. Later onset in the aged and the newborn E. Can be used to determine the nature of the crime

it is alsko known as rigor mortis/cadaveric rigiditiy. It occurs 3-6 hours after death and occurs early in thr aged and newborn. Cadaveric spasm not rigor mortis can be used to determine the nature of the crime.

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

79

All of the statements regarding post mortem lividity is correct EXCEPT? A. It is the breaking down of the complex proteins of the body into simpler components B. Blood moves away from the dependent part of the body C. It can appear elevated from the rest of the skin because of blood accumulation D. Color is heterogenous and becomes brownish red at the start of decomposition E. It can indicate the manner of death

Answer is ABCD. I apologize, the word EXCEPT should have been omitted in the question. Cadaveric lividity or Livor mortis is the manner through which blood accumulates in the msot depended portion fo the body. Color is uniform but isi suualy greensih at the start fo the decomposing process. The color of the body can guide the examiner in the manner of death.

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

MIDTERM 3 EXAM - MARCH 2016

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TOPNOTCH EXAM MIDTERM 3 EXAM - MARCH 2016

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 80

QUESTION

EXPLANATION

AUTHOR

During an altercation, the nagging wife accidentally sprayed sulfuric acid on the jobless husband's face henceforth losing his sight on the left eye. The wife can be charged with what offense? A. Prison mayor B. Prison correctional in its medium and maximum pd C. Prison correctional in its minimum and medium pd D. Arresto mayor E. Destierro

Prison correctional in its medium and maximum pd- loss of speech or the power to hear, smell, loss of one eye, a hand, foot, an arm or leg.

JAN CHRISTIAN FELICIANO (TOP 2 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM UST)

81

1. Which of the following organs is NOT included in examination for suspected barbiturate poisoning? a. stomach b. blood c. liver d. kidney e. urine

Blood levels are utilized for alcohol, pesticide, antibiotic, kerosine, and gasoline. Legal Medicine Solis p. 715

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

82

2. In M.J. Cuenco Avenue, a motorcyclist was hit by a 10 wheeler truck. On examination of the driver, he face was noted to be flushed with eyeballs congested. He is observed to be reckless, with difficulty in articulation, talkative and argumentative. Which of the following degrees of alcohol intoxication is present in the driver? a. slight inebriation b. moderate inebriation c. drunk d. very drunk e. coma 3. Which of the following refers to children conceived by prostitutes? a. sacrilegous children b. incestuous children c. manceres d. adulterous children e. natural children

A - no signs of mental impairment or incoordination of movement and difficulty of speech C - confused, irregular behavior and uncontrollable, thick speech and incoordinated D - disoriented, walking impossible, marked motor incoordination Legal Medicine Solis p. 696

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

Legal Medicine Solis p. 598

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

4. How long shall a woman remarry following the death of her husband or annulment of their marriage if she is currently pregnant? a. 180 days b. 240 days c. 300 days d. 365 days e. none of the above 5. Mrs. CTM is a prominent Gynecologic Oncologist in Cebu. She was on her way to a hospital to attend a clinico-pathological conference as she is one of the speakers. While driving along Maxilom Avenue, she beat the red light and counter flowed the traffic on the other side. Which of the following is TRUE? a. she has no right to disobey traffic rules b. as a doctor, she is given priority and right of way c. it is an emergency and her drivers license will not be confiscated d. she can beat the red light but not counter flow the traffic on the other side e. none of the above 6. Which of the following is an inherent right of the physician? A. Getting paid for medical services B. Perform laparoscopic surgery C. Being elected as president of PMA cebu chapter D. Have clinic hours on TThS at Aventus Clinic E. Beat a red light In traffic when responding to an emergency 7. which of the following occurs among those working in ill - ventilated places with dry and high temperatures or direct exposure to sunlight? a. heat cramps b. heat exhaustion c. heat stroke d. heat collapse e. heat syncope

Legal Medicine Solis p. 592

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016



ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

Inherent rights include: choose patients, limit practice, determine appropriate procedure, avail hospital services Basics of Philippine Medical Jurisprudence and Ethics 2010 p.84

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

heat cramps - involuntary spasmodic painful contraction of muscles due to dehydration and excessive loss of chlorides by sweating. also seen in laborers working in rooms with high temperature and with profused perspiration heat exhaustion/ collapse/ syncope - due to heart failure caused by heat and precipitated by muscular exertion and warm clothing Legal Medicine Solis p. 397 Basics of Philippine Medical Jurisprudence and Ethics 2010 p.67

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

83

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85

86

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88

8. Which of the following is not construed to be a practice of Medicine? A. Advertising and offering services by means of cards and letterheads B. Masseur applying massage C. Hospital which furnishes accommodations for patients D. Mother who recommends to helper a household remedy E. Rendering emergency medical care

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TOPNOTCH EXAM MIDTERM 3 EXAM - MARCH 2016

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 89

90

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92

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95

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98

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM FINAL EXAM - MARCH 2016

9. Which of the following is not true of the physician - patient relationship? A. Patient's part of the agreement is liability for payment Of services B. Based on mutual consent C. Contract deemed not perfected when there is agreement between the offer and the acceptance D. Physician obliged to attend the patient as long as attention is required E. Deaf mutes who cannot write cannot give consent 10. Which of the following refers to a neighbor uttering maliciously the bad habits of a physician in a fiesta gathering in Bohol? A. Defamation B. Libel C. Slander D. Usurpation E. None of the above 11. Which of the following refers to when an obstetrician performs cesarean sections on all of her patients? A. Feasance B. Malfeasance C. Misfeasance D. Nonfeasance E. Disfeasance 12. Which of the following is the most important element in determining an employee from an independent contractor? A. Selection and engagement of the employee B. Payment of wages C. Power of dismissal D. Control of conduct E. NOTA 13. Which of the following refers to damages imposed for pecuniary loss but amount cannot be provided with certainty? A. Exemplary B. Temperate C. Liquidated D. Moral E. Actual 14. According to the anti-sexual harassment act of 1995, which of the following has the duty to prevent or deter the acts of sexual harassment? A. Employees B. Employers C. Security guards D. Administration E. B and D F. A and C 15. Which of the following does not apply to privilege communication? A. Patient's will B. Malpractice cases C. Illegal purpose D. Personal injury suit by patient E. AOTA

Basics of Philippine Medical Jurisprudence and Ethics 2010 p.91

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

Basics of Philippine Medical Jurisprudence and Ethics 2010 p.208

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

A- doing of an act B- performing an act wholly wrongful C- improper performance of some lawful act D- failure to do something which should have been done Basics of Philippine Medical Jurisprudence and Ethics 2010 p.113

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

Basics of Philippine Medical Jurisprudence and Ethics 2010 p.138

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

A-by way of example or correction for the public good C- agreed upon contract D-mental anguish etc E- supported by evidence on record Basics of Philippine Medical Jurisprudence and Ethics 2010 p.160

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

Basics of Philippine Medical Jurisprudence and Ethics 2010 p.205

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

Basics of Philippine Medical Jurisprudence and Ethics 2010 p.233

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

16. Which of the following is TRUE about right of access to medical record? A. Patient can possess the original copy of the record B. Insurance service providers have access to the records C. The hospital is not the owner of the record but the patient D. Doctor cannot have a photocopy of the record E. NOTA 17. Which of the following is not an element of informed consent? A. Comprehension B. Voluntariness C. Sufficient information D. Competency E. NOTA

Basics of Philippine Medical Jurisprudence and Ethics 2010 p.270

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

Basics of Philippine Medical Jurisprudence and Ethics 2010 p.420

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

18. Which of the following is Not an element of a felony? A. Must be external acts B. Punishable by civil law c. Performed By means of culpa or fault D. Deceit E. NOTA

Should be revised penal code Basics of Philippine Medical Jurisprudence and Ethics 2010 p.173

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 12 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 99

QUESTION

EXPLANATION

AUTHOR

19. Which of the following is not an exempting Basics of Philippine Medical Jurisprudence circumstance from criminal liability? and Ethics 2010 p.178 A. 13 years old B. Manic patient killing a doctor during a relapse of his psychosis C. 17 years old female shooting his father dead because of her hatred D. Patient died in the ward due to undiagnosed ruptured aneurysm E. NOTA 20. Which of the following is res ipsa loquitor not Basics of Philippine Medical Jurisprudence applicable? and Ethics 2010 p.143 A. Treatment did not produce desired results B. Knocking out a tooth during intubation C. Leaving an epidural catheter which resulted to infection D. Lacerations on scalp of neonate during cesarean section E. NOTA During an epidemic or national emergencies the Page 3 of Topnotch Handout. Med students following may be given limited and special who have completed the first 4 years of authorization by the Secretary of Health to practice medicine, graduates of medicine, RNs may be medicine except: given limited and special authorization by the A. Post Graduate Medical interns secretary of health during epidemics or B. Registered nurses national emergencies. C. Medical students who have completed the first 4 years of medicine D. Underboard graduates of medicine E. None of the above

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

102

100

TOPNOTCH EXAM FINAL EXAM - MARCH 2016

ANDREW TIU (TOP 1 - AUG 2015 MED BOARDS; TOPNOTCH MD FROM CIM)

FINAL EXAM - MARCH 2016

ANGELA PAULINE P. CALIMAG-LOYOLA (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM UST)

DIAGNOSTIC EXAM - AUG 2015

A physician-patient relationship is seen in which of the SIMILAR TO PREVIOUS BOARD EXAM following circumstances: CONCEPT/PRINCIPLE. Page 3 of Topnotch A. Pre-employment PE where the patient was given a Handout. B to E are instances where there is prescription no MD-patient relationship. B. A surgeon performing an autopsy C. Relative asking casual questions during a reunion D. PE for determining eligibilty for an insurance E. A physician examining a suspect upon appointment by the court

ANGELA PAULINE P. CALIMAG-LOYOLA (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM UST)

DIAGNOSTIC EXAM - AUG 2015

103

In the classical classification of mental deficiency, an Page 54 of Topnotch Handout. In the classical imbecile has an IQ of: classification Idiot- 0-20, Imbecile 21-40, A. 0 to 20 Feeble minded 41-70. In the Politically B. 21 to 40 correct classification Profound <20, Severe C. 52 to 67 20-35, Moderate 36-51, Mild 52-67. D. 41 to 70 E. 36 to 51

ANGELA PAULINE P. CALIMAG-LOYOLA (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM UST)

DIAGNOSTIC EXAM - AUG 2015

104

A 23 y/o male suffered several injuries due to a Page 29 of Topnotch Handout. The age of ANGELA PAULINE P. DIAGNOSTIC vehicular accident, The color of his contusions should contusion can be appreciated from its color CALIMAG-LOYOLA EXAM - AUG appear _________ after 4-5 days: changes. Red-purple soon after its complete (TOP 8 - FEB 2015 2015 A. Red development, Green in 4-5 days, yellow in 7MED BOARDS; B. Purple 10 days, gradually disappears on the 14-15th TOPNOTCH MD C. Green day. FROM UST) D. Yellow E. Starting to disappear

105

Mr. P who works as a professional tennis player was Page 29 of Topnotch Handout. Serious assaulted by one of his opponents after he beat the physical injuries resulting in 1) loss of the latter in a tournament. Due to the assault he was use of speech or the power to hear or to confined for one week and he became blind in one eye. smell, or loss of an eye, a hand, a foot, an arm The penalty for such injury is: A. or a leg; 2) loss of the use of any such Arresto mayor member, 3) becomes incapacitated for the B. Prison mayor work in which he was therefore habitually C. Prison correcional in its minimum and medium engaged is punishable by PRISON period CORRECIONAL IN IT MEDIUM AND D. Prison correcional in its medium and maximum MAXIMUM PERIODS. period E. None of the above Doctor L, was charged by the relatives of a former Page 6 of Topnotch Handout. Criminal patient before the Public Prosecutor's office with liability is when the act or omission of MD Homicide resulting from Gross Negligence and Reckless constitute a crime. May be done with Imprudence, He is most likely being charged with: deliberate intent or on account of A. Administrative liability imprudence, negligence, lack of foresight or B. Civil liability lack of skill. C. Criminal liability D. None of the above E. All of the above

101

106

ANGELA PAULINE P. CALIMAG-LOYOLA (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM UST)

DIAGNOSTIC EXAM - AUG 2015

ANGELA PAULINE P. CALIMAG-LOYOLA (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM UST)

DIAGNOSTIC EXAM - AUG 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 13 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 107

108

QUESTION

EXPLANATION

AUTHOR

Burking is classified as what type of asphyxia: Page 46 of Topnotch Handout. Burking is ANGELA PAULINE P. A. By strangulation done when the assailant kneels or sits on the CALIMAG-LOYOLA B. By hanging chest of the victim and with his/her hands (TOP 8 - FEB 2015 C. By suffocation closes the nostrils and mouth of the victim. MED BOARDS; D. By submersion This is classified under TOPNOTCH MD E. By compression compression/traumatic/crush asphyxia. FROM UST) ANGELA PAULINE P. CALIMAG-LOYOLA (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM UST)

DIAGNOSTIC EXAM - AUG 2015

ANGELA PAULINE P. CALIMAG-LOYOLA (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM UST)

DIAGNOSTIC EXAM - AUG 2015

110

Once you have passed the Physician licensure exam, Page 4 of Topnotch Handout. A-D are ANGELA PAULINE P. the following are considered as your inherent rights as inherent rights of a physician. While the right CALIMAG-LOYOLA a physician except: to compensation is only an incidental right. (TOP 8 - FEB 2015 A. Avail of hospital services MED BOARDS; B. Determine the appropriate management TOPNOTCH MD procedures for your patient FROM UST) C. Limit your practice within a geographical boundary D. To choose your patients E. Right to compensation

DIAGNOSTIC EXAM - AUG 2015

111

Doctor X feels that his patient is being uncooperative Page 4 of Topnotch Handout. This is an and difficult while his patient feels that Doctor X is example of mutual participation relation unsympathetic. This type of psychological pattern of wherein the patient thinks that he is MD-patient relationship is an example of: juridically equal to his physician. The nature A. Guidance-cooperation relation of this relationship is on a negotiated B. Activity-Passivity relation agreement. C. Mutual Participation relation D. Fiduciary relation E. Consensual relation

ANGELA PAULINE P. CALIMAG-LOYOLA (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM UST)

DIAGNOSTIC EXAM - AUG 2015

112

Doctor G who is a resident physician in a government SIMILAR TO PREVIOUS BOARD EXAM ANGELA PAULINE P. hospital always asks patients in need of a CT scan to go CONCEPT/PRINCIPLE. Page 5 of Topnotch CALIMAG-LOYOLA and have it done in a certain diagnostic clinic outside of Handout. Dichotomous/commission/fee (TOP 8 - FEB 2015 the hospital because he claims that it is cheaper and splitting- sharing of fee with another MED BOARDS; results are faster. But in truth he is just after the physician, laboratory or drug company, not TOPNOTCH MD monetary fee being given to him by the owner of the based on services performed. FROM UST) said diagnostic clinic who is also a physician.This type of medical fee is called: A. Straight fee B. Retainer fee C. Contractual fee D. Dichotomous fee E. Contingent fee

DIAGNOSTIC EXAM - AUG 2015

113

This person who comes within the premises of the Page 8 of Topnotch Handout. A licensee is hospital, who has no contractual relations with the neither a customer, servant or trespasser. He hospital and is within the hospital premises for his own has no contratual relation with the hospital. interest or convenience is termed as a: He is permitted, expressly or impliedly to be A. Business visitor within the hospital premises for his own B. Invitee interest or convenience. His presence is C. Trespasser merely tolerated. D. Licensee E. Patient

DIAGNOSTIC EXAM - AUG 2015

109

Uranism is a form of sexual perversion where a man Page 50 of Topnotch Handout. Uranism is gains sexual gratification by: sexual gratification attained by fingering, A. rubbing his sex organ against the body parts of fondling with the breast or licking parts of another the body. A is Frottage, C is Mixoscopia, D is B. fingering, fondling with the breast or licking parts Transvestism, E is Bestiality. of the body C. watching couples undress or during sexual activity D. wearing female apparel E. engaging in sexual intercourse with animals The following statements are true regarding the Page 38 of Topnotch Handout. The entrance characteristics of a gunshot wound entrance except : woundis usually oval or round depending A. Smaller in size compared with the bullet upon the angle of approach of the bullet. B. The edges are inverted C. It does not manifest any definite shape D. The paraffin test may be positive E. Tattooing and smudging are present when the gun is fired within 1-15 cm

TOPNOTCH EXAM DIAGNOSTIC EXAM - AUG 2015

ANGELA PAULINE P. CALIMAG-LOYOLA (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM UST)

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 14 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 114

115

116

QUESTION

EXPLANATION

AUTHOR

Patient A had a hysterectomy due to a uterine tumor, Page 6 of Topnotch Handout. Criminal ANGELA PAULINE P. however during the procedure her ureter was liability is when the act or omission of MD CALIMAG-LOYOLA unintentionally cut by Doctor B. She wants to file a case constitute a crime. May be done with (TOP 8 - FEB 2015 for gross negligence against Doctor B. What is the deliberate intent or on account of MED BOARDS; degree of proof/evidence needed to convict Doctor B of imprudence, negligence, lack of foresight or TOPNOTCH MD a crime? lack of skill. Guilt beyond reasonable doubt is FROM UST) A. Substantial evidence needed for a conviction. B. Preponderance of evidence C. Guilt beyond reasonable doubt D. Any of the above E. None of the above

TOPNOTCH EXAM DIAGNOSTIC EXAM - AUG 2015

There are several rules used by the court to determine Page 54 of Topnotch Handout. This is known ANGELA PAULINE P. DIAGNOSTIC whether an accused is exempt from criminal liability, as the Durham rule. Irresistable impluse rule CALIMAG-LOYOLA EXAM - AUG One such rule states that the accused is not criminally states that a person is considered insane (TOP 8 - FEB 2015 2015 responsible if his act was the product of a mental when mental disease has rendered him MED BOARDS; disease or mental defect. This rule is known as: incapable of restraining himself, although he TOPNOTCH MD A. Durham rule understands what he is doing and knows it is FROM UST) B. Irresistable impulse rule wrong. Currens rule states if it is proven that C. Currens rule at the time of commiting the prohibited act D. Delusion rule the defendant as a result of mental disease or E. McNaghten's rule defect lacked substantial capacity to conform his conduct to the requirementsof the law which he has allegedly violated. Delusion rule- a person is not responsible for his act if he is suffering from delusion although he knows hat the act is wrong. McNaghten's rule- A defense on the ground of insanity can be proven that at the time of committing the act the accused was laboring under such defect of reason or from a disease of the mind as not to know the nature and quality of the act he was doing and if he did know, he did not know that what he was doing was wrong. Doctor C, a balikbayan physician can be allowed to Page 3 of Topnotch Handout. The only ANGELA PAULINE P. DIAGNOSTIC practice medicine in the Philippines provided provisions are A,B,D and E. Membership to CALIMAG-LOYOLA EXAM - AUG that_____________, except: A. He pays the proper PMA is only an incidental right. Membership (TOP 8 - FEB 2015 2015 professional license fee with the PRC may be vonluntary or involuntary. MED BOARDS; B. He should register with the PRC Involuntary when membership is imposed as TOPNOTCH MD C. He is a member of PMA a condition for the enjoyment of a right. FROM UST) D. He is of good standing prior to departure from the Philippines and in their adopted country E. None of the above

117

Mr X a patient with ESRD is scheduled for a kidney SIMILAR TO PREVIOUS BOARD EXAM transplant, he will receive a kidey from a living CONCEPT/PRINCIPLE. Page 9 of Topnotch unrelated human donor. This kind of transplant is Handout. An unrelated human donor to called: human recipient is called A. Iso transplantation homeotransplantation. B. Homeotransplantation C. Heterotransplantation D. Autotransplantation E. None of the above

ANGELA PAULINE P. CALIMAG-LOYOLA (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM UST)

DIAGNOSTIC EXAM - AUG 2015

118

Autoptic or real evidence is defined as evidence which SIMILAR TO PREVIOUS BOARD EXAM ANGELA PAULINE P. is: CONCEPT/PRINCIPLE. Page 13 of Topnotch CALIMAG-LOYOLA A. perceived by the senses Handout. Autoptic or real evidence- (TOP 8 - FEB 2015 B. part of the body of the crime that proves that the perceived by the senses- sight, hearing, taste, MED BOARDS; crime existed smell and touch. TOPNOTCH MD C. a testimony given orally by a witness under oath FROM UST) D. a written record of evidence given orally and then transcribed E. an article/material found in connection with the investigation and assists the investigator in locating the suspect Mr P went home and caught his daughter who is just 16 Page 25 of Topnotch Handout. This is a case ANGELA PAULINE P. y/o commiting sexual intercourse with a 25 y/o man at of physical injuries afflicted under CALIMAG-LOYOLA their house, as a result of his rage he assaulted them execptional circumstances specifically (TOP 8 - FEB 2015 both and inflicted serious physical injuries on both the "surprise of a daughter" The parents with MED BOARDS; seducer and his daughter. The seducer brought the case respect to their daughter under 18 y/o, and TOPNOTCH MD to court. Under the law Mr. P may be given the their seducers, while the daughter is living FROM UST) following punishment: with her parents who shall kill any or both of A. Prison Mayor them in the act or immediately there after, or B. Prison correcional in its minimum and medium shall inflict upon them serious physical period injury, shall suffer the penalty of DESTIERRO. C. Prison correcional in its medium and maximum As long as the following requisites are met: 1) period the daughter is below 18; 2) the daughter is D. Destierro living with the parents; 3) Parents caught her E. Since the physical injuries were inflicted due to by surprise commiting sexual intercourse exceptional circumstances, he shall be exempt from with the seducer; 4) Killing was done at the punishment very act of sexual intercourse or immediately thereafter.

DIAGNOSTIC EXAM - AUG 2015

119

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 15 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

DIAGNOSTIC EXAM - AUG 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 120

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM DIAGNOSTIC EXAM - AUG 2015

Ms H was allegedly found hanging in her condo unit by Page 44 of Topnotch Handout. A and C are her boyfriend. As a medico-legal officer you wanted to post mortem findings in strangulation. B and determine if this was indeed a suicide by hanging or a D are found in both hanging and homicide by strangulation with ligature. Which of the strangulation. E is foud only in hanging. following findings would show that the cause of death was by hanging? A. The hyoid bone is spared B. Tardieu spots are found in the subpleural and subcardial areas C. The level of the ligature is below the larynx D. The right side of the heart and the big blood vessels connected with it are distended with blood E. The direction of the ligature is an inverted V and the knot is found at the apex.

ANGELA PAULINE P. CALIMAG-LOYOLA (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM UST)

121

Which of the following type of law is not enforced by the state? A. Substansive law B. Remedial law C. International law D. Commercial law E. Moral law

Laws which is not enforced by the state: Natural law, Divine law and Moral law. SIMILAR TO PREVIOUS BOARD EXAM CONCEPT.

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

122

Who among the following is/are qualified to practice medicine in the Philippines? A. Balikbayan Physicians, even without PRC registration as long as they are professional practitioners in good standing prior to their departure from the Philippines and in their adopted country B. Medical students under training and under direct supervision of licensed MD C. Foreign physicians of a medical and surgical mission, even without securing authorization, given the charitable nature of their practice D. All medical students who are graduates of medicine during epidemics E. All of the above

Option A. Balikbayan physicians should register with PRC and pay the proper professional license fee, as well as the corresponding income tax before they can be qualified to practice medicine in the Philippines. Option C. Foreign physician should secure authorization first from the Board of Medicine. Option D. Medical students who have completed the first 4 years of medicine and graduates of medicine may be given limited and special authorization by SECRETARY OF HEALTH during epidemics or national emergencies.

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

123

Patient-physician relationship is not terminated when? A. Patient recovers from the condition being treated. B. Patient consented from withdrawal of the physician from the contract. C. Physician considers his further service will no longer be beneficial to the patient D. Physician abandons the patient E. Physician dies

All others are conditions or situations when physician-patient relationship is terminated.

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

124

Juan just graduated from a medical school and immediately used the title MD after his name. He is: A. Commiting malpractice B. Illegally practicing medicine C. Academically entitled to used MD D. Administratively liable E. Qualified to legitimately practice medicine

After conferment of the degree Doctor of Medicine, one has the legal right to use MD after his name although a holder of MD degree does not qualify a person to legitimately practice medicine. He must first pass the board exams and hold a valid certificate of registration.

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

125

In which of the following instances where there is commencement of a physician-patient relationship? A. In a mall, a patient met her physician and made a casual consultation. B. One night, a patient called a physician by phone for consultation. The physician told the patient to take aspirin that night and see him the following day. C. A patient called the phsycian's clinic to make an appontment. The secretary asked what is wrong and the patient related her complaints. D. While passing the emergency room, the physician noted that the patient is very pale. He then asked the nurse to inform the resident physician to see and examine the patient immediately. E. All of the above.

Commencement of relationship: Physician accepts offer by undertaking treatment of the patient; invites an offer by establishing availability, makes an offer by arriving for treatment.

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

126

Under the Dangerous Drug Act, marijuana is classified as: A. Sedative B. Hypnotic C. Prohibited drug D. A stimulant E. Hallucinogenic

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT.

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 127

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 1 EXAM - AUG 2015

Dr. J, an American surgeon, is in the Philippines on holiday He joined a group of Filipino surgeons in a medical and surgical mission performing operations for the poor and the marginalized. Which of the following is correct? A. He can invoke reciprocity as the basis for his performing surgery in the Philippines. B. He is illegally practicing medicine in the country. C. He can practice even without a certificate of registration and authorization from the Board of Medicine. D. He needs to pass the local board exams before he can practice. E. He can practice in the country as long as he is in good moral and professional standing in his country.

Physicians from other countries can have limited practices without any certificate of registration provided that that secure authorization from the Board of medicine. SIMILAR TO PREVIOUS BOARD EXAM CONCEPT

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

Which one of the following is an inherent right of a physician? A. To avail of hospital services. B. To hold certain public offices C. To charge professional fees D. To be exempted from execution of instruments and library E. To be a member in medical societies. A 38-year old female had breast surgery for cancer of the breast with metastasis. She had consented in writing to undergo a trial of a new chemotherapeutic modality. However, patient continued to deteriorate and sued the physician. The physician was absolved under the doctrine of: A. Continuing negligence B. Foreseeability C. Assumption of risk D. Contributory negligence E. Common knowledge

The answer is A. All other options are incidental rights of a physician. Other inherent rights of a physician include the ff: choose patients, limit practice, and determine the appropriate management and procedures.

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

Doctrine of Assumption of Risk - anyone who consents to the application of a procedure involving certain risks cann recover damages for injury resulting from inherent or ordinary risks in the procedure.

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

130

A general practicioner referred a patient to a specialist. After the treatment, the patient paid the specialist who in turn gave a share to the general practitioner. What is this called? A. Contingent fee B. Straight fee C. Retainer's fee D. Dichotomous Fee E. Professional fee

Dichotomous/commission/fee splitting - sharing a fee with another physician, tipsters; Contingent-fee depends on success of treatment; Straight fee/Pakyaw system

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

131

Dr. A performed an autopsy without proper authorization from the next of kin or competent authorities. What is his liability? A. Civil liability only B. Criminal liability only C. Both civil and criminal liability D. Administrative liability only E. Administrative and civil liability

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT.

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

132

A physician issued a medical certificate in favor of a friend who was absent from work attesting the latter was sick when in fact he was not. The physician under the law is liable: A. Civilly B. Administratively C. Morally D. Criminally E. Both administratively and criminally



LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

133

The hospital is almost full and the only vacant beds are in the ward. An infectious case was admitted in the ward resulting to contamination of other patients. The patient who admitted the patient is liable under the Doctrine of: A. Last clear chance B. Continuing negligence C. Contributory negligence D. Foreseeability E. Captain of the ship

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

128

129

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 134

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 1 EXAM - AUG 2015

Patient was being managed as a case of Diabetes mellitus. The physician encouraged lifestyle changes and prescribed him with oral anti-hyperglycemic medications and insulin. The patient inquires the physician, "are those tablets really necessary? What is the pattern of relationship between the physician and the patient? A. Mutual participation B. Active-passive C. Guidance-participation D. Consensual E. None of the above

In mutual participation relation, patient thinks that he is juridically equal to the MD and that the nature of relationship is on a negotiated agreement. They are appropriate in the treatment of chronic illness where patients are required to carry out much of the treatment program themselves with occassional medical consultation.

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

135

In a malpractice case, Dr. X was ordered by the court to produce at trial the patient's charts, laboratory and xray results under his possession and control. The process served on him to do is called A. Ordinary subpoena B. Subpoena duces tecum C. Subpoena ad testificandum D. Court summons E. All of the above

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

136

A physician is considered as an ordinary witness: A. When he is asked to inform the court of the result of the physical examination done to the patient. B. When the chairman of Department of Surgery is asked to give his inference regarding the incident. C. When asked about questions regarding his personal qualifications as a witness. D. When asked to answer outside of the issue in consideration of the court. E. When he is asked to provide inferences regarding the case.

A physician can be both an ordinary and expert witness. As an ordinary witness, the physician is allowed only to state the cacts which comes to his own perception.

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

137

As a result of the deformity he sustained from a facelift operation, Mary sued Dr. X for mental anguish, social humiliation, and moral shock. The type of damages she can recover as a result of these is: A. Exemplary damages B. Moral damages C. Actual damages D. Nominal damages E. Temperate Damage

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

138

Maria and Juana had fight. Maria scratched Juana on the face. The doctor attended the injury that resolved in less than 10 days, however a keloid scar formed. The legal classification of this injury is: A. Mutilation B. Slight physical injury C. Less serious injury D. Serious physical injury E. Physical injury inflicted in tumutous affray

Exemplary/Corrective damages - as punishment or deterrence because of wanton, reckless, malicious, or oppressive nature of wrong committed; Actual damage - adequate compensation for pecuniar; Nominal damage - invasion of righ or breach of du; Temperate - more than nominal but less than compensatory when court finds that some pecuniary loss has been suffered but its amount cannot be proved with certainty SIMILAR TO PREVIOUS BOARD EXAM CONCEPT

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

139

Its main function is the transformation of mechanical energy by the hit of the firing pin on the percussion cap to chemical energy? A. Primer B. Powder C. Bullet D. Projectile E. Ricochet

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

140

In which of the following is consent necessary? A. Consultation in an out-patient basis B. Compulsory procedure by law, e.g. vaccination C. In extreme emergencies D. Waiver on the part of the patient E. All of the above

Consent is not necessary in cases of extreme emergencies, compulsory procedure by law, and waiver on part of the patient. SIMILAR TO PREVIOUS BOARD EXAM CONCEPT

LYNN DARYL FELICIANO VILLAMATER, MD (TOP 5 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM EAC)

MIDTERM 1 EXAM - AUG 2015

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 141

QUESTION

EXPLANATION

AUTHOR

You are assigned at the forensics laboratory, you know that the most commonly implicated organism in decay of human remains is A. Clostridium perfringens B. Clostridium welchii C. Bacillus anthracis D. Clostridium tetani E. Staphylococcus aureus

Clostridium perfringens is the most commonly implicated microbe in decay of human remains. C. welchii is the former name of Clostridium perfringens and the newer name is preferred over the former. (CHANGED BY DR.BANZUELA: C. welchii and perfringens can both be answers to this question)

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

142

MSP, a 50 year old male politician charged with plunder is currently detained at a detention facility, the patient prior to detention is healthy. The patient complains of unbearable nape pain, you performed a thorough history and PE and ordered all the necessary diagnostic tests. All of which are normal. What is this patient showing? A. Fictitious malingering B. Factitious malingering C. Manchausen syndrome D. None of the above E. Both A and B

It is based on pure imagination with no basis of the fact. Factitious malingering is an exagerration of an already present symptom.

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

143

Dr. HK was given a subpoena to appear to court but since he's a busy cardiologist, he wasn't able to attend the hearing, the court may cite Dr. HK for: A. Direct contempt B. Disrespect of the court C. Indirect contempt D. Misprioritizing his obligations E. None of the above

Dr. HK can be cited for indirect contempt for failing to respond to a subpoena

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

144

The body vested by law to have general supervision and regulation over the practice of medicine is A. Commission on Higher Education B. Professional Regulation Commission C. Department of Education D. Department of Health E. Philippine Medical Association

Through the Board of Medicine, the PRC or Professional Regulation Commission is the body vested by law to supervise and regulate the practice of medicine in the Philippines.

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

145

You noted a person affixing MD after his name but has not yet taken the boards, you know that affixing MD after his name is: A. Illegally practicing medicine B. Falsely using the title MD C. Academically entitled to affix MD D. Committing fraud E. None of the above

He is academically entitle to affix MD after his name if he has graduated from medical school

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

146

Dr. X has written an offensive article about his patient, patient Y decided to charge Dr. X, what would patient Y charge Dr. X with? A. Slander B. Libel C. Malicious mischief D. Acts of lasciviousness E. None of the above

Slander is oral defamation while libel is written defamation of another person

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

147

A physician stands on trial for a civil case, the burden of proof needed by the prosecution to convict the physician is: A. Guilt beyond reasonable doubt B. Substantial evidence C. Circumstantial evidence D. Preponderance of evidence E. None of the above

A preponderance of evidence is needed to convict one in a civil case.

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

148

Dr. A lost in a civil case and was ordered by the court to pay in compensation for the pecuniary loss suffered by his patient, this is: A. Actual damages B. Moral damages C. Liquidated damages D. Exemplary damages E. None of the above



EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

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TOPNOTCH EXAM MIDTERM 2 EXAM - AUG 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 149

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 2 EXAM - AUG 2015

The following are signs of death except A. Cessation of respiration B. Algor mortis C. Cessation of circulation D. Loss of consciousness E. All of the above



EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

150

A 13 year old girl was raped by her teacher, the teacher is liable for A. Simple seduction B. Consented abduction C. Qualified seduction D. Acts of lasciviousness E. None of the above

The teacher is liable for rape as the crime was actually consumated.

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

151

This test determines whether a newborn child took a breath before he died by dipping the stomach in water and if the stomach floats, then breathing took place A. Breslau's test B. Wredin's test C. Fodere's test D. Florence test E. Katayama test

Wredin is for middle ear, Fodere is testing the lungs, Florence test is testing for the presence of semen, Katayama test is testing for carboxyhemoglobin in blood

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

152

JE was hit in the face by her friend causing a deformity on her friend's face, her friend can charge JE with A. Slight physical injury B. Less serious physical injury C. Serious physical injury D. Mutilation E. None of the above

JE can be charged with serious physical injury as it resulted in a disfiguration of her friend's face

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

153

A test used to determine the presence of powder residues on the suspect's hands or the site of gunshot wound entrance A. Lung's test B. Fodere's test C. Breslau's test D. Walker's test E. Harrison and Gilroy test

Lung's or paraffin test determines the presence of nitrates on the site to be tested but can be falsely positve if the subject handled fertilizers, cosmetics or cigarettes or other nitrogen containing compounds

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

154

For a child to be considered legitimate, the child must be born: A. in 180 days following the celebration of marriage B. within 300 days from the dissolution of marriage C. in the preceding 300 days before the child's birth, there is no physical impossibility of the husband having contact with the wife within the first 120 days D. Both A and B E. All of the above

All are correct and are definitions fulfilled for a child to be considered legitimate

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

155

The following are inherent rights of physician's except: A. To choose patients B. Hold public or private offices C. Avail of hospital services D. Limit the practice E. Determine appropriate management procedures



EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

156

A kind of compensation wherein the physician is paid by space of time and not by the quality or quantity of the service rendered A. Contingent fee B. Simple contractual fee C. Retainer fee D. Dichotomous fee E. Straight fee

Simple contractual stipulates the nature of the procedure, contingent fee depends on the success or failure of the treatment, dichotomous fee or fee splitting with other physicians, laboratory or drug company, straight fee is like the package system.

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

157

A radiologist was sued for wrongly interpreting a chest x-ray finding costing the patient her right lung, the hospital is also reliable for the actions of the radiologist through this doctrine A. Doctrine of ostensible agent B. Borrowed servant doctrine C. Captain of the ship doctrine D. Res Ipsa Loquitor E. None of the above

Because the hospital chose them as their radiologist, the hospital is also liable for the action of the radiologist.

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 20 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 158

QUESTION

EXPLANATION

AUTHOR

A resident was assisting a surgeon in an ex lap when the resident accidentally injured the left kidney, the surgeon as well as the resident is liable under this doctrine A. Borrowed servant doctrine B. Doctrine of ostensible agent C. Res ipsa loquitur D. Doctrine of assumption of risk E. None of the above

The surgeon is liable under the doctrine of the captain of the ship as well as the resident

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

159

A physician may not be issued a certificate of registration if he/she has commited the following except: A. was undergoing trial for a criminal offense involving moral turpitude B. was declared to be of unsound mind C. was found guilty of immoral or dishonorable conduct after investigation of the Board of Medicine D. was convicted by any court for a criminal offense E. None of the above

The physician is still under trial and therefore is presumed innocent until proven guilty

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

160

A physician can apply for reinstatement of his/her license if it has been revoked for how long? A. 1 year B. 2 years C. 3 years D. 4 years E. 5 years

A physician can apply for reinstatement upon recommendation of the board after 2 years for reasons of equity and justice.

EDWARD HARRY VALLAJERA, MD (TOP 8 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM PERPETUAL BINAN)

MIDTERM 2 EXAM - AUG 2015

161

The microorganism that plays a dominant role in decomposition A. Bacillus mesenterious B. Bacillus coli C. Clostridium welchi D. Bacilus proteus vulgaris E. Bacillus clausi

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

162

This finding in death is not consistent and may or may not appear on a person who died A. Rigor mortis B. Cadaveric spasm C. Algor mortis D. putrefaction E. None of the above



HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

163

Which of the following findings suggests suicide happened to the victim? A. Indication of struggle B. Presence of hesitation cuts C. Multiple wounds in different parts of the body D. NO history of depression E. None of the above



HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

164

What is the source when blood is dark red in color and has low oxygen content in a crime scene? A. child B. menstrual C. elderly D. venous E. Arterial



HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

165

Algor mortis refers to: A. irritability B. Softening of the body C. Hardening of the body D. Loss of elasticity E. Cooling of the body



HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

166

The basis to pronounce a person dead is: A. Molecular death B. Apparent death C. Cellular death D. Somatic death E. None of the above



HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

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TOPNOTCH EXAM MIDTERM 2 EXAM - AUG 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 167

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 3 EXAM - AUG 2015

In determining the sex of the skeleton, the following bones must be studied EXCEPT: A. mandible B. sternum C. pelvis D. femur E. None of the above



HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

168

Which among the following is an incidental right of a physician? A. Right to choose patient B. Right to limit practice in a private clinic or hospital C. Right to hold certain public or private offices D. Right to determine the appropriate management or procedures E. right to avail hospital services

others are inherennt rights of a physician

HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

169

Which of the following Medical Fees is considered ethical? A. Simple contractual fee B. Contingent fee C. Dichotomous fee D. Fee splitting E. Straight fee

HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

170

A newly licensed doctor was hired by a HMO company and is paid 180/hour regardless of how many patients he can handle at that time. This fee is called: A. Simple contractual B. Retainer C. contingent D. dichotomous E. Straight

simple contractual fee and retainer fee are the only medical fees considered ethical. contingent fee is unethical. the entry on the handout was corrected by Dr Rebosa during his lecture. simple contractual and retainer are the only ethical fees. SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

171

A radiologist performed a radiation therapy however the patient suffered severe burns on the skin. The hospital will also be liable under this doctrine A. Borrowed servant B. Captain of the ship C. Ostensible agent D. Assumption of risk E. none of the above

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

172

For an applicant to be qualified to take the Physician Licensure Examination of the Philippines, the applicant must meet the following requirements EXCEPT: A. Shall be of sound mind B. At least 21 years old C. Citizen of the Philippines D. Holder of MD degree E. none of the above

This is actually the #521 in compilation of legal med question. Dr Rebosa's answer is citizen of the Philippines since a citizen of another country can also apply provided that his/her country has reciprocity with ours. With regard to B, it can also be accepted since applicants who are 19-21 y/o can already take the preliminary examination provided they satisfy the other requirements. (page 2 legal med topnotch handout)

HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

173

Ina, a clerk, was tasked to be with the patient at the OR while waiting for surgery. She was confident that nothing wrong will happen to the patient and left the patient at the OR alone to have a coffee. After several minutes, patient fell asleep and fell from the OR table and he suffered contusions and lacerations. Dr. Diaz who is the surgeon can also be charged for negligence under this doctrine. A. Ostensible agent B. Captain of the Ship C. Barrowed Servant D. calculated risk E. surgeon can not be charge of negligence because the act of the clerk is grossly slacking.



HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

174

What is the liability of a physician who performed an autopsy without proper authorization from the next of kin or competent authorities A. Civil liability B. Criminal liability C. Administrative liability D. A and C E. All of the above

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE x5

HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 22 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 175

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 3 EXAM - AUG 2015

A patient wants to file a complaint against a physician for immorality. Where should he file his complaint? A. Regional Trial Court B. Prosecutors office C. DOH D. PMA E. PRC



HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

176

While driving in your town, you witnessed a shooting incident by a group of armed men. You were subpoenaed to appear in court as a/an _____________ witness. A. expert B. hostile C. reluctant D. ordinary E. Professional



HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

177

In a botched up surgery, the chairman of the surgery department of a medical center was called in to testify on the procedure. He is giving testimony as a _________ witness. A. precipient B. expert C. hostile D. defense E. Ordinary



HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

178

Under the doctrine the hospital owner may be liable for the mistakes of the residents: A. Barrowed servant B. Captain of the ship C. Vicariuos liability D. Fellow servant E. Assumption of risk

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

179

The license of Dr HK was suspended indefinitely. After how long can he apply for reinstatement? A. 3 years B. 6 months C. 1 year D. 2 years E. 5 years

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

180

A patient of a rare disease takes an experimental drug despite unknown side effects: A. Doctrine of informed consent B. Doctrine of foreseeability C. Assumption of risk D. Contributory negligence E. None of the above

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

HAROLD JAY S. BAYTEC, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FEU)

MIDTERM 3 EXAM - AUG 2015

181

A physician who deliberately refuses to obey a subpoena issued by a court without any justifiable reason is guilty of indirect contempt and can have a penalty of A. 200 pesos B. 1-2 days imprisonment C. 6 months imprisonment D. 1 month imprisonment E. 10,000 pesos

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE.. penalty for indirect contempt: 30000 pesos or 6 months imprisonment. Penalty for direct contempt: 200 pesos or 1-2 days imprisonment

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

182

What organ is affected by crush syndrome? A. kidney B. spleen C. liver D. pancreas E. stomach

Crush syndrome is characterized by secondary kidney changes in crush injuries. Edema and anuria follow a crush.

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

183

In this psychological pattern of doctor-patient relationship, the doctor feels that the patient is uncooperative and difficult while the patient feels that the doctor is unsympathetic A. Activity-Passivity B. Guidance-cooperation relation C. Mutual participation relation D. All of the above E. None of the above

Mutual participation relation is when the patient thinks that he is juridically equal to the doctor and that the nature of the relationship is on a negotiated agreement.

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 184

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM FINAL EXAM - AUG 2015

Mother does not intend to hurt her child. When she is drunk, she periodically batters son. She becomes remorseful afterwards and provides proper care in between her drinking spree. What type of child abuser is the mother? A. Occasional child abuser B. Constant child abuser C. Intermittent child abuser D. One-time child abuser E. None of the above



JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

185

Disorientation, mental confusion, dizziness, sensory disturbances exaggerated emotional state suggests that the alcohol blood level is? A. 200mg% B. 400mg% C. 100mg% D. 20mg% E. 50mg%

100mg%- loss of critical judgment, 150300mg%- Disorientation, mental confusion, dizziness, sensory disturbances, 400mg%- anesthetic, unconscious

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

186

Confidentiality of information in the course of a doctorpatient relationship may be breached in the following instances? A. When disclosure is necessary to serve the best interest of justice B. When disclosure of information will serve both public and private health and safety C. When disclosure is needed in a civil case to determine the moral character of a patient D. When information are being asked by police authorities E. All of the above

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE.. Confidentiality of information in the course of a doctor-patient relationship may be breached when disclosure is necessary to serve the best interest of justice

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

187

A doctor's wife filed an administrative complaint before the PRC against her husband who was living with a mistress for having abandoned her and her 3 children. The doctor's immoral acts are grounds for revoking his registration certificate and classified as? A. Criminal act B. Unprofessional conduct C. Unethical conduct D. Personal disqualification E. Civil liability

Immoral or dishonorable conduct is a ground for personal disqualification that may cause the revocation os a physician's certificate of registration

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

188

It concerns the state in its sovereign or political capacity to enforce or regulate the exercise of a right, duty or obligation imposed on the subject A. law on obligation and contracts B. criminal law C. law on torts and damages D. private law E. commercial law

Public laws are concerned with the state in its political and sovereign capacity. Examples of public law are criminal law, international law and political law

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

189

Marijuana is classified as what type of drug in the Dangeous Drug Act? A. Sedative B. Hypnotics C. Prohibited drug D. Stimulant E. Dangerous drug

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE.. Hallucinogens/ psychomimetic drugs: marijuana, LSD, MDA, MDMA, Phencyclidine, etc. are examples of prohibited drugs

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

190

Man was found guilty of large-scale estafa and was to be imprisoned. He suddenly became insane. Which should take place? A. He should be sent to prison B. His imprisonment should be deferred until he recovers C. He should undergo another trial upon recovery of sanity D. He should be pardoned E. None of the above



JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

191

When the color of the contusion changes to green, the contusion's estimated age is? A. 2-4 days B. 4-5 days C. 14-15 days D. 7-10 days E. 24 hours

2-4 days- red/purple, 4-5 days- green, 7-10 days- yellow, 14-15 days- disappears

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 24 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 192

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM FINAL EXAM - AUG 2015

The art of identification of fingerprints by comparison is known as A. endoscopy B. dactyloscopy C. poroscopy D. graphology E. dactylography



JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

193

Fingerprint may persist if not removed at the scene for how long? A. days B. weeks C. months D. years E. hours



JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

194

How soon after drowning does the dead body float? A. Within 24 hours B. After 36 hours C. After 48 hours D. After 60 hours E. After 72 hours



JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

195

The body vested by law to have general supervision and regulation over the practice of medicine is? A. Commission on Higher Education B. Department of Education C. Professional Regulatory Commission D. Board of Medical Education E. Association of Philippine Medical Colleges

Professional Regulatory Commission is the body vested by law to have general supervision and regulation over the practice of medicine

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

196

Which of the following kinds of medical fees is unethical? A. Simple contractual fee B. Retainer fee C. Contingent fee D. Straight fee E. All of the above

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

197

What is the kind of transplantation wherein the donor and recipient are of the same species but are unrelated? A. Heterotransplantation B. Homeotransplantation C. Isotransplantation D. Autotransplantation E. Xenotransplantation

In straight fee (aka Pakyaw system), the amount of medical fee is dependent on what will be the remaining balance when all of the other expenses have been paid. This is unethical. Another unethical fee is the dichotomous fee or feesplitting.DR.BANZUELA: According to Dr.Rebosa, contingent fee is also unethical. Correct answer for 96 is E SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE.. transplantation from a human donor to an unrelated human recipient is known as homeotransplantation

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

198

The height can be approximated using the following bones except? A. Femur B. Radius C. Humerus D. Tibia E. Ulna

Height can be estimated using the following bone remains of a dead person: mnemonics "FR HT" (for height) Femur, Radius, Humerus, Tibia

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

199

An applicant in a shipping company sued the physician of a pre-employment company for negligence due to the latter's refusal to prescribe an antidiabetic drug for the "increased blood sugar" in his FBS. Which among the following is a valid defense to be invoked by the physician? A. right to choose patients B. right to limit practice C. absence of physician-patient relationship D. absence of consideration E. all of the above

Instances when there is no doctor-paitent relationship- page 3 topnotch legal med handouts

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

200

What is the liability of a physician who performed an autopsy without proper authorization from the next of kin or competent authorities? A. Civil liability only B. Criminal liability only C. Both civil and criminal liability D. Administrative liability E. None of the above

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE.. the liability of a physician who performed an autopsy without proper authorization from the next of kin or competent authorities is both civil and criminal according to Dr. Rebosa =) Ideally, it should be all of the above.However, there's no 'all of the above' in the choices so the best answer would still be letter C.

JEAN PAOLO M. DELFINO, MD (TOP 10 - FEB 2015 MED BOARDS; TOPNOTCH MD FROM FATIMA)

FINAL EXAM - AUG 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 25 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 201

QUESTION

EXPLANATION

AUTHOR

Criminal liability of physicians is based on: A. Medical Act of 1959 B. Revised Penal Code C. Civil Code D. Hospital Rules and Regulations E. State Rules

Administrative liability: Medical Act of 1959. Civil liability: Civil code.

GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

202

Which doctrine can potentially nullify the doctrine of Res Ipsa Loquitur? A. Doctrine of Continuing Negligence B. Doctrine of Ostensible Agents C. Doctrine of Contributory Negligence D. Doctrine of Calculated Risk E. Common Fault Doctrine



GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

203

Which is NOT a requirement in the case of simple seduction? A. The woman is 12 to 18 years old. B. The woman if of good moral standing. C. The woman is single or widow. D. The woman is a virgin. E. Seduction is by means of deceit.

The woman must be a virgin in the case of qualified seduction.

GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

204

What amount of evidence must be presented in order to convict a physician in a civil case? A. Guilt beyond reasonable doubt B. Preponderance of evidence C. Substantial evidence D. Physical evidence E. Adequate evidence

Criminal case: guilt beyond reasonable doubt. Administrative case: Substantial evidence.

GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

205

Dr. Reyes lost an administrative case filed against him by his wife. He would be penalized as ________. A. Imprisonment B. Damages C. Suspension or revocation of his license D. Community service E. Destierro

Criminal case: Imprisonment. Civil case: Damages.

GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

206

The National Health Insurance Act is also known as: A. RA 7578 B. RA 7875 C. RA 9241 D. RA 9142 E. RA 1995

This was approved on February 14, 1995 by President Fidel Ramos.

GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

207

PhilHealth's goal of universal coverage or Kalusugan Pangkalahatan is defined as _____ of the Philippine population. A. 70% B. 75% C. 80% D. 85% E. 90%



GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

208

The doctor-patient relationship is fiduciary in that it implies: A. Mutual respect B. Mutual consent C. Mutual trust D. Mutual benefits E. Meeting of two minds



GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

209

Reinstatement of one's license may be applied for after a period of how many years? A. 1 year B. 2 years C. 3 years D. 4 years E. 5 years



GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

210

Medical records of outpatients should be kept for at least: A. 2 years B. 5 years C. 10 years D. 15 years E. 20 years

Inpatients: 15 years.

GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 26 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH EXAM DIAGNOSTIC EXAM - FEB 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 211

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM DIAGNOSTIC EXAM - FEB 2015

Sexual deviation described as rubbing of one's genital part to another person's body. A. Tribadism B. Irrumation C. Algolagnia D. Uranism E. Frottage

Tribadism: lesbianism. Irrumation: fellatio. Algolagnia: sado-masochism. Uranism: fingering, fondling. Rubbing: frottage.

GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

212

A male physician accused of a criminal act hysterically shouted against the witness during a court hearing. The physician may be cited for: A. Direct contempt B. Indirect contempt C. Prision mayor D. Prision correcional E. Arresto mayor

Direct contempt is any inappropriate behavior done within or immediately near the court.

GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

213

Fingerprints may be collected from a murder victim with washerwoman's skin by injection of: A. Water B. Glycerin C. Salt solution D. NaOH E. Oil



GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

214

The onset of decomposition usually starts at _________ after death. A. 8-16 hours B. 16-24 hours C. 24-48 hours D. 48-72 hours E. 72-96 hours



GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

215

Decomposition is retarded among stillborns because: A. It has less weight. B. It has a greater percentage of fat. C. It is sterile. D. It has a small surface area. E. The bones are not fully calcified.



GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

216

A couple whose blood types are B and AB are expecting a child. Their child will NOT have a blood type of: A. A B. B C. AB D. O E. None; all are possible

They will only have children with blood type A, B, and AB.

GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

217

In asphyxia, the right ventricle is _______ and the left ventricle is __________. A. Empty, also empty B. Empty, dilated C. Dilated, Empty D. Dilated, also dilated E. None of the above



GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

218

Which is NOT a test for gunpowder residues? A. Walker's test B. Gonzales test C. Diphenylamine test D. Takayama test E. Lung's test

Takayama test is a test for hemoglobin.

GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

219

Oil of vitriol is: A. HCl B. H2SO4 C. NaOH D. HCN E. CO



GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

220

Odd and Even Rule applies to: A. Lacerations B. Gunpowder residues C. Vehicular accidents D. Retained bullets E. Drowning



GRACE ARVIOLA, MD (TOP 3 - AUG 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - FEB 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 27 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 221

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM EXAM 1 - FEB 2015

Which of the following is a false statement regarding incestuous and void marriages from the beginning? A. Between the legitimate children of the adopter and adopted B. Between adopting mother/father and the adopted C. Between collateral relatives by blood within the 3rd civil degree D. between ascendants and descendants E. none of the above

it should be between collateral relatives by blood within the 4th civil degree

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

222

which of the following is true about Drug Habituation? A. It involves both psychological and physical dependence B. The detrimental effect is primarily on the individual C. Strong tendency to increase the dose D. An overpowering desire or need to continue taking the drug or to otain it by any means E. all are correct

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

223

what is the most likely blood alcohol of the person when he/she presents with general apathy, inertia, impaired response to stimuli, impaired conscious either lethargic or stuporous A. 50mg% B. 100mg% C. 150mg% D. 300mg% E. 400mg%

drug habituation is defined as the desire to have continuous use of the drug but with the capacity to refrain physically from using it. The desire is merely psychical and not compulsive and it is primarily detrimental only to the individual and not to the society. there is little tendency to increase the dose. all the other choices defines the term Drug addiction. 50mg%- increase self confidence, decrease inhibition, 100mg%- mental confusion, loss of critical judgement, incompetency, 150- decrease sense of pain, slurred speech, exaggerated emotions, disorientation. 300mg%- apathy, general inertia, stuporous. 400mg%- comatose state.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

224

which of the following is ethical in terms of payment of medical fees ? A. Dichotomous fee B. Straight fee C. Contingency fee D. Retainer fee E. All are unethical.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

225

which of the following methods in approximating the height of a person is false? A. 12x the length of the head B. Distance between suprasternal notch and the symphysis pubis is about 1/3 of the height C. The distance between the base of the skull to the coccyx is about 44% of the height D. distance between the tips of the middle fingers of both hands with the arms extended laterally E. none of the above

contingent fee - unethical since it depends on the success or failure of the treatment instituted. No fees will be received for efforts until a result is attained. Dichotomous fee - unethical, sharing a fee with another physician, laboratory, or drug company, not based on the services performed. Straight fee aka pakyaw system- unethical, the amount is dependent on what will be remaining after all expenses had been subtracted.retainer fee is ethical and it relates with MD working a company of HMOs- medical fee is measured by the time and space not by the quality or quantity of medical services rendered. it should be 8x the length of the head.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

226

true about fingerprinting except? A. It is the most valuable method of identification B. Formed during 6th month of gestation C. It reappears consistently the same as before even after finger injury or burn D. It is not the same even in identical twins E. the chances of having the same fingerprint is about 1 in 64billion.

It is formed during the 4th month of gestation

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

227

characterized by compulsive desire of a person to rub his sex organ against some parts of the body of another ? A. Partialism B. Frottage C. uranism D. sodomy E. Troilism

partialism- the person has special affinity to certain part of the female body. Uranism sexual gratification attained by fingering, fondling with the breast, licking part of the body. Sodomy-sexual act through the anus of another human being. Troilism- group of 3 person having sex.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

228

imbecile is in what IQ range? A. 0-20 B. 21-40 C. 41-70 D. 70-100 E. None of the above

Idiot - 0-20, feeble minded - 41-70

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 28 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 229

EXPLANATION

AUTHOR

which of the following is not true regarding the prerequisite to practice medicine? A. At least 21 years of age B. Natural born filipino C. Holder of a certificate of registration D. Not convicted by any court on criminal offense involving moral turpitude E. none of the above

to practice medicine in the philippines, the law requires that you must be a filipino citizen ( regardless whether you are a natural born or naturalized) or a citizen of foreign country in which there is a reciprocity b/w the two countries

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

230

A pathologist mistakenly exchanged the report from a frozen section from one person to another leading to unneccessary surgery. The hospital will be liable according what principle or doctrine? A. Doctrine of contributory negligence B. Doctrine of bad result rule C. captain of the ship doctrine D. Doctrine of ostensible agent E. all of the above

the hospital can be liable since pathologist as well as radiologist and anesthesiologist although independent contractors are also employees of the hospital.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

231

This refers to monetary sum awarded to the plaintiff in an action where there is no substantial loss or injury to be compensated but where the law recognizes a technical invasion of the right of the plaintiff or a breach of the defendants duty? A. Nominal damages B. Compensatory damages C. Liquidated damages D. Temperate damages E. Actual damages

actual or compensatory damage is an adequate compensation only for pecuniary loss suffered by a person as he has duly proved. Liquidated damages are those agreed by the parties to a contract, to be paid in case of breech thereof. Temperate or moderate damages is given when the court finds that some pecuniary loss has been suffered but its amount cannot be proved with certainty.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

232

which of the following will not make the person disqualified from becoming a witness? A. Tender age B. Husband against his wife C. Unsound mind D. Person convicted of a crime E. Descendants of a

persons not disqualified from becoming a witness: parties or othe persons interested in the outcome of the case. Persons who have been convicted of a crime. Persons on account of his opinion on matters of religious belief.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

233

Serious physical injuries resulting the blindness of one eye is a ground for what kind of punishment against the offendant? A. Prison mayor B. Arresto mayor C. Prison correcional in medium and maximum periods D. Prison correcional in medium and minimum periods E. reclusion perpetua It refers to asphyxia by closing of the external respiratory orifices either by the use of the hand or by some other means? A. throttling B. smothering C. Choking D. Ligature strangulation E. None of the above

prison correcional in medium and maximum periods includes the loss of the use of speech, or the power to hear or to smell or loss of an eye, a hand, a foot, an arm or a leg which result to incapacitation for the work he/she was therefore habitually engaged. loss of both eyes is a ground for prison mayor.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

trottling is by application of constricting force to the neck using the hands. Choking is impaction of a foreign body in the respiratory passages. Strangulation by ligature is compression of the neck by means of ligature which is tightened by a force other than the weight of the body.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

235

the legal definition of virginity refers to which of the following choices? A. Refers to a female B. Should be virtuous C. Must have an intact hymen D. Can either be a male or a female E. Must have full penetration of sexual organs

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

236

it refers to illegitimate chuldren who were conceived specifically by prostitutes? A. Sacrilegious B. spurius C. Adulterous D. Manceres E. Incestuous

virginity refers to the condition of a female who has not experienced sexual intercourse and whose genital organs have not been altered by carnal connection. The latters refers to even slightest penetration of sexual organ. it is not neccessary means that ruptured hymen is always a result of carnal knowledge. Letter B specifically refers to virgo intacta. Spurius is a general term for illegitimacy secondary to adultery, sacrilegious ( born of parents who have been ordained in sacris). Incestious( out of incestious marriage), and manceras ( conceived by prostitute).

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

234

QUESTION

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 29 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH EXAM MIDTERM EXAM 1 - FEB 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 237

QUESTION

EXPLANATION

AUTHOR

which of the following is an incidental right of a medical doctor? A. Right to compensation B. Right to avail of hospital services C. Right to choose patients D. Right to limit practice E. Right to determine appropriate management procedures what is a prerequisite for conviction in a case of civil liability of a physician? A. Guilt beyond reasonable doubt B. Preponderance of evidence C. Substantial evidence D. Any of the above E. None of the above

incidental rights of a doctor are as follows: right of way during a response to emergency call, right to exemption from execution of instruments and library, to compensation, to hold public or private offices, to membership in medical societies. All the other choices are inherent rights of a physician.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

Criminal - guilt beyond reasonable doubt; administrative liability - substantial evidence.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

239

this refers to an object or substances which may be a part of the body of the crime which proves that the crime existed? A. Autoptic evidence B. Corpus delicti evidence C. Associative evidence D. Real evidence E. A or D

autoptic or real evidence refers to evidences that is actually perceived using the five sensations. Associative evidence is a form of physical evidence that links suspect to the crime.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

240

which of the following bones cannot be used in determining the sex of the individual/victim? A. Humerus B. Radius C. Sternum D. Skull E. Pelvis

bones that can be used in determining the sex of a victim are the following: skull, pelvis, humerus, femur, and sternum.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

MIDTERM EXAM 1 - FEB 2015

241

Which of the following statements regarding death is true? A. the civil personality of a natural person is not extinguished by death B. the criminal liability of a person is extinguished by death C. death of a partner is not a cause for dissolution of partnership agreement D. state of suspended animation is an example of somatic or clinical death E. none of the above

Solis page 111

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

242

Which of the following regarding an antemortem clot is correct? A. clot is homogenous B. lines of zahn is present C. chicken fat layer present D. soft in consistency E. surface of the blood vessels are smooth and healthy after clot removal

solis page 131, post mortem clot forms layers or lines of zahn, chicken fat layering

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

243

The microorganism that plays an important and dominant role n decomposition of a dead body is A. Bacteroides fragilis B. Clostridium perfringens C. Clostridium welchii D. E. Coli E. Enterobacteriacae

Solis page 146

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

244

Which method of conducting a search of the crime scene wherein the area is blocked out in the form of a rectangle and the searcher proceeds slowly at the same pace along the path parallel to one side of the rectangle A. spiral method B. wheel method C. strip method D. zone method E. circular method

solis page 162

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

245

All of the following are conditions in which an autopsy solis page 165 autopsy important topic, upon can be performed on a dead body EXCEPT written request of police authorities A. whenever required by special laws B. upon order of a competent court, mayor and or fiscal C. upon written request by the attending physician D. when the nearest of kin shall request in writing E. none of the above

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

238

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 30 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH EXAM MIDTERM EXAM 1 - FEB 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 246

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 2 EXAM - FEB 2015

Which of the following characteristics of the gunshot wound will NOT be present when a pistol is fired at a distance of 10 inches? A. smudging B. tattoing C. soot D. burning E. contusion collar

burns up to 6 inches, smoke up to 12 inches, gun powder stipplings up to 24 inches

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

247

Which of the following statements are false regarding gun shot wounds? A. the number of entrance wounds may be lesser than the number of exit wounds B. the number of exit wounds may be lesser than the number of entrance wounds C. a contusion collar may be present in an entrance wound D. paraffin test is always negative in an exit wound E. all the above statements are true

paraffin test always negative in an exit wound, the number of entrance and exit wound may not always be the same, bullet may lodge on natural orifices or enter via natural orifices

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

248

All of the above descriptions are consistent with strangulation as a result of hanging or via suicide EXCEPT A. hyoid bone is frequently injured B. direction of the ligature mark is usually horizontal C. ligature is usually at the level of the hyoid bone D. ligature groove is deepest opposite the site of the know E. vertebral injury is frequently observed Which of the following is the type of child abuser wherein the parents supposedly mean well but their attempts at rearing their children result in permanent injury or death of their children A. intermittent abuser B. one time abuser C. constant child abuser D. ignorant abuser E. psychotic abuser

direction of the ligature mark in hanging is usually inverted V shaped with apex as the site of the knot

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

intermiitent child abuser - parents who periodically batter a child with periods of proper care, one time abuser - never repeat the act, constant child abuser is a parent who actually hates his or her child

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

250

What is the term given to include women who have had previous sexual intercourse or even habitually but had not given birth? A. true physical virginity B. false physical virginity C. demi-virginity D. virgo intacta E. moral virginity

true physical virginity hymen is intact, opening barely admit the tip of finger, false physical virginity hymen intact but orifice is wide, demi virginity woman who permits any form of sexual liberties as long as they abstain from rupturing the hymen

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

251

Which of the following is NOT considered an absolute qualification for a candidate to apply for the complete board examination in medicine? A. he must be a filipino citizen B. he must be of good moral character C. must be of sound mind D. must have completed internship E. should be a holder of a degree of doctor of medicine

a person whose country's existing laws permit citizens of the Philippines to practice medicine under the same rules and regulations can be allowed by virtue of reciprocity

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

252

The following are considered NOT participating in the practice of medicine EXCEPT A. any medical student or intern under the supervision of a registered physician B. a duly registered masseur of physiotherapist applies massage upon prescription or order from a physician C. a clinical psychologist or mental hygienist who is under direct supervision by a physician D. A person who administers paracetamol to a patient with fever E. a nurse who takes the blood pressure and prescribes the appropriate treatment

household remedies are not included in practice of medicine, any person who examines and prescribes or treats a patient is without supervision of a registed physician is practicing medicine

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

253

Which of the following conditions are to which the doctrine of contributory negligence may NOT apply? A. failure to give the physician an accurate medical history B. A post surgical patient din not follow the physician's take home instructions and medications C. a semiconscious patient rolls over from her stretcher and breaks her hip D. leaving a hospital against the advice of the attending physician E. failure to seek further medical assistance if symptoms persisted despite warnings from the physician

contributory negligence cannot apply where the patient is mentally ill, semiconscious, heavily sedated or of advanced age

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

249

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 31 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 254

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 2 EXAM - FEB 2015

Which of the following elements are included in fulfilling the conditions necessary for application of the doctrine of res ipsa loquitur? A. the accident would not occur without negligence B. the agency must be in the control of the defendant C. there was no contributing conduct by the plaintiff D. all of the above E. only A and B

all are requisites for res ipsa loquitur

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

255

These are damages paid for by virtue of the amount agreed upon by the parties to be paid in case of breach of contract A. moral damages B. liquidated damages C. temperate damages D. moderate damages E. nominal damages

moral damages from mental anguish, physical suffering ,fright and moral shock, temperate or moderate - more than nominal less than compensatory, when there is some pecuniary loss but the amount cannot be proved with certainty page 374 solis

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

256

Which of the following tests can be used to determine the presence of gunpower residues on the hand or site of the wound entrance? A. dermal nitrate test B. paraffin test C. diphenylamine test D. all of the above E. only A and B

all of the above are the same as paraffin test

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

257

Which of the following terms refers to natural children acknowledged by the father or the mother separately if the acknowledging parent was legally competent to contract marriate at the time of conception? A. legitimated children B. legitimate children C. natural children proper D. natural children by legal fiction E. natural children by presumption

all are under illegitimate children except legitimate and legitimated children. Natural children proper- born out of wedlock but parents have no impediment to marry each other, by legal fiction children born of void mariages or born of voidable marriages, legitimate those born in lawful wedlock or within 300days after dissolution of marriage

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

258

Which among the following statements regarding infanticide is false? A. it is most often committed by the mother B. the criminal act is always committed in the home C. the crime scene shows no disturbance, witnesses and or noise or outcry D. trauma applied is minimal E. if the newborn child found dead was born dead, burden of proof that a living child has been killed is on the prosecution

the criminal act is almost always in the home but not always

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

259

All of the following are chemical examinations in detection of blood and blood stains EXCEPT? A. Luminescence test B. Guaiacum test C. Kastle-Meyer test D. Benzidine test E. none of the above

luminescence test is a physical test

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

260

Which of the following tests determines whether the specimen is of human blood or not A. Precipitin test B. Aetone-haemin of Wagenhaar test C. puramine test D. berberio's test E. none of the above

review the different tests

KEVIN BRYAN LO, MD (TOP 7 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2015

261

What refers to the art of identification of fingerprints by comparison? A. Graphology B. Endoscopy C. Poroscopy D. Dactyloscopy E. Dactylography



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

262

What is the most prominent sign of death? A. Cessation of heart action B. Cessation of respiration C. Progressive fall of body temperature D. Loss of power to move



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 32 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 263

QUESTION

EXPLANATION

AUTHOR

A person lost an eye after being physically assaulted. He was hospitalized hor 10 days. The offender is liable for? A. Serious physical injury B. Less serious physical injury C. Slight physical injury D. Mutilation

Any injury with loss of body part or deformity is considered serious regardless of days of confinement/treatment

RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

264

The crime of qualified seduction can be committed on a woman above the age of 18 when: A. The sexual act was done deceitfully B. The sexual act was committed with force or intimidation C. The offender is the father or brother of the victim D. The woman is a prostitute.



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

265

A baby born alive has a legal responsibility. One of the tests used to determine life before death of a fetus is to float the lungs in the water or what is called as: A. Wrendin's B. Hydrostatic C. Icard's D. Breslau's



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

266

If the husband is impotent yet her wife gave birth to a healthy baby while in lawful wedlock. Which of the following is true? A. Proof of impotence will overthrow presumption of legitimacy B. The child's legitimacy cannot be questioned C. The child upon birth can be declared illegitimate D. None of the above E. All of the above Which of the following constitutes parricide? A. When a man kills his common law wife B. A moron who has three wives and kills the last married to him C. When a married woman kills his illegitimate grandfather D. When a son kills his illigitimate father Disorientation, mental confusion, dizziness, sensory disturbances, exaggerated emotional state suggests that the blood alcohol level is: A. 400 mg% B. 150-300 mg% C. 80-100 mg% D. 500 mg% E. <80 mg%



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

269

A confession is different from admission because the latter is: A. statement of guilt B. statement of fact which does not directly involve an acknowledgement of guilt C. expressed acknowledgement of the truth of his guilt as to the crime charged D. All of the above E. None of the above



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

270

Patient prmised to pay his doctor if he is cured of his cancer. This refers to: A. Contingent fee B. Simple contractual fee C. Packaged deal fee D. Retainers fee E. None of the above



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

271

A fiduciary physician-patient relationship is based on: A. law B. court order C. mutual trust D. mutual concent E. All of the above



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

272

Burden of evidence needed to convict a physician for civil liability A. Substantial evidence B. Preponderance of evidence C. Proof beyond reasonable doubt D. Circumstantial evidence



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

267

268

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 33 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH EXAM MIDTERM 3 EXAM - FEB 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 273

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 3 EXAM - FEB 2015

Which of the following is an administrative liability of a hospital? A. Failing to place sideboards on a bed after they were deemed necessary B. Administering the wrong blood product C. Improperly administering a hypodermic injection D. Keeping a hot water bottle too long on a patient's body E. None of the above As a result of deformity sustained from an operation, a doctor was sued by his patient for mental anguish and social humiliation. The type of damage she can recover is? A. Actual damage B. Exemplary damage C. Compensatory damage D. Moral damage



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

275

The doctrine which will bar a patient from recovering damages because he assents to the risks of injury: A. Doctrine of assumption of risk B. Contributory negligence C. Doctrine of continuing negligence D. Doctrine of sole responsibility



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

276

Which of the following psychological patterns of a doctor-patient relationship is present if the patient seeks help and is ready and willing to participate? A. Activity-passivity B. Mutual participation C. Guidance-Cooperation D. Superior knowledge E. None of the above



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

277

Objects or substances which maybe a part of the body of the crime refers to: A. Testimonial evidence B. Associative evidence C. Tracing evidence D. Experimental evidence E. Corpus delicti evidence



RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

278

What is the estimated duration of cadaveric rigidity in tropical countries during summer? A. 18-36 hours B. 24-48 hours C. 48-72 hours D. a short time immediately after death E. None of the above

tropical summer - 18-36; tropical cold weather 24-48; temperate climate - 2-3 days

RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

279

A person who inflicts serious physical injury on another causing physical deformity is punishable by: A. Prison mayor B. Prison correcional in its medium or maximum periods C. Prison correcional in its minimum or medium periods D. Arresto mayor E. None of the above Which of the following is true regarding the rights of patients when confined to the hospital? A. Right to receive visitors and relatives within the limits prescribed by the hospital B. Correspondence that is restricted by the hospital C. Right to be free from mechanical restraints with absolutely no exceptions D. All of the above

A - Imbecility/total blindness/impotency - RAYMUND MARTIN MIDTERM 3 prison mayor; B - Loss of hearing, LI, MD (TOP 1 - AUG EXAM - FEB sight, smell, speech, arm, leg - prison 2014 MED BOARDS; 2015 correccional medium or maximum TOPNOTCH MD) C - Deformity/loss of other members of body - prison correccional minimum or medium D - <90 days incapacitated - arresto mayor Unrestricted correspondence; Free from restraints except if there is justifiable reason, right to be discharged

RAYMUND MARTIN LI, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 3 EXAM - FEB 2015

The privilege to practice medicine in the Philippines is regulated by what entity/body? A. Board of Medicine B. Police power of the State C. Judicial body of the State D. Professional Regulatory Commission E. Philippine Medical Association

The police power of the state has the right to regulate the practice of medicine

ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

274

280

281

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 34 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 282

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM FINAL EXAM - FEB 2015

Which of the following test would determine whether the blood and semen obtained from the crime scene is of human origin? A. Precipitin test B. Takayama's test C. Florence's test D. Benzidin's test E. Fodere's test



ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

283

A physician was asked by the court to describe the findings in his physical examination of his patient, who was a victim in a hazing incident. The physician in court is acting as a/an? A. Expert witness B. Ordinary witness C. Special witness D. Both A and B E. None of the above

Merely description without inference of the possible explanation for the injuries or diagnosis would mean that he is merely acting as an ordinary witness.

ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

284

A patient with malignant melanoma undergoes experimental treatment despite lack of knowledge of the possible adverse effects. The researchers are not liable for any untoward event that may occur due to what doctrine? A. Captain of the ship doctrine B. Doctrine of sole responsibility C. Doctrine of forseeability D. Doctrine of contributory negligence E. Assumption of risk

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE.

ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

285

An OFW who came from Sierra Leone returned to the Philippines and died due to complications of Ebola virus. If he is to remain unembalmed he must be buried not later than how many hours? A. 6 hours B. 12 hours C. 20 hours D. 24 hours E. 48 hours

for infectious - buried not later than 12 hours

ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

286

A 65 year old male who underwent exploratory laparotomy complained of abdominal pain 24 hours post-op. Imaging studies revealed that a mosquito forcep and multiple gauzes were retained in the patient's abdominal cavity. The surgeon is liable by application of what doctrine? A. Doctrine of vicarious liability B. Doctrine of continuing negligence C. Doctrine of contributory negligence D. Doctrine of res ipsa loquitur E. Doctrine of direct negligence

Res ipsa loquitur: the thing speaks for itself

ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

287

Which of the following tests is used to determine if the fetus was born alive by allowing to float the lungs in water? A. Hydrostatic Test B. Icard’s test C. Breslau’s test D. Wrendin's test E. Precipitin Test



ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

288

A 37 year old man was hit by a speeding van in the legs and was thrown 15 feet from impact, subsequently hitting the pavement. As the attending physician, apart from the fractures on both legs, you noted abrasions, contusions and lacerations in the abdomen, flanks and chest. These injuries are referred to as what? A. Run over injuries B. Primary impact C. Secondary impact D. Contrecoup injuries E. Coup injuries



ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 289

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM FINAL EXAM - FEB 2015

A 25 year old female, who was a victim of a home invasion, sustained multiple stab wounds and is rapildy deteriorating due to massive blood loss. She made a statement to the attending physician at the emergency room in referrence to the individual who inflicted the injury on her. Her statement is best considered as what? A. Privillege communication B. Dying declaration C. Inadmissible evidence D. Hearsay evidence E. None of the above

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE.

ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

290

You evaluated a 68 year old woman with 4-month history of chest pains and fainting spells that you feel would benefit from a cardiac catheterization. After informing her fully of the benefits, consequences and risks of the procedure, she decided with full understanding to forego the intervention. What is the ethical approach that you should do? A. Respect her choice B. Explore reasons for her decision and try to convince her again C. Refer her to a psychiatrist D. Continue with the procedure nevertheless even if without her consent E. Talk to the family and have them convince her to undergo the procedure



ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

291

For a child to be legitimate, he must be born in a lawful wedlock or within how many number of days after the dissolution of marriage? A. 110 days B. 230 days C. 250 days D. 300 days E. 365 days



ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

292

A physician refused to attend on several occasion of a court hearing citing as reason that he has several outpatients to examine. Which of the following is he liable for? A. Direct contempt of the court B. Indirect contempt of the court C. Disrespect for the court D. No liability, as his reason is considered qualified and valid E. Both A and B



ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

293

Confidentiality of information in the course of a doctorpatient relationship may be breached in which of the following instances? A. When disclosure is necessary to serve the best interest of justice B. When disclosure of information will serve the private health sector and pharmaceutical companies C. When disclosure is needed in a civil case to determine the moral character of a patient D. Both A and C E. All of the above

Confidentiality may only be breached in the best interest of justice and public safety.

ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

294

What type of injury is incurred when a blow to the forehead causes contusion of the eyeball due to fracture of the bone at the roof of the orbit? A. Coup B. Contre-coup C. Coup contre-coup D. Locus minoris resistencia E. None of the above



ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 36 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 295

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM FINAL EXAM - FEB 2015

The hospital is almost full and the only vacant beds are in the ward. An infectious case was admitted in the ward resulting to contamination of other patients. The physician who admitted the patient is liable under what doctrine? A. Captain of the ship B. Contributory Negligence C. Superior knowledge D. Assumption of risk E. Foreseeability

Contamination of other patients is foreseen when one admits an infectious case in the ward filled with patients who does not have the same infection.

ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

296

Which of the following findings in death is not consistently present and may not appear on a person who has just died? A. Cadaveric spasm B. Primary flaccidity C. Rigor mortis D. Secondary flaccidity E. None of the above

Cadaveric spasm or instantaneous rigor is not always present and is not part of the 3 stages of muscles after death.

ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

297

What is the burden of evidence needed to convict a physician in a criminal case? A. Substantial evidence B. Circumstantial evidence C. Guilt beyond reasonable doubt D. Preponderance of evidence E. None of the above



ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

298

Which of the following is an incidental right of a physician? A. Right to exemption from execution of instruments and library B. Right to choose patients C. Right to avail of hospital services D. Right to limit the practice of medicine E. None of the above A woman attacked her co-worker in the office after a heated arguement. A physican attended to the injury that resolved within 3 days. After a week, the victim developed multiple linear scars over the forehead and malar area where the wounds were initially inflicted. What is the legal classification of this injury? A. Slight physical injury B. Less serious physical injury C. Serious physical injury D. Mutilation E. Physical injuries inflicted in a tumultuous affair

The rest of the choices are inherent rights of a physician

ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

Slight: 1-9 days Less serious: 10-29 days Serious: >30days; or with scar, deformity, loss of organ

ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

300

What is the term used to refer to physical injuries which develop on parts of the body near bony tissues that are deep seated and caused by forcible impact of hard blunt objects? A. Abrasion B. Contusion C. Hematoma D. Laceration E. Incision



ERIC ROYD TALAVERA, MD (TOP 1 - AUG 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2015

301

Which of the following is an inherent right of a physician ? A. To choose patients in a non emergency cases B. To hold certain public or private offices C. Right to have appropriate compensation D. Right of way while responding to call of emergency E. all of the above

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

302

the kind of medical compensation given to doctors working in a private/public companies or health maintenance organizations? A. Contractual fee B. Contingent fee C. Retainer fee D. Straight fee E. Commission fee

inherent rights of the physician: 1. to choose patients, however should respond to any in cases of emergency. 2. to limit the practice. 3. to determine the appropriate management procedures. 4. to avail of hospital services. Incidental rights of the physician: 1. right of way during emergency calls 2. right of exemption from execution of instruments and library 3. to hold cetain public and private offices, 4. to have appropriate compensation 5. to membership in medical societies. Topnotch handout retainer fee - measureed by the space of time and not by the quality or quantity of medical services rendered. Contractual fee - contract stipulates the nature of procedure, it states the value of such medical services either verbval or in writing. commision fee or fee splitting - sharing of fee with another physician, laboratory or drug company, not baed on services performed(unethical).contingent fee - fee depends on the success or failure of the treatment instituted (unethical). straight fee ( pakyaw system) - the amount of medical fee is dependent on what will be the remaining

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

299

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 37 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item #

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM

balance (unethical). topnotch handout.

303

what is the minimum requirement for conviction if the physician is charged with immoral or dishonourable conduct towards his/her patient under the medical act of 1959? A. Guilt beyond reasonable doubt B. Preponderance of evidence C. Substantial evidence D. Circumstantial evidence E. none of the above

immorable of dishonourable conduct is a ground for administrative investigation. The requirement for conviction is a substantial evidence on proving the charge agains the physician. The venue for trial is at the PRC board of medicine. While the penalty may range from reprimand, suspension or revocation of license. civil liabilities - peponderance of evidence while criminal liabilities is of guilty beyond reasonable doubt. persons not disqualified from becoming a witness:1. parties or other persons interested in the outcome of the case 2. persons who have been convicted of a crime. 3. persons on account of his opinion on matters of religious belief.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

304

which of the following will not disqualify a person as a witness? A. Persons who have been convicted of a crime B. Descendants testifying against his/her parents C. Husband testifying against a criminal by her wife against a unrelated party D. person of tender age E. all of the above

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

305

this is a type of medical evidence which is perceived through the use of sight, hearing, taste, smell and touch? A. Experimental evidence B. Autoptic evidence C. Documentary evidence D. Corpus delicti evidence E. Tracing evidence

A- doing experiment inorder to confirm his/her allegation in front of the court. C- use of letters, figures,or marks intended to be used for the purpose of recording. D-objects or substances which may be a part of the body of the crime. E- this are physical evidences that assist an investigator in locating a suspect ex. ship or aircraft manifest. the approximate height of the person is about 8x the length of the head

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

306

which of the following is not correct about the methods in approximating the height of a person? A. 9x the length of the head B. The distance betw+een suprasternal notch and the symphysis pubis is about 1/3 of the height C. Length of the forearm measured from the tip of the olecranon process to the tip of the middle finger is 5/19 of the height D. the distance from the base of the skull to the coccyx is about 44% of the height E. none of the above

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

307

what is the minimum approximate age of a person if his/her 3rd molar root is completely calcified? A. 20 B. 22 C. 25 D. 27 E. 30

9 y/o -12 permanent teeth; 11 y/o -20 permanent teeth, 13y/o - 28 permanent teeth, 25 y/o - calcification of 3rd molar root is complete.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

308

this refers to qualified seduction? A. Single or widow of good reputation over 12 y/o but under 18 y/o committed y means of deceit B. Having carnal knowledge to a woman under 12 y/o age C. To a virgin >12 y/o but under 18 y/o committed by any person in public office, priest, or teacher, D. to a virgin >12 but under 18y/o carried out with her consent and with lewd design E. none of the above

A- simple seduction. B- rape, D- consented abduction.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

309

which of the following is a form of microscopic examination of blood or blood stains? A. Precipitin test B. Wagenhaar test C. Schombein test D. Phenolpthalein test E. All of the above

chemical examination - ammonia saline extract test, guaiacum test, schombein test, phenolphthalein test, leucomalachite green test. Microscopic examination - takayama test, teichmann blood crystal test, and wagenhaar test. Biological examination - precipitin test and blood groupings

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 310

QUESTION

EXPLANATION

AUTHOR

During cadaveric rigidity, what is the minimum time needed for the whole body to become stiff? A. 10 hours B. 12 hours C. 14 hours D. 16 hours E. 18 hours

initiation of rigidity starts at the range of 3-6 hours of death, it becomes total rigidity at a least of 12 hours. Duration of rigidity in temperate countries is about 48-72 hours while in tropical countries is 24-48 hours.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

311

what is the approximate duration needed for a contusion to change from red to green? A. 2-4 days B. 4-5 days C. 6-8 days D. 8-10 days E. None of the above

red to green color - 4-5 days , red to yellow color - 7-10 days .( SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE)

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

312

what is the maximum penalty applied to a person who is charged with serious physical injuries resulting for the victim to loose one eye? A. Prison correcional in its minimum or medium periods B. Arresto mayor C. Prsion correcional in its maximum periods D. prison mayor E. reclusion perpetua

prison correcional in its medium and maximum periods - 1. loss of the use of speech or the power to hear or to smell or loss of an eye, a hand, a fooot, an arm or a leg 2. loss of the used of any such member. 3. becomes incapacitated for the work in which he was therefore habitually engaged. Prison mayor - results to imbecility, impotency, and total blindness ( should be both eyes).

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

313

What type of asphyxia does cyanide poisoning belongs to? A. Anoxic death B. Anemic anoxic death C. Stagnant anoxic death D. Histotoxic anoxic dath E. None of the above

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

314

this refers to asphyxia by forcefully occluding the external respiratory orifices either by the use of hand or by some other means? A. smothering B. choking C. Trottling D. Burking E. None of the above

Histotoxic death- refers to asphyxia secondary to failire of cellular oxidative processes: cyanide, alcohol overdose and carbon monoxide. Anoxic death - associated with the failure of the arterial blood to become normally saturated with oxygen e.g. air passage obstruction, high altitude, congenital heart disease (R-->L shunt). anemic anoxic death- refers to decrease capacity of the blood to carry oxygen e.g. severe hemorrhage, CO ( also histotoxic), anemia. stagnant anoxic death - failure of circulation ( Myocardial infarction) Burking - any form of traumatic asphyxia for the purpose or intent to sold the body to medical schools for dissection. Trottling - use of hand to apply constricting force to the neck. Choking - impaction of foreign body in the respiratory passageways.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

315

definition of virginity applies to which of the following statement? A. Refers to a female B. Refers to both sexes. C. Refers to a state of not knowing the nature of sexual life and not having experienced sexual intercourse D. All of the above

On legal point, the term virginity refers to a female who has not experienced sexual intercourse and whose genital organs have not been altered by carnal connection. C- refers to moral virginity.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

316

Refers to the compulsive desire of a person to rub his sexua lorgan against some parts of the body of another? A. Frottage B. Partialism C. Mixoscopia D. Sodomy E. Uranism

uranism - sexual gratification attained by fingering, fondling with the breast, licking part of the body. Partialism - the person has a special affinity to certain part of the female body. Sodomy - sexual act through anus of another human being. mixoscopia - sexual pleasure is attain by watching couple undress or during sexual activity.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

317

This refers to an examination of peripheral circulation wherein a fluorescent solution is injected to the circulation to see whether the latter will spread to all over body or not ? A. Diaphanous test B. Icards test C. Magnus test D. Winslows test E. none of the above

Magnus test - ligature is applied around the base of the finger with moderate tightness. In a living person, there appears a bloodless zone at the site of application. If such ligature is applied on a dead man, there is no change in color. Diaphanus test - the fingers are spread wide and the finger webs are viewed through a strong lightt in the living, the finger webs appear red but yellow in dead. Winslow test - theres is no movement of the image formed by reflecting artificial light on the water or mercury contained ina saucer and placed on chest or abdomen if respiration is not taking place.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

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TOPNOTCH EXAM BACK-UP MIDTERM EXAM - FEB 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 318

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM BACK-UP MIDTERM EXAM - FEB 2015

How many hours it usually takes for a body to float secondary to drowning ? A. 16 hours B. 18 hours C. 22 hours D. 24 hours E. 48 hours



LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

319

refers to illegitimacy when a child is conceived by parents who are in a second civil degree? A. Spurious B. Manceras C. Sacrilegious D. Incestuous E. Adulterous

Spurious children refers to the general term illegitimate children. It can be classified into 4 kinds: adulterous, sacrilegious -parents who are ordained by sacris, incestious - blood relationship, manceras- conceived by prostitutes

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

320

A 29 y/o medical technologist went for consult secondary to chronic cough. based on the history and PE, you diagnosed her to have post nasal drip. After hearing your diagnosis, she started searching the internet in front of you and states that you dont know what postnasal drip really is. what is the nature of MD patient relationship in this case? A. activity-passivity B. Guidance cooperation C. mutual participation D. fiduciary E. expressed contract

mutual participation - patient thinks that he is juridicially equal to the MD and that the nature of relationship is on a negotiated agreement. Guidance cooperation- patient is conscious ,seeks help and ready to cooperate. Activity-passivity- patient is unable to contribute activity ( patient is unconscious). fiduciary - states that the relationship is based on mutual trust and confidence.

LEAN ANGELO SILVERIO, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD), MD

BACK-UP MIDTERM EXAM - FEB 2015

321

Carnal knowledge means: A. knowledge about the nature of sexual life B. rupture of the hymen C. slightlest penetration of the female sexual organ by the male sex organ D. Full penetration is necessary.



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

322

When a blow to the forehead causes contusion of the eyeball due to a fracture of the bone at the roof of the orbit, this type of injury is called: A. coup B. contre-coup C. coup contre-coup D. locus minoris resistencia



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

323

Dactylography is: A. the study of the pores on the papillary or friction ridges of the skin for the purpose of identification B. arte of changing fingerprints C. art and study of recording fingerprints as a means of identification D. art of comparing fingerprints for identification

Choice D pertains to dactyloscopy.

DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

324

If the person died as a result of a communicable disease and is unembalmed, the body should be buried not later than: A. 12 hours B. 20 hours C. 24 hours D. 48 hours



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

325

A wound may be indirectly fatal by reason of: A. scarring effect B. hemorrhage C. mechanical injuries to vital organs D. shock

Choices B, C, and D are direct causes of death from wounds.

DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

326

According to Dupuytren's classification, burns resulting in charring of the limb and involving bone and muscle is considered to be: A. fifth degree burns B. sixth degree burns C. seventh degree burns D. eighth degree burns

fifth degree burns - involving the deep fascia and muscles which may result to severe scarring or deformity

DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 40 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 327

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM BACK-UP MIDTERM EXAM - FEB 2015

Kunkel's test is carried out on a blood sample to determine the presence of: A. hydrogen sulfide B. hydrogen cyanide C. carbon monoxide D. nitrates



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

328

An expert medical witness has the following qualification: A. duly licensed medical practitioner B. duly licensed medical practitioner with at least 5 years of active practice C. duly licensed medical practitioner who has specialized in a particular branch of medicine D. duly licensed medical practitioner who is a specialist in the line along which he is testifying



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

329

A physician who fails to comply to a subpoena issued by the court may be guilty of: A. administrative sanction B. direct contempt of the court C. indirect contempt of the court D. criminal act of ommission



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

330

In which of the following is there a physician-patient relationship? A. physical examination conducted for insurance purposes with prescription B. physician appointed by trial courts to examine an accused C. autopsy examinations D. in casual consultations during conferences A statement made by a dying patient to the attending physician in reference to the persons who inflicted injury on him is known as: A. privileged communication B. dying declaration C. hearsay evidence D. inadmissible evidence



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

332

The declaration of a patient who knows that he is dying from cancer that his compadre told him that he (compadre) killed his wife is: A. privileged communication B. dying declaration C. hearsay evidence D. testimonial evidence E. deposition



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

333

Which one of the following medical fees is considered unethical? A. professional fees B. retainer's fees C. contingent fees D. contractual fees



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

334

The medical records department refused to disclose the clinical records of a patient. The patient may seek redress through: A. mandamus B. court injunction C. subpoena duces tecum D. TRO



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

335

the following are rights of patients, except: A. right to give consent to diagnostic and treatment procedures B. right to religious belief C. right to avail hospital services D. right to compensation



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

336

A form of sexual deviation whereby pain is the principal factor for satisfaction, either as a recipient of inflictor, is called: A. algolagnia B. pedophilia C. fetishism D. bestiality E. uranism



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

331

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 41 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 337

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM BACK-UP MIDTERM EXAM - FEB 2015

In slight physical injuries, the period of medical attendance is not more than: A. 9 days B. 15 days C. 20 days D. 60 days



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

338

Which of the following is a test for the presence of powder residues on clothing: A. Gonzales' test B. Walker's test C. Paraffin test D. Lung's test



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

339

A missing person is presumed dead after how many years? A. 3 B. 5 C. 7 D. 9 E. 11



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

340

In contrast to ante-mortem clot, post-mortem clot is: A. firm B. soft C. homogeneous D. uniform



DEBBIE ROSE TANENGSY, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

341

Dactylography is: A. The study of the pores on the papillary or friction ridges of the skin for the purpose of identification B. Art of changing fingerprints C. Art and study of recording fingerprints as a means of identification D. Art of comparing fingerprints for identification The following are inherent rights of a physician, except: A. To choose their patients B. Limit their practice C. To be compensated D. Avail of hospital services

Choice A - poroscopy Choice D - dactyloscopy

JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

Reference: Topnotch Legal Med Handouts

JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

A common law husband who kills his common law wife with whom he has a 2 day-old child can be prosecuted for: A. Infanticide B. Parricide C. Homicide D. Impossible crime It is an expressed acknowledgment by the accused in a criminal case of the truth of his guilt as to the crime charged: A. Confession B. Admission C. Interrogation D. All of the above The following are prerequisites to the practice of Medicine, except: A. Age of at least 19 years old B. Must be a holder of a certificate of registration C. Must not have been convicted by any court of competent jurisdiction of any offense involving moral turpitude D. Proper educational background The presence of a weapon which is highly grasped by the hand of a victim of a shooting incident is an example of: A. Rigor mortis B. Death stiffening C. Cadaveric spasm D. Cadaveric rigidity Permission to disinter the remains of a person who died of a dangerous communicable disease maybe granted after a burial period of: A. 4 years B. 5 years C. 6 years D. 7 years Dr. X, the MHO of Municipality X, shall perform an autopsy on a dead body when: A. Requested by any relative of the victim B. Verbally directed by the police C. Upon order of the mayor D. Ordered by the Provincial Hospital Medical Director

If the legal wife was killed, the charge would be for parricide.

JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

Confession involves guilt. Admission would be attesting to the fact only, but not to guilt.

JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

Minimum age for practice is 21 years old

JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015



JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

3 years for those who died of non-dangerous communicable disease. If with special permit, remains may be disinterred anytime except in cases of dangerous communicable disease. Reference: Topnotch Legal Med Handouts Choice A - should be requested by nearest of kin only, not any relative Choice B - it should be a written, not just verbal request by the police Choice D - if ordered by the provincial or city fiscal

JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

342

343

344

345

346

347

348

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 42 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item #

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM

Reference: Topnotch Legal Med Handouts

349

The most prominent sign of death is: A. Progressive fall of the body temperature B. Cessation of heart action and circulation C. Cessation of respiration D. Insensibility of body or loss of power to move



JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

350

After incision and drainage of an abscess at the OPD, the patient failed to take his antibiotics and developed sepsis. The doctor cannot be held liable under which doctrine? A. Doctrine of contributory negligence B. Doctrine of continuing negligence C. Doctrine of assumption of risk D. Doctrine of forseeability For a dying declaration to be admissible in court, which statement is not valid? A. The declarant was not the victim B. The declaration must be with regard to the impending death C. The declarant was conscious of his impending death D. The declarant was in full possession of his mental faculties when he made the declaration The following manner of death should be autopsied, except: A. Suicides B. Death unattended by a physician C. Accidental death D. Death occurring in a natural manner



JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015



JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015



JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

353

Accidental death of a young child by suffocation, either from the pressure of the beddings and pillows or from the pressure of the unconscious mother is called: A. Battering B. Overlaying C. Burking D. Mugging



JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

354

The type of asphyxial death when oxygen is delivered to the tissues but cannot be utilised properly due to failure of cellular oxidative processes is: A. Anoxic B. Histotoxic C. Anemic anoxic D. Stagnant anoxic

Anoxic - failure of blood to be saturated with oxygen Anemic anoxic - decreased capacity to carry oxygen Stagnant anoxic - failure of circulation

JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

355

This type of criminal offender commits a crime with motive or intention and with full possession of their mental faculties: A. Ordinary offenders B. Rational offenders C. Professional offenders D. Non-emotional offenders When the color of a contusion changes to green, the estimated age is: A. 2-4 days B. 4-5 days C. 14-15 days D. 7-10 days

Reference: Topnotch Legal Med Handouts

JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

Red/purple - 2-4 days Yellow - 7-10 days Disappears - 14-15 days

JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

357

This type of injury need not be reported to police authorities under PD 169: A. Serious physical injuries B. Mutilation C. Slight physical injuries D. Less serious physical injuries



JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

358

A male intern had sexual intercourse with a female patient with her consent. Under what circumstance would this be considered rape? A. The intern promised to marry her B. The patient is feeble minded C. The patient is his wife from whom he is legally separated D. The patient is above 18 years of age A branch or division of law which deals with the rules concerning pleadings, practices and procedures in all courts of the Philippines: A. Remedial law B. Civil law C. Criminal law D. Special law



JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015



JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

351

352

356

359

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 360

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM BACK-UP MIDTERM EXAM - FEB 2015

The following are justifiable grounds to refuse admission of patients in a hospital, except: A. Patient is chronically ill B. Patient’s condition is contagious and a risk to other patients C. All accommodations are filled D. Patient is critically ill and needs emergent care Tin and Tonbart had a child out of lawful wedlock. After 3 years, they decided to finally get married. The child becomes? A. Illegitimate since the child was born before the parents were married B. Legitimated since there was subsequent marriage of the parents C. Adopted by the father since the child was born before the parents were married and in effect only the child of the mother prior to marriage D. Sacrilegious since the child was born before the parents were married E. Manceres since the child was born before the parents were married



JESSICA MAE SANCHEZ, MD (TOP 4 - AUG 2014 MED BOARDS; TOPNOTCH MD)

Legitimation is defined as the remedy or process by which a child born out of lawful wedlock and are therefore considered illegitimate are by fiction of law considered legitimate by subsequent valid marriage of the parents Topnotch pg 57

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

362

Dr. Bon was seen by his neighbor at the Hyatt accompanied by a woman other than his wife. The neighbor was appalled and decided to file a case against him since the neighbor believes that his actions are a disgrace to his profession. What level of evidence is needed for this case? A. Substantial evidence B. Preponderance of evidence C. Guilt beyond reasonable doubt D. Considerable evidence E. Significant evidence

The neighbor most likely plans to file an administrative case against the doctor since he believes that the doctor's conduct is unethical and unprofessional and only substantial evidence is needed. For civil cases: preponderance of evidence, for criminal cases: guilt beyond reasonable doubt Topnotch pg 7

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

363

A 16/F college student was failing her course in Math. After the last departmental exam, she approached her professor so that she can drop the course and avoid a failing grade. The professor proposed another solution, he will promise an "uno" if she agrees to have sex with him. The professor can be charged with? A. Simple seduction B. Qualified seduction C. Rape D. Consented abduction E. Acts of lasciviousness

Seduction of virgin over 12 years and under 18 comitted by any person in public authority, teacher, entrusted with the education or custody of a woman - qualified seduction Topnotch pg 19

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

364

Nino married Emma which happened to be his own stepdaughter. The had a child following the consummation of their marriage. The child is considered? A. Legitimate B. Sacriligious C. Natural by legal fiction D. Spurious E. Natural by presumption

Since Nino married his own stepdaughter, their marriage is considered void from the start. Therefore the child and all their future children would be considered natural by legal fiction Topnotch 58

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

365

Which of the following statements are TRUE? A. Impotency if proven will overthrown the presumption of legitimacy B. Impotency can be grounds for annulment C. Impotence can be used as a defense of the defendant when accused of rape D. A and C E. All are true



MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

366

A patient promised Dr. Joseph 1 million pesos if he can completely reconstruct his jaw. The professional fee to be collected is: A. Retainer fee B. Contingent fee C. Contractual fee D. Straight fee E. Dichotomous fee

Contingent fee since it depends on the success or failure of the treatment Topnotch pg 5

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

361

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 44 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 367

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM BACK-UP MIDTERM EXAM - FEB 2015

A surgeon finished doing an appendectomy in record time. After the surgery, the patient complained of persistent abdominal pain. Upon xray, a thin stripe was seen inside the abdominal cavity indicating that a piece of surgical gauze was left inside the patient. The surgeon is liable by virtue of which doctrine? A. Doctrine of continuing negligence B. Doctrine of common knowledge C. Captain of the ship doctrine D. Doctrine of Vicarious liability E. None of the above

Doctrine of common knowledge or res ipsa loquitur - nature of the wrongful act is suggestive of negligence such as when a foregin body is left unintentionally during closing of an incision

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

368

A 34/M was involved in a bar fight. Unfortunately the patient sustained multiple injuries to head which culminated in the loss of his right eye. The person responsible would receive the penalty of? A. Prison mayor B. Prison correcional C. Arresto mayor D. Reclusion temporal E. Arresto menor

Serious injuries involving the loss of the use of speech, power to hear or loss of an eye, a hand, a foot, an arm or a leg warrants a penalty of prison correcional in its medium and maximum periods. Imbecility, impotency or blindness (total or involvement of both eyes) warrants a penalty of prison mayor Topnotch pg 32

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

369

Test used to detect unburnt poweder in clothing: A. Walker's test B. Gonzales' test C. Paraffin test D. Icard's test E. None of the above

Gonzales'/Paraffin/Diphenylamine test checks for the presence of power residues on the dorsum of the hand

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

370

A feeble minded individual has an IQ of A. 0-20 B. 41-70 C. 71-90 D. 21-40 E. 31-50

Idiot 0-20; Imbecile 21-40; Feeble minded 41-70

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

371

Which of the following can be used to determine if an infant was born alive or was still born? A. Fodere's test B. Werdin's test C. Breslau's test D. A and C E. All of the above



MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

372

Which of the following is/are TRUE regarding infanticide? A. It involves the killing of a child less than 3 days old B. It is most often committed by the mother C. The crime can be committed through omission, neglect or comission D. A and C E. All of the above



MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

373

The following is/are TRUE regarding death by drowning A. The presence of washerwoman's hands and feet proves that the cause of death is by drowning B. The whitish foam that accumulates in the mouth and nostrils is called edema aquosum C. The average time required for death in drowning is between 2-5 minutes D. Tardieu's spots can be found beneath the conjunctiva, face and neck E. All of the above are true

The presence of washewoman's hands and feet is not diagnostic of drowning. It only means that the body has remained in the water for some time; The whitish foam that accumulates in the mouth and nostrils is called champignon d'ocume; Tardieu spots are found in deaths caused by asphyxia through strangulation by ligature

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 45 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 374

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM BACK-UP MIDTERM EXAM - FEB 2015

A 50/M was brought to the ER with multiple stab wounds in the abdomen. While attending to the injuries, the patient grabed the physician's coat signaling him to come closer. The patient then proceeded to narrate that the person responsible for his predicament was his neighbor. He then subsequently expired. In order for his dying declaration to admissible in court the which of the following must be satisfied? A. The declaration was made under consciousness of impending death B. The declaration made refers to the circumstances surrounding the declarant's death C. The patient dies thereafter D. The declarant was a competent witness E. All of the above



MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

375

A woman who permits any form of sexual act so long as the hymen remains unruptured is referred to as a? A. Virgo intacta B. True virgin C. Morally virgin D. Demi virgin E. None of the above

Virgo intacta - truly virtuous woman; Moral virginity - state of not knowing the nature of sexual life and not having experienced sexual relations

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

376

A 15/F was raped by his next door neighbor. She was brought to you for medicolegal examination. Upon inspection of the vaginal introitus, you noted that the laceration is more than half of the width of the hymen but not reaching the base. You classify this as? A. Superficial B. Deep C. Complete D. Compound E. Complicated

Superficial - not more than half of the width of the hymen; Complete - reaching the base; Compound/complicated - beyond the base

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

377

Which of the following is/are TRUE regarding rape? A. Rape is committed when the woman is under 12 years of age B. An impotent man can be charged with rape as long as there is carnal knowledge C. Force, threat or intimidation was used D. It is classfied as a crime against persons E. All of the above

The anti rape law was amended by RA 8353 in 1997 and has reclassified rape as a crime against persons and not just as a crime against chastity

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

378

A neurosurgeon came home early from work when he found his wife in bed with another man. In his rage he took out his gun and shot them both resulting in their deaths. He shall suffer the penalty of? A. Reclusion perpetua B. Reclusion temporal C. Destierro D. Prison mayor E. Death penalty

If a legally married person caught his partner in the act of sexual intercourse with another man and killed or inflicted serious injury to any or both of them shall suffer the penalty of destierro

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

379

A 26/F recevied multiple bruises from his husband. On physical examination, you notice that the color of the bruises are mostly purple. You estimate the age of the bruises to be? A. 2-4 days B. 4-5 days C. 7-10 days D. 2 weeks E. 4 weeks

2-4 days purple; 4-5 days green; 7-10 days yellow; 14-15 days gradually disappearing

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

380

Accumulation of blood in the most dependent portions of the body with the blood coagulated inside the blood vessels. A. Marbolization B. Hypostatic lividity C. Diffusion lividity D. Adipocere formation E. None of the above

MAIRRE JAMES GADDI, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

381

This test is used to determine whether semen is of human origin or not: A. Acid phosphatase B. Berberio's C. Florence D. Precipitin

Livor mortis/Post mortem lividity/Cadaveric lividity - Accumulation of blood in the most dependent portions of the body, two kinds: hypostatic lividity - blood still in fluid form; diffusion lividity - blood coagluated inside; marbolization - pprominence of the superficial veins during decomposition which develops on both flanks of the abdomen, root of the neck and shoulder

SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 46 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 382

QUESTION

EXPLANATION

AUTHOR

Which one of the following is the chemical test used to determine if the stain is of blood origin or not? A. Marquis test B. Van Urk test C. Benzidine test D. Zwikkers test



SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

TOPNOTCH EXAM BACK-UP MIDTERM EXAM - FEB 2015

383

In the ordinary method of human identification applicable to the living person, the "facies" is a characteristic not easily changed. Which appearance of the face is indicative of approaching death? A. Leonine facies B. Mongolian facies C. Hippocratic facies D. Myxedemic facies



SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

384

A common law husband who kills his common law wife with whom he has a 2-day old child can be prosecuted for: A. Infanticide B. Parricide C. Homicide D. Impossible crime

For him to be prosecuted for parricide, he must be legally married to his wife ("legal spouse").

SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

385

It is an expressed acknowledgement by the accused in a criminal case of the truth of his guilt as the crime charged. A. Confession B. Admission C. Interrogation D. All of the above

Admission: acknowledgement of facts but not guilt

SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

386

The presence of weapon which is highly grasped by the hand of a victim of a shooting incident is an example of: A. Rigor mortis B. Death stiffening C. Cadaveric spasm D. Cadaveric rigidity

Cadaveric spasm is also known as instantaneous rigor. Cadaveric rigidity is also known as rigor mortis

SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

387

Permission to disinter remains of persons who died of dangerous communicable diseases may be granted after a burial period of: A. 4 years B. 5 years C. 6 years D. 7 years

3 years if non-dangerous communicable disease

SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

388

Dr. B, the MHO of a municipality B, shall perform an autopsy on a dead body when: A. Requested by any relative of the victim B. Verbally directed by the police C. Upon order by the mayor D. Ordered by the Provincial Hospital Medical Director

Autopsy is done following the written order of the following: court,fiscal, mayor, or police authority.

SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

389

It is the prominence of superficial vveins with reddish discoloration due to the process of decomposition which develops on both flanks of the abdomen: A. Putrefaction B. Marbolization C. Adipose formation D. Maceration



SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

390

When a blow to the forehead cause contusion of the eyeball due to fracture of the bone at the roof of the orbit, what is the type of injury incurred? A. Coup B. Contre-coup C. Coup contre-coup D. Locus minoris resistencia

This came out in our Board exam like three times… :p

SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

391

The liability of a school teacher enticing a 16-year old girl who is a virgin into having sexual intercourse with him is: A. Statutory rape B. Simple seduction C. Qualified seduction D. Acts of lasciviousness

Qualified seduction: virgin >12 and <18 years old; committed by a person in authority. Simple seduction: single or widow >12 and <19 years old; done by deceit.

SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 47 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 392

QUESTION

EXPLANATION

AUTHOR

For a child to be legitimate, he must be born in lawful wedlock within these number of days after the dissolution of the preivous marriage: A. 120 days B. 180 days C. 300 days D. 280 days

Legitimacy: after 180 days following the celebration of marriage, or within 300 days following the dissolution of marriage.

SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

TOPNOTCH EXAM BACK-UP MIDTERM EXAM - FEB 2015

393

The children of a prostitute are called: A. Incestuous children B. Sacrilegious children C. Immoral children D. Manceras children



SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

394

This prevents an individual from being admitted to the practice of medicine A. Age 19 years B. Passed the board examination on his third retake C. Holder of a valid Certificate of Registration issued by the Board of Medicine D. Must not have been convicted of any offense involving moral turpitude

Minimum age requirement to practice medicine is 21 years.

SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

395

Which one of the following is measured by the space of time provided by the physician and not by the quality and quantity of medical services rendered? A. Retainer fee B. Package deal fee C. Contractual fee D. Simple fee



SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

396

The hospital is almost full and the only vacant beds are in the ward. An infectious case was admitted in the ward resulting to contamination of other patients. The physician who admitted the patient is liable under what doctrine? A. Foreseeability B. Last clear chance C. Continuing negligence D. Contributory negligence



SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

397

The Medical Records Department refused to disclose the clinical records of a patient. The patient may seek redress through: A. Mandamus B. Court injuction C. Certoriari D. TRO



SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

398

Operating without consent constitute an assualt, and an assault, even without specific proof of injury resulting from it, entitles the plaintiff to this type of damages: A. Liquidated damages B. Nominal damages C. Temperate damages D. Moderate damages



SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

399

Patient was aware that physician was drink yet he allowed the doctor to inject him. Which doctrine is applicable? A. Continuing negligence B. Vicarious liability C. Res ipsa loquitor D. Captain of the ship



SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

400

Patient decided to leave the hospital against medical advice. Which doctrine is applicable? A. Continuing negligence B. Res ipsa loquitor C. Vicarious liability D. Contributory negligence



SCOTT RILEY ONG, MD (TOP 5 - AUG 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM - FEB 2015

401

Which of the following medical fees is considered unethical? A. Professional fees B. Retainer's fees C. Dichotomous fees D. Contractual fees E. None of the above



JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 48 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 402

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM DIAGNOSTIC EXAM - AUG 2014

Dactylography is: A. The study of the pores on the papillary or friction ridges of the skin for the purpose of identification B. Art and study of recording ingerprints as a means of identification C. Art of changing fingerprints D. Art of studying fingerprints in relation to the bearer's characteristics E. Art of comparing fingerprints for identification

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

403

Which of the following is the chemical test to determine if the stain is of blood origin or not: A. Marquis Test B. Van Urk Test C. Benzidine Test D. Zwikker's Test E. Ilenburger's Test



JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

404

Which of the following is a Schombein Test? A. Van Deen Test B. Benzidine Test C. Teichmann's Test D. Icard's Test E. Hemin Crystal Test

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

405

When the body surface of a corpse is pressed it leaves a flatened area due to: A. Precipitated skin proteins B. Absence of blood C. Absence of connective tissue D. Loss of elasticity of the skin E. Absence of edema



JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

406

Algor mortis refers to: A. Irritability B. Cooling of the body C. Softening of the body D. Hardening of the body E. Discoloration of the body

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

407

The body should be buried within how many hours if death occurred due to a dangerous communicable disease? A. 8 hrs B. 10 hrs C. 12 hrs D. 24 hrs E. 36 hrs



JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

408

The basis to pronounce a person dead: A. Molecular death B. Apparent death C. Cellular death D. Organic death E. Somatic Death



JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

409

Death by Carbon monoxide poisoning is: A. Anoxic B. Histotoxic C. Anemic anoxic D. Stagnant anoxic E. Pulmotoxic



JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

410

Carnal knowledge means: A. Rupture of the hymen B. Knowledge about the nature of sexual life C. Full penetration is necessary D. Slightest penetration of the female sexual organ by the male sex organ E. Craving for meat

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 49 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 411

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM DIAGNOSTIC EXAM - AUG 2014

A female that permits all forms of sexual liberty except rupture of hymen: A. Demi-virgin B. Morally virgin C. Virgo intacta D. False physical virginity E. Tru physical virginity

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

412

Disorientation, mental confusion, dizziness, sensory disturbances exagerrated emotional state suggests that the blood alcohol level is A. 150-300 mg% B. 300-500 mg% C. 100 - 150 mg% D. 80-100 mg% E. 60 - 80 mg%



JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

413

A physician becomes what type of witness when he states his physical findings and diagnosis in court: A. Expert witness B. Ordinary witness C. Hostile witness D. Reluctant witness E. Special Witness

An expert witness states his opinion according to his profession or specialization.

JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

414

The right to regulate the practice of medicine by the state is based on: A. Police power B. Power of eminent domain C. Medical Act of 1959 D. Constitution E. Professional Regulation Commission

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

415

A patient who had an eclamptic seizure is in coma and is being treated by a tea of physicians. What is the pattern of relationship between the physicians and the patient? A. Active-Passive B. Mutual Participation C. Guidance cooperation D. Consensual E. No relationship



JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

416

A Civil case is to be filed by a patient against a doctor for recovery of damages, what is the minimum evidence needed for conviction? A. Guilt beyond reasonable doubt B. Preponderance of evidence C. Substantial Evidence D. Gross negligence E. Minimal reasonable evidence



JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

417

An indigent patient is sufferring from Hepatic Encephalopathy, but due to financial restraints his relatives requested to be discharged against medical advice. What Doctrine is applicable? A. Doctrine of Continuing negligence B. Doctrine of Contributory negligence C. Doctrine of Assumption of risk D. Doctrine of last clear chance E. Doctrine of Res Ipsa Liquitor



JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

418

The type of damages given to "teach the public a lesson": A. Moral B. Actual C. Compensatory D. Exemplary E. Liquidated



JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

419

After an alleged fight of 2 women over their common boyfriend, one of them sustained a deep laceration in the face causing a permanent scar, the patient is given a 7 day-medical attendance. What type of injury is this? A. Serious physical injuries B. Less serious physical injuries C. Slight physical injuries D. Mutilation E. Defense Injuries

even if the period of medical attendance required only a few days, if the injury sustained caused a permanent severe deformity, or caused a psychological disorder, the injury is considered to be Serious.

JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2014

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 50 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 420

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM DIAGNOSTIC EXAM - AUG 2014

Instances when the MD cannot recover PF EXCEPT: A. When there is an agreement that the service is gratuitous B. Waiver on the part of the MD to the PF even if there has been a previous agreement that the service is for a fee C. Those not covered by the HMO D. Medical services rendered by industrial or company MD to their respective employees E. MDs in charity hospitals, health centers, rural health untis, asylums, tenements to indigent patients.



JOSE CARLO MASANGKAY III, MD (TOP 8 - FEB 2014 MED BOARDS; TOPNOTCH MD)

421

This law is not enforced by the State: A. Substantive law B. Remedial law C. Public law D. Moral law

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

422

Which of the following is not a pre-requisite to practice medicine in the Philippines? A. Age of at least 21 years B. Natural born Filipino C. Proper medical education D. Certificate of registration (PRC)

*Remember that all subjects have just the same bearing in your total score, so NEVER take legal med for granted. Lectures by lawyer-Drs. Rebosa and Rebosa have covered at least 70% of the questions in our batch. It doesn't require much memorization, but more of hardcore comprehension, hence one of the easiest and most fun. Make sure you'd get a high score in legal med. =) Remember that the State allows foreign doctors to practice medicine in the country granted by reciprocity (with compliance to the requirements prescribed in Section 8 of the Medical Act) or endorsement.

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

423

A patient was denied of access to his clinical records by a hospital. To compel the hospital to do disclosure, the patient may file for: A. Subpoena duces tecum B. Temporary restraining order C. Mandamus D. Court injunction

Subpoena duces tecum requires the physician to produce documents under his possession relevant to the case. Whereas subpoena ad testificandum requires the physician to appear and testify before a court or in an investigation.

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

424

A physician feels that his new patient is stubborn, uncooperative and difficult. On the other hand, the patient, who believes that he is juridically equal to his doctor, sees his attending as unsympathetic and arrogant. The psychological pattern of doctor-patient relationship in this case is: A. Mutual participation B. Activity-passivity C. Guidance-cooperation D. Negligent relation

Option B is a relationship in which the patient is unable to contribute to any related activity (say unconscious or in a vegetative state). In oprtion C, the patient is conscious and rational but seeks help and is purely cooperative with the physician. He has complete trust with the MD.

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

425

What is the burden of proof needed to convict a physician for a civil liability? A. Guilt beyond reasonable doubt B. Preponderance of evidence C. Substantial evidence D. Testimonial evidence

*Must know! For a criminal case, it is guilt beyond reasonable doubt; and for administrative, it is substantial evidence.

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

426

A community doctor was caught in a crossfire between local authorities and an armed criminal group. In such circumstance, he may not respond to an emergency if: A. He is 10 meters away from the site of emergency. B. He has different political affiliation. C. He is a government employee and therefore his service is limited only to the military. D. There is threat to his life.



WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

427

During a surgical procedure, the assisting medical intern accidentally cut a major vessel instead of the suture. Should the event resulted in an uncorrectable complication, the surgeon may be held liable under the principle of: A. Ostensible agent B. Borrowed servant C. Captain of the ship D. Bad result rule

Under the captain of ship doctrine, the primary surgeon is held accountable to any hapless or negligent event that happens inside his OR. Ostensible agent principle is not applicable is neither an employee nor an independent contractor of the hospital, much in the same way with the borrowed servant doctrine. The bad result rule presumes that a doctor is innocent of a negligent act until proven otherwise because it is realized prior to the event that a bad result "may actually happen" and in such case res ipsa loquitor is non-applicable.

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 51 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 428

QUESTION

EXPLANATION

AUTHOR

Egay, a well-trained and internationally acclaimed beautician, treats acne and scars of his clients by supplying them with an innovative oral and topical solutions. Which of the following is true about this case? A. Egay can be sued for malpractice. B. Egay should be commended for performing a new medical discovery. C. Egay can be held liable for illegal practice of medicine. D. Egay's actions are legitimate and scientific.

There are 2 fundamental elements to this case: 1. Egay is not a physician and is therefore not qualified to practice medicine; and 2. Any act of seeing and treating - especially if unproven, innovative, not OTC - a human person for a disease condition (including that of the skin) constitute practice of medicine. Enlighted by these 2, we say that Egay can be charged of illegal practice of medicine.

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

429

Under this doctrine the hospital owner may be held legally responsible for the mistakes of its nursing staff: A. Fellow servant doctrine B. Borrowed servant doctrine C. Common knowledge doctrine D. Vicarious liability doctrine



WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

430

This refers to the post-mortem finding in which blood has gravitated to the most dependent parts of the body but still inside the the blood vessels in its fluid form: A. Tardeau spots B. Hypostatic lividity C. Diffusion lividity D. Algor mortis

Post-mortem lividity/ suggilation/livor mortis happens when the capillaries of a dead person are distended with blood and they coalesced with one another until the whole dependent area becomes dull-red or purplish. The other kind of lividity, the diffusion type (option C) appears during the later stage when the blood has already coagulated inside the vessels.

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

431

Which of the following will differentiate cadaveric spasm from rigor mortis? A. Cadaveric spasm happens immediately after death. B. It is a natural phenomenon. C. It involves all muscles of the body. D. All of the above.

In contrast, rigor mortis starts to appear 3-6 hours after death and involves all muscles of the body. It is a natural phenomenon, meaning it happens constantly in all dead persons, and is utilized to approximate the time of death.

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

432

Which of these bones is most useful in determining the sex of the deceased? A. Femur B. Pelvis C. Sternum D. Skull

To determine the sex: pelvis, skull, sternum, femur, humerus. To determine the height: femur, humerus, tibia, radius.

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

433

Disinterment of remains of a person who died of noncommunicable cause may be permitted only after a burial period of: A. 3 years B. 5 years C. 7 years D. 9 years

If died of a communicable disease, disinterment is permitted after 5 years.

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

434

What is the estimated age of a contusion if it has changed its color to green? A. 2-3 days B. Hours after injury C. 4-5 days D. 7-10 days

*FAQ. Red to purple - soon after complete development; green - 4-5 days; yellow - 7-10 days.

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

435

All of the following findings are consistent with an exit gunshot wound except: A. Size is bigger than the caliber of the bullet B. Edges of the wound are everted C. It has irregular shape D. Presence of contusion collar

Must know! In contrast, an entrance wound is smaller, its edges are inverted, it is commonly round or oval depending on the bullet trajectory, and contusion collar and contact ring are present.

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 52 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH EXAM MIDTERM 1 EXAM - AUG 2014

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 436

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 1 EXAM - AUG 2014

A receptionist was given an extra fee by a physician after the former endorsed a patient to his clinic. The physician is guilty of committing: A. Pakyaw system B. Simple contractual payment C. Fee splitting D. Retainer

Fee splitting is unethical, same with contingent and straight or pakyaw fees. Simple contractual and retainer fees, on the other hand, are ethical.

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

437

This refers to the prominence of superficial veins with reddish discoloration during decomposition which appears on both flanks of the abdomen, root of the neck and shoulders: A. Marbolization B. Cadaveric lividity C. Angiolysis D. All of the above



WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

438

A laceration that involves more than half of the width of the hymen but does not reach its base is called: A. Superficial B. Deep C. Complete D. Compound

Defloration means laceration of the hymen as a result of sexual intercourse. Superficial: does not go beyond 1/2 of the whole width of the hymen; deep: if more than half but not reaching the base; complete: if it reaches the base; and compound/complicated: if beyond the base.

WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

439

Carnal knowledge is: A. A required element in rape cases B. Refers to the slightest penetration in the sexual organ of a woman by the penis C. An act of man having a sexual bodily connection with a woman D. All of the above



WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

440

A person having an IQ of 0 to 20 is considered to be a/an: A. Idiot B. Imbecile C. Feeble-minded D. Stupid



WEBSTER ALINDOG, MD (TOP 3 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - AUG 2014

441

It is the art and study of recording fingerprints as a means of identification: A. Poroscopy B. Dactylography C. Dactyloscopy D. Graphology E. Endoscopy

Dactylography is the art and study of recording fingerprints as a means of identification. Poroscopy is the study of the pores found on the papillary or friction ridges of the skin for purposes of identification. Dactyloscopy is the art of identification by comparison of fingerprints.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

442

Barr bodies observed in scraping of the mucous mebranes of this part of the body is used to determine the sex of the body: A. Ears B. Nose C. Mouth D. Vagina E. Anal canal

Barr bodies observed in scraping of the mucous mebranes of the mouth is used to determine the sex of the body.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

443

This is a medical piece of evidence made known or addressed to the senses of the court, not limited to the sense of vision, but is intended to the sense of hearing, taste, smell and touch: A. Autoptic Evidence B. Experimental Evidence C. Documentary Evidence D. Corpus Evidence E. Physical Evidence

Autoptic or Real Evidence is a medical piece of evidence made known or addressed to the senses of the court, not limited to the sense of vision, but is intended to the sense of hearing, taste, smell and touch.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

444

Mr. X was found dead in his room by his son with a weapon highly grasped by his hand after a shooting incident. This is an example of: A. Rigor mortis B. Death stiffening C. Cadaveric spasm D. Cadaveric rigidity E. Postmortem rigidity

Cadaveric spasm is the instantaneous rigidity of the muscles which occurs at the moment od death due to extreme nervous tension, exhaustion and injury to the nervous system or injury to the chest. Stage of postmortem rigidity, cadaveric rigidity, death stiffening or rigor mortis occurs 3 to 6 hours after death when muscles gradually stiffen.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 445

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 2 EXAM - AUG 2014

The most prominent sign of death is: A. Progressive fall of the body temperature B. Cessation of respiration C. Cessation of heart action and circulation D. Insensibility of body loss of power to move E. Change in the color of the fingers

The progressive fall of the body temperature is one of the most prominent signs of death due to cessation of the metabolic processes inside the body.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

446

The drug used as a truth serum in detecting deception is: A. Meperidine B. Hyoscine hydrobromide C. Sodium amytal D. Hydroxyzine E. Sodium pentothal

Truth serum is a procedure which does not make someone tell the truth and the thing administered is not a serum but is actually a drug. In the test, hyoscine hydrobromide is given hypodermically in repeated doses until a state of delirium is induced.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

447

Exhumation is also known as: A. Interment B. Ground burial C. Embalming D. Cremation E. Disinterment

The deceased buried may be raised or disinterred upon the lawful order of the proper authorities. The body is exhumed for the purpose of performing postmortem examination.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

448

It is a type of asphyxial death when oxygen is delivered to the tissues but cannot be utilized properly due to failure of cellular oxidative process is: A. Anoxic B. Histotoxic C. Anemic anoxic D. Stagnant anoxic E. Typical anoxic

Histotoxic anoxic death is due to failure of the cellular oxidative process, although the oxygen is delivered to the tissues, it cannot be utilized properly.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

449

A 50 year-old man was driving his motorcycle home from a drinking session with his friend when he suddenly crashed with a car. Physical injuries noted on parts of the body which are deep-seated, caused by forcible impact on hard blunt objects are: A. Abrasion B. Hematoma C. Contusion D. Lacerated wound E. Concussion

Contusion is the effusion of blood into the tissues underneath the skin on account of the rupture of the blood vessels as a result of the application of blunt force or violence.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

450

Mr. M killed their baby who is a day-old because he was suspecting that his wife was having an extramarital affair with his coworker, Mr. B. The crime committed by Mr. M is: A. Murder B. Parricide C. Homicide D. Infanticide E. Accidental

Parricide is any person who shall kill his father, mother or child whether legitimate or illegitimate, ascendants or descendants. Infanticide is imposed upon any person who shall kill any child less than three days of age. According to Dr. Rebosa, Parricide-due to filiation.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

451

Dr. J was given subpoena from a court in Quezon City. He refused to attend on several occasions in a court hearing. His reason is that he has lots of patients to attend to in his clinic in Quezon City. He may be cited for: A. Direct contempt of court B. Indirect contempt of court C. Disrespect of the court D. Unduly prioritizing his patients E. None. He has right to refuse

Indirect contempt is the failure to appear to court despite 3 subpoenas. Direct contempt is failure to comply with a subpoena inside or near the courtroom.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

452

The reporting of less serious and serious physical injuries by a physician according to Presidential Decree 169 is: A. Mandatory B. Voluntary C. Every end of the month D. Every quarter E. Case to case

The reporting of less serious and serious physical injuries by a physician according to Presidential Decree 169 is mandatory.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

453

The right to regulate the practice of medicine by the State is based on: A. Power of eminent domain B. Medical Act of 1959 C. Constitution D. PD 169 E. Police Power

The right to regulate the practice of medicine by the State is based on Police Power.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 454

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 2 EXAM - AUG 2014

The hospital owner may be liable for the mistakes of the resident physicians is under the doctrine of: A. Captain of the ship B. Borrowed servant doctrine C. Fellow servant doctrine D. Vicarious liability E. Doctrine of ostensible agent

The hospital owner (employer) may be liable for the mistakes of the resident physicians (employee) is under the doctrine of vicarious liability.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

455

Damages imposed to Dr. K as punishment and to serve as an example or correction for the medical profession: A. Nominal damages B. Compensatory damages C. Exemplary damages D. Temperate damages E. Moral damages

Exemplary or corrective damages are monetary compensation awarded as punishment or deterrence, because of wanton, reckless, malicious or oppressive nature of the wrong committed. It is imposed by way of example or correction for the public good.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

456

It is the direct physical connection between the wrongful act of the physician and the injury suffered by the patient: A. Sine Qua now B. Doctrine of proximate cause C. Substantial factor test D. Doctrine of forseeability E. Dura Lox and Lex

Doctrine of proximate cause is the direct physical connection between the wrongful act of the physician and the injury suffered by the patient.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

457

Creditors of a doctor may ask the court to levy the latter's property except: A. His resthouse in Baguio B. His Macbook Pro C. His premedical books amounting to 1M D. His medical equipment worth 500,000 E. None of the above

Exemptions include: medical instruments and medical books not pre-medical books.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

458

Dr. Y left a forceps in the abdominal cavity after an explore lap to a patient suffering from stab wound. The applicable legal principle in this case is: A. Doctrine of vicarious liability B. Doctrine of contributory negligence C. Doctrine of res ipsa loquitur D. Doctrine of forseeability E. Doctrine of Continuing negligence

Doctrine of res ipsa loquitur is also known as common knowledge doctrine. The nature of the wrongful act is suggestive of negligence such as some foreign bodies that are left unintentionally during closing of an incision.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

459

Mr. Sy is a patient who promised to pay Dr. G two million pesos if he is cured for his cancer. The medical fee to be collected which is considered unethical is: A. Contractual fees B. Contingent fees C. Retainer's fees D. Professional fees E. None of the above

Contingent fees depends on the success or failure of the treatment insituted. It is unethical in the practice of medicine.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

460

Dr. T was sanctioned by the Board of Medicine due to his unprofessional conduct. He is guilty of what liability? A. Civil liability B. Administrative liability C. Criminal liability D. No liability E. All of the above

Administrative liability is given to physicians by the Board of Medicine on the grounds of unprofessional, unethical conduct, immorality, gross negligence, ignorance, incompetence, etc.

JULIET KRISTINE EVANGELISTA, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - AUG 2014

461

The hospital cannot practice medicine because of the following except: A. Cannot be subjected to licensure exam B. Cannot be regulated C. It is a natural person D. It is created by law and attributes are provided by the law E. No exception

all of the choices are characteristics of hospital which cannot practice medicine except it is a natural person. Hospital is a juridical person

LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

462

When the secretary of the doctor is in the lobby of the hospital calling for more patients to come in the clinic, and in return the physician give her a share of what was earned. It is called: A. Retainer fee B. Straight fee C. Simple contractual fee D. contingent fee E. dichotomous fee

dichotomous fee or commision or fee splitting is the sharing of fee not based on the services performed. It requires services of a person who may act as an agent to solicit patients.

LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 463

QUESTION

EXPLANATION

AUTHOR

A 45 year old male, married was brought to the ER unconscious, if the following persons are present, who will give the consent for any procedures performed to him? A. Mother B. 22 year old son C. brother D. mistress E. Uncle

consent must be obtained from (in order): patient > legal spouse > descendants / children > ascendants/ parents > collaterals/ siblings > nearest relative > legal guardian > attending doctor

LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

464

What is the evidence needed to in a criminal case? A. Preponderance of evidence B. Substantial evidence C. A and B D. Guilt beyond reasonable doubt E. All of the above

guilt beyond reasonable doubt is needed for conviction in a criminal case; in a civil case - it is preponderance of evidence; in Administrative case - it is substantial evidence.

LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

465

The following are the inherent rights of a physician except: A. compensation B. Choose patient C. Limit the practice D. Determine the appropriate management E. Avail of hospital services

right to compensation is an incidental right. The rest of the choices are the inherent right of a physician

LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

466

In determining the sex of the skeleton, the following are used except: A. femur B. humerus C. pelvis D. skull E. No exception

all of the choices are used in determining the sex of the skeleton

LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

467

Schombein's test is also known as: A. Benzidine test B. Vandeens dye C. Hemin crystal D. Teichmann's test E. Icard's test

Schombein's test or vandeen dyes. Teichmann's or hemin crystal.

LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

468

It is an expressed acknowledgement by the accused in a criminal case of the truth of his guilt as the crime charged. A. Interrogation B. admission C. confession D. declaration E. None of the choices

confession is the acknowledgement of guilt, while admission is acknowledgement of fault but not guilt.

LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

469

What is the most prominent sign of death? A. Algor mortis B. Rigor mortis C. Livor mortis D. Muscle rigidity E. Instantaneous rigor



LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

470

One of the following death is not autopsied. A. suicide B. Accidental death C. Death unattended by the physician D. Death occuring in a natural manner E. None of the choices



LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

471

A person died of rabies infection should be burried not later than: A. 72 hrs B. 48 hrs C. 24 hrs D. 12 hrs E. None of the choices

if the cause of death is communicable, it should be burried not later than 12 hrs.

LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

472

In contrast to a post-mortem clot, the ante-mortem clot is: A. soft B. firm C. homogenous D. uniform E. None of the choices

postmortem clot is soft, while ante-mortem clot is firm

LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

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TOPNOTCH EXAM BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 473

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

tardieu spots are associated with: A. hanging B. choking C. Manual strangulation D. Ligature strangulation E. All of the choices



LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

474

After drowning, how soon does the dead body float? A. After 2 days B. After 4 days C. After 3 days D. Within 1 day E. After 1 week



LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

475

Pugilistic position of a boxer ia associated with: A. drowning B. burns C. asphyxia D. Gunshot wound E. Suicide



LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

476

When the color of the contusion changes to green, the estimated age of contusion is: A. 4-5 days B. 2-3 days C. 7-10days D. 14 days E. 21 days



LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

477

What is the IQ of a moron? A. 0-20 B. 20-40 C. 40-70 D. 70-80 E. More than 100

0-20=idiot; 20-40 = imbecile; 40-70= moron; 70-80= borderline deficiency; 100=normal average

LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

478

An erroneous perception wtihout an external object of stimulus is called: A. daydreaming B. hallucination C. illusion D. fantasy E. Delusion



LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

479

Under the Dangerous drug act, marijuana is classified as: A. sedative B. hypnotic C. prohibited D. regulated E. Stimulant



LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

480

A surgeon is called to testify in the court, and is asked about his opinion on the surgical procedure performed on the patient he is not attending. He is called as: A. Expert witness B. Ordinary witness C. Defense witness D. Hostile witness E. percipient witness



LUISA SARANILLO, MD (TOP 6 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014 - FOR INCLUSION IN THE SAMPLEX

481

This chemical test is used to determine if the stain is of blood origin or not: A. Benzidine test B. Marquis test C. Van Urk test D. Precipitin test

In contrast, precipitin test is a test used to determine whether the blood is of human origin or not. Be sure to be familiar with the other names of chemical tests and their uses. SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE.

ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

482

Dactyloscopy is: A. The art and study of recording fingerprints as a means of identification B. The art of changing fingerprints C. The art of identification of fingerprints by comparison D. The study of pores on the papillary or friction ridges of the skin for the purpose of identification

Choice A is the definition of dactylography (keyword: recording of fingerprints) while D is the definition of poroscopy.

ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 483

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM FINAL EXAM - AUG 2014

Maimai was stabbed at the abdomen. Days after she developed peritonitis was admitted at a hospital and died of pneumonia. What is the immediate cause of death? A. Stab wound B. peritonitis C. pneumonia D. hospital

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

484

Algor mortis refers to: A. Cooling of the body B. Softening of the body C. Hardening of the body D. Foul smell of the body



ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

485

When the color of the contusion changes to green, the contusion's estimated age is: A. 2-4 days B. 4-5 days C. 7-10 days D. 14-15 days

The usual evoluation of a contusion: 2-4 days: red, 4-5 days: green, 7-10 days: yellow, 14-15 days: resolution of contusion

ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

486

The primer is usually made up of: A. Lead and antimony B. Lead, barium and copper C. Lead and copper D. Lead, barium and antimony



ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

487

Jc was admitted for 3 days and sustained a scar on the face after being physically assaulted. The offender is liable for: A. mutilation B. Slight physical injury C. Less serious physical injury D. Serious physical injury

A permanent damage is considered under serious physical injury.

ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

488

The laceration involving more than half of the hymenal height but does not reach the hymenal base is classified as: A. superficial B. deep C. complete D. complicated

Superficial is less than half, deep is more than half, complete would include the base and complicated would involve the surrounding structures. Two questions were asked using this concept alone in our board exam.

ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

489

Nikki is married to Edward, however, she had a onenight stand with Jobee who knew her to be married. Jobee can be held liable for: A. infidelity B. concubinage C. adultery D. marital impropriety

Both the wife and the man he slept with, who new her to be married, can be held liable for adultery.

ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

490

Which of the following marriages shall be considered void from the beginning? A. Between the adopting father or mother and the adopted B. Between the legitimate children of the adopter and the adopted C. Between the stepfather and the stepdaughter D. All of the above



ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

491

What should be Ryan's IQ level if he is to be exempted from criminal liability. A. 0-20 B. 20-40 C. 40-70 D. 70-80

An idiot (0-20) is exempted from criminal liability. An imbecile has an IQ of 20-40 while feeble-minded/moron has 40-70 IQ level.

ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

492

Wood alcohol is otherwise known as: A. Methyl alcohol B. Ethylene glycol C. Isopropyl alcohol D. Ethyl alcohol



ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

493

This is composed of laws which are produced by the country's legislation and which are defined, confided and incorporated by the law-making body: A. Statutory law B. Common law C. Customary law D. Remedial law



ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 58 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 494

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM FINAL EXAM - AUG 2014

Physical evidence recovered from the crime scene such as a gun with fingerprints of the suspect is called: A. Circumstantial evidence B. Associative evidence C. Tracing evidence D. Corpus delicti



ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

495

Web appeared in the court hearing wearing shorts and slippers. He can be cited for: A. Direct contempt of court B. Indirect contempt of court C. Disrespect of court D. Nothing



ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

496

Dr. Jinette, a moonlighter, was called in to testify what happened during the night of the incident when the victim was admitted at the emergency room. She is giving a testimony as a/an: A. Expert witness B. Ordinary witness C. Defense witness D. Expert and Ordinary witness

An ordinary witness tells the court his/her own perceptions or his/her own testimony. An expert witness has special knowledge or skill gained by education, or training and gives explanations to enlighten the court. What happened during the night of the incident is something that the doctor has perceived.

ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

497

Dax had his PRC license suspended indefinitely. After how long can he apply for reinstatement? A. 2 years B. 3 years C. 4 years D. 5 years



ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

498

Jack, a GP, referred a patient to Ray, a specialist. After treatment, the patient paid Ray who in turn gave a share to Jack. What is this called? A. Contingent fee B. Retainer's fee C. Simple contractual fee D. Dichotomous fee

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE.

ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

499

The burden of evidence needed to convict a physician for criminal malpractice is: A. Substantial evidence B. Preponderance of evidence C. Proof beyond reasonable doubt D. Circumstantial evidence

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE.

ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

500

The hospital is full and the only vacant beds are in the ward. An infectious case was admitted in the ward resulting to contamination of other patients. The physician who admitted the patient is liable under what doctrine? A. Foreseeability B. Last clear chance C. Continuing negligence D. Contributory negligence

The physician should know better--this is the main thought under the doctrine of foreseeability. Make sure to be familiar with all the doctrines.

ANGELIS ANDREA COCOS, MD (TOP 1 - FEB 2014 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - AUG 2014

501

Doctor X performed cesarian section on patient Eli when her pregnancy is normal and uncomplicated. This is referred to as: A. Over treatment B. Alternative treatment C. Ideal treatment D. Preventive measure E. Active management



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

502

The following facts should warrant suspicion of a case of child abuse, except: A. Parents delay in seeking medical care. B. Child frequently misbehaves and cries often C. History given by parents are vague and not consistent D. Physical examination reveals bruises, fractures, lacerations with different degrees of healing E. None of the above



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 59 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 503

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM BACK-UP MIDTERM EXAM AUG 2014

Reporting the examination and treatment of serious physical injuries by a physician is: A. Mandatory B. Optional C. Case to case basis D. Once every year E. Once every quarter



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

504

There is negligence in which of the following acts: A. Not giving antibiotics in a patient with a few hours fever with no other signs and symptoms B. Not doing a skin test before administering IV oxytocin C. Not giving tetanus toxoid to a patient who stepped on a nail D. Giving of prescriptions using the generic name of the drugs only E. None of the above



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

505

Post-operative abdominal x-ray revealed a mosquito forceps in the film. Which doctrine is applicable? A. Doctrine of vicarious liability B. Doctrine of continuing negligence C. Doctrine of contributory negligence D. Doctrine of res ipsa loquitur E. Doctrine of direct negligence



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

506

Luisa was refused to see her in-hospital records. She may request access to her file by filing a petition in the court for: A. Mandamus B. Temporary restraining order C. Presidential decree D. Right to medical records by patient E. Injunction



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

507

All of the following are considered hospital employees, except: A. House anesthesiologist B. Resident physicians C. Staff nurse D. Orderlies E. Junior interns



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

508

Which of the following medical fees are considered unethical? A. Dichotomous fees B. Contractual fees C. Professional fees D. Retainer's fees E. None of the above



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

509

Which of the following adverstisements is unethical? A. Obstetrician and Gynecologist B. Consultation hours: 10am to 4pm C. Infertility Specialist D. Trained at John Hopkins Hospital E. None of the above



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

510

Doctor Y gave an overdose of a drug to a patient causing his demise. Doctor may be charged for: A. Immorality B. Gross Negligence C. Incompetence D. Stupidity E. Murder



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

511

Patient A was mistakenly operated on without his consent when it was patient B who was supposed to undergo surgery. Even though no harm was done to him, Patient A may recover what kind of damages? A. Liquidated B. Exemplary C. Nominal D. Moderate E. None of the above



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 60 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 512

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM BACK-UP MIDTERM EXAM AUG 2014

A physician who stubbornly refuses to go to court when summoned may be cited for? A. Disobedience B. Direct contempt C. Indirect contempt D. Reluctancy E. Circumstantial



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

513

A genius has an IQ of? A. >140 B. >130 C. 110-120 D. 90-110 E. 80-90



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

514

Manceras children are children born to? A. Politicians B. Live-in partners C. Royalty D. Families below poverty line E. Prostitutes



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

515

Jona is considered legitimate daughter of Hans and Ola because Jona was born within how many days from the dissolution of the previous marriage? A. 50 days B. 100 days C. 200 days D. 280 days E. 300 days



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

516

Disinterment is also known as: A. Embalming B. Exhumation C. Euthanasia D. Parricide E. Homicide



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

517

Washer woman's hands and feet or Cutis Galina only signifies that the body has been in the water for some time. This statement is: A. True B. False C. Cannot be ascertained D. Probable



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

518

The most prominent sign of death is? A. Cessation of pulse rate B. Drop in BP C. Flat line on ECG D. Algor mortis E. Rigor mortis



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

519

What do you call the instantaneous rigidity of muscles which occurs at the moment of death? A. Rigor mortis B. Algor mortis C. Cadaveric spasm D. Molecular death E. None of the above



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

520

Tete de negri is observed in which of the following? A. Drowning B. Suffocation C. Carbon monoxide poisoning D. Arsenic poisoning E. Head trauma



JAN CHARMAINE PALOMAR, MD (TOP 9 - FEB 2014 MED BOARDS; TOPNOTCH MD)

BACK-UP MIDTERM EXAM AUG 2014

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 61 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 521

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 1 EXAM - FEB 2013

A 3-year-old girl is brought to the physician after her mother noted blood on her underpants. Examination shows genital condylomata acuminata in the perineal, peri-introital, labial, and anal areas. Some of the pedunculated condylomata appear to have caused the bleeding. She has no visible intravaginal condylomata or vaginal or anal tears. Her mother has a palmar wart on her hand but no history of condylomata acuminata. Her mother has a boyfriend who does not live with them and who has never been left alone with the girl. They live with the mother's 27-year-old brother who only baby-sits the children when they are asleep. Which of the following is the most appropriate next step in management? A) Psychiatric assessment of the mother B) DNA typing of the mother's palmar wart for papillomavirus C) Treatment of the mother's palmar wart D) Vaginal, anal, and throat cultures for Chlamydia trachomatis and Neisseria gonorrhea in the child



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

522

A 27-year-old primigravid woman at 38 weeks' gestation is admitted in labor. Her pregnancy has been uncomplicated, and a routine prenatal visit 2 days ago showed no abnormalities. On admission, fetal heart tones cannot be heard. Ultrasonography shows little amniotic fluid, fetal edema, and no evidence of a fetal heartbeat. After 1 hour, she delivers a 3175-g (7-lb) stillborn infant; examination of the infant shows no obvious abnormalities except for mild edema. The placenta and membranes appear normal. Which of the following is the most appropriate immediate course of action? A) Notify the hospital liability department B) Obtain consent for fetal organ donation from the parents C) Recommend autopsy of the infant D) Tell the mother not to worry since she can get pregnant again



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

523

A 57-year-old man is brought to the physician by his wife because his skin has appeared yellow for 3 weeks. Examination shows jaundice and scleral icterus. His total serum bilirubin level is 8 mg/dL with a direct component of 6.2 mg/dL. A CT scan of the abdomen shows a large lesion in the head of the pancreas. When the results are initially discussed, the patient says that he does not want to hear the report, and his wife agrees to abide by his wishes. Which of the following is the most appropriate course of action? A) Withhold the results as the patient wishes B) Contact the patient's children to discuss the results C) Consult with the hospital ethics committee D) Insist on telling the patient the results



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

524

A 15-year-old girl is brought to the emergencydepartment by her 20-year-old sister because of a 1-week history of fatigue, nausea, and abdominal pain. Menarche was at the age of 12 years, and her last menstrual period was 3 weeks ago. She has not had vaginal discharge. She is sexually active, and she and her partner use condoms inconsistently. Her temperature is 37 C (98.6 F), blood pressure is 110/60 mm Hg, and pulse is 95/min. Abdominal examination shows mild bilateral lower quadrant tenderness. Before a pelvic examination and a pregnancy test can be performed in this patient, consent must be obtained from which of the following? A) The court B) The patient C) The patient's parent D) The patient's sister



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 525

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 1 EXAM - FEB 2013

A 72-year-old man is brought to the physician by his daughter because of painless jaundice for 1 month. His wife died 10 years ago, and his daughter is his only child. Before examining the patient, the daughter asks to speak privately with the physician and asks that she be given the results of any tests. She specifically requests that he not be given any "bad news." The patient is alert. His vital signs are within normal limits. Examination shows scleral icterus and jaundice. There is mild abdominal tenderness on palpation. He is oriented to person, place, and time. A CT scan of the abdomen shows a pancreatic mass with bile duct obstruction and probable metastatic lesions in the liver. Which of the following is the most appropriate next step? A) Abide by the daughter's wishes B) Ask the patient if he wishes to discuss his test results, preferably with his daughter present C) Tell the daughter it is a legal requirement to tell the patient any and all results of medical testing D) Consult with the hospital attorney



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

526

A mentally competent 76-year-old man is in the terminal stage of multiple myeloma. He is unable to move and requires 24-hour nursing care. Increasing doses of narcotics are needed to control severe pain. As a result, when he is pain-free, respiratory function is impaired and consciousness is clouded. The patient says he cannot live with this degree of pain and asks to be given a lethal injection of pain medication. Which of the following is the most appropriate step regarding the pain medication? A) Reduce the dosage so as not to impair respiration B) Administer the dosage necessary to control pain despite respiratory impairment C) Administer the dosage necessary to control pain and add a centrally acting stimulant D ) Appeal to the family to convince the patient to tolerate a bit more pain

in a terminally ill patient, the priority is pain control

MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

527

An 82-year-old woman is brought to the emergency department 30 minutes after collapsing at a shopping center. She was intubated at the scene. On admission, she is comatose and requires mechanical ventilation. Her pulse is 120/min, respirations are 12/min, and blood pressure is 90/60 mm Hg. She does not respond to painful stimuli. Thirty minutes later, her granddaughter comes to the hospital and shows the physician an advance directive signed by the patient requesting no intubation or “artificial means to prolong life.” Which of the following is the most appropriate next step in management? A) Contact the hospital ethics committee B) Continue mechanical ventilation and monitor closely in the coronary care unit C) Obtain nuclear brain blood flow scan to determine brain death D) Extubate the patient and provide supportive care only



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

528

Patient was aware that the physician was drunk yet he allowed the doctor to inject him: A) Doctrine of continuing negligence B) Vicarious liability C) Res ipsa loquitor D) Captain of the ship



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

529

Which of the following characteristics of a person is not easily changed? A) Hair pattern B) Places frequented C) Speech, gait and mannerism D) Voice



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 63 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 530

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 1 EXAM - FEB 2013

What is the study of identification of fingerprints by comparison? A) Dactyloscopy B) Dactylography C) Graphology D) Poroscopy



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

531

Which of the following is the chemical test used to determine if the stain is of blood origin or not? A) Benzidine test B) Marquis test C) Icards test D) Zwikkers test



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

532

What is the pathophysiology behind the flattened area when the body surface of a corpse is pressed? A) Absence of edema B) Loss of elasticity of the skin C) Precipitated skin proteins D) Absence of blood



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

533

A physician must appear in response to a subpoena if his place of residence is how many kilometers from the court issuing the subpoena? A) < 80 km B) <70 km C) <60 km D) < 50 km

< 50 km

MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

534

A doctor is impotent yet his wife gave birth to a healthy baby while in lawful wedlock. Which is true? A) The child’s legitimacy cannot be questioned B) Proof of impotence will overthrow presumption of legitimacy C) The child upon birth can be declared if formal D) None of the above



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

535

A mother does not intend to hurt her child. When she is drunk, she periodically batters her son. She becomes remorseful afterwards and provides proper care in between her drinking sprees. What type of child abuser is the mother? A) Occasional child abuser B) Intermittent child abuser C) Constant child abuser D) One time child abuser



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

536

A baby, born alive, has a legal personality. One of the tests used to determine life before death of a fetus is to float the lungs in water is A) Wrendin’s test B) Icard’s test C) Breslau’s test D) Hydrostatic test



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

537

The liability of a professor enticing a 16 year old girl, who is a virgin, into having sexual intercourse with him is A) Statutory rape B) Simple seduction C) Qualified seduction D) Act of lasciviousness



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

538

Physical injuries which develop on parts of the body near bony tissues that are deep seated caused by forcible impact of hard blunt objects are usually A) Abrasion B) Contusion C) Hematoma D) Lacerated wound



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

539

What is another term for the accidental death of a young child by suffocation either from the pressure of beddings and pillows or from pressure of the unconscious drunk mother? A) Battering B) Overlaying C) Burking D) Mugging



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2013

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 64 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 540

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 1 EXAM - FEB 2013

An idiot is exempted from criminal liability.What is the IQ of an idiot? A) 0-20 B) 10-30 C) 20-40 D) 50-70



MIGUEL RAFAEL RAMOS, MD (TOP 3 - FEB 2012 MED BOARDS; TOPNOTCH MD)

541

According to the Medical Act of 1959, which of the following does NOT constitute an act of medicine? A. A person who has neither graduated from medical school nor has taken the board exam uses the title of MD after his name. B. A person physically examines another and diagnoses and prescribes medications; but refuses to take professional fees. C. A physician appearing on Salamat Doc diagnoses and treats a patient consulting over the phone. D. A mother gives Pedia-Lyte to her daughter suffering from diarrhea. E. None of the above

Pedia-lyte is a household remedy.

ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

542

According to the Medical Act of 1959, which of the following is NOT a ground for suspension or revocation of registration certificate? A. Physician knowingly issues a false medical certificate B. Physician is addicted to alcoholic beverages C. Physician issues business cards proclaiming that he graduated from Harvard Medical School and trained in Brigham and Women's Hospital D. Physician spreads rumor derogatory to the character of another physician. E. None of the above



ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

543

The following are inherent rights of the physician D is an incidental right except: A. Right to choose patient B. Right to limit practice C. Right to determine appropriate management procedures D. Right of way while responding to call of emergencies E. Right to avail of hospital services An industrial physician charges the company he is working for according to hours spent at clinic and not by the quantity of medical services rendered. Which of the following statements is correct? A. The physician charges a contingent fee which is considered unethical. B. The physician charges a contractual fee which is considered ethical. C. The physician charges a retainer fee which is considered ethical. D. The physician charges a straight fee which is considered unethical. E. The physician charges a straight fee which is considered ethical.

ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS) ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

545

An actress sustained facial deformities after undergoing a face lift. The physician is sued because the patient has suffered 'anguish, social humiliation, and moral shock.' The type of damages that can be recovered as a result of these is termed: A. Actual damages B. Nominal damages C. Moral damages D. Compensatory damages E. Liquidated damages



ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

546

A physician may do a procedure even when it is against the patient's wishes if: A. The procedure is essential to maintain the patient's well being B. The procedure is deemed safe by the medical community C. The patient's parents consent to it D. The procedure is required by law



ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

544

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 65 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

FINAL EXAM - FEB 2014

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 547

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM FINAL EXAM - FEB 2014

Physical injury is considered slight if the victim is incapacitated for how long: A. 6 - 12 hours B. 12 - 24 hours C. 1 - 9 days D. 2 weeks E. 1 month



ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

548

After being hit by a truck in the legs, a man was thrown 10 feet from impact hitting concrete pavement. As a result, patient sustained abrasions, contusions and lacerations in other parts of the body aside from sustaining leg fractures. The abrasiions, contusions and lacerations are termed: A. Run over injuries B. Hit and run injuries C. Secondary impact injuries D. Primary impact injuries



ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

549

A 28/M embraces and kisses a woman against her will. He may be charged with: A. Rape B. Simple seduction C. Qualified seduction D. Assault and battery E. Acts of lasciviousness



ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

550

A physician who appeared in court was asked about the injuries sustained by a victim of a vehicular crash. He then described in detail the abrasions and contusions sustained by the patient. A. The physician is providing documentary evidence in court. B. The physician is acting as an ordinary witness. C. The physician is acting as an expert witness. D. The physician is testifying on privileged informaiton. The following are characteristics of an enrance wound EXCEPT: A. Wound size is usually smaller than an exit wound B. Usually inverted C. Usually oval or round depending on the angle of approach of the bullet D. May cause tattooing E. None of the above

ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

The following are characteristics of medico-legal autopsy except: A. The purose is to correlate tissue changes with a criminal act B. Emphasis is placed on the effect of wrongful act on the body C. Requires consent of the next of kin D. Provides a factual, objective medical report E. None of the above A person who died of complications of PTB and is unembalmed must be buried not later than ___. A. 6 hours B. 12 hours C. 20 hours D. 24 hours E. 48 hours

C is a feature of pathologic autopsy

ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014



ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

554

In carbon monoxide poisoning, oxygen is delivered to the tissues but cannot be utilized properly due to failure of celular oxidative processes. This type of asphyxial death is termed: A. Anoxic B. Histotoxic C. Stagnant D. Anemic E. Molecular



ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

555

A man who had carnal knowledge of a woman through force, threat or intimidation is charged with rape. If convicted, he shall be punished by: A. Prison correccional B. Prison mayor C. Reclusion temporal D. Reclusion perpetua E. Death penalty



ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

551

552

553

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 556

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM FINAL EXAM - FEB 2014

Which of the following is a requisite for a physician to have his license suspended or revoked? A. Substantial evidence B. Preponderance of evidence C. Guilt beyond reasonable doubt D. Real evidence E. Autoptic evidence



ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

557

A patient who was denied access to his or her medical record may compel the custodian to allow him or her to see the documents by filing a petition in court for: A. Subpoena duces tecum B. Injunction C. Certoriari D. Temporary restraining order E. Mandamus



ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

558

A patient expresses his wishes to leave against medical advice. The physician, believing that he is acting in the patient's best interest, forces the patient to remain. The physician may be charged with: A. Assault and battery B. Malpractice C. Negligence D. Breach of duty E. False imprisonment



ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

559

A patient with pancreatic cancer undergoes experimental treatment despite lack of knowledge of the possible side effects. The researchers are not liable for any untoward event that may occur due to this doctrine. A. Doctrine of informed consent B. Assumption of risk C. Doctrine of forseeability D. Doctrine of contributory negligence E. Doctrine of sole responsibility



ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS)

FINAL EXAM - FEB 2014

560

After graduating from medical school, you begin using the title MD after your name. You are: A. Committing malpractice B. Committing fraud C. Illegally practicing medicine D. Academically entitled to use MD

SIMILAR TO PREVIOUS BOARD EXAM CONCEPT/PRINCIPLE

FINAL EXAM - FEB 2014

561

1. The following are acts considered as immoral or dishonorable conduct under the Code of Medical Ethics: a. Referral Fee b. Insanity c. Simple fee d. Conviction of a crime



ABDELSIMAR OMAR II, MD (TOP 2 - AUG 2013 MED BOARDS; TOPNOTCH MD - 200 QUESTIONS) AND MARC DENVER TIONGSON, MD (40 QUESTIONS) BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

562

A gauze was left inside the abdominal cavity after an operation. The applicable legal principle in this case is: a. Doctrine of vicarious liability b. Doctrine of res ipsa loquitur c. Doctrine of contributory negligence d. Doctrine of foreseeability



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

563

Medical malpractice is an offense that is filed to which regulatory body? a. Philippine Medical Association b. The Board of Medicine c. Department of Health d. Board of Medical Education



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

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MIDTERM 2 EXAM - FEB 2014

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 564

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 2 EXAM - FEB 2014

Before admission to the hospital, Mr. Tindoc was informed of the absence of window bars to prevent a psychiatric patient from jumping. a. Assumption of risk b. Res ipsa loquitor c. Continuing negligence d. Common knowledge



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

565

Pregnancy may be a ground for the annulment of marriage when: a. Wife conceals the fact the child is that of another man b. Husband at the time of marriage knows the child is not his c. Wife conceals the pregnancy caused by her husband d. The husbands files for annulment 10 years from the discovery the child is not his



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

566

Which cannot be sued and thus vicarious liability does not apply: a. Government hospitals with proprietary functions b. Charity hospitals c. Private hospitals d. Public hospitals with governmental functions



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

567

Tardieu spots are seen during the autopsy, what was the cause of death? a. Hanging b. Manual strangulation c. Ligature strangulation d. Choking



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

568

A whitish foam in the mouth and nostrils as a sign of drowning is: a. Emphysema b. edema aquasum c. tache noire d. champignon d'ocume



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

569

Presidential Decree 169 mandates all doctors to report all cases involving: a. slight and less physical injury b. less serious and serious physical injuries c. mutilation d. child abuse cases



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

570

Injury that may be found in areas of the skull offering the least resistance: a. Locus minoris resitencia b. Countre-coup injuries c. Remote injuries d. Coup injuries



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

571

A test finding wherein the middle ear of a child, before birth is filled with gelatinous, embryonic connective tissues but disappears after birth. a. Fodere’s b. Wredin’s c. Winslo’s d. Breslau’s



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

572

Fingerprints are formed in the fetus during pregnancy in the: a. Second month b. Third month c. Fourth week d. Fourth month



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 573

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 2 EXAM - FEB 2014

Test for determining whether semen is of human origin or not is: a. Precipitin b. Takayama c. Florence d. Benzidine



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

574

Disorientation, mental confusion, dizziness, sensory disturbances exaggerated emotional state suggest that the blood alcohol level is: a. 150 - 300mg% b. 400 - 500 mg% c. 100 - 120 mg% d. 80 mg %



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

575

A child is legitimate if he/she was born in lawful wedlock or within how many days after the dissolution of marriage: a. 320 days b. 280 days c. 300 days d. 360 days



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

576

A gunshot victim was brought to Dr. Tindoc for management. Dr. Tindoc refused to treat the patient since he is a pathologist. Which one of the following is applicable? a. Dr. Tindoc has the right to choose his patients. b. It is illegal to refuse rendering medical service. c. Dr. Tindoc is liable for damages. d. Dr. Tindoc must manage the gunshot victim.



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

577

Burden of evidence needed to convict a physician for criminal malpractice: a. Substantial evidence b. Circumstantial evidence c. Proof beyond reasonable doubt d. Preponderance of evidence



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

578

The body should be buried within how many hours if the death is due to dangerous communicable disease a. 6 hours b. 12 hours c. 24 hours d. 48 hours



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

579

The form of evidence given by the attending physician of a dying patient who related to him that his wife stabbed him. a. hearsay evidence b. dying declaration c. testimonial evidence d. deposition



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

580

These are damages imposed on a physician as punishment and to serve as an example or correction for the medical profession: a. Nominal damages b. Compensatory damages c. Temperate damages d. Exemplary damages



BLAKE WARREN ANG, MD (TOP 1 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 EXAM - FEB 2014

581

A member of the PMA is required a total of how many CME units per year to maintain membership with good standing? A. 10 B. 25 C. 50 D. 75 E. 100

Every PMA member is required to earn his credit a minimum of 100 CME Units per fiscal year. (From Section 38: Required CME credit units of the PMA Code for Continuing Medical Education) PDF content is downloadable from PMA website.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 582

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 1 EXAM - FEB 2014

Which of the following is not a prerequisite to the practice of Medicine in the Philippines? A. At least 21 years old B. Citizen of the Philippines C. Medical school diploma D. Board exam passer E. Holder of certificate of registration

Being a citizen is not a requirement to practice medicine in the Philippines.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

583

The privilege to practice Medicine is regulated by what entity? A. Board of Medicine B. Police power of the State C. Judicial body of the State D. Professional Regulatory Commission E. Philippine Medical Association

The police power of the state has the right to regulate the practice of medicine

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

584

Dr. AD was asked by the court to describe the findings in his physical examination of Patient BL, who was a victim in a shoot-out. Dr. AD in court is acting as a? A. Ordinary witness B. Expert witness C. Both as ordinary and expert witness D. Special witness E. None of the above

Merely description without inference of the possible explanation for the injuries or diagnosis would mean that he is merely acting as an ordinary witness.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

585

A case was filed against the surgeon who left a foreign object inside the patient's abdomen after performing cholecystectomy. The residents, interns and nurses assisting in the operation are also included in the lawsuit. The nature of the liability against the intern would be? A. Administrative B. Civil C. Administrative and Civil D. Criminal and Civil E. Criminal, Civil and Administrative

The intern cannot be imposed any reprimand, suspension or revocation because he does not possess a license, therefore he is only liable criminally and civilly.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

586

What is the burden of proof needed for a physician to be civilly liable? A. Proof beyond reasonable doubt B. Preponderance of evidence C. Extensive evidence D. Substantial evidence E. Ample evidence

Criminal - proof beyond reasonable doubt Civil - Preponderance of evidence Administrative - Substantial evidence

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

587

Dr. FF was subpoenaed to act as an expert witness in a criminal case held in the regional trial court of the Bicol region, 120 km away from his residence. He did not comply because he has a lot of patients to see in his clinic, he may be cited for? A. Direct contempt B. Indirect contempt C. Both direct and indirect contempt D. Unduly prioritizing his practice E. None

The doctor may not appear in any courts he was subpoenaed provided it is greater than 100 km from his residence.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

588

The following medical fees are considered immoral or unethical under the Code of Medical Ethics EXCEPT? A. Contingent fee B. Dichotomous fee C. Retainer fee D. Fee splitting E. Straight fee

Simple contractual and retainer fee is ethical.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

589

The hospital is almost full and the only vacant beds are in the ward. An infectious case was admitted in the ward resulting to contamination of other patients. The physician who admitted the patient is liable under what doctrine? A. Vicarious liability B. Res Ipsa Loquitor C. Superior knowledge D. Foreseeability E. Continuing negligence

Contamination of other patients is foreseen when one admits an infectious case in the ward filled with patients who does not have the same infection.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 590

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 1 EXAM - FEB 2014

Which of the following is NOT an inherent right of the physician? A. Choose patients B. Exemption from execution of instruments and library C. Avail of hospital services D. Limit the practice of medicine E. Determine the appropriate management and procedures for his patients If a patient died or become incapacitated to do so, the claim for medical fee shall be made from the following persons in order? A. Spouse, parents, children, siblings B. Spouse, parents, siblings, children C. Spouse, children, parents, siblings D. Spouse, siblings, parents, children E. Spouse, children, siblings, parents

Exemption from execution of instruments and library is an incidental right.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

The order is spouse, descendants, ascendants, siblings.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

592

A physician who acquire his license after passing the board exam needs to renew it at what time interval? A. Every 2 years B. Every 3 years C. Every 4 years D. Every 5 years E. Every 6 years

Renewal is done every 3 years.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

593

Which of the following organs putrefy late? A. Brain B. Gravid Uterus C. Spleen D. Liver E. Lungs

Putrefy Early: Brain, Stomach and intestines; Lining of the trachea and larynx; spleen, liver; gravid uterus. Putrefy Late: Esophagus; Diaphragm; Heart; Lungs; Kidneys; Urinary Bladder; Prostate; Uterus (not pregnant)

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

594

The patient realized that his physicain was grossly intoxicated at the time he was going to give the patient an injection. The patient allowed the physician to proceed in spite of the physician's conditions. The patient was injured. The court will held the patient liable for? A. Antecedent contributory negligence B. Contemporaneous contributory negligence C. Subsequent contributory negligence D. Concurrent contributory negligence E. No liability

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

595

The test used to determine whether semen is of human origin or not is? A. Florence test B. Berberio's test C. Farnum's test D. Acid phosphatase test E. Ganguli's method

3 types: Antecedent: Problem Contemporaneous: while the esophagoscope was being applied the patient made a violent move without warning which resulted to the puncture of the esophagus. Subsequent: Patient sustained a wound which the physician sutured and gave a prescription for tetanus anti0toxin. He instructed the patient to go immediately to the drug store and have it filled and bring it back to the office for an injetion. The patient took the prescription and went home. Precipitin test or biological test of Farnum will test whether the semen is human origin or not.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

596

The finding in death is not consistent and may not appear on a person who died? A. Instantaneous rigor B. Primary flaccidity C. Rigor mortis D. Cadaveric rigidity E. Secondary flaccidity

Cadaveric spasm or instantaneous rigor is not always present and is not part of the 3 stages of muscles after death.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

597

A woman scratched another in the face after a fight. The doctor attended the injury that resolved in 10 days without any sequalae. The legal classification of the injury is? A. Slight physical injury B. Less serious physical injury C. Serious physical injury D. Mutilation E. Physical injuries inflicted in a tumultuous affray

Slight: 1-9 days Less serious: 10-29 days Serious: >30days; or with scar, deformity, loss of organ

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

598

The entrance wound in a gunshot can be differentiated from the exit wound with the following characteristics EXCEPT? A. Appears to be smaller than the missile owing to the elasticity of the tissues B. Usually oval or round depedning upon the angle of approach C. Edges are inverted D. Underlying tissues may be seen protruding from the wound

Underlying tissues are not protruding in an entrance wound.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

591

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item #

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM

E. Tattoing or smudging may be present

599

A doctor, who is unmarried had an illicit relation with his unmarried secretray. He is guilty of? A. Adultery B. Concubinage C. Infidelity D. Sodomy E. Immorality

Since both are unmarried, it is just immorality.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

600

Dr. SS has illicit affairs with an 11 yr old prostitute, wherein there is deceit and abuse of power. The physicain can be charged with? A. Rape B. Qualified Seduction C. Simple Seduction D. Ordinary Seduction E. Immorality

The woman is below 12 years old, so the physician is quilty of rape.

TIMOTHY TANG LEE SAY, MD (TOP 4 - AUG 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 EXAM - FEB 2014

601

ES just received the news that she passed the physician licensure exam. She then immediately set up her own clinic and started seeing patients even before the oath taking. ES can be sued for: A. Illegal practice of medicine B. Malpractice C. As long as no damage is incurred by her patients, she has no liability D. Administrative liability

ES is still not a holder of a license. She should have waited for the oath taking and be handed her license certificate before practicing medicine. Until then, she is still considered illegally practicing medicine.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

602

A 4-year old child was suffering from diarrhea. A nondoctor neighbor told the mother to give Pedialyte 45. Which describes appropriately her action? A. Illegal practice of medicine B. Malpractice C. Acting against false pretenses D. Not considered an act constituting practice of medicine

Pedialyte 45 is approved as a household remedy by BFAD for diarrhea. Therefore, no practice of medicine has been committed.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

603

A test to prove live birth that involves checking the middle ear of a child. Before birth, this is filled with gelatinous embryonic connective tissues but disappears after birth. This test is called: A. Wredin B. Breslau C. Fodere D. Winslo

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

604

Virginity is not part of the inclusion of which of the following: A. Qualified seduction B. Simple seduction C. Qualified incestuous seduction D. A and B E. B and C

Breslau test - aka stomach bowel test or floatation test. If the organs float in water and air bubbles are liberated, breathing has taken place. Fodere test - hydrostatic test. Gettler's test - test used to determine chloride content of blood in the R and L ventricles, used to determine if death occured by drowning, or if death occured in fresh water or salt water Ordinary qualified seduction requires that the victim is a virgin. Simple seduction and incestuous qualified seduction do not include virginity as a requirement. As long as the victim is of good reputation and the crime is committed by means of deceit.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

605

This can be a ground for legal action which is an act of omission, which amounts to want of care on the part of the complainant, which concurring with the defendat's negligence is the proximate cause of the injury. A. Doctrine of continuing negligence B. Doctrine of contributory negligence C. Res ipsa loquitor D. Doctrine of ostensible agent

Doctrine of contributory negligence - doctrine of common fault. Conduct on the part of the plaintiff contributing as a legal cause to the harm he has suffered, which falls below the standard to which he is required to conform. Doctrine of continuing negligence - if the MD after a prolonged treatment of the patient fails to investigate non response or the MD ignores an early warning with regards to the treatment of the patient resulting to harm. Res ipsa loquitor - the nature of the wrongful act is suggestive of negligence (foreign bodies left). Doctrine of ostensible agent - pathologst, radiologist and anesthesiologist can be considred employees of the hospital.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 606

EXPLANATION

AUTHOR

Medical malpractice is an offense that falls under the jurisdiction of: A. Philippine Medical Association B. Board of Medicine C. Department of Health D. NBI

The PRC under the Board of Medicine handles all administrative cases filed against doctors, inclusive of which are malparactice cases.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

607

If the person died as a result of communicable disease and is unembalmed, it should be buried not later than: A. 12 hours B. 20 hours C. 24 hours D. 48 hours

A person who died with non-communicable causes and is unembalmed should be buried within 48hours.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

608

The following describes the lungs if respiration takes place after birth, EXCEPT: A. lungs fill the thoracic cavity and overlapping the ehart and thymus gland B. surface is covered with mosaic of expanded air vesicles, giving a marble appearance C. lungs are voluminous, with rounded edges and pink mottled color D. when squeezed between the finger and the thumb, they do not crepitate

There should be crepitation present when the lung tissue is compressed between the thumb and the finger.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

609

Mr. A was married to Ms. B, who is his own step daughter. The marriage is considered void from the start, hence a child born thereafter is considered: A. adulterous B. natural by legal fiction C. natural child by presumption D. legitimated

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

610

Confidentiality of information in the course of a doctorpatient relationship may be breached in the following instances: A. when disclosure is necessary to serve the best interest of justice B. when disclosure of information will serve both the public and private health and safety C. when disclosure is needed in a civil case to determine the moral character of a patient D. when information are being asked by police authorities E. all of the above A physician may perform a diagnostic or therapeutic procedure without the consent of the patient or his relatives A. when the physician believes the procedure is necessary B. when the patient is unconscious C. in an acute emergency when there is no time to discuss the situation D. all of the above Dr. B refused to attend on several occasion a court hearing citing as reason that he has several out-patients to examine. He may be liable for: A. Direct contempt of the court B. Indirect contempt of the court C. Disrespect for the court D. No liability, as his reason is considered qualified and valid

Natural children - born outside a lawful wedlock. Natural by legal fiction - children born of void marriages or voidable marriages after the decress of annulment. Natural children by presumption - natural children acknowledged by the father or mother separately. Spurious children - illegitimate children who are not considered natural (adulterous, sacrilegious, incestuous, manceres) Confidentiality may only be breached in the best interest of justice and public safety.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

Physician can only proceed with a procedure without consent during acute emergencies, wherein there is no enough time for an informed consent to be discussed and the life of the patient may immediately be at stake.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

Direct contempt - misbehavious inside the courtroom. Indirect contempt - refusing to attend to court after a subpeona has been issued, without a valid reason. Failure to obey a subpeona is a ground for indirect contempt of the court.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

Chronic lead poisoning can lead to formation of tophaceous gout.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

611

612

613

QUESTION

A 45-year old man, who works as a painter in a shipyard for 10 years now, presents with gouty tophi and arthritis. He is probably suffering from: A. Hyperuricemia B. Hydrocyanic poisoning C. Arsenic poisoning D. Lead poisoning

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TOPNOTCH EXAM FINAL EXAM - FEB 2013

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 614

EXPLANATION

AUTHOR

Examination of presence of peripheral circulation to confirm death includes a test wherein a solution of fluorescent dye will be injected subcutaneously. If circulation is present, the dye will spread all over the body and the whole skin will have a greenish-yellow discoloration. this test is called: A. Icard's test B. Diaphanous test C. Magnus test D. Teichmann's test

Magnus test - application of ligature around the base of a finger with moderate tightness. Diaphanous test - the fingers are spread wide and the fingers are viewed through a strong light. Teichmann's test is a test use dto determine if blood is human or not.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

One of the following is NO longer true of rape under RA 8353: A. Offender may be any person B. Offended party must be female C. Insertion of the penis into another person's mouth or anus D. Insertion of any instrument into the genital or anal orifice of another person Which of the following laws mandates al doctors to report all cases of less serious and serious physical injuries? A. PD 603 B. RA 7610 C. PD 189 D. PD 541 E. PD 169

Offended party may be any person of any gender.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

PD 603/RA 7610 - anti child abuse law, mandates doctors to report all cases within 48 hours from knowledge. PD 541 - gives former Filipino doctors right to practice in the Philippines again, without revoking their current citizenship.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

617

The court orderd Dr. R to produce th skull of the victim , who was killed by a blow on the head caused by a blunt weapon. The skull is what type of evidence? A. Testimonial evidence B. Autoptic evidence C. Real evidence D. A and B E. B and C

Autoptic or real evidence - evidence made known or addressed to the senses (sight, smell, hearing, taste, touch) of the court. Testimonial evidence - giving a testimony on matters that the witnessed perceived.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

618

The following bones are used in determination of sex of the victim, EXCEPT: A. Pelvis B. Skull C. Sternum D. Humerus E. Femur

Bones used to identify sex: pelvis, skull, sternum, femur, humerus. Bones used to estimate height: femur, humerus, tibia, radius.

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

619

Characteristics of menstrual blood, EXCEPT: A. Does not clot B. Acidic in reaction C. Presence of vaginal epithelial cells D. Numerous deoderlein's bacillus E. No exception

These are all characteristics of menstrual blood

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

620

The following are characteristics of human hair, EXCEPT: A. Humans have large sacks of air network B. Hair cells are easily visible even without treatment with water. C. Cortex looks like a fairly thin hollow cylinder D. Thick scales protruding E. All are incorrect/exception

RACHELLE MENDOZA, MD (TOP 9 - AUG 2012 MED BOARDS; TOPNOTCH MD)

FINAL EXAM - FEB 2013

621

Patient was aware that the physician was drunk yet he allowed the doctor to inject him: A. Doctrine of continuing negligence B. Vicarious liability C. Res ipsa loquitor D. Captain of the ship E. Doctrine of informed consent

Human hair has the following characteristics: The medulla consists of fine grains of air network, invisible hair cells without treatment in water, I (relation bet diameter of medulla and diameter of whole hair) value lower than 0.3, fuzz without medulla. Cortex looks like thick muff, pigments are in the form of fine grains. Cuticle is composed of thin scales not protruding, covering one another about 4/5.

VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

622

Which of the following characteristics of a person is not easily changed? A. Hair pattern B. Places frequented C. Speech, gait and mannerism D. Voice E. All of the above



VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

615

616

QUESTION

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TOPNOTCH EXAM FINAL EXAM - FEB 2013

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 623

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM DIAGNOSTIC EXAM - AUG 2012

The art of identification of fingerprints by comparison is known as: A. Dactyloscopy B. Dactylography C. Graphology D. Poroscopy E. A and B



VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

624

Which of the following is the chemical test used to determine if the stain is of blood origin or not? A. Benzidine test B. Marquis test C. Van urk test D. Zwikkers test E. Icards test



VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

625

When the body surface of corpse is pressed, it leaves a flattened area due to: A. Absence of edema B. Loss of elasticity of the skin C. Precipitated skin proteins D. Absence of blood E. Age of the body



VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

626

A physician must appear in response to a subpoena if his place of residence is how many kilometers from the court issuing the subpoena? A. < 80 km B. <70 km C. <60 km D. < 50 km E. Must appear no matter what the distance

< 50 km

VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

627

For a child to be legitimate, he must be born in a lawful wedlock or within these number of days after the dissolution of marriage: A. 120 days B. 180 days C. 300 days D. 360 days E. 365 days

300 days

VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

628

The comprehensive study of a dead body performed by a trained physician employing recognized procedures and techniques is known as: A. Post mortem examination B. Autopsy C. Medical Examination D. Post mortem dissection E. Any of the above choices

autopsy

VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

629

Cases when trauma or disease kill quickly that there is no opportunity for sequel or complication to develop is known as: A. Proximate cause of death B. Secondary cause of death C. Immediate cause of death D. Underlying cause of death E. Complete cause of death

immediate cause of death

VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

630

The following are characteristics of medicolegal autopsy EXCEPT? A. Consent of relatives are not needed B. Correlates tissue changes to the criminal act C. Notation of all abnormal findings D. Must be specific for the purpose of determining whether it is in relation to the criminal act E. All of the above choices



VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

631

If the parents are type A and type B, which of the following would be the blood group of their children. A. Type O, A and B B. Type A, B and AB C. Type A and B D. Types A, B, AB and O E. Any of the above choices

A, B and AB

VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 632

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM DIAGNOSTIC EXAM - AUG 2012

Which of the following is NOT a requisite of the privileged information between the physician and is patient? A. That the information is confidential and if disclosed, will tend to blacken the character of the patient B. That the person against whom the privelege is claimed is one duly authorized to practice medicine, surgery or obstetrics C. That the privelege is claimed in a criminal case not in any civil proceedings D. That the physician acquired the information while he was attending the patient in his professional capacity E. A statement made by a dying patient to the attending physician in reference to the persons who inflicted injury on him is known as: A. Privileged communication B. Dying declaration C. Hearsay evidence D. Inadmissible evidence E. None of the above



VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)



VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

634

This prevents an individual from being admitted to the practice of medicine: A. Age of 19 yrs B. Passed the board examination C. Holder of a valid certificate of registration issued by the board of medical education D. Must not have been convicted of any offense involving moral turpitude E. All of the above



VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

635

Which of the following is measured by the space and time provided by the physician and not by the quality and quantity of medical services rendered: A. Retainers fee B. Package deal fee C. Contractual fee D. Simple fee E. Professional fee

retainers fee

VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

636

Principle applied when the medical fee is not specified: A. "Assumpsit on quanthum merit" B. "lex Loci contract" C. "Dura lex sed Lex" D. "Sine Qua now" E. None of the above



VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

637

Confidentiality of information in the course of a doctorpatient relationship may be breached in the following instances: A. When disclosure is necessary to serve the best interest of justice B. When disclosure of infornation will serve both public and private health safety C. When disclosure is needed in a civil case to determine the moral character of a patient D. When information are being asked by police authorities E. All of the above



VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

638

Burden of evidence needed to convict a physician for criminal malpractice: A. Substantial evidence B. Proof beyond reasonable doubt C. Preponderance of evidence D. Circumstantial evidence E. Any of the above choices



VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

639

An otorhinolaryngologist was forced by a terrorist group member to do a caesarian section on his wife. The physician agreed on the condition that he will be paid PhP 1 M. The physician maybe held liable for the injuries sustained under the doctrine of: A. Foreseeability B. Continuing negligence C. Assumption of risk D. Contributory negligence E. None of the above

Assumption of risk

VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2012

633

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 76 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 640

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM DIAGNOSTIC EXAM - AUG 2012

When a surgeon operates on the patient without a consent, this constitues an assault and even without proof of injury resulting, the plaintiff may recover what type of damage? A. Nominal B. Liquidated C. Exemplary D. Moral E. Moderate

Nominal damage

VON ANDRE MEDINA, MD (TOP 4 - FEB 2012 MED BOARDS; TOPNOTCH MD)

641

Dr. Jaw Orski was found dead on his clinic with multiple stab wounds. On autopsy, you saw prominent superficial veins with reddish discoloration on his flanks. This is called? A. Putrefaction B. Maceration C. Marbolization D. Cadaveric lividity E. Adipocere formation



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

642

Mrs. Kath Ang-Isip is a chinese national who was found soaked with her own blood in her store. If you are entertaining suicide, you should find A. Indications of struggle B. Hesitation cuts C. Tentative incisions D. A and B E. B and C



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

643

This finding in death is not consistent and may or may not appear on a person who died A. Rigor mortis B. Algor mortis C. Putrefaction D. Cadaveric spasm E. Decomposition



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

644

In ballistics, this transforms mechanical energy by the hit of the firing pin on the percussion cap to chemical energy. A. Primer B. Powder C. Bullet D. Projectile E. None



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

645

This is a head injury that is found on areas of the skull offering the least protection. A. Coup B. Contre-coup C. Coup contre-coup D. Locus minoris Resistencia E. Remote injuries



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

646

Which of the following is a test for the presence of powder residues on clothings? A. Gonzales' test B. Walker's test C. Paraffin test D. Lung's test E. None



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

647

You were walking along the street of Delli-Cado when a car accidently hit you on your left leg. The bumperfracture of the leg bones in your case is a consequence of A. Run over injuries B. Primary impact C. Secondary impact D. Hit and run E. Coup injuries



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 648

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM DIAGNOSTIC EXAM - AUG 2013

A man was hit by a truck in the legs and was thrown 10 feet from impact, subsequently hitting the pavement. As the attending physician, you noted abrasions, contusions, and lacerations in other parts of his body aside from leg fractures. Those injuries are called? A. Run over injuries B. Primary impact C. Secondary impact D. Hit and run E. Coup injuries



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

649

The absence of smoke, soiling, burning, or powder tattoing is suggestive of this type of gunshit wound. A. Contact wound B. Close-range wound C. Long-range wound D. Mid-range wound E. None



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

650

When a surgeon operates on a patient without consent, this constitutes an assault. And even without proof of injury, the plaintiff may recover what type of damage? A. Nominal B. Moderate C. Liquidated D. Exemplary E. Moral



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

651

Being a physician, you are given a right to limit your practice by the dictate of your conscience and religious beliefs. Hence, you may refuse to do which of the following? A. Tubal ligation B. IUD insertion C. Vasectomy D. A and C only E. All of the above



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

652

The following fees are ethical and accepted in practice, EXCEPT? A. Professional fee B. Retainer's fee C. Contractual fee D. Contingent fee E. No excemption

Contingent fee is adding amount of payment depending on the level of satisfactory of the result of treatment. (eg. Patient MUST give additional one million pesos if no scar is visible). This is unethical.

LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

653

If a baby was born alive, that baby has the right to possess legal personality. Which among the following is a test to prove live birth (given that the child eventually died) by aloowing the fetal lungs to float in water? A. Wredin's test B. Icard's test C. Breslau's test D. Hydrostatic test E. None



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

654

If a person died as a result of communicable disease, and is unembalmed, the body should be buried not later than? A. 12 hours B. 20 hours C. 24 hours D. 48 hours E. 72 hours



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

655

In cases of natural death (without any suspicion of foulplay and cause of death is certainly from natural cause), certificate of death should be provided within A. 12 hours B. 20 hours C. 24 hours D. 48 hours E. 72 hours



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 656

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM DIAGNOSTIC EXAM - AUG 2013

In medical school curriculum, this is the study of licensure laws, regulatory laws, and physician-patient relationship. A. Legal Medicine B. Bioethics C. Legal Ethics D. Medical Jurisprudence E. Medical Ethics



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

657

An HIV patient voluntarily takes experimental drugs despite of unknown side effects subsequently developed ischemic necrosis of the penis and have to be cut. What doctrine is applicable? A. Res Ipsa Loquitur B. Doctrine of informed consent C. Doctrine of foreseeability D. Doctrine of Contributory negligence E. Assumption of the Risk doctrine



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

658

A man graduated from a Medical school immediately used the title MD after his name even without passing the Philippine Physician Licensure Examination. This man is A. Commiting malpractice B. Illegally practicing medicine C. Falsely using MD after his name D. Academically entitled to use MD E. Has no right to do so, and is unethical



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

659

A fiduciary physician-patient relationship is based on A. Law B. Court order C. Mutual trust D. Mutual fund E. Mutual consent



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

660

A statement made by a dying patient to the attending physician in referrence to the persons who inflicted injury on him is known as? A. Privillege communication B. Dying declaratin C. Dying admiration D. Hearsay evidence E. Inadmissible evidence



LITO JAY MACARAIG, MD (TOP 8 - FEB 2013 MED BOARDS; TOPNOTCH MD)

DIAGNOSTIC EXAM - AUG 2013

661

Legal medicine is defined as? A. Knowledge of law in relation to practice of medicine B. Concerned w/ rights, duties and obligations of physician w/ reference to phys-px relation C. Application of medical science to elucidate legal problems D. Branch of medicine which deals with application of medical knowledge to the purpose of law and administration of justice E. None of the Above Type of medical evidence which is addressed to the senses of the court:? A. Physical evidence B. Corpus adicti evidence C. Documentary evidence D. Autopic evidence E. None of the Above

A and B - Medical Jurisprudence, C - Forensic Medicine

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

Autopic evidence – the term refers to material evidence, presented in court.

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

663

Most efficient method of evidence preservation? A. Photographs B. Drawing C. Embalming D. Refrigiration E. None of the Above



HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

664

Truth serum is composed of:? A. Amylnitrite B. Na amytal C. Na penthotal D. Hyoscine Hyobromide E. None of the Above

HHB is a derivative of scopolamine. Because of a number of undesirable side effects, scopolamine was shortly disqualified as a truth drug.

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

662

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 79 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 665

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 2 - AUG 2013

Expressed admission of guilt in a criminal case? A. Expression B. Confession C. Declaration D. Swearing E. None of the Above

In the law of criminal evidence, a confession is a statement by a suspect in crime which is adverse to that person.

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

666

Almond eyes, pale complexion, prominent cheekbones? A. Hippocratic Facies - approaching death B. Leonine Facies - Leprosy, Elephanthiasis C. Mongolian Facies D. Myxedemic Fascies - Hypothyroidism E. None of the Above

Hippocratic Facies - approaching death Leonine Facies - Leprosy, Elephanthiasis Myxedemic Fascies - Hypothyroidism

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

667

Verbal, accurate and picturesque description of the person identified? A. Anthropometry B. Bertillon System C. Drawing D. Portrait Parle E. None of the Above

Portrait Parle is a French term referring to a picture of a suspect in both front and profile views. Modernization has led this to be our "mug shot" of a suspect.

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

668

Art and study of recording fingerprints as a means of identification? A. dactyloscopy B. Locard's Method C. Dactylography D. Poroscopy E. None of the Above

The scientific study of fingerprints, which is known as dactylography, is used as a technique of crime detection by practically every modern law enforcement agency.

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

669

Used to differentiate male from female skeleton except:? A. Pelvis B. Tibia C. Sternum D. Femur E. None of the Above



HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

670

Chemical examination used to ID blood of blood stains, except:? A. Benzedine test B. Guiacum Test C. Solubility Test D. Kastle - Meyer Test (aka Pnenolphthalein Test) E. None of the Above

Solubility test is an example of a physical test, not chemical

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

671

Post-mortem Lividity? A. Livor Mortis B. Rigor Mortis C. Cadavenic Spasm D. Putrifaction E. None of the Above

Livor mortis is a settling of the blood in the lower (dependent) portion of the body, causing a purplish red discoloration of the skin. When the heart stops functioning and is no longer agitating the blood, heavy red blood cells sink through the serum by action of gravity.

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

672

Instances wherein it is required to do autopsy except:? A. Violence B. Accidents C. Suicide D. Natural Death E. None of the Above

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

673

Exit round for bullets? A. Large, Star shaped B. With tatooing of smudging C. Everted Edges D. Inverted Edges E. None of the Above

An autopsy—also known as a post-mortem examination, necropsy (particularly as to non-human bodies), autopsia cadaverum, or obduction—is a highly specialized surgical procedure that consists of a thorough examination of a corpse to determine the cause and manner of death and to evaluate any disease or injury that may be present. It is usually performed by a specialized medical doctor called a pathologist. Exit wounds - as we have already mentioned - are usually larger than the entrance wound. Exit wounds will often bleed profusely as they are larger but entrance wounds can sometimes look only like small holes - unless the weapon is fired at close proximity to the victim.

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

674

Born out of lawful wedlock? A. Legitimate B. Illegitimate C. Legitimated D. Adopted E. All of the above

In common law, legitimacy is the status of a child born to parents who are legally married to each other; and of a child conceived before the parents receive a legal divorce. Conversely, illegitimacy (or bastardy) is the status of a child born outside marriage.

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

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TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 675

QUESTION

EXPLANATION

AUTHOR

Laws not enforced by the state, except? A. Remedial Law B. Natural Law C. Divine Law D. Moral Law E. None of the above

Remedial Law is that which prescribes the manner of enforcing Legal rights and claims.

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

676

Requirements for admission to practice medicine in the Philippines, except? A. 21 years of age B. Passed the board exam C. Natural born citizen of the Philippines D. Holder of certificate of registration E. None of the above

21 years of age Passed the board exam Holder of certificate of registration

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

677

An american surgeon on vacation joined a medical mission in which he performed circumcision for children in Samar. He is_____: A. Practicing medicine B. Illegally practicing medicine C. Committing medical malpractice D. A and c E. None of the above



HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

678

Grounds for reprimand, suspension, and revocation of license includes the following except: A. Immoral conduct B. Dishonorable conduct C. Fraud D. Insanity E. Sleeping while on duty



HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

679

When a physician is found guilty of a criminal act, he may be punished with? A. Imprisonment B. Revocation of license C. suspension D. fined E. A and D



HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

680

Doctrine of vicarious liability? A. Responsibility of a person for negligible or wrongful act of another B. Liability of hospital for negligent acts of their ostensible agents C. Liability of a surgeon for wrongful acts of those who are under his control D. The thing speaks of itself E. None of the above

Liability of hospital for negligent acts of their ostensible agents - ostensible agent doctrine Liability of a surgeon for wrongful acts of those who are under his control - captain of the ship doctrine The thing speaks of itself - res ipsa loquitour

HAZEL KAREN RAZ, MD (TOP 6 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 2 - AUG 2013

681

If the parents are type A and type B, which of the following would be the blood group of their children? A. Types O, A and B B. Types A, B, AB and O C. Types A and B D. Types A, B and AB

Answer: B. Types A, B, AB and O Notes: Genotype --> Phenotype AB -----------> AB AA & AO ----> A BB & BO ----> B OO -----------> O Type AO x BO = will produce Genotypes AB, BO, AO, OO = Phenotypes AB, A, B, O

MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

682

Dr. Datu performed a surgery on Mr. Kim despite not having the proper training. Negligently, he nicked the colon and cut the ureter while removing the appendix. Mr. Kim asked Dr. Datu for monetary compensation. The nature of liability against Dr. Datu would be: A. Civil B. Administrative C. Criminal D. Ethical



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 81 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH EXAM MIDTERM 2 - AUG 2013

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 683

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 1 - AUG 2013

You evaluated a 65 yo man with 3-month history of chest pains and fainting spells that you feel would merit cardiac catheterization. After informing him fully of the benefits, consequences, risks, etc., he was able to demonstrate that he understands all of these and refuses the intervention. What should you do? A. Respect his choice B. Explore reasons for his decision and try to convince him again C. Consider the discussion ended D. Continue with the procedure nevertheless



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

684

Which of the following statements is/are true of faith healing in relation to the practice of medicine: A. If a person acted pursuance of his religious belief and the act is in accordance with the tenets of his church, it is deemed to be part of his religious freedom B. The Medical Act of 1959 exempts faith healing from the definition of the acts which constitute practice of medicine C. The faith healer can practice even without a certification of registration from the Board of Medicine D. He can invoke his right to livelihood as the basis for his performing faith healing



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

685

A 35 yo old lingerie model came to your clinic with chief complaint of foul-smelling vaginal discharge. Examination revealed gram-negative diplococcic. She told you that the treatment should be kept in strict confidentiality. Furthermore, she revealed that she got her illness from a promiscuous lover. She placed rat poison in his lover’s tomato juice before she left to see you. You promised that you will keep it between the two of you. The following morning, you learned that your patient’s lover died of internal hemorrhage which can be attributed to a rat poison. What will you do if summoned to testify on the death of your patient’s lover? A. You will raise the defense of a privileged communication. B. You will raise the right of the patient for privacy. C. You will raise the issue of your right to limit practice, not in a medico-legal practice. D. You will testify.



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

686

A bullet that has penetrated the skin and hits bony tissue along its course may deflect and change its direction. Such change of trajectory is called: A. Russian roulette B. Ricochet of bullet C. Bullet sporting movement D. Missile disintegrating movement



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

687

A 34 yo female came to your clinic with chief complaint of severe chest pain. History revealed an abrupt onset after reading a text message from her husband’s former girlfriend. Diagnostics revealed essentially normal findings; however physical examination revealed costochondral tenderness which is converted to a more serious disability or exaggeration of the real complaint. This is known as: A. Fortuitous malingering B. Simulated malingering C. Factitious malingering D. Fictitious malingering



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

688

In the ordinary method of human identification applicable to the living person, the “facies” is a characteristic not easily changed. Which appearance of the face indicative of approaching death? A. Leonine facies B. Mongolian facies C. Myxedemic facies D. Hippocratic facies



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 82 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 689

QUESTION

EXPLANATION

AUTHOR

TOPNOTCH EXAM MIDTERM 1 - AUG 2013

Annabelle scratched Nadia in the face in an altercation. Dr. Guttier attended to the injury that resolved in less than 10 days but a resultant keloid scar formed. The legal classification of this injury is: A. Serious physical injuries B. Less serious injuries C. Slight injuries D. Mutilation



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

690

As a result of the deformity she sustained from facelift operation, Ethel B. sued Dr. Belu for mental anguish, social humiliation and moral shock. What type of damage can Ethel B. recover from this situation? A. Actual damages B. Compensatory damages C. Exemplary damages D. Moral damages



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

691

The following are acts considered as immoral or dishonourable conduct under the Code of Medical Ethics: A. Fee splitting B. Insanity C. Conviction of crime D. Drug addiction



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

692

A 50 y.o female had breast surgery for CA of breast with metastasis. She consented in writing to undergo a trial of a new chemotherapeutic modality. The patient continued to deteriorate and sued the physician. The case was absolved under the doctrine of: A. Continuing negligence B. Common knowledge C. Assumption of risk D. Contributory negligence



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

693

A patient-physician relationship does not contemplate one of the ff. promises or guaranties: A. Treatment will be beneficial B. Treatment will not be injurious to the patient C. Treatment will result in definite outcome D. Treatment will be gratuitous



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

694

The chemical test to determine if the stain is of blood origin or not. A. Marquis test B. Van Urk test C. Benzidine test D. Zwickers test



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

695

Considered as a prominent sign of death: A. Progressive fall of body temperature B. Cessation of heart action and circulation C. Cessation of respiration D. Insensibility of body loss of the power to move



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

696

The right of a citizen of foreign country to be allowed to practice medicine in the Philippines is based on: A. Reciprocity provisions of the medical law of the Philippines B. International law, inasmuch as the Phil. has adopted the generally accepted C. International convention like W.H.O. D. Executive agreement between the heads of state



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

697

All but one type of injury need not be reported to police authorities under PD 169: A. Serious physical injuries B. Multiple physical injuries C. Slight physical injuries D. Less serious physical injuries



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

698

Weapons, fingerprints and garments left at the crime scene are examples of what type of evidence? A. Real B. Ordinary C. Corpus delicti D. Associative



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

MIDTERM 1 - AUG 2013

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 83 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 699

700

QUESTION

EXPLANATION

AUTHOR

Dr. Bu Tan Deng, the MHO of a known municipality in the outskirts of Central Visayas, shall perform an autopsy on a dead body when: A. Requested by any relative of the family B. Verbally directed by Chief of Police C. Upon order of the Mayor D. Ordered by the Provincial Medical Health Director



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)

When a blow to the forehead causes contusion of the eyeball due to fracture of the bone at the roof of the orbit, the type injury incurred is: A. Coup B. Contre-coup C. Coup contre-coup D. Locus minoris resistencia



MICHELLE JAY FRANCISCO, MD (TOP 9 - FEB 2013 MED BOARDS; TOPNOTCH MD)



TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 84 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

TOPNOTCH EXAM MIDTERM 1 - AUG 2013

MIDTERM 1 - AUG 2013

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] Item # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87

ANSWER A B B D D C E B C D A A B A C A D E D A C A C D D E D A B D A D C C B C D B A C E B A B B D C A C E A E D E C C D E E B B C B D A E C E A C D A ABCD A E E D B ABCD B B B C C A D C

88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175

A C C B D B E E B E B C A E A B C D C E B C E C D D C A C B A D E E B D C B C B A C D C E D A B A B D A A A,B A C B C B D A D E A C A E B C A A, E A B C B B D E D A C A B C B, C B E E

176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263

D B C D C C A C C A A D B C B B B D A C E B E C C B D D B C B D C B C E A B C C D C D B D C B D D A B B B B D A D C B A D A B B B B A C C C D D B D D A E C D B D C B A A D C A

264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351

C B A D B B A C B A D A C E A C A B A B E B D A C B A D B A D E A C A C B A C C A B A C C B B B C D A A A B D D C C D C A A B C A C A B C C A D A A B C B C C C A A C B C A A A

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 85 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]

352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439

D B B B B C B A D B A B C E B B B A B E E C E D B E C A C D C C C A C B C B D C C D A A A A B C D C B C A D B C E C D A A A A A B B D A C D B C A B D C C D B A B A C D C A B D

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected] 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528

A B C A C A B E B C B B A E D C B D C B B C E B D A E B C A D D B A D B A C B C A A C C A B D D B C D A A A D A B A D C A A B A C D A E A D B C C A E E B A D C A D C A B B B D C

529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 617

C A A B D B A D C B B A D E D C C D C C E B E C B B D A E E B D A B B A A D A D B A B D A A C D C B B D E B B A D B E C D B C B E A C D B D E A A D A E B B A D B A C B D A B E E

618 619 620 621 622 623 624 625 626 627 628 629 630 631 632 633 634 635 636 637 638 639 640 641 642 643 644 645 646 647 648 649 650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687 688 689 690 691 692 693 694 695 696 697 698 699 700

D E E C C A A B D C B C C D C B A A A A B C A C E D A D B B C C A E D D A D D E D C B D D A D B C D C B C A D C B A C B E E A B A A A D B D D A D A C D C A A C C C D

TOPNOTCH MEDICAL BOARD PREP LEGAL MEDICINE AND JURIS SUPEREXAM Page 86 of 86 For inquiries visit www.topnotchboardprep.com.ph or email us at [email protected]