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MMI for UNMC Interview Exam Questions And 100% Correct Answers
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MMI for UNMC Interview Exam Questions And100% Correct Answers
Autonomy - Strictly speaking, it means self-rule. It is the right of the patient to make
independent decisions and choices, which the PAs should respect.
Beneficience- Answers: The PAs must act in the best interest of the patient. There come
times when respecting the autonomy of the patient and at the same time acting in the
best interest of the patient cannot go hand in hand.
Nonmaleficience - Answer means to do no harm, to impose no unnecessary or
unacceptable burden upon the patient. Justice means that patients in similar
circumstances should receive similar care.
Justice - Answer Fairness. also applies to norms for the fair distribution of resources,
risks, and costs. PAs are expected to behave both legally and morally.
ACTING: You are a third-year medical student doing your rotation in OBGYN. You notice
that one of your classmates, Michael, either shows up late or looks like he's slightly hung
over when he arrives. One day you find him in the break room alone. You think you'd like
to speak to Michael about this. Please enter the break room. - Answer It sounds like my
classmate Michael has been showing up late or looks like he is slightly hungover when
he arrives. Now, there are a few things I have to bring into consideration: we are student
doctors, professionals in another word, which means we have to appear and behave in
public in a manner conductive to a code of ethics. Showing up hung over violates that
and also compromises the best performance. Even without physicians, clouded
judgment or under the influence and causing a mistake are grave consequences. Not to
mention, as physicians, we would be playing with patient's health. On the other hand,
there could be something going on in Michael's life that is making him come late to our
rotation. He may have a newborn child, or he may be dealing with personal adversity. It
sounds like he is hungover quite often, and that suggests to me there's a chance that
Michael might be suffering from substance abuse disorder. I would approach Michael
and ask him what's going on, show some empathy towards him, validate his feelings,
make sure he is okay. Offer to help him find a solution: therapy, find different coping
mechanisms, find therapy groups or grief support groups.
, ACTING: You are an emergency room physician taking care of a patient who has come
in requesting painkillers for his back. After a physical examination, you find no injuries
or other causes of pain. You review his medical chart and realize that he frequently
comes to the hospital requesting painkillers. You explain as nicely as possible that you
cannot give him painkillers. He tells you that if he does not get the painkillers, he will
inject himself with heroin. What do you do? Enter the room and carry on with the
discussion. - Response 1.Show an awareness - there are competing perspectives. Who
is most vulnerable?
2. Outline the strengths/weaknesses from perspective of those affected by policy
3. Take your position-best decision, does least harm
ACTING Directions: You are a student working in a free clinic. You have gone through
the scheduling, and you notice that there are some double-booked appointment times.
Come into the room to talk with the receptionist about this.
You are a physician caring for a male patient. You complete a physical exam and workup
on him and find him to be HIV-positive. He tells you he does not want his girlfriend to
know this as he feels she will leave him. Enter the room and discuss this with the patient.
- Answer 1. Show an understanding - different points of view. Whose vulnerability is of
most concern?
2. Create an outline of pros/cons from the perspective of those affected by the policy
3. State your position-most reasonable action, does the least harm
ACTING The night of college graduation, you and some friends go to a party with your
closest friend, Julia. Half way through the night, you see her leaving the party with a
group. The next morning, Julia calls you and tells you she drove home even though she
had drank that night. Enter the room and talk with Julia. - Answer
SCENARIO You are a family physician seeing a child who presents with flu-like
symptoms. On physical examination, you observe a pattern of bruises on the abdomen
of this young boy. You begin to have a suspicion that his case may be one of physical
abuse. You question the mother about the source of the bruises but she speaks little
English. When you put your stethoscope on the boy's chest, he winces in pain due to the
bruises. What do you do? - Response 1.Mention awareness- different perspectives.
Whose will be the most vulnerable?
2.List pros/cons according to the view of all those who will be affected by the policy
3.State your position-most reasonable, least harm
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