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General Surgery · Perioperative care: informed consent and duty of care
Sample itemA surgeon is about to operate on a competent adult. Which statement about valid consent is correct?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Consent must be voluntary, informed about material risks and alternatives, given by a competent patient and documented
Valid consent requires capacity, adequate disclosure of nature, material risks and alternatives, and voluntariness, and written documentation protects patient and doctor. In emergencies without capacity or surrogate, treatment in the patient's best interest proceeds. Negligence involves breach of duty of care causing harm.
Option by option
A. A relative's consent is enough for a competent adult
Competent adults consent for themselves.
B. Consent must be voluntary, informed about material risks and alternatives, given by a competent patient and documented (correct)
Correct. These are the elements of valid consent.
C. Consent is unnecessary for elective surgery
Elective surgery requires consent.
D. Verbal consent never counts
Verbal consent is valid for minor procedures, written is best for surgery.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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