Try it
Forensic Medicine · Medical law: consent, Samira Kohli
Sample itemA woman consents to diagnostic laparoscopy. While she is under general anaesthesia the surgeon finds uterine disease and removes the uterus, without any emergency. What is the legal position based on Samira Kohli v Prabha Manchanda?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Consent for diagnosis does not extend to a therapeutic procedure, so the surgeon is liable for battery
The Supreme Court held that consent for a diagnostic procedure does not authorise a therapeutic procedure unless it is needed in an emergency to save life or avoid serious harm. Doing so without fresh consent is battery and a breach of the patient's autonomy, even if the surgery was beneficial.
Option by option
A. Consent to one procedure covers any procedure the surgeon thinks necessary
Consent is specific to the procedure explained, not blanket.
B. No liability arises because the outcome was medically appropriate
Good outcome does not cure absence of consent.
C. Liability arises only if the patient dies
Liability for battery does not depend on death.
D. Consent for diagnosis does not extend to a therapeutic procedure, so the surgeon is liable for battery (correct)
Correct. Separate consent is needed for the additional procedure when delay is possible.
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.
More Forensic Medicine questions
- ThanatologyInstantaneous muscle stiffening at the moment of death that fixes the last act, for exam…
- ToxicologyTransverse white lines on the nails (Mees' lines) are a feature of chronic poisoning with:
- Forensic serologyThe acid phosphatase test in a forensic laboratory is used to detect:
- InjuriesA wound caused by blunt force that has irregular margins with bridging strands of tissue…