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General Surgery · Surgical ethics: consent
Sample itemBefore elective colectomy, a patient asks about the risk of an anastomotic leak and possibility of stoma formation. What is the surgeon's obligation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Explain material risks, reasonable alternatives, and the option of no treatment in a way the patient can understand
Valid consent is an informed, voluntary, capacity-based decision. The clinician should discuss material risks relevant to that patient, reasonable alternatives, and the consequences of declining treatment, then answer questions.
Option by option
A. Discuss only the most common minor risk
Serious but less common material risks may matter greatly to an individual patient.
B. Explain material risks, reasonable alternatives, and the option of no treatment in a way the patient can understand (correct)
Correct. This supports informed shared decision-making tailored to the patient's values.
C. Delegate all explanation to a family member without the patient's involvement
A capacitated patient should be involved directly unless they choose otherwise.
D. Obtain a signature without discussion
A signed form alone does not establish informed consent.
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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