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Forensic Medicine · Medical law and ethics: distributive justice in triage
Sample itemDuring a surge, an ICU with one free ventilator allocates it to a 30-year-old with reversible pneumonia rather than a 78-year-old with advanced dementia, based on likelihood of benefit. Which principle chiefly governs fair allocation of such scarce resources?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Justice
Justice, especially distributive justice, is the ethical principle about the fair allocation of limited resources and benefits among patients. Allocation criteria should be transparent and not based on social worth, wealth or status.
Option by option
A. Autonomy
Autonomy concerns a patient's right to decide, not who gets scarce resources.
B. Veracity
Veracity is the duty of truth-telling.
C. Non-maleficence
Non-maleficence is the duty not to cause harm.
D. Justice (correct)
Correct. Fair allocation of scarce resources is a question of justice.
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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