OUR LADY OF FATIMA UNIVERSITY

Now manages and Operates

NUEVA ECIJA DOCTORS COLLEGES INC.
1st SEMESTER, AY 2018-2019
COLLEGE OF ARTS AND SCIENCES
FINAL EXAMINATION IN HEALTH ETHICS

GENERAL INSTRUCTIONS: (Please read.)

A. Fill up all information (Name, Subject, Section, SY, Sem, Name of Faculty, Student Number, Date of Exam) before
proceeding with the test.
B. Shade fully the letter corresponding to your best and final answer in the bubble card. If the answer is not found
among the choices, you shade letter E.
C. Use pencil, preferably MONGOL #2. Avoid any unnecessary marks in the answer card.
D. Follow all directions carefully.

I. Case Study:
Case 1.An elderly woman with Alzheimer’s disease that had progressed to the point that she could no longer
do simple chores and whose vocabulary had shrunk to two words (fire and pain), which she screamed in
German, was shot by her husband of thirty three years. Hans Florian claimed that he shot his wife
because he was seventeen years her senior and he feared that he might die first and leave her alone.
Under American law, he had no legal right to harm his wife and could have been brought up on the
charge of murder. After considering the issues involved, the Florida Grand Jury refused to indict him.

Direction: Read carefully the case study above and answer the following questions. Choices are provided
below.
A. True B. False C. Maybe
1. the patient is a competent decision maker.
2. The husband of the patient has the right to make decision on her behalf.
3. Is the principle of autonomy applicable here?
4. Is the decision of the husband absolute?
5. Does the principle of non-maleficence can be applied in this case?
6. killing the patient is acceptable and moral.
7. The patient is terminally ill.
8. What is legal is considered as moral.
9. The doctor is in the middle of the situation.
10. the disease is curable.
11. The patient is suffering and in pain.
12. Does the husband respect the autonomy of his wife?
13. Her husband’s decision harmed her.
14. Active euthanasia was applied here.
15. Killing a person for a good cause is acceptable.
16. The husband applied the principle of fidelity.
17. Is the principle of proxy decision – maker considered the most justifiable principle in this case?
18. The patient has the right to live.
19. The husband is competent to decide.
20. Is it more ethical to lessen the pain by killing a terminally ill patient?

Case 2. Scott is ventilator dependent. He suffered a total transection of his spine at C4. He is only 17. Scott
pleads with his caregivers to be taken off the ventilator. “ I have the right to refuse treatment! I do not
want to live trapped in this body!” Does he have the right to refuse treatment even though he isn’t
terminally ill or immediately dying?
Direction: Analyze the case and answer the corresponding questions. Shade (A) if True, (B) if False
and (C) if Maybe.
21. Scott is incompetent decision maker because he is minor
22. The physician is in the middle of the situation.
23. Scott has chance to recover from his present condition.
24. The case involves the dilemma between autonomy and paternalism.
25. Withdrawing life sustaining support could benefit the patient
26. Scott is considered emancipated minor

FINAL EXAMINATION – HEALTH ETHICSPage 1

 27. The patient has advance directives
28. The health care provider is under dilemma
29. The principle of autonomy can be applied to this case.
30. Withdrawing life-sustaining support is ethical in this case.
31. Does the patient have the right to refuse treatment?
32. Withholding life-sustaining treatment prolongs the agony of the patient
33. Can principle of moderate paternalism be applied in this case?
34. The right to refuse treatment can be acknowledge from the patient
35. Paternalism can be applied in this case if the decision of the patient is not beneficial
36. It is more right to let the patient die even he is not terminally ill
37. A ventilator dependent patient is considered brain dead person.
38. There is no hope for the condition of Scott.
39. The caregiver has more right than Scott.
40. It is more ethical to refuse the wish of the patient.

II. MODIFIED TRUE OR FALSE. Choose the best answer.

A. The first statement is True, while the second if False.
B. The first statement is false, while the second is True.
C. Both are true statements.
D. Both are false statements.

41. Resuscitation is a life – sustaining treatment. DNR is allowing death.

42. DNR is witholding treatment. CPR is witholding treatment.
43. Abortion can happen without the intention of the mother. Abortion can be justified.
44. witholding treatment is a medical procedure. Withdrawing treatment requires justification.
45. withdrawing and witholding treatment is moral and justifiable. Any treatment can be withdrawn.
46. Abortion includes the issue on personhood. Values of the individuals affect their decision regarding abortion.
47. There is life during conception. Abortion is a moral action.
48. Abortion is an issue about the rights of the fetus. Abortion is an issue about the rights of the mother.
49. Active euthanasia is indirect killing. Active euthanasia is an intentional killing.
50. Passive euthanasia is taking lives. Passive euthanasia is a dignified death.
51. Refusal of therapy is part of advance directive.Refusal of therapy is a right of a patient.
52. Abortion is an issue about the beginning of life. Euthanasia is an issue about the end of life.
53. Advance directive is absolute. Proxy decision maker is an example of advance directives.
54. Roe Vs. Wade is legally accepted. Roe vs. Wade is in favor of mother’s right to decide on abortion issue.
55. Emancipated minor means mature minor. They are incompetent to decide.
56. All treatments can be withdrawn. Euthanasia is justifiable by principle of withdrawal of treatment.
57. When patients are unconscious, assumed consent is applicable. Best interest principle is used in this case.
58. The decision of the father is required in the issue of abortion. Only the mother is given autonomy in abortion issue.
59. Resuscitation is a treatment. TPN is a treatment.
60. treatments can be withdrawn if the patient is terminally ill. It is moral and legal.

III. Modified Multiple choices. Determine whether the underlined concept is correct. Shade only the letter of the best
answer from the given choices.
61. (a) (b) (c) The right of the fetus is tied on the idea of morality. a. personality
b. person c. personhood
62. (a) (b) (c) Delayed animation postulates that the soul is present during conception.
A . denied b. immediate c. mediate
63. (a) (b) (c) Roe vs. Wade is a famous ruling recognizing woman’s right to decide.
A.true b. false c. maybe
64. (a) (b) (c) The law of Double Effect is testable. A. practice b. rule c. norms
65. (a) (b) (c) In passive euthanasia you do not intentionally will the death of the patient.
a. ask b. wish c. force
66. (a) (b) (c) The goal of withholding and withdrawing treatments is not to initiate or to remove treatments that are not
beneficial to patients.
A. not to test b. not to give c. not to wish
67. (a) (b) (c) Withdrawing life – sustaining treatment is a medical procedure.
A. withholding b. withstanding c. beneficial
68. (a) (b) (c) The presence of soul suggest humanity.
A. person b. personhood c. persona
69. (a) (b) (c) The rights of fathers are given importance in abortion issue.
a. yes b. no c.maybe
70. (a) (b) (c) The good consequences must be the direct causal result of the bad consequences. A. no b. yes
c. maybe
71. (a) (b) (c) DNER is an issue on Autonomy. A. true b. false c. maybe
72. (a) (b) (c) Proxy decision – maker is needed when the patient is incompetent.
A. surrogate b. probate c. advocate
73. (a) (b) (c) Passive euthanasia is an involuntary taking of lives of the patients.
A. true b. false c. maybe
74. (a) (b) (c) The living will expresses the choice of the patient of not to be resuscitated.

FINAL EXAMINATION – HEALTH ETHICSPage 2

 A. dream b. DNR c. refusal of therapy.
75. (a) (b) (c) An incompetent patient lacks understanding and is suffering from fear.
A. true b. false c. maybe

IV. MODIFIED MATCHING TYPE. Choose and shade the correct answer.
A. Active Euthanasia
B. Passive Euthanasia
C. Spontaneous Abortion
D. Induced Abortion
E. None of the above
76. Use of abortive pills.
77. Doing nothing but death is simply allowed.
78. There is an intention to take the lives of innocent babies.
79. There is the intention to take the life of a terminally ill patient.
80. Removing the ventilator.
81. Termination of pregnancy because of genetic abnormality.
82. Denying CPR
83. Death of fetus due to the mother’s accident
84. The signing of DNR order by the doctor.
85. Witholding life – sustaining treatment.
86. Natural death of the patient.
87. Intentional termination of pregnancy.
88. Accepting the patient’s refusal of therapy.
89. Physician – assisted suicide.
90. a self – inflicted abortion.
91. shooting a terminally ill patient
92. hastening the death of a patient
93. abortion through dilation and curettage
94. therapeutic abortion
95. accidental death of a pregnant woman
96. death of the fetus due to amniocentesis
97. watching the patient die without any treatment
98. the use of artificial contraceptives
99. The process of dilation and suctioning
100. a pregnant woman who experiences depression and stress.

V. Identify which principle is best applicable in the following situations. Shade the letter of your choice if:
A. INFORMED CONSENT B. WITHDRAWAL AND WITHOLDING TREATMENT
C. SURROGATE DECISION-MAKER D. PRINCIPLE OF JUSTICE

101. A 15-year old patient who is ventilator dependent is asking for withdrawal of life sustaining support.
102. Two patients are in need of an organ transplant but there is only one organ available.
103. A dying patient is asking for total parenteral nutrition (TPN) in order to attend the graduation of her son,
104. A 14-year old girl who is asking for oral contraception.
105. A terminally ill cancer patient who is suffering fro pain and asking for additional dosage of pain reliever or analgesia.
106. An HIV positive patient is requesting the doctor not to inform his family members concerning his disease.
107. A 30-year old pregnant woman who wishes to undergo the process of amniocentesis in order to determine if the
fetus has down syndrome.
108. A 42-year old mother is requesting to abort her baby because of the fear has possible defects.
109. A 16-year old woman who is a raped victim is asking for abortion of the unwanted pregnancy.
110. A pregnant woman requested the doctor to abort her baby after she found out that it has a turner’s syndrome.
111. A 70-year old dying patient wishes to donate her internal organs prior to her death
112. An adamant terminally ill patient is asking for a refusal of treatment when the cardiac pulmonary arrest will happen.
113. Angeles is 96-years old patient who is admitted to the hospital with bowel obstruction and severe rectal hemorrhage
and wants to die peacefully.
114. A parent of 15-years old ventilator dependent patient is requesting to discontinue treatment.
115. a relative of 96-years old terminally ill patient who gives his decision to place the patient in aggressive form of
treatment.
116. Marilyn is suffering from inoperable cancer and asking to increase the rate of intravenous morphine sulfate to lessen
her pain.
117. The family member of a dying patient who is asked to donate the organs of the patient to lessen the hospital bill.
118. An 84-years old woman who suffered from disabling stroke for three years who will be placed from aggressive
curative treatment and moving toward palliative care.
119. A 17-years old patient who refuses to undergo blood transfusion even it cause his life.
120. A woman who has ectopic pregnancy is asking to save the life of her baby.

00000000000 GOODLUCK!!! 000000000

‘I cannot but have reverence for all that is called life…
I cannot but avoid compassion for all that is called life…
This is the beginning and foundation of morality…’

- Albert Schweitzer -

FINAL EXAMINATION – HEALTH ETHICSPage 3