1. Fill in the blanks (each small question 1 point, *** 16 point)

1, the so-called medical ethics explanation is to reveal the internal relationship between medical ethics and () and raise the perceptual knowledge of medical ethics to the level of rational knowledge.

2, part of medical ethics is not affected by class consciousness and class interests, showing the characteristics of medical ethics ().

3. The Prayer written by the famous Arab doctor () is a document with great academic value and social influence in the history of ancient medical ethics.

4, medical ethics relationship is formed in (), determined by social and economic relations and health economic relations, relying on conscious power to maintain a special social relationship.

5, medical ethics special norms reflect all kinds of medical ethics relations (), is the code of conduct followed by different medical personnel.

6, 1948, Professor Yu of Zhejiang Medical College pointed out in the book () that medical staff should keep patients' secrets.

7, medical ethics conscience is the moral responsibility formed by medical personnel in the process of fulfilling medical ethics obligations and ().

8, in the process of diagnosis and treatment, the implementation of independent standards should pay attention to whether patients have ().

9, (), is the nursing theory and nursing technology required by more than two specialties.

10, human production has two remarkable characteristics, one is the long production cycle, and the other is ().

1 1. Death is the end of human life and the disappearance of human beings ().

12, Chinese medicine has long put forward the view of disease prevention, and in () there is a saying that "saints don't cure diseases but don't cure them".

13, in human experiments, respect for subjects should always override the importance of science and ().

14, the medical ethics requirements for the use of health resources are: opposing waste, limiting growth, (), and improving efficiency.

15, the modern meaning of "health" is: "Not only is there no disease in the body, but there is a perfect mental state and ()."

16. The characteristics of medical ethics education are sociality and practicality, interaction and simultaneity, repetition and long-term.

There are four alternative answers to the following questions, one of which is the best. Please write the title of the best answer in brackets after the question. Each small question 1 point, *** 12 point)

1, the manifestation of medical ethics is ()

① Medical ethics consciousness ② Medical ethics norms ③ Medical ethics relationship ④ Medical ethics theory.

2. The international medical ethics document that explains how to treat mental patients is ().

(1) Tokyo Declaration, (2) Hawaii Declaration, (3) Geneva Agreement Law, (4) Helsinki Declaration.

3, the main body of the medical ethics relationship is ()

① Doctors, ② medical staff, ③ patients and ④ people who have been prevented.

4, () is the highest standard of medical ethics evaluation.

① Basic principles of medical ethics ② Medical ethics norms ③ Conducive to the development of medical science ④ Conducive to the improvement of human living environment.

5, the objective evaluation of medical ethics honor is based on () and value scale.

① Medical ethics conscience ② Medical ethics responsibility ③ Public opinion ④ Customs and habits

6. In the consultation process, () is wrong.

① Make the patient understand correctly; ② Immediately criticize the patient's bad mood.

③ Don't interrupt the patient's thinking ④ Don't force the patient to answer questions involving privacy.

7, the implementation of family planning, promotion of birth control measures, should be advocated ().

① induced abortion ② contraception ③ male sterilization ④ female sterilization

8, the primary prevention of tertiary prevention refers to ()

① Etiological prevention ② Latent prevention ③ Precursor prevention ④ Clinical treatment of diseases.

9, active euthanasia refers to ()

(1) Give up measures to save the dying and let them die.

② The patient ended his painful life by himself.

③ Give proper maintenance treatment to dying patients to make them die safely.

④ For hopeless patients, medical methods of manual intervention are adopted to accelerate their death.

The medical ethics quality of 10 and () can best reflect medical humanitarianism.

(1) Kindness, sincerity, justice and integrity

1 1, in the evaluation of medical ethics, we should insist on ()

① Determinism of purpose ② Determinism of means ③ Identity of purpose and means ④ Unity of opposites between purpose and means.

12, the fundamental way to cultivate medical ethics is ()

① Medical practice ② Theoretical study ③ Self-reflection ④ Caution and independence

(There are five alternative answers to the following questions, two or more of which are correct. Please fill in the question number of the correct answer in the brackets after the question is dry. Each small question 1 point, *** 14 point)

1, the relationship between medical ethics and interests includes ()

① The relationship between medical ethics consciousness and medical ethics behavior.

② The relationship between medical ethics and interests.

③ The relationship between social and economic interests and healthy economic interests.

④ The interest relationship between medical staff and customers.

⑤ The relationship between materialism and idealism in medical ethics.

2, medical ethics rely on () and other non-coercive force to maintain.

Health regulations, public opinion, traditional customs, inner beliefs and administrative regulations.

3, the socialist medical ethics relationship should be ()

(1) make a living, cooperation, pay and benefit, friendly cooperation, refuse to oppose, make concerted efforts.

4, medical staff service object of medical ethics norms are ()

(1) Treat everyone equally; (2) caring and considerate; (3) Be cautious in words and deeds; (4) unity and cooperation; (5) study hard.

5, the socialist medical ethics view of happiness that ()

① Medical ethics happiness is the proper satisfaction of healthy material needs and spiritual needs.

② Medical ethics happiness is based on hard work and labor.

③ First of all, we should pay attention to personal happiness.

(4) The greatest happiness is to prevent and cure diseases and protect people's health.

⑤ Individual happiness and collective happiness must be unified.

6, "choose the right treatment target" selection criteria require medical personnel should be combined with () factors.

① The nature of patients' diseases ② The wishes of patients ③ The conditions of hospitals and medical staff.

④ The patient's economic status ⑤ The available medical and health resources.

7, especially for () patients should pay attention to keep medical secrets.

① Infectious diseases ② Psychosis ③ Elderly ④ Gynecology ⑤ Pediatrics

8, human beings should also be able to self-control fertility, this is because ()

① Fertility is restricted by the mode of social production; ② People can correctly understand the phenomenon of fertility.

Fertility is an objective natural phenomenon. People can control fertility through scientific means. Humans often encounter natural disasters.

9, hospice patients rest conditions include ()

(1) properly handle the problems in the process of death; (2) provide warm interpersonal relationships.

③ Provide a comfortable medical environment ④ Provide positive spiritual support ⑤ Accompany patients to the end of their lives.

10, the new features of preventive health care include ()

① Integrity and comprehensiveness ② Multidimensional and socialization ③ Modernization and industrialization.

④ Regionalization and nationalization ⑤ Policy support and legalization.

1 1, internal contradictions often appear in human experiments, which are shown as ()

(1) contradiction between initiative and passivity (2) contradiction between willingness and compulsion.

③ Contradiction between economic value and scientific research value ④ Contradiction between advantages and disadvantages ⑤ Contradiction between spirit and material.

12, the meaning of "everyone enjoys medical care" means ()

Everyone has the right to enjoy average medical care. Everyone has the right to enjoy the average distribution of health resources.

③ The same patients were given the same medical care; ④ The distribution of medical and health resources is unreasonable and the quality is poor; ⑤ Give different patients the same medical service attitude.

13, rigorous, refers to the serious scientific attitude of medical staff ()

① Careful work style ② Careful thinking method.

Deal with all kinds of interpersonal relationships fairly, be strict with yourself and study hard.

14, the method of medical ethics cultivation is as follows ()

① Cautious independence, accumulation of goodness, introspection, demonstration of infection and learning.

Four, short answer questions (4 points for each small question, ***28 points)

1, task of medical ethics.

2. Four types of medical ethical relationship model.

3. The importance of medical humanitarianism.

4. The utilitarian view of socialist medical ethics.

5. The significance of nursing medical ethics.

6. Medical ethics requirements for compensating fertility function.

7, the fundamental guiding principles and objective standards of medical ethics evaluation.

V. Essay questions (10 mark)

How do medical staff establish socialist moral relationship between doctors and patients?

Six, analysis questions (10)

There is a 70-year-old engineer who suffers from advanced liver cancer and has made outstanding contributions to the cause of science and technology, and a primary school student who is only 10 years old and suffers from acute hepatitis A, and he also goes to the hospital for treatment. However, due to the limitations of various medical conditions in this hospital, only one patient can be admitted.

Which patient should the doctor bill for hospitalization? What is its medical ethical basis?

Seven, case analysis (10)

Patient's grandson, female, 9 years old. I came to the hospital to check the neck mass, and after careful examination, I was diagnosed as cervical lymph node metastasis of thyroid cancer. After careful consideration, the doctor talked with his granddaughter as follows:

① According to the pathological type of cancer, patients are not sensitive to chemotherapy and radiotherapy. Chemotherapy and radiotherapy can only play a short-term maintenance role, and there is almost no radical effect.

② The 5-year survival rate of routine radical thyroidectomy is high, and there is great hope for the success of the operation. However, it will inevitably lead to neck collapse and deformation, shoulder drooping, and the appearance and function of the body will be damaged to some extent.

③ The five-year survival rate of the modified radical thyroidectomy is inconclusive, and the literature reported that the effect is good, and there will be no obvious change in the physical appearance after operation. However, only two doctors in our hospital have studied the operation, and the operation has not been carried out in our hospital, so the success of the operation is less certain.

According to the above situation, grandma proposed an improved operation, and the doctor accepted grandma's choice. The medical staff made careful preparations for the operation and invited experts from higher hospitals to guide them, but grandma suddenly refused the operation on the eve of the operation. The medical staff flatly refused grandma's request and performed the operation as planned. The operation was successful.

Please analyze the medical ethics of medical staff.

Reference answer

1. Fill in the blanks (each question 1 point, *** 16 point)

1, internal law

2, the whole people (or class)

3. Maymon Nittis

4. Medical practice

5. Specific characteristics

6. Outline of Physician Ethics

7. Self-evaluation ability

8. Choose independently

9. Basic nursing care

10, inertia

1 1, essential characteristics

12, Huangdi Neijing

13, social aspect

14, make full use of it

15, social adaptability

16, step by step.

Second, multiple-choice questions (each question 1 point, *** 12 points)

1、③ 2、② 3、② 4、① 5、③ 6、② 7、② 8、① 9、④ 10、① 1 1、④ 12、①

Three, multiple-choice questions (each question 1 point, *** 14 points)

1、②④ 2、②③④ 3、③⑤ 4、①②③ 5、①②④⑤ 6、①②③④⑤ 7、②④ 8、①②④

9、①②③④⑤ 10、①②③⑤ 1 1、①②④ 12、③④⑤ 13、①② 14、①②③⑤

Four, short answer questions (4 points per question, ***28 points)

1, the purpose of medical ethics is to promote good and suppress evil, give full play to medical benefits and serve people's health (1); Specific tasks: describe, explain and establish medical ethics (3 points).

2. The four types of medical ethical relationship model are:

Reject opposition; ( 1)

Father-son master-slave type; ( 1)

Cooperative earning a living; ( 1)

Harmonious types of ambition and identity. ( 1)

3.( 1) can best reflect the kindness of medical staff; ( 1)

(2) It can best reflect the professionalism of medical staff; ( 1)

(3) It is the most basic and important content requirement of medical ethics; ( 1)

(4) It is a powerful ideological weapon to fight against ugly phenomena. ( 1)

4. The socialist utilitarian view holds that maintaining people's health is the fundamental utility of medical staff; Pursuing collective interests is the reasonable utility of medical staff; Personal labor remuneration is the utility that medical personnel deserve. (3 points) When the three are contradictory, individual utility is subordinate to collective utility and people utility, and collective utility is subordinate to people utility. ( 1)

5. Nursing medical ethics is an important part of medical ethics system; (1) is an important guarantee to complete the nursing task (1); It plays an important role in the development of nursing science (1); It has an important influence on the coordination of doctor-patient relationship (1).

6.( 1) Strictly control the implementation object and use this technology cautiously; ( 1)

(2) seeking the happiness of infertile couples and not engaging in commercial activities; ( 1)

(3) The participating parties take a voluntary position and strictly enforce special confidentiality; ( 1)

(4) Actively carry out publicity and guidance to ensure safe and effective operation. ( 1)

7. The fundamental guiding principle of medical ethics evaluation is: the basic principles of socialist medical ethics. ( 1)

The objective standard of medical ethics evaluation is:

(1) is beneficial to the prevention and treatment of diseases, and to the remission and longevity of patients (1);

(2) It is beneficial to promote the development of medical science (1);

(3) Conducive to the protection and improvement of human living environment. ( 1)

V. Essay questions (10 mark)

Key points:

1. Socialist doctor-patient moral relationship is a friendly and cooperative doctor-patient moral relationship based on socialist economic relations and health economic relations, dialectical materialism and historical materialism, and guided by socialist ethical principles. ( 1)

2, the establishment of socialist moral relationship between doctors and patients, medical personnel should do:

(1) Fully realize the value status of patients: they are the sole decider of the professional value of medical staff; It is a qualified spokesperson for social reward medical personnel. ( 1)

(2) Fully respect patients' rights: patients have the right to disease prevention, medical care and polite treatment; Informed consent; Keep personal secrets; Monitoring and prevention; The right to ask for an explanation of the cost of prevention and control. (5 points)

(3) Seriously implement the principles and norms of medical ethics. ( 1)

3. Medical personnel consciously overcome any thoughts and behaviors that hinder and undermine the establishment of socialist moral relations. (2 points)

Six, analysis questions (10)

Key points: Doctors should write hospitalization bills for pupils aged 65,438+00 (65,438+0).

This is because:

(1) From the quality of life, the quality of life of primary school students is higher than that of old engineers. The 70-year-old engineer is terminally ill, with no hope of cure and short life. 10-year-old pupils have the hope of cure, can recover health and live longer. (4 points)

(2) From the perspective of life value, the potential social value of primary school students is greater than that of old engineers. Although the old engineer has made great contributions to the society, he has lost the conditions for continuing to create social value because of his terminal illness and advanced age. If the primary school students are cured and cultivated, they will create great value for society in the future. (3 points)

(3) From the perspective of effective utilization of health resources, no matter how much health resources are invested in old engineers, they can't be recovered, and they will only waste a lot of resources; However, primary school students may have an ideal effect and make effective use of health resources. (2 points)

Seven, case analysis (10)

Key points:

1. It is in line with medical ethics for medical staff to confirm the operation from the beginning, take the initiative to consult grandma and respect parents' choices. Sun was 9 years old and lost his autonomy during his development. The medical staff listened to his granddaughter's opinion on the choice of operation, which was in line with the "autonomy" medical ethics. Before the operation, the medical staff explained the advantages and disadvantages of various treatment methods to the families of children, "providing sufficient conditions for patients to choose independently", which is a respect for patients' "informed consent right". (3 points)

2. Medical staff adopt improved surgery, which meets the medical ethics requirements of human experiments. The improved operation belongs to clinical experimental therapy because of its uncertain curative effect, and its application has the nature of human experiment. In this case, the medical staff took the operation for the benefit of the patient, and the purpose of the experiment was pure and noble. Moreover, the medical staff carefully prepared before operation and asked experts for guidance, which met the medical ethics requirements of "ensuring safety and stressing science". (3 points)

3. The medical staff later performed the operation according to the original operation plan regardless of the granddaughter's refusal to perform the operation, which is against the requirements of medical ethics. Medical personnel should respect the right of patients, subjects and their guardians to accept or refuse surgery or experiments, and the right to cancel and cancel surgery and experiments at any time, and must not force surgery. (3 points)

It can be seen that it is an extremely complicated problem for medical staff to respect patients' autonomy and must be taken seriously. ( 1)