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. Chapter 1. Clinical governance is the system by which NHS agencies continually monitor and improve the quality of care. The main strands are:

Complaints handling and audit correct incorrect

Resource management correct incorrect

Professional regulation correct incorrect

Handling claims for clinical negligence correct incorrect

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. Chapter 1. The Francis Report::

Was an inquiry into the Shipman affair correct incorrect

Resulted in several convictions of doctors for gross negligence manslaughter correct incorrect

Was a government public inquiry following the failings of the Mid-Staffordshire NHS Trust correct incorrect

Made recommendations that tragets were the key priority for NHS Trusts correct incorrect

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. Chapter 2. The standard of care in cases of medical negligence is measured against:

The most recent medical research evidence available correct incorrect

What is expected of a reasonable doctor correct incorrect

What the majority of doctors would recommend correct incorrect

The standard of experts in the field correct incorrect

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. Chapter 2. In rescue, or 'good Samaritan' situations:

A duty of care will never arise correct incorrect

A duty of care will always arise correct incorrect

A duty of care will arise only if that patient is known to the doctor correct incorrect

Doctors who fail to offer to offer care in emergency situations could face disciplinary action from the General Medical Council correct incorrect

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. Chapter 3. In the context of information disclosure which of the following statements is correct?

The doctrine of informed consent requires that patients are provided with all available information to make a fully informed decision correct incorrect

In English law the amount of information required to discharge the duty of care is measured against the 'reasonable doctor ' test correct incorrect

A claim that a doctor was negligent for failing to disclose sufficient information to enable them to make a proper decision must be brought in negligence (rather than battery) d. All of the above options are correct correct incorrect

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. Chapter 3. How is Gillick competency defined?

All children under the age of 16 years can consent to receive contraception correct incorrect

All women under the age of 16 years can consent to an abortion if requested correct incorrect

Children between the ages of 16 -18 years of age can consent to medical treatment. correct incorrect

Children under the age of 16 years have capacity to consent to clinically indicated treatment if they have sufficient maturity and understanding correct incorrect

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. Chapter 4. Which English case provides authority for the principle that if there is a risk of significant harm to others, disclosure of personal medical information would be justified?

Tarasoff v. Regents of the University of California (1976) correct incorrect

TR(Stone) v. South East Coast Strategic Health Authority [2006] correct incorrect

W v. Egdell [1990] correct incorrect

Campbell v. MGN [2004] correct incorrect

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. Chapter 4. Which of the following is not a remedy for an action for breach of confidence:

Damages correct incorrect

Injunction correct incorrect

Specific performance correct incorrect

All the options are correct correct incorrect

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. Chapter 5. On ethical grounds some consider section 1(1)(d) of the Abortion Act 1967 to be highly controversial because:

The provision could be taken to imply that the value of handicapped foetal life is worth less than the life of a 'healthy' foetus correct incorrect

The expressions 'seriously handicapped' and 'substantial risk' are inherently subjective correct incorrect

It could be considered unethical for a woman to be able to choose to abort a foetus of the basis of perceived negative characteristics correct incorrect

All of the options are correct correct incorrect

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. Chapter 5. What is the ratio from the case Paton v UK [1980] 3 EHRR 408

A potential father has a right as to whether or not a woman can terminate her pregnancy if the woman's life is at risk correct incorrect

A potential father has a right as to whether or not a woman can terminate her pregnancy in all circumstances correct incorrect

A potential father has no rights as to whether or not a woman can terminate her pregnancy correct incorrect

A potential father has a right as to whether or not a woman can terminate her pregnancy if the foetus is substantially handicapped correct incorrect

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. Chapter 6. In English jurisdiction the woman who gives birth to an infant is the legal mother

Authority for this statement is provided by section 27(1) of the Human Fertilisation and Embryology Act 1990 correct incorrect

In surrogacy arrangements the woman who gives birth to the infant is not the legal mother if eggs were donated by the commissioning woman correct incorrect

In surrogacy arrangements the woman who gives birth to the infant is never the legal mother correct incorrect

In surrogacy arrangements the woman who gives birth to the infant is not the legal mother unless her own eggs have been used correct incorrect

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. Chapter 6. Lawful storage of gametes and embryos requires 'effective consent'. This means that:

Consent for the storage, use and disposal of gametes and embryos is governed by the Human Fertilisation and Embryology Act 1990 correct incorrect

Consent for the removal of gametes from a person's body is governed by the common law correct incorrect

All of the options to this question are correct correct incorrect

Consent for the storage, use and disposal of gametes must be in writing and signed correct incorrect

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. Chapter 7. Which of the following is not true about organ donation in English jurisdiction:

The current system for deceased donation is "opt in" correct incorrect

An "opt out" system will be used in some situations correct incorrect

The UK has a high donation rate compared to other European countries correct incorrect

The Taskforce report has made several recommendations to enhance retrieval and procurement of organs for donation correct incorrect

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. Chapter 7. Which of the following is an argument that is often used to support the sale of organs:

It is virtuous to sell body parts correct incorrect

The sale of organs exploits the poor and vulnerable correct incorrect

The sale of organs can be altruistic and virtuous depending upon the reasons for doing so correct incorrect

The sale of organs is demeaning to humanity correct incorrect

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. Chapter 8. Which of the following options is not true about deprivation of liberty safeguards (DoLS):

It means an individual is deprived of the freedom to leave and go wherever and whenever he chooses correct incorrect

Safeguards against DoL are provided for in the MHA 1983 correct incorrect

Article 5 rights will engage correct incorrect

DoL safeguard provisions came into effect as a response to the Bournewood challenge. correct incorrect

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. Chapter 8. The following is true for treatment under section 58 of MHA 1983 for patients with a mental illness:

A competent patient can be compelled to have treatment if this is approved by the second opinion appointed doctor even if the patient refuses consent correct incorrect

Applies to the administration of medication for periods longer than 3 months correct incorrect

Applies to the administration of electroconvulsive therapy correct incorrect

All the options are correct correct incorrect

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. Chapter 9. R (on the application of Purdy) v DPP [2009] is authority for the principle that:

In certain specific circumstances assisted suicide is lawful in English jurisdiction correct incorrect

In certain circumstances it is not an offence to assist another person to commit suicide correct incorrect

The DPP was obliged to publish the factors to be taken into account when exercising his discretion whether to prosecute in cases of assisted suicide correct incorrect

Article 8 rights are not engaged in situations of assisted suicide correct incorrect

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. Chapter 9. Which statement about Aintree University Hospitals v James [2013] is not correct?

The case concerned a decision to withhold life-sustaining treatment from a man in a permanent vegetative state correct incorrect

Aintree University Hospitals v James [2013] is the first case in which the Supreme Court had to scrutinise the Mental Capacity Act 2005 correct incorrect

The Supreme Court held that the best interests of a person in a minimally conscious state should be decided by applying a subjective test to decide whether that patient would wish to receive life-sustaining treatment in the circumstances correct incorrect

Aintree University Hospitals v James [2013] was heard in the Supreme Court correct incorrect