Final BHP 7 KPBI 2007

1. Why the relationship between doctors/hospital/clinic and pharmaceutical industry require scrutiny from ethical perspectives, EXCEPT

A.To give suitability health care of patients by pharmaceutical industry

B.Reduce the chances of a duality of interest becoming a conflict of interest and corruption

C.To keep themselves(physician and pharmaceutical) up to date about advances in drug therapy

D.To enhance the health care practitioner's /patient's understanding of a condition or its treatment

E.To ensure that prescription patterns are based on the real health needs of the patient rather than industry influence

2. Which of d following traditional drugs proved by clinical trial?

A. Jamu

B. Phytofarmaka

C. Herbal extracts

D. herbal remedies

E. infuse preparation of herbal

3.Base on law of ethic, it is the patient's autonomy to choose their treatment, however it is our duty to supply information on each treatment so that our patient could choose their treatment wisely and to prevent harm on them. Which of the following your advice to patient who wanted to use jamu, EXCEPT

A.Assured quality of Herbal medicinal oproduct

B.Brand name of product jamu

C.Herbal medicines provided by CAM with adequate training background

D.Precaution of the product jamu

E.Contraindication of the product jamu

4. WOTF steps in developing new drugs derived from traditional medicine?

A. identification of aims of the research

B. identification of the plants species

C. research of post marketing of drugs

D. clinical research with appropriate laboratory animal

E. research of dev. of plant

5. WOTF concerning about jamu is CORRECT?

A. an indigenous medicine made from plants such as leaves, barks, roots and flower

B. part of traditional drug

C. have no clinical trial

D. used in maintenance of health

E. have no side effect

6. may doctors prescribed traditional medicine based on ethic and regulation?

A. yes, because doctors have legitimacy to prescribe traditional medicine especially jamu

B. yes, for phytopharmaca

C. yes, because jamu is one of the traditional medicine that already clinical trial

D. yes, for standardization of herbal (preclinical studies)

E. yes, because all plant as traditional drug have safety enough

7. to be marketed a product of jamu must be first:

A. converted into a medical drug

B. prescribed by doctors

C. advertised as jamu

D. labeled as jamu

E. audited for safety

8. the advantages of jamu compared to modern drugs due to the characteristic….

A. does not cause side effects

B. cultural background

C. accuracy of dose

D. history of safety

E. natural sources

9. what ethical issue rose when medical doctors become model in jamu advertisement

A. altruism

B. excellence

C. confidentiality

D. public health issue

E. decision making issue

10. what ethical issue rose when pharmaceutical company give free drugs sample to medical doctors?

A. public health issue

B. professionalism issue

C. decision making issue

D. informed consent issue

E. conflict of interest issue

11. What ethical issue rise when pharmaceutical company give material fee to doctor prescribing their drugs?

A. Interdisciplinary issue

B. Decision making issue

C. Truth telling issue

D. Public health issue

E. Conflict of interest issue

12. A semi-synthetic group of antimicrobial which is modified chemically from fungi is:

A. Sulfonamide

B. Quinolones

C. Quinine

D. Penicillin

E. Sulfadiazine

13. On what condition a medical doctor may prescribe jamu?

A. There is no known side effect

B. It is produced in modernized factory

C. Other medical doctors use it for patient

D. History shows people use the jamu safely

E. It has been standardized into phytopharmaca

14.The step of jamu standardization which is the same with modern drug standardization is:

A. Standardazation of marketing

B. Monitoring of local farmers in the population

C. Studies through preclinical and clinical trial

D. Educating the local farmer in plantation technology

E. Standardization of plant, land, plantation andharvesting

15. So far, why there is only few Indonesian traditional medicine studied by researcher?

A. Researcher must concentrate more on modern drugs

B. The research should be conducted abroad

C. Traditional medicines cannot be prescribed by doctors

D. The cost of the drug development is high

E. It does not need to be studied further as modern drugs do

16. The step of clinical trial which use healthy human as subjects is:

A. Phase 0

B. Phase 1

C. Phase 2

D. Phase 3

E. phase 4

17. The negotional component of drug price is:

A. patent fee

B. clinical trial cost

C. preclinical trial cost

D. productive overhead

E. human resource cost

18. what is d phase when traditional medicine compared with placebo?
A- pre-clinical trial
B- phase 0 in clinical trial
C- phase I in clinical trial
D- phase II in clinical trial
E- phase III in clinical trial

19. The phase when jamu is being tested to find its active ingredient in it is:

A. preclinical trial

B. Phase 0 clinical trial

C. Phase 1 clinical trial

D. Phase 2 clinical trial

E.  Phase 3 clinical trial

20. The characteristic of clinical trial which is different from pre- clinical trials is:

A. To use animal as subject

B. To use animal as subject

C. To search for the safe dose

D. To investigate the drug in vitro

E. To investigate the active ingredients

21. When a hospital used drugs only from certain company that has connection with hospital owner

A. Interdisciplinary team issue

B. Conflict of interest issue

C. Decision making issue

D. Public health issue

E. Truth telling issue

22. A mode of sponsorship from pharmaceutical is ethical?

A. Scholarship to medical students

B. Gift for hospital’s purchasing office

C. Renovation doctor’s waiting room

D. Fee for the doctors who prescribe their drugs

E. Travel expense for doctors attending seminar

23. The ethical way to spread information about new drug is through:

A. Brochures of public

B. Article on newspaper

C. Article journal or seminar

D. TV interview on researchers

E. Advertisement involving doctor as model

24. Direct impact to the patient when pharmaceutical company pays the doctor after prescribing their drugs?

A. No direct effect

B. Increase price of drug

C. Uncontrolled adverse effect

D. Hinders patient autonomy

E. Influence patient preference

25. What is the most important consideration by a doctor in choosing the treatment

A. Best treatment according to research

B. Most efficient treatment in history

C. Hospital standard procedure

D. Most expensive treatment

E. Patients best interest

26. It is ethical when a doctor want to prescribed a drug directly to the patient when…

A. Doctor own his drug store/ pharmacy

B. Clinic does not have pharmacy division

C. The doctor does not sell medication

D. The pharmacist is doctor’s wife

E. It is emergency situation

27. Millennium Development Goal: which one is closely related to community nutrition?

A. Goal 1revent extreme poor and hunger

B. Goal 2:Achieve universal primary education

C. Goal 3:Gender equality and woman empowerment

D. Goal 4ecrease child mortality

E. Goal 5:Improve maternal health

28. The cheapest protein source is?

A. Chicken

B. Plants

C. Eggs

D. Milk

E. Fish

29. How to measure hunger according to MDG?

A. The proportion of the family based on worker

B. The proportion of people living on less than $1 a day

C. The level of poorest quintile in national consumption

D. The prevalence of underweight children under 5 years old

E. By calculating the poverty gap ratio (incidence X depth poverty)

30. The human right which is basic in the effort to fight agai

sarifah shafie: 30. The human right which is basic in the effort to fight against malnutrition?

A. The right to dignity

B. The right to equality

C. The right to be free from violence

D. The right to basic standard of living

E. The right to tolerance solidarity

31. In which aspects of MDG's Goal 1 (Eradicate extreme poverty and hunger) relates to Goal 5 (Improve maternal health)?

A. Malnutrition often happen in women

B. Healthy women can work to get better income

C. Carrier women often have malnutrition children

D. Healthy women can prevent malnutrition in children

E. Malnutrition is common cause of death in women

32. It is a duty for doctors to support this target of MDG’s Goal 1 (Eradicate extreme poverty and hunger)

 A. To halve the proportion of people living on less than $1 per day

B. To achieve descent employment for women, men and young people

C. To share of poorest quintile in national consumption

D. To halve the prevalence of underweight children under 5 years

E. To halve property gap ratio (incidence X depth of property)

33. What a doc can do to achieve MDG target to halve the proportion of population below minimum level of dietary energy consumption?

A. Accurate diagnosis of malnutrition in children

B. Educate society on high energy diet

C. Prevent hospital malnutrition

D. Provide food for malnutrition children

E. Get a course on healthy diet for patient

34. To be able to manage elderly with malnutrition a doctor should be able to access the contextual feature of the patient, particularly?

A. Age

B. Gender

C. Family relationship

D. Underlying disease

E. Anthropometric status

35. In the hospital teamwork, the nutritionist is the doctor’s:

A. Subordinate

B. Superior

C. Supervisor

D. Partner

E. Assistant

36. To plan the type of nutrition best for a hospitalized patient is a responsibility of:

A. Doctor

B. Nurse

C. Pharmacist

D. Nutritionist

E. Hospital management