Behavioral health-Surgery

Question 1

Absolute contraindication for organ donation includes:

Answer 1

• Malignancy that is incurable or metastatic
• sepsis
• transmissible spongiform encephalopathies (eg. Creutzfeldt-Jakob disease)
• cardiac arrest before a brain death

NOTE: HIV pt can donate to HIV patient in certain institutions

Question 2

The 3 drugs for HIV post-exposure prophylaxis (PEP) are

Answer 2

• Tenofovir
• emtricitabine
• raltegravir (dolutegravir)

Question 3

What is a SPIKES protocol

Answer 3

Protocol for delivering serious news
S= SETTING up the interview
P= addressing patient PERCEPTION of his/her situation
I= seeking the patient’s INVITATION
K= giving KNOWLEDGE to the pt regarding diagnosis and prognosis
E= addressing the patient’s EMOTIONS
S= providing a management STRATEGY and SUMMARY of what had been discussed so far

Question 4

Eligibility requirements for hospice care state that pt must be determined to have

Answer 4

a terminal illness-defined as a prognosis of 6 months or less