ChatGPT multiple choice question

[Styrene]

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A 52-year-old female patient is brought to the psychiatric emergency service with marked motor abnormalities. On examination, she displays mutism, staring, grimacing, echolalia, and echopraxia. The patient is on high doses of diazepam, and previous laboratory findings revealed elevated levels of glutamic acid decarboxylase (GAD) antibodies. Her past medical history includes epilepsy and diabetes mellitus.

The patient's sister, who is her legal guardian and resides overseas, has instructed the medical team to avoid any "aggressive" interventions, in line with their cultural beliefs. There is also an ongoing legal dispute concerning medical power of attorney.

What are the most appropriate courses of action, considering the psychiatric, neurological, medical, ethical, cultural, legal, and psychopharmacological complexities?

A) Facilitate a video conference with the sister.
B) Increase diazepam, initiate lorazepam.
C) Start ECT.
D) Engage a medical ethicist.
E) Consult hospital legal counsel.
F) Start amantadine, maintain the current diazepam regimen.
G) Initiate memantine, increase the dose of diazepam.
H) Provide physical therapy.
I) Notify local law enforcement regarding the legal dispute.
J) Pursue a court order for treatment against the sister's wishes.
K) A, E, F and H
L) F, H, D, E, and A
M) G, B, C, and I

 

[Stagg737]

Wth is this? An episode of House?

 

[Styrene]

Wth is this? An episode of House?

Yes, it's similar

 

[MedMan80]

ADmit to medicine

 

[Styrene]

ADmit to medicine

Admit to Diagnostics Department, 4th floor, Princeton-Plainsboro Teaching Hospital

 

[Stagg737]

Admit to Diagnostics Department, 4th floor, Princeton-Plainsboro Teaching Hospital

And start a heavy duty 4th line antibiotic after extensive SPECT Imaging and fMRI and an open exploratory neurosurgery.

And block any contact with patient’s family while ignoring repeated messages from the legal department.

 

[Bartelby]

Lol. Imagine the cold sweats from cracking open a board exam and seeing nothing but page after page of this!

 

[Styrene]

And start a heavy duty 4th line antibiotic after extensive SPECT Imaging and fMRI and an open exploratory neurosurgery.

And block any contact with patient’s family while ignoring repeated messages from the legal department.

 

[Styrene]

Lol. Imagine the cold sweats from cracking open a board exam and seeing nothing but page after page of this!

We are headed in that direction. I could make a full board MCQ test in this style with ChatGPT in about an hour.

 

[docksan]

Why is no one answering H?!?!?!

 

[Styrene]

Lol. Imagine the cold sweats from cracking open a board exam and seeing nothing but page after page of this!

Every test subject area all at once in every question 🥳

 

[Stagg737]

Why is no one answering H?!?!?!

We just went over this in another thread. We don’t touch our patients, we offer active listening and reflection. And with the patient’s echolalia it seems like they’re doing that too…

 

[splik]

We are headed in that direction. I could make a full board MCQ test in this style with ChatGPT in about an hour.

But these aren't MCQs. no exam would ever allow questions like this because it's so poorly written and violates multiple basic principles of item writing. Certainly not the USMLEs, the PRITE, or the board exams. I've written MCQs for various bodies in the past and I don't see this happening. They don't pay physicians to write the questions in the first place (so would cost more to use AI), and they will still need editors (if used) and a statistician/psychometrist. Test security is also a big deal which would be compromised by using ChatGPT itself.

 

[Styrene]

But these aren't MCQs. no exam would ever allow questions like this because it's so poorly written and violates multiple basic principles of item writing. Certainly not the USMLEs, the PRITE, or the board exams. I've written MCQs for various bodies in the past and I don't see this happening. They don't pay physicians to write the questions in the first place (so would cost more to use AI), and they will still need editors (if used) and a statistician/psychometrist. Test security is also a big deal which would be compromised by using ChatGPT itself.

This is just a joke question for entertainment.