Conflict btw HY BS and qbank

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moo

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don't you just hate it when you get conficting info from more than one source? In this case, in HY BS, it says that by 3 years of age kids can stack 9 blocks whereas in qbank I got a question that says they can stack 8 blocks by 3. OK, so maybe this is a little anal on my part... but still I hate getting questions wrong that I shouldn't be getting wrong!
 
If 8 blocks versus 9 blocks is going to make the difference bewtween right and wrong, the question writer sure doesnt have a life.
 
Surely you jest....

The point is that children of that age can stack up multiple blocks. I'm sure the exact number varies slightly based on the size of the block, the surface on which they are being stacked, whether the child is inside or outside, tectonic plate shifting, etc., etc., .....
😀 😀
 
Resident Alien said:
If 8 blocks versus 9 blocks is going to make the difference bewtween right and wrong, the question writer sure doesnt have a life.


Or the question's not even worth getting right in the first place... so don't sweat it
 
what do you guys think of this one. it's an ethics question. i don't remember it word for word but it goes something like this:

a woman comes in with RLQ pain so you suspect appendicitis and take her to surgery. upon opening the abdomen you see that the appendix is fine, but there is a mass on one ovary. what is the most appropriate next step?

a. close her up and do nothing
b. biopsy the ovary and close her up
c. take out the ovary

according to qbank, B is the right answer, but according to HY BS A is the right answer. i figure the right answer is A becuase you need to have informed consent to do anything. i was on a case once where the guy was told he had squamous cell CA on his tongue and they'd need to remove the anterior half of it, when they opened him up we saw that his entire tongue was involved and needed to be removed. so they packed his neck with betadine soaked sponges and woke him up to get consent. what's the right answer on boards though?
 
Well, I got this question on QBank, and instead of an ovarian mass it was an ectopic pregnancy. The distinction was that it was life-threatening, and no consultation with the Px was needed, since the docs were already in the belly. I think the main difference is the life threatening aspect. I close and do nothing, even though i would want to do a biopsy (and would probably consult the family), I think the boards would want you to make sure and get consent.
 
Exactly, if it's life-threatening, then and only then can you take action. If you find a non-threatening unexpected mass, you can't biopsy it, or excise it, or fondle it harshly, without first waking up the patient and asking for their approval
 
by the way, another good rule of thumb is when you're presented with a list of answer choices in a counseling question pick the one that seems to be saying "oh really? tell me more" 9 times out of 10, this is the right answer! i was doing horrible on qbank until i found this pattern.
 
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