Medical Ethics and Professional Behavior · USMLE Step 1

A patient insists on a treatment that the physician knows is ineffective and potentially harmful. What is the best response?

  1. Provide the treatment to respect autonomy
  2. Refuse and explain evidence-based reasoning
  3. Seek approval from the ethics committee
  4. Ask the family to decide instead
Show answer and explanation

Correct answer: Refuse and explain evidence-based reasoning

Autonomy does not obligate physicians to provide harmful or ineffective treatments. Nonmaleficence requires refusing while explaining the reasoning.

Difficulty: Medium Question 20 of 20

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