Medical Ethics and Detainee Operations Basic Course Pre-Test

If you are given an unlawful order, what is the process to follow?

Challenge the order. If the order is not revoked, report through the Chain of Command

The following are reasons for complying with the Law of War EXCEPT:

It can cause people to question our motives

The Principles of Medical Ethics require healthcare personnel to avoid which of the following acts?

Participate actively or passively in acts in an attempt to commit torture or other cruel, inhumane or degrading treatment or punishment

Which of the following guidelines are applicable to body cavity searches and exams?

Body cavity exams may be performed for valid medical reasons with the verbal consent of the patientBody cavity searches are to be conducted only when there is reasonable belief that the detainee is concealing an item that presents a security riskBoth of these anwers are correct**

Unconscious or psychotic individuals can be examined without verbal consent as long as one person verifies that the detainee is "impaired" and documents this clearly on the examination report

False

Which of the following behaviors WOULD be considered rude or socially unacceptable in Middle Eastern cultures?

Public displays of affection between a man and woman

Which of the following is NOT true concerning the Qur'an?

It is not the ultimate law in Muslim society

One of the detainees is an insulin-dependent diabetic, who has been moved from level one security to level four for misbehaving. Now he is refusing his insulin and has been admitted to the ward for monitoring. The medic needs to draw the detainee's blood for baseline results but the patient refuses citing cultural and religious conflicts. What should the medic do? Select all that apply.

Explain to the patient the reason for drawing his blood and for administering insulin to himYou do not have informed consent, notify the MTF Commander of the situation

Prolong handshakes, kissing of the face, grasping elbows, and even prolonged hand holding by two men in public is a sign of friendship and respect.

True

Key points about dealing with the language barriers include which of the following?

Use translators with some medical expertiseMake sure detainees understand what care you are providing themEnsure that detainees don't agree to care they don't understandAll of the answers are correct**

Which of the following is NOT true about the International Committee of the Red Cross?

They carry out their mission under the direction of the host country

Members of the ICRC arrive to perform an inspection of the medical treatment ares of the detainee facility and ask to visit patients and view medical data. What should you do?

You forward the request for access to the facilities through your Chain of Command

Military Police may make the initial decision to classify a detainee as being on suicide watch. Is this statement correct?

Yes, Military Police may make the initial decision before a detainee is given a mental health assessment

MPs provide valuable input regarding the medical care and concerns of detainees. Which statement below is TRUE?

Military police know which detainees repeatedly do not come up for head count and can point them out for medical evaluation

Which of the following statements is/are TRUE about the role healthcare personnel would play in interrogations? Select all that apply.

Healthcare personnel are prohibited from assisting detainee interrogation teamsMedical personnel who help interrogation team should not be a part of the healthcare team

Which of the following statements is/are TRUE about the Behavioral Science Support (BSS) personnel? Select all that apply.

They will not provide training in first aid, sanitation, or other health mattersThey are exclusively assigned as operational support to detainee operations and intelligence interrogations in the DoDThey will not be used as a medical monitor or safety officer, or to supervise, conduct, or direct detainee operations or intelligence interrogations

Which of the following are responsibilites of the healthcare providers? Select all that apply.

Administer careRestrain detainee patients for medical purposes

The detaining forces have an obligation to provide certain groups with either medical care or to ensure that they have access to medical care. Which group should be ensured access to care?

Civilian Population

When recommending treatment to a detainee, they have the right to refuse treatment. If they do decline treatment, which documents does NOT need to be completed?

DD Form 93 (Record of Emergency Data)

A detainee is in critical need of care. The MPs have not given him an ISN. You rush to the MP to obtain an ISN, so that you can begin processing. Is this correct?

No

In accordance with Army Regulation 190-8, all detainees must receive an initial screening chest x-ray and be given any necessary immunizations. This is crucial to stopping the spread of tuberculosis and other communicable diseases.

False

During the initial screening exam, it's important that you take pictures of a detainee's existing and pre-existing injuries and wounds.

True

Detainee medical records do not need to be at the same standard as those for U.S. and coalition service members.

False

One of the detainees in your treatment facility is about to be release from detention and has requested a copy of his medical records. What should you do?

Give him a copy which has had the unit and healthcare provider personal information edited

Who makes the determination whether an autopsy will be conducted after the death of a detainee?

Armed Forces Medical Examiner

Which records should be traceably mailed to the Washington National Record Center in Suitland, MD?

Outpatient records upon release or final disposition of the detainee from detention

Only Geneva Convetions III has an Article 3 that states that the following acts are, and shall remain, prohibited at any time and in any place whatsoever: violence to life and person, in particular cruel treatment and torture, and outrages upon personal dignity, in particular humiliating and degrading treatment.

False

Non-consensual sexual activity can include exhibitionism, inappropriate touching, or sexual intercourse

True

While examining a young female detainee, you discover bruising to her genital area. You ask her if she has been sexually assaulted and she says no, but it is obvious she is scared. What should you do?

Report the incident immediately

Which of the 4 Ps of Abuse Prevention states that a system should be in place to reduce the potential for abuse.

Priorites

Per AR 190-8 Paragraph 1-5a (4), inhumane treatment of EPW, CI or RP is a serious and punishable violation under the international law and the Uniform Code of Military Jutice (UCMJ).

True

Which of the following makes up the general legal obligations for military operations worldwide?

Law of War

There are 4 Geneva Conventions which cover the protections and treatment of people caught up in armed conflict. Which of these Conventions lists the rights and protections of Prisoners of War?

Geneva Convention III

Which of the duties listed below are owed to Enemy Prisoner of War in accordance with the Geneva Conventions?

Duty to protectDuty to respectDuty regarding abandonmentAll of the answers are correct**

Which of the persons below does NOT qualify as a protected person under the Geneva Conventions?

Paratroopers exiting aircraft

How long can medical personnel be retained?

Only while needed to treat wounded and sick

Before a detainee can be transferred from a Role 2 to a Role 3 medical unit, what conditions must be met? Select all that apply.

Detainee must be medically stableEach medical treatment facility commander certifies that the transfer documentation for the detainee is completeTransfer must be authorized by accepting physician

When detainees are transferred between roles of care, all these individuals are required to accompany the detainee except?

A chaperone