During an emergent laparotomy for suspected bowel perforation, you find extensive cancer that was not diagnosed preoperatively. How would you decide whether to proceed with resection now or stage the treatment, and how would you explain this to the patient’s family?
Specialty-Specific
Purpose
This question tests your ability to make tough decisions under pressure, especially when unexpected findings arise. Interviewers want to see if you can prioritize patient safety, communicate effectively, and navigate ethical dilemmas.
Tips
- Start by addressing the immediate emergency, like the bowel perforation.
- Discuss the importance of obtaining a biopsy for a definitive diagnosis before making any big decisions.
- Communicate clearly and empathetically with the family, explaining the situation and next steps.
Common mistakes
- Don't rush into extensive surgery without considering the patient's stability and risks.
- Avoid using medical jargon when explaining the situation to the family; keep it simple and clear.
- Don't forget to validate the family's feelings; this is a tough situation for them.