A GP answers “No” to the surprise question, “Would you be surprised if this person died within the next year?” Which is the most appropriate use of

Question

A GP answers “No” to the surprise question, “Would you be surprised if this person died within the next year?” Which is the most appropriate use of that response?

Accepted Answer

Interpret it alongside other indicators when considering holistic assessment and advance care planning

Answer

Treat it as a validated individual survival prediction accurate enough to determine treatment withdrawal

Answer

Record a DNACPR decision on the basis that the response establishes cardiopulmonary resuscitation as futile

Answer

Refer every identified person to specialist palliative care whatever their symptoms, complexity or preferences

Answer

Withhold the finding from the patient because identification tools preclude shared prognostic discussion

Surprise Question Trigger — SCE Palliative Medicine MCQ

A GP answers “No” to the surprise question, “Would you be surprised if this person died within the next year?” Which is the most appropriate use of that response?