Doctor-Patient Issues Quizzes - Part 1 (21 test)

I. Start the exam by click the “Start” button

Doctor-Patient Issues-1

Please wait while the activity loads.
If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled.

If loading fails, click here to try again

Start

Congratulations - you have completed Doctor-Patient Issues-1. You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%%

Your answers are highlighted below.

Question 1

You are performing a medical interview with a patient and having some difficulty obtaining accurate information regarding the events that brought him into the Which of the following physician communica- tion tactics leads to the collection of the most accurate information?

A	Controlling the interview with more directive questions
B	Using medical terms that the physician feels the patient can understand
C	Redirecting the patient if he/she strays from the relevant points
D	Involving the patient in his/her treatment plan
E	Using open-ended questions

Question 1 Explanation:

Studies have shown that physicians often interrupt patients before they completely express their concerns. Physicians who do this and control the interview with directive questions often miss valuable and important information. These behaviors result in an incomplete clinical picture and a collection of inaccurate information. Information is also lost when physicians use medical jargon. Patients frequently believe they understand the jargon, but are often incorrect. Involving the patient in his/her treatment plan is important, but that does not lead to the collection of accurate information. The use of closedended questions limits the patients’ ability to fully describe their concerns. Communication is enhanced and accuracy is improved when physicians use open-ended questions, allow patients to fully answer questions before interrupting, and avoid technical or medical jarg

Question 2

You are seeing a 45-year-old woman who saw you 2 weeks ago because she felt Her evaluation revealed previously undiagnosed type 2 diabetes, and she made today’s appointment to discuss the next steps. She was on time for her 10:00 appointment, but because of a com- plicated patient, you didn’t get into her room until 11:15. When you walk in, she appears extremely angry. How should you approach this situation?

A	Acknowledge her anger with a statement like, “You seem furious”
B	Acknowledge her anger with a statement like, “You seem furious”
C	Explore the reasons for her anger if she brings it up
D	Explain the situation with a statement like, “My last patient was very complex, and he really needed my attention”
E	Help the patient understand that her anger should be directed at the illness, not at you

Question 2 Explanation:

Dealing with the angry patient is challenging for any health care provider. The natural reaction to anger is defensiveness, but a defensive response will often escalate the situation. The best approach is for the physician to first recognize the anger, then acknowledge it, try to understand it, and respond to it. If a physician senses that a patient is angry, but the patient has not volunteered this information, it is important to explore the anger. If the patient seems very upset, it may make him/her angrier if you minimize the situation by saying something like, “you seem a little upset.” If a patient is extremely angry, choose words that seem to match the intensity of his/her feelings. In some instances anger is displaced, and may be truly directed at the disease process or illness. In that case, the appropriate response is empathy. However, in this setting, the anger is likely a response to the wait time that the patient has endured, and is less likely to be displaced. Placing the blame on your previous patient should be avoided, as it may make the current patient feel less important than the previous one.

Question 3

You are seeing a cantankerous 65-year-old with You are concerned that he is not taking his blood pressure medications. Of the fol- lowing, which is the most effective way to measure his compliance to the prescribed medical regimen?

A	Have him bring in his medications so that you may perform pill counts
B	Measure serum blood levels of his medications
C	Ask him if he is taking his medications
D	Look for a reduction in his blood pressure in subsequent visits
E	Ask him specific questions about his medication name, dosage, and adminis- tration times

Question 3 Explanation:

Compliance is a complex issue for physicians and patients. In patients who are noncompliant, the Copyright © 2008 by The McGraw-Hill Companies, Inc. Click here for terms of use.38 Family Medicine reasons usually relate to the patients’ beliefs, goals and expectations. Asking the patient if he takes his medications is unlikely to yield accurate information, as the answer to this question is often an automatic “yes.” However, patients will give accurate information about compliance about 80% of the time if the physician asks well-framed questions. By asking specific questions about names, dosages and times, the physician will be more likely to elicit information about compliance. Another tactic may be to give permission for admitting noncompliance by saying something like, “Some of my patients find it difficult to remember to take their medications. Does this ever happen to you?” Performing pill counts, measuring serum blood levels and evaluating outcomes have not been shown in the medical literature to be effective measures of compliance.

Question 4

You are seeing a 65-year-old woman who has smoked for 50 You want her to quit, and are considering different communication tactics to use in the discussion. Which of the following is likely to be the most powerful motivator?

A	Point out the positive results that can be expected if she complies with your advice. “By quitting, you’ll significantly reduce your chances of developing lung cancer.”
B	Point out the consequences of not following your advice. “If you don’t quit, you might develop lung cancer.”
C	Empathize. “I’ll bet that quitting is extremely difficult.”
D	Provide data. “Evidence shows that one in 20 patients who try can quit smoking cold turkey.”
E	Ask about their experience with the illness that she is at risk for. “Do you know anyone who has ever suffered with emphysema?”

Question 4 Explanation:

When motivating a patient to comply with a treatment regimen, it is important to explore their reasons for noncompliance. Once that is accomplished, the provider and patient should come to agreement on how to proceed. In this process, the physician can correct misconceptions, refer the patient to a trusted source of information, explore options or suggest alternatives. Fear is not an effective motivator in most cases. Therefore, pointing out consequences of not following advice, or bringing up images of suffering patients is not effective. While empathy is appropriate to enhance the doctor patient relationship, it is not always an effective motivational tool. Providing data often does not help, as patients do not see themselves as numbers and often do not understand how to apply the statistics to their situation. Patients are more likely to comply if you point out the positive results that can be expected by following your advice.

Question 5

A 23-year-old man is following up to discuss the results of laboratory tests you did at his complete physical examination 1 week His HIV screen was positive, and you need to tell him this news. Of the following, which is the most appropriate approach?

A	Begin the session by inquiring about his understanding of HIV
B	Help him prepare for the information by using a statement like, “I’m afraid I have some bad news for you”
C	Ensure you schedule enough time to discuss treatment goals and options
D	Make sure he brings a support person into the room before you disclose the test results
E	Offer hope by saying, “I’m sure there will be a cure for this disease soon”

Question 5 Explanation:

When giving a patient bad news, attention should be given to the setting. Ensure the room is private and free of interruptions and that you have enough time for the visit. Some patients may want someone else present, but others may not. When suspicious that a test result may be positive, the physician may consider asking the patient in advance if they would like a support person present when reviewing the results. By beginning the session with an inquiry of the patient’s knowledge, you are effectively giving the diagnosis without allowing the patient to prepare. Using a “warning” statement allows the patient to mentally prepare for the upcoming information. TheDoctor-Patient Issues Answers 39 discussion of treatment goals and options will likely overwhelm the patient, and should be deferred to a subsequent session. The physician should be hopeful, but realistic. Ensuring a cure for the disease may be detrimental.

Question 6

You are seeing a 36-year-old woman with a complex medical condi- tion. You have explored how she views the problem, you thoroughly understand her point of view, and you have acknowledged to the patient that you understand her point of Which of the following communi- cation tactics best describes this approach?

A	Empathy
B	Sympathy
C	Collaboration
D	Therapeutic alliance
E	Patient centeredness

Question 6 Explanation:

Empathy involves the three components described in the question. Sympathy does not require acknowledgement of understanding. Collaboration refers to the doctor and patient working together in treatment plans, as does a therapeutic alliance. Patient-centeredness involves understanding the patient, the illness or disease, its impact on his/her life, and the community to which the patient will look for relief and treatment.

Question 7

Regarding patient education and counseling, which of the following statements is true?

A	Patients commonly believe that physicians give them too much information
B	Patients usually understand and remember most information from their physician
C	Patients are more likely to make behavior changes if they are given several options for change from which to choose
D	Physician eye contact has not been shown to improve patient recall
E	Patients feel patronized when physicians repeat information or check for patient understanding

Question 7 Explanation:

Patients commonly believe their physician does not give them enough information. However, studies show that patients often misunderstand or do not remember the information that physicians give them. Techniques physicians can employ to improve recall include simplification, repetition, giving specific information, and checking for understanding. Patients generally appreciate this, and generally do not feel this is patronizing. Nonverbal techniques including decreased interpersonal distance, more eye contact, and leaning toward the patient have been shown to improve recall. Patients are more likely to make behavior change if presented with several choices. However, too many options may be overwhelming. Statements like, “Your options are . . . ” and “Which option do you think will be best for you?” are often helpful.

Question 8

You are treating a 61-year-old Chinese immigrant for After evaluating the cause, you diagnose type 2 diabetes. She is reluctant to make the dietary changes necessary to help treat the condition, as much of her culturally based diet has a high glycemic index inappropriate for diabetes. What is the most culturally appropriate response?

A	Ask to involve her Americanized children in future communication to help encourage the changes
B	Since her culture believes that health is a balance between yin and yang, tell her that the dietary changes you suggest will restore this balance
C	Organize an appointment with the patient and a diabetes educator who can bet- ter take the time and explain the etiology and dietary regimen necessary for diabetes
D	Inquire as to the patient’s concept of the etiology of diabetes and any treatments she would like to try
E	Use a Chinese interpreter to ensure your message is being heard appropriately

Question 8 Explanation:

Health, illness, and treatment is strongly influenced by cultural contexts. Although those trained in the United States have illness and treatment concepts based on biomedicine, many in other cultures define illness in other ways with different disease classifications and responses to them. Asking a patient of another culture what she thinks may be causing the problem and about treatment options demonstrates respect for the patient and her culture. Having Americanized relatives try to convince her would not respect her cultural beliefs. Pretending to understand her cultural and health beliefs may cause resentment. Continuing to focus on the biomedical model does not respect the cultural aspects of disease. Using an interpreter, while often necessary, does not address the underlying cultural issue.

Question 9

You are caring for a Spanish-speaking patient and working with an interpreter. Which of the following statements is true regarding the effec- tive use of a medically trained interpreter?

A	Greet the patient in his/her language
B	Arrange seats in a triad, and speak slowly, facing the interpreter
C	Act as if the interpreter is not present, speaking to the patient normally
D	Use as many nonverbal gestures as possible
E	If you get an inconsistent response, repeat the same question over again

Question 9 Explanation:

Recommendations for working with a medically trained interpreter include: • Greet the patient in his/her own language if possible. • Introduce yourself to everyone present. • Arrange the seats in a triad, and address the patient. • Speak clearly, in a normal voice volume. • Use common terms and simple language structure. • Express one idea at a time and pause for the interpreter. • Expect the interpreter to use first person singular, verbatim translation • Consider multiple meanings to nonverbal gestures. • Ask the same questions in different ways if you get inconsistent or unconnected responses. • Ask the interpreter to explain, but do not place the interpreter in the middle of conflicts.

Question 10

A physician is having difficulty interacting with a patient who is an immigrant from The patient is not complying with treatment plans for his hypertension. To improve this, which of the following is the most appropriate approach?

A	Speak with Indian colleagues to better understand the Indian culture
B	Refer the patient to a physician from the same cultural background as the patient
C	Study the Indian culture as it relates to illness and healing, and offer alternatives for treatment consistent with the cultural norms
D	Listen to the patient’s perspective, express your treatment plan, and focus on similarities and differences
E	Examine the cultures beliefs of Indians and use the belief to convince the patient to comply with treatment

Question 10 Explanation:

It is important to remember that physicians tend to focus on the biological process of disease, while patients focus on the illness experience, regardless of culture. Physicians should be familiar with the medically related cultural norms of the patients residing in their community, but also need to recognize that the norms are not stereotypical statements about all people from that culture. Individuals within groups may have different practices. As such, the most appropriate approach would be to Listen to your patient’s perspective, Explain your plan, Acknowledge similarities and differences, Recommend an action and Negotiate a plan (LEARN).

Question 11

You are working at a medical office whose population includes a large proportion of Native American Which of the following health issues has a higher prevalence in this population than in other American population groups?

A	Hypertension
B	Coronary artery disease
C	Suicide
D	Asthma
E	Tuberculosis

Question 11 Explanation:

In the 2000 census, Native Americans made up only 0.7% of the population, but the prevalence of diabetes, obesity, alcoholism and suicide is substantially higher in this population than others.

Question 12

You are working in an office that provides care to a large population of homeless Which is true about medical illnesses in homeless chil- dren as compared with other groups of children?

A	Homeless children are more likely to develop type 2 diabetes
B	Homeless children experience a higher number of ear infections
C	Homeless children are more likely to have chronic illness
D	Homeless children are more likely to have depression
E	Homeless children are more likely to have attention deficit disorders

Question 12 Explanation:

Homelessness results in poor health status and high service use among children. Homeless children experience a higher number of acute illness symptoms, including fever, ear infections, diarrhea, and asthma exacerbations. Unfortunately, the emergency department tends to be a primary source of care for this group, and visits are higher among this population.

Question 13

The office where you are working cares for a large amount of unin- sured Which of the following population subgroups is more likely to be uninsured than other ethnic minority groups?

A	Hispanics
B	African Americans
C	Southeast Asians
D	Native Americans
E	Pacific Islanders

Question 13 Explanation:

One-third of all nonelderly Hispanics living in the United States do not have health insurance.Doctor-Patient Issues Answers 41 Hispanics are more likely to be uninsured and are the fastest growing minority group in the United States. This makes it likely that the total number of uninsured people in the United States will increase.

Question 14

You are working in an office that serves a large uninsured Which of the following is true regarding this population as compared to the privately insured population?

A	This population has fewer chronic health conditions
B	This population has a lower mortality rate
C	This population has a better general health status
D	This population has a better mental health status
E	This population has a higher rate of chronic disease among children

Question 14 Explanation:

Interestingly, the uninsured have lower rates of chronic health conditions as compared with the insured population. The reason for his may reflect the fact that uninsured people often work in physically demanding jobs with fewer benefits. Those with chronic debilitating disease are unable to continue working and may go on public assistance. The uninsured have a higher mortality rate, poorer general health status and poorer mental health status. Uninsured children have similar rates of chronic disease and limitations of activity when compared with insured children.

Question 15

You are evaluating health disparities in your community and using mortality rates as a measure of overall Of the following, which pop- ulation subgroup in the United States has the lowest mortality rate at each age of the lifespan?

A	African Americans
B	Hispanic Americans
C	Native Americans
D	Asian Americans
E	Non-Hispanic whites

Question 15 Explanation:

At each age of the lifespan African Americans, Hispanics, and Native Americans have a higher mortality rate than whites. Only Asians, in aggregate, average lower mortality rates than whites

Question 16

You are evaluating a Hispanic patient with multiple somatic com- plaints and suspect a mental health Which of the following is true regarding mental health disparities in the United States today?

A	Mental health disorders are diagnosed less frequently in minority populations than in non-Hispanic white patients
B	It is uncommon for minority groups to express mental health disorders via somatization
C	Minority patients are more likely to be misdiagnosed than nonminority counterparts
D	Minorities who maintain cultural practices and resist involvement in the domi- nant culture have better mental health
E	Culture is less of a factor in mental health than in other organic syndromes or illnesses

Question 16 Explanation:

Mental health disparities have existed in minority cultures for decades. The practice of psychiatry is heavily influenced by culture, perceptions of illness and appropriate treatment. Mental health disorders are diagnosed more commonly in nonwhites than in their white counterparts. This may be partly due to poor validation of the DSM IV and the unfamiliarity of many psychiatrists with culturally defined syndromes and folk healing systems. Screening is difficult because there is a lack of language-specific validated instruments, and interpreters may miss nuances in translation. This leads to misdiagnosis. Many cultures express distress as somatic complaints. It is well-known that feeling accepted in society, increased acculturation and a good transition to the new culture decreases mental health issues, while increased resistance to new culture lowers mental health.

Question 17

You are taking care of a 62-year-old woman with a urinary tract infec- tion. You prescribe trimethoprim-sulfamethoxazole (Bactrim) for her infec- tion, but forget to ask about The next day, she returns with significant hives, asking if Bactrim contains “sulfa,” something she is aller- gic to. Which of the following fundamental principles of medical profes- sionalism has been violated?

A	The principle of primacy of patient welfare
B	The principle of patient autonomy
C	The principle of social justice
D	The principle of professional competence
E	The principle of honesty with patients

Question 17 Explanation:

There are three fundamental principles of professionalism. The first is the principle of primacy of patient welfare. This is based on a dedication to serving the interest of the patient, and deals with doing no harm. This is the principle violated in the question. The principle of patient autonomy involves empowering patients to make informed decisions regarding their treatment. The principle of social42 Family Medicine justice involves working to eliminate discrimination in health care. Professional competence is a professional responsibility, not a fundamental principle, and deals with commitment to lifelong learning and maintaining medical knowledge. Patient honesty is also a responsibility, and deals with informed consent and acknowledging medical errors.

Question 18

You are working with a physician who is treating a patient for hyper- The patient has a documented allergy to angiotensin converting enzyme inhibitors, and you note that the physician is prescribing them. You assume that the physician knows best, and do not let the physician know of the potential mistake. What professional responsibility have you violated?

A	Commitment to honesty with patients
B	Commitment to professional competence
C	Commitment to maintaining appropriate patient relationships
D	Commitment to improving quality of care
E	Commitment to maintaining trust

Question 18 Explanation:

Improving quality of care is a professional responsibility that all physicians must embrace. The commitment involves maintaining clinical competence, but also working collaboratively with other professionals to reduce medical error. Honesty deals with informed consent and acknowledging errors with patients. Maintaining appropriate relationships deals with not exploiting patient relationships. Commitment to maintaining trust involves managing conflict of interests.

Question 19

You are working as a student in the emergency After a cardiac arrest and a prolonged attempt at resuscitation, a patient dies. The attend- ing physician asks if you would like to gain experience by practicing intu- bations on the patient who has died. You feel that this relates to one of your professional responsibilities, to maintain clinical competence, and consider the offer. Which fundamental principle of professionalism and ethics would be violated if you do this?

A	The principle of patient welfare
B	The principle of patient autonomy
C	The principle of social justice
D	The principle of honesty with patients
E	The principle of maintaining trust

Question 19 Explanation:

Fundamental principles of professionalism (patient welfare, patient autonomy, and social justice) are central to the job of being a physician. Despite the fact that the patient would not be harmed if the student practiced the procedure, the patient was not given the chance to make an informed decision about participating in this activity. Therefore, autonomy has been violated.

Question 20

In the elevator, your senior resident says, “Before I forget, make sure you send Davis home on his usual HIV medications.” You know that there are new medications that he could take, that might give him a better antiviral response. There are other people in the elevator. What profes- sional responsibility has your senior resident violated?

A	Commitment to maintaining trust
B	Commitment to improving quality of care
C	Commitment to professional competence
D	Commitment to scientific knowledge
E	Commitment to patient confidentiality

Question 20 Explanation:

When other people can hear, it is important to ensure patient confidentiality. Appropriate safeguards should be applied to the disclosure of any patient information, including sensitive information regarding diagnosis and treatment. Despite the fact that the patient may do better on the new regimen, it is not appropriate to discuss it in the presence of others not associated with the patient’s case.

Question 21

One of your patients is 6 months pregnant, and is found to have a medical condition that, if left untreated, will be life-threatening to both her and the She believes that God will take care of her and the baby, and she refuses medical intervention offered to her. Which of the following best describes the principle of patient autonomy in this case?

A	She has no right to refuse the intervention, based on the fact that her decision is lethal to both her and her unborn infant
B	She has no right to refuse the intervention, based on the fact that her decision is lethal to her infant
C	She has the right to refuse the intervention regardless of the condition
D	She has the right to refuse the intervention, only if the father of her baby agrees
E	She has the right to refuse the intervention if she is found competent to make the decision

Question 21 Explanation:

The principle of patient autonomy requires physicians to be honest with their patients about treatment options, as well as the options if treatment is refused. Patient’s decisions about their care are paramount, as long as those decisions are made competently. However, in difficult cases such as this one, it is recommended that legal counsel be obtained.

Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results

There are 21 questions to complete.

←

List

→

Return

Shaded items are complete.

1	2	3	4	5
6	7	8	9	10
11	12	13	14	15
16	17	18	19	20
21	End

Return

See all quizzes of the Doctor-Patient Issues at here:

Part 1 (21 test) | Part 2 (22 test – end)

II. Preview all questions below

1.You are performing a medical interview with a patient and having some difficulty obtaining accurate information regarding the events that brought him into the Which of the following physician communica- tion tactics leads to the collection of the most accurate information?

Controlling the interview with more directive questions
Using medical terms that the physician feels the patient can understand
Redirecting the patient if he/she strays from the relevant points
Involving the patient in his/her treatment plan
Using open-ended questions

2. You are seeing a 45-year-old woman who saw you 2 weeks ago because she felt Her evaluation revealed previously undiagnosed type 2 diabetes, and she made today’s appointment to discuss the next steps. She was on time for her 10:00 appointment, but because of a com- plicated patient, you didn’t get into her room until 11:15. When you walk in, she appears extremely angry. How should you approach this situation?

Acknowledge her anger with a statement like, “You seem furious”
Be empathetic, understanding that her anger is likely displaced and a reaction to her new chronic illness
Explore the reasons for her anger if she brings it up
Explain the situation with a statement like, “My last patient was very complex, and he really needed my attention”
Help the patient understand that her anger should be directed at the illness, not at you

3. You are seeing a cantankerous 65-year-old with You are concerned that he is not taking his blood pressure medications. Of the fol- lowing, which is the most effective way to measure his compliance to the prescribed medical regimen?

Have him bring in his medications so that you may perform pill counts
Measure serum blood levels of his medications
Ask him if he is taking his medications
Look for a reduction in his blood pressure in subsequent visits
Ask him specific questions about his medication name, dosage, and adminis- tration times

4. You are seeing a 65-year-old woman who has smoked for 50 You want her to quit, and are considering different communication tactics to use in the discussion. Which of the following is likely to be the most powerful motivator?

Point out the positive results that can be expected if she complies with your advice. “By quitting, you’ll significantly reduce your chances of developing lung cancer.”
Point out the consequences of not following your advice. “If you don’t quit, you might develop lung cancer.”
Empathize. “I’ll bet that quitting is extremely difficult.”
Provide data. “Evidence shows that one in 20 patients who try can quit smoking cold turkey.”
Ask about their experience with the illness that she is at risk for. “Do you know anyone who has ever suffered with emphysema?”

5. A 23-year-old man is following up to discuss the results of laboratory tests you did at his complete physical examination 1 week His HIV screen was positive, and you need to tell him this news. Of the following, which is the most appropriate approach?

Begin the session by inquiring about his understanding of HIV
Help him prepare for the information by using a statement like, “I’m afraid I have some bad news for you”
Ensure you schedule enough time to discuss treatment goals and options
Make sure he brings a support person into the room before you disclose the test results
Offer hope by saying, “I’m sure there will be a cure for this disease soon”

6. You are seeing a 36-year-old woman with a complex medical condi- tion. You have explored how she views the problem, you thoroughly understand her point of view, and you have acknowledged to the patient that you understand her point of Which of the following communi- cation tactics best describes this approach?

Empathy
Sympathy
Collaboration
Therapeutic alliance
Patient centeredness

7. Regarding patient education and counseling, which of the following statements is true?

Patients commonly believe that physicians give them too much information
Patients usually understand and remember most information from their physician
Patients are more likely to make behavior changes if they are given several options for change from which to choose
Physician eye contact has not been shown to improve patient recall
Patients feel patronized when physicians repeat information or check for patient understanding

8. You are treating a 61-year-old Chinese immigrant for After evaluating the cause, you diagnose type 2 diabetes. She is reluctant to make the dietary changes necessary to help treat the condition, as much of her culturally based diet has a high glycemic index inappropriate for diabetes. What is the most culturally appropriate response?

Ask to involve her Americanized children in future communication to help encourage the changes
Since her culture believes that health is a balance between yin and yang, tell her that the dietary changes you suggest will restore this balance
Organize an appointment with the patient and a diabetes educator who can bet- ter take the time and explain the etiology and dietary regimen necessary for diabetes
Inquire as to the patient’s concept of the etiology of diabetes and any treatments she would like to try
Use a Chinese interpreter to ensure your message is being heard appropriately

9. You are caring for a Spanish-speaking patient and working with an interpreter. Which of the following statements is true regarding the effec- tive use of a medically trained interpreter?

Greet the patient in his/her language
Arrange seats in a triad, and speak slowly, facing the interpreter
Act as if the interpreter is not present, speaking to the patient normally
Use as many nonverbal gestures as possible
If you get an inconsistent response, repeat the same question over again

10. A physician is having difficulty interacting with a patient who is an immigrant from The patient is not complying with treatment plans for his hypertension. To improve this, which of the following is the most appropriate approach?

Speak with Indian colleagues to better understand the Indian culture
Refer the patient to a physician from the same cultural background as the patient
Study the Indian culture as it relates to illness and healing, and offer alternatives for treatment consistent with the cultural norms
Listen to the patient’s perspective, express your treatment plan, and focus on similarities and differences
Examine the cultures beliefs of Indians and use the belief to convince the patient to comply with treatment

11. You are working at a medical office whose population includes a large proportion of Native American Which of the following health issues has a higher prevalence in this population than in other American population groups?

Hypertension
Coronary artery disease
Suicide
Asthma
Tuberculosis

12. You are working in an office that provides care to a large population of homeless Which is true about medical illnesses in homeless chil- dren as compared with other groups of children?

Homeless children are more likely to develop type 2 diabetes
Homeless children experience a higher number of ear infections
Homeless children are more likely to have chronic illness
Homeless children are more likely to have depression
Homeless children are more likely to have attention deficit disorders

13. The office where you are working cares for a large amount of unin- sured Which of the following population subgroups is more likely to be uninsured than other ethnic minority groups?

Hispanics
African Americans
Southeast Asians
Native Americans
Pacific Islanders

14. You are working in an office that serves a large uninsured Which of the following is true regarding this population as compared to the privately insured population?

This population has fewer chronic health conditions
This population has a lower mortality rate
This population has a better general health status
This population has a better mental health status
This population has a higher rate of chronic disease among children

15. You are evaluating health disparities in your community and using mortality rates as a measure of overall Of the following, which pop- ulation subgroup in the United States has the lowest mortality rate at each age of the lifespan?

African Americans
Hispanic Americans
Native Americans
Asian Americans
Non-Hispanic whites

16. You are evaluating a Hispanic patient with multiple somatic com- plaints and suspect a mental health Which of the following is true regarding mental health disparities in the United States today?

Mental health disorders are diagnosed less frequently in minority populations than in non-Hispanic white patients
It is uncommon for minority groups to express mental health disorders via somatization
Minority patients are more likely to be misdiagnosed than nonminority counterparts
Minorities who maintain cultural practices and resist involvement in the domi- nant culture have better mental health
Culture is less of a factor in mental health than in other organic syndromes or illnesses

17. You are taking care of a 62-year-old woman with a urinary tract infec- tion. You prescribe trimethoprim-sulfamethoxazole (Bactrim) for her infec- tion, but forget to ask about The next day, she returns with significant hives, asking if Bactrim contains “sulfa,” something she is aller- gic to. Which of the following fundamental principles of medical profes- sionalism has been violated?

The principle of primacy of patient welfare
The principle of patient autonomy
The principle of social justice
The principle of professional competence
The principle of honesty with patients

18. You are working with a physician who is treating a patient for hyper- The patient has a documented allergy to 1angiotensin converting enzyme inhibitors, and you note that the physician is prescribing them. You assume that the physician knows best, and do not let the physician know of the potential mistake. What professional responsibility have you violated?

Commitment to honesty with patients
Commitment to professional competence
Commitment to maintaining appropriate patient relationships
Commitment to improving quality of care
Commitment to maintaining trust

19. You are working as a student in the emergency After a cardiac arrest and a prolonged attempt at resuscitation, a patient dies. The attend- ing physician asks if you would like to gain experience by practicing intu- bations on the patient who has died. You feel that this relates to one of your professional responsibilities, to maintain clinical competence, and consider the offer. Which fundamental principle of professionalism and ethics would be violated if you do this?

The principle of patient welfare
The principle of patient autonomy
The principle of social justice
The principle of honesty with patients
The principle of maintaining trust

20. In the elevator, your senior resident says, “Before I forget, make sure you send Davis home on his usual HIV medications.” You know that there are new medications that he could take, that might give him a better antiviral response. There are other people in the elevator. What profes- sional responsibility has your senior resident violated?

Commitment to maintaining trust
Commitment to improving quality of care
Commitment to professional competence
Commitment to scientific knowledge
Commitment to patient confidentiality

21. One of your patients is 6 months pregnant, and is found to have a medical condition that, if left untreated, will be life-threatening to both her and the She believes that God will take care of her and the baby, and she refuses medical intervention offered to her. Which of the following best describes the principle of patient autonomy in this case?

She has no right to refuse the intervention, based on the fact that her decision is lethal to both her and her unborn infant
She has no right to refuse the intervention, based on the fact that her decision is lethal to her infant
She has the right to refuse the intervention regardless of the condition
She has the right to refuse the intervention, only if the father of her baby agrees
She has the right to refuse the intervention if she is found competent to make the decision

Doctor-Patient Issues mcq Doctor-Patient Issues Quiz

Doctor-Patient Issues Quizzes – Part 1 (21 test)

I. Start the exam by click the “Start” button

Doctor-Patient Issues-1

II. Preview all questions below

Share this:

Related

Preventive Medicine Quizzes – Part 2 (14 test)

Doctor-Patient Issues Quizzes – Part 2 (22 test)

You may also like

Leave a Comment Cancel Reply