Block 9 Medical Communication MCQ's

23 Questions | Total Attempts: 3587

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Communication Quizzes & Trivia

Questions and Answers
  • 1. 
    During the course of taking a history, an example of a confrontational response would be
    • A. 

      T can see that you have been through a lot".

    • B. 

      "I've been through this very thing myself.

    • C. 

      "You are looking very upset. What is happening?"

    • D. 

      "How terrible".

  • 2. 
    You are working in a local health clinic and you've been thinking about asking out a former patient on a date. The most appropriate ethical response is:
    • A. 

      forget it, once a patient always a patient.

    • B. 

      We're just having dinner — it's not a problem.

    • C. 

      Just wait six months, and then it will be OK

    • D. 

      She obviously likes me, so it will be OK to date her

    • E. 

      It depends on how "hot" she is.

  • 3. 
    You think that one of your doctor colleagues is drinking too much alcohol and it's affecting her work. The most appropriate action to take is:
    • A. 

      Join her for some drinks after work

    • B. 

      Report her to the police.

    • C. 

      Confront her in front of the rest of the practice

    • D. 

      Refer her to an impaired physician's program

    • E. 

      It depends on how "hot" she is

  • 4. 
    At the beginning of an initial interview, the patient wants to discuss his perceptions of why he felt ill but the interviewer wants to know the chronology of his symptoms to complete the history interview. The interviewer should:
    • A. 

      Politely interrupt him and continue with closed-ended questions.

    • B. 

      Allow him to complete his thoughts

    • C. 

      Inform him that time is of the essence

    • D. 

      Inform him that an extra charge will be made if more time is needed for the interview.

  • 5. 
    Mr. T, a 59-year old man, 12 months after the death of his wife of 35 years, reluctantly mentioned to his son that he wished he was dead, but would never do anything about these wishes. Concerned, the son took him to a psychiatrist for an evaluation. Which of the following is true?
    • A. 

      Asking this man about his suicide may increase his risk.

    • B. 

      Detailed questions about his suicidality are essential for prevention

    • C. 

      Since this is a normal grief reaction, he should be left alone,

    • D. 

      Euphemistic inquiries about his suicide risk will foster rapport.

  • 6. 
    A 4th semester Ross student is assigned to stay with a 9-year old girl who is waiting to have surgery to repair a cleft palate. The girl, who has recently arrived alone from Cambodia, does not speak English and appears anxious. The charge nurse at the hospital has requested a translator but the translator has not yet arrived. At this time, the most appropriate action for the medical student to take is to
    • A. 

      Listen to the child's heart with a stethoscope and then let the child try to use the stethoscope to listen to his heart.

    • B. 

      Suggest that the nurse stay with the child so that he can review her chart.

    • C. 

      Look in the child's ears with an otoscope

    • D. 

      Sedate the child to decrease her anxiety level.

  • 7. 
    Children who can understand the principle of conservation are likely to be in which Paget stage?
    • A. 

      Oral

    • B. 

      Concrete operation

    • C. 

      Anal

    • D. 

      Sensorimotor

    • E. 

      Latency

  • 8. 
    When a doctor is interviewing a patient, the perceptual filters of life experience, self- image, values and prejudices/biases:
    • A. 

      Are occurring only within the patient.

    • B. 

      Make little difference for the doctor, because s/he is in the professional role and can "see" beyond them.

    • C. 

      Are occurring only within the doctor.

    • D. 

      May occur both with the patient and doctor.

    • E. 

      Occur primarily when the patient has a psychiatric condition.

  • 9. 
    The use of influencing skills by the physician
    • A. 

      Is not appropriate in interviews, since the physician's objective is to gather complete and unbiased information about the patient

    • B. 

      May involve self-disclosure

    • C. 

      Is primarily for getting the patient to talk about sensitive subjects

    • D. 

      Occurs in only certain interviews

    • E. 

      Is generally reserved for patients who abuse alcohol and drugs

  • 10. 
    A health care provider is addressing a culturally, ethnically, and racially diverse group of expectant mothers in the context of a birthing class. While discussing the differences between Western and non-Western approaches to child-birth, she refers to one of the participants, a young woman from a rural, traditional village in Africa, as someone who could provide the group with rich perspectives regarding natural child-birth. Which is the most salient Feature of the health care provider's style of communication in relation to the young African woman?
    • A. 

      Treating everyone as a unique individual.

    • B. 

      Stereotyping or prejudging the influence of an individual's culture.

    • C. 

      Incorporating into the treatment plan the patient's folk beliefs.

    • D. 

      Acknowledging differences and similarities between cultures.

  • 11. 
    A 35 year-old male comes to the ER and presents with chest pain, nausea, dizziness, and sweating. He voices that he is afraid he is going to die. The HPI includes three previous episodes during the past two months, each episode lasting about 30 minutes. He has been afraid to visit the doctor but he has become more afraid during the past month of having yet another episode. So this time he figured he had better seek treatment before this kills him. The most likely diagnosis is:
    • A. 

      Factitious disorder

    • B. 

      Malingering

    • C. 

      Panic attack

    • D. 

      Panic disorder with agoraphobia

    • E. 

      Panic disorder

  • 12. 
    Your patient, a recent immigrant to the US, reports that she experiences frequent trance states during which she is possessed by a demon who demands gifts from the patient's family members. Such belief and associated behaviors are consistent with the norms of her culture of origin. The most appropriate diagnosis is:
    • A. 

      No diagnosis is warranted

    • B. 

      Dissociative disorder NOS

    • C. 

      Dissociative fugue

    • D. 

      Dissociative identity disorder

  • 13. 
    Your 43 year old male patient presents with the chief complaint "that he has a brain tumor. He presented to you 3 weeks ago with the complaint of stomach cancer and a week before that he complained about having melanoma. All of his physical exams and lab tests indicated that your patient was in excellent health. The most accurate diagnosis that best fits his overall presentation is:
    • A. 

      Conversion disorder

    • B. 

      Malingering

    • C. 

      Somatization disorder

    • D. 

      Hypochondriasis

  • 14. 
    You are on holiday in Puerto Vallarta, Mexico, far away from your clinical practice in Toledo, Ohio. While having a drink at the hotel bar you coincidentally encounter one of your patients, a person you find to be very attractive. The patient tells you that he/she is really attracted to you and would like to get together later for some intimate time together. In fact they are even Willing to see a different physician back home so that they can pursue something with you. The most ethical course of action for you to take is:
    • A. 

      Accept the invitation if you wish

    • B. 

      Politely decline

    • C. 

      Consult your attorney

    • D. 

      Tell him/her that you must first think about it

    • E. 

      It depends on how "hot" she is.

  • 15. 
    An effective interviewing skill includes the following behaviors: Listening carefully; "entering" the world of the patient; communicating that you imagine the patient's world as the patient sees and experiences it, YET, not becoming the patient---you relate, and also remain separate from the patient. From the following list, select the communication skill most closeIy described above:
    • A. 

      Empathy

    • B. 

      Respect and warmth

    • C. 

      Concreteness

    • D. 

      Immediacy

    • E. 

      Authenticity or congruence

  • 16. 
    You are interviewing a female patient who works as a legal assistant for several different attorneys. Her chief presenting issue is recurrent migraine headaches. As you explore this presenting illness, you learn that her headaches occur most often during certain days when she is assigned to work with a particularly mean and spiteful attorney who makes the patient feel extremely uncomfortable. When the headaches do occur, she is forced to leave work. You suspect that the patient's headaches represent a learned behavior that allows her to avoid an unpleasant experience. This would be an example of:
    • A. 

      Positive reinforcement

    • B. 

      Presentation punishment

    • C. 

      Negative reinforcement

    • D. 

      Removal punishment

    • E. 

      Vicarious learning

  • 17. 
    Your "foreign born" patient has migrated approximately 5 years ago . She is likely to have difficulty trusting you, understanding your treatment plans/rationale and being willing/able to follow your recommendations if her degree of acculturation is
    • A. 

      Assimilated

    • B. 

      Bicultural

    • C. 

      Traditional

    • D. 

      Marginal

    • E. 

      Non-existent

  • 18. 
    Your 24 year old single white male American patient presents with the following chief complaint: "Rogue doctors entered my apartment last night and removed my spleen." Physical examination does not reveal the presence of any scars, incisions, fresh wounds or any other sign that the patient was a victim of invasive surgical proced ures. The type of psychiatric symptom exhibited by your patient is best described as a(n):
    • A. 

      Hallucination

    • B. 

      Delusion

    • C. 

      Bizarre Delusion

    • D. 

      Illusion

  • 19. 
    Your 24 year old single white male American patient presents with the following chief complaint: "Rogue doctors entered my apartment last night and removed my spleen." Physical examination does not reveal the presence of any scars, incisions, fresh wounds or any other sign that the patient was a victim of invasive surgical proced ures. During this first interview with this patient he says, "You can see my spleen has been removed, can't you, doctor?" The most useful response would be
    • A. 

      "There are more important things to worry about besides your spleen right now."

    • B. 

      I can see this terrible surgical assault has occurred and we are going to help you."

    • C. 

      "Your spleen has not been removed, you just think it has."

    • D. 

      "I hear that this situation is concerning to you and I am here to help you"

  • 20. 
    ) You are in the process of taking the history of a 23 year old male patient who is new to your practice. During the course of the psychosocial history he becomes enraged when you ask him about his sexual relationship with his girlfriend of 4 years, informing you that "The bitch cheated on me with my best friend and I'm gonna kill her." The most appropriate response on your part would be to:
    • A. 

      Ask him questions that assess the lethality or seriousness of his remark.

    • B. 

      Ignore his remarks and continue with the interview.

    • C. 

      Tell him to calm down and reassure him that things will be alright.

    • D. 

      Excuse yourself and immediately inform the police.

  • 21. 
    Arguments exist about the "art" of communication versus the "science" of communication. Select the item below which supports the position that there is a science of communication.
    • A. 

      Research with medical students indicates benefits from communication training persist for years.

    • B. 

      Communication skills are non-specific and difficult to observe

    • C. 

      Communication skills cannot be evaluated objectively.

    • D. 

      Communication is a natural talent with which one is or is not born.

    • E. 

      Repeated practice has not been associated with increases in knowledge and skills associated with effective communication and interviewing.

  • 22. 
    Which is the most salient reason that health care providers must become culturally competent?
    • A. 

      There exist a growing gap between the ethnic distribution of the population and the characteristics of health care providers.

    • B. 

      You must always incorporate into the treatment plan the patient's folk medication and folk beliefs

    • C. 

      You must always directly inquire about the patient's belief in the supernatural or use of nontraditional cures.

    • D. 

      Minority populations are noncompliant unless treated by a member of their own ethnic group.

  • 23. 
    A 42-year-old woman comes to you, as her family doctor with a chief complaint of pain and discomfort around her vagina. The patient is concerned that she may have acquired an infection from a recent sexual encounter. Which of the following questions should you, as the doctor, ask to determine the patient's sexual orientation?
    • A. 

      Have you recently had sex with a minor?

    • B. 

      Are you gay or straight?

    • C. 

      Do you have sex with men, women or both men and women?

    • D. 

      Would you describe yourself as heterosexual, or homosexual?

    • E. 

      Are you a Dyke?

    • F. 

      It depends on how "hot" she is

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