Life Curriculum Quiz
- 1.A prophylactic nap of 20 minutes to 2 hours taken before a night shift may be helpful in decreasing fatigue.
- A.
True
- B.
False
- 2.Which of the following is not one of the top five substances abused by physicians?
- A.
Barbiturates
- B.
Alcohol
- C.
Marijuana
- D.
Prescription opiates
- E.
Cocaine
- 3.A resident is awakened from sleep by a phone call. Which of the following is not consistent with the phenomenon of sleep inertia?
- A.
Impaired cognition
- B.
Duration of impairment of less than a minute
- C.
Disorientation
- D.
Transitory hypovigilance
- 4.You observe multiple episodes of flirtations between a fellow resident and a medical student supervised by him/her. Which of the following is true?
- A.
The inequality of status and power between an individual with "evaluative" power and a more junior individual makes it impossible to have a consensual relationship
- B.
This type of relationship is not problematic, because they are both learners
- C.
This relationship is only a problem if the flirtations are unwanted by the medical student
- D.
The relationship is only a problem if the flirtations are unwanted and the medical student publicly asks for them to cease
- 5.In order to mitigate the effects of sleep inertia, you should:
- A.
Immediately return to sleep for another 10 minutes
- B.
Not go to sleep your night on call, because sleep inertia is a greater hazard to patient safety than fatigue
- C.
Keep the light off
- D.
Get up, and walk briskly to the patient care area
- E.
Remain supine
- 6.Moderate levels of fatigue secondary to chronic "sleep debt" may lead to medical errors equal to:
- A.
Using a sedative
- B.
Consuming an amount of alcohol equivalent to levels of legal intoxication
- C.
Being on call for more than 48 hours in a row
- D.
Smoking marijuana
- 7.Caffeine cannot be used prophylactically to help manage fatigue.
- A.
True
- B.
False
- 8.The following statements are true except:
- A.
Enabling an addicted colleague by prescribing - or covering up drug or alcohol abuse in any way is not an act of friendship
- B.
Stereotypical images of addicts are precisely that: stereotypes
- C.
Both the prevalence and the risk factors for substance abuse in physician are similar to those for the general population
- D.
If a person can function effectively while taking drugs, then obviously, there is no addiction
- E.
Residents who are aware of a substance abuse problem in a colleague should contact the Program Director
- 9.The following are false except:
- A.
Aggressive outbursts are just part of the stress and strain physicians are under and are simply signs of “blowing off steam”
- B.
Disruptive behavior should be tolerated as long as the person who is disruptive is a “good doctor”.
- C.
Disruptive behavior has no consequences other than its immediate unpleasant effect
- D.
Disruptive behavior is uncommon in physicians who are overly perfectionistic, and may have low self esteem
- E.
Disruptive behavior can affect the workplace to such a degree that others are unable to fulfill their duties or care effectively for patients
- 10.You notice that a fellow resident you suspect abuses alcohol has again taken “full advantage” of the free alcoholic beverages being provided at a post-conference reception. You also see that he/she is preparing to drive home. You discuss the situation with another peer who says that you are making too much of the situation. Your first course of action is:
- A.
Set up a time to speak with the resident about your concerns
- B.
Arrange for the resident to be driven home
- C.
Talk with your Program Director about your concerns
- 11.Denial of an addiction problem can be considerable and can occur on all levels: the addicted individual, colleagues, the institution, and family/significant others.
- A.
True
- B.
False
- 12.Baseline cognitive performance in humans may be decreased by as much as 25% following lack of sleep for one night and, subsequent to missing a second night of sleep, baseline cognitive performance may decline by as much as 40%.
- A.
True
- B.
False
- 13.A patient brings in large boxes of chocolate, baked goods, and flowers for “my favorite resident.” You should:
- A.
Thank the patient and tell him/her that your policy does not allow the individual acceptance of gifts, but that you will share the gift with the entire staff, who you know will appreciate it.
- B.
Refuse to take any of the items
- C.
Accept them but then immediately give them away to another resident or staff member
- D.
Accept them this time but tell the patient you will not be able to accept them in the future
- E.
Suggest that the patient see a different resident
- 14.Signs and symptoms indicative of substance abuse include:
- A.
Alterations in professional behavior, dress, appearance, and general behavior
- B.
Cavalier prescribing of controlled substances
- C.
Deterioration in personal life or family relationships
- D.
Legal problems, especially driving convictions
- E.
All of the above
- 15.The best way to avoid a car collision after a night on call is to:
- A.
Nap before driving
- B.
Chew gum while driving
- C.
Drive with the window down
- D.
Play the radio
- E.
Take modafinil
- 16.Patient care is at risk when a nurse’s fear of a physician reduces his/her willingness to communicate vital information, and when nurses must shift their focus from caring for patients to managing physicians.
- A.
True
- B.
False
- 17.Addiction is now viewed as a disease and there are medical societies and programs in every state designed to help physicians deal with substance impairment and to continue to practice after getting help.
- A.
True
- B.
False
- 18.Boundary violations can manifest in a variety of relations:
- A.
Between physicians and patients
- B.
Between attendings and residents or students
- C.
Between residents and more junior residents and students
- D.
Between physicians and staff
- E.
All of the above
- 19.Disruptive behavior is
- A.
Any pattern of behavior that causes conflict, chaos, disharmony, dysfunction, and/or anxiety in the medical environment
- B.
Characterized by a power imbalance between different parties that is then exploited and abused
- C.
Perpetuated by tolerating or excusing the behavior
- D.
An impediment to good communication
- E.
All of the above
- 20.The following are common signs and symptoms of disruptive behaviors except:
- A.
Use of intimidating, condescending, or degrading language
- B.
Body language and tone of voice that is pejorative and insulting
- C.
Use of racial or ethnic slurs
- D.
Engaging in appropriate humor
- E.
Blaming staff for adverse outcomes
- F.
Acting in an uncooperative, defiant, or rude manner
- 21.Disruptive behavior is never a symptom of an underlying condition, for example sleep deprivation, a work load that is too heavy, stress in the work place or personal life, poor impulse control, low self-esteem, or intolerance.
- A.
True
- B.
False
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