Life Curriculum Quiz

21 Questions

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Life Curriculum Quiz


Questions and Answers
  • 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