Professional Practice I
Apply your knowledge to the practice.
Mostly gastrointestinal system.
- 1.
Which of the following options is a crucial step in developing a culturally sensitive collaborative action and follow up plan for a patient?
- A.
Determine how strongly a patient adheres to his or her explanatory model of illness
- B.
Discount your own preconceptions, since these will interfere with fully patient-centered care.
- C.
Explain the biomedical model in depth, defining biomedical jargon so that patients will understand.
- D.
Repeat your plan in simpler and clearer terms when it appears that patients do not fully understand.
Correct Answer
A. Determine how strongly a patient adheres to his or her explanatory model of illnessExplanation
A is correct. Patients will only adhere to a plan that is inconsistent with their explanatory model after you have explored the strength of their beliefs and made compromises/ adjustments together that allow them to align with the plan. B It is important to be aware of your preconceptions; but the goal is to reach a compromise, not to compromise your own values. C Explaining the biomedical model helps many patients, but you will lose trust with many others unless you are responding specifically to their questions/concerns (tell-ask-tell) D Repeating your plan more clearly helps many patients, but you will lose trust with many others unless you are responding specifically to their questions/concerns (tell-ask-tell.)Rate this question:
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- 2.
A patient’s illness is defined as...
- A.
The natural history and pathophysiology of a patient’s particular diagnosis
- B.
A patient’s mental instability
- C.
Symptoms and beliefs about a patient’s affliction, taken in his/her personal and social context
Correct Answer
C. Symptoms and beliefs about a patient’s affliction, taken in his/her personal and social context -
- 3.
In order to implement your intention to skilfully explore patients’ beliefs and offer help with their suffering, you will need at least four skill sets.Which one this is not one of the four skill sets?
- A.
Non-judgemental exploration
- B.
Specific inquiry at times of suffering
- C.
Demonstration of Understanding and Respect
- D.
Suggesting / offering help
- E.
Unprofessional gestures
Correct Answer
E. Unprofessional gesturesExplanation
non-judgmental exploration
Physicians’ own religious (or anti-religious) beliefs can distort their perceptions of patients’ experience, as well as their interviews and relationships with patients.
Specific inquiry at times of suffering
Start by asking the patient to describe their experience of the illness in general terms before moving on to ask how this experience links up with their religious beliefs, how they interpret their suffering, and what role prayer or other practices plays in their efforts to cope.
Demonstration of Understanding and Respect
Inviting patients to dialog about religion and spirituality at times of suffering is a complex process, and requires special attention to context, relationship and non-verbal signals.
Suggesting / offering help
Many patients have the potential to receive help through religious and spiritual resources within their community.
Suggesting / offering help
Many patients have the potential to receive help through religious and spiritual resources within their community.Rate this question:
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- 4.
What is the function/ name of the communication behavior illustrated by the following question referring to the role of religion and spirituality in a patient’s life?, “Would prayer or meditation be helpful for you in these times?”
- A.
Demonstration of understanding/respect
- B.
Non-judgmental exploration
- C.
Suggesting/offering help
- D.
Specific inquiry
- E.
Unprofessional gestures
Correct Answer
D. Specific inquiry -
- 5.
• Can distinguish what is internal and external to self• Cause of illness is a person, object, or action external to the child: “you get a cold from not wearing a hat”; “you breathe too much air in your nose.”This is an example of child's concept of the cause of illness.Which group does the examples illustrates?
- A.
Toddlers (15 months – 2 years)
- B.
Preschool children (3 – 5 years)
- C.
School-aged children (6 – 12 years)
- D.
Adolescents (≥ 13 years)
Correct Answer
C. School-aged children (6 – 12 years) -
- 6.
• Magical thinking; circular reasoning• Sees 1 or 2 aspects at a time; may ignore the whole of the situationThis is an example of a child's cognitive development.Which group does the examples illustrates?
- A.
Toddlers (15 months – 2 years)
- B.
Preschool children (3 – 5 years)
- C.
School-aged children (6 – 12 years)
- D.
Adolescents (≥ 13 years)
Correct Answer
B. Preschool children (3 – 5 years) -
- 7.
What is the correct approach to children who are Adolescents? (≥ 13 years)
- A.
Usage of jokes & riddles
- B.
Discuss issues, school, activities
- C.
Sitting at the child’s eye level
- D.
Perform a normal adult consultation
Correct Answer
B. Discuss issues, school, activitiesExplanation
Sitting at the child’s eye level- more for toddlers
Usage of jokes & riddles-more for school-aged children
Treat them as an adult- doesn't build the rapport with them (attention seekers)Rate this question:
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- 8.
How can health professionals help people cope with chronic illness?
- A.
Recognition of Health Professional’s role in cure rather than healing
- B.
Increase the consultation time for people with chronic illness
- C.
Pairing new patients with recovering patients
- D.
Give written pamphlets for ways of coping and management
Correct Answer
C. Pairing new patients with recovering patientsExplanation
Paired patients experience ↓ pre-op anxiety, ↑ physical activity, shorter hospital stays
Increased consultation time doesn't help if clinicians did not enhance therapeutic relationshipsRate this question:
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- 9.
What is not the secondary cause of malnutrition?
- A.
Inadequate intake of nutrients
- B.
Increased requirements of nutrients
- C.
Altered utilisation of nutrients
- D.
Increased excretion of nutrients
Correct Answer
A. Inadequate intake of nutrients -
- 10.
What are the other symptoms that may arise to these children?
- A.
Hypothermia
- B.
Anorexia Nervosa
- C.
Patchy and scaly skin
- D.
Very severe weight loss
Correct Answer
C. Patchy and scaly skinExplanation
A & D- Signs of MarasmusRate this question:
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- 11.
Marasmus can also occur in adults with these risk factors, excluding...
- A.
Cancer patients
- B.
Starvation patients
- C.
Immune-compromised patients
- D.
Anorexia Nervosa patients
Correct Answer
C. Immune-compromised patients -
- 12.
Who is more at risk of malnutrition?
- A.
A young comatose patient in the hospital
- B.
A man who just had a positive result of Coeliac's disease
- C.
A 5 month old infant who is still breastfed only
- D.
A young patient who is diagnosed with psychosis
Correct Answer
B. A man who just had a positive result of Coeliac's diseaseExplanation
Recommend duration of breastfed is up to 6 monthsRate this question:
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- 13.
What is the criteria for early or immediate discharge consideration for patient with upper gastrointestinal bleeding after endoscopy?
- A.
Low frequency of high risk stigmata seen on endoscopy with Rockall scores more than 2
- B.
Age less than 45 years and lack of significant/ multiple co-morbidities
- C.
Presence of hemodynamic instability/ shock
- D.
Good social support and ability to return home promptly after getting Rockall score less or equals to 2
Correct Answer
D. Good social support and ability to return home promptly after getting Rockall score less or equals to 2 -
- 14.
A patient's result of liver function test has normal transaminases level but an increase of Alkaline Phosphate (AP) and Gamma-Glutamyl Transpeptidase (GGTP). What is the most important aspect to consider?
- A.
Acute pancreatitis
- B.
Gilbert's syndrome
- C.
Choleostasis
- D.
Carcinoma of the liver
Correct Answer
C. Choleostasis -
- 15.
Which of these are not the factor that can affect the Aboriginals to access the health services?
- A.
Transportation
- B.
Language
- C.
Private health insurance & Government health cards
- D.
Availability of complimentary medicine
Correct Answer
D. Availability of complimentary medicineExplanation
Availability of complimentary medicine is a choice not a factor that affect Aboriginals to access the health service.Rate this question:
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- 16.
Which is not one of the diagnostic tool to detect Otitis Media?
- A.
Audiogram
- B.
Otoscopy
- C.
Tympanometry
- D.
Audiometry
Correct Answer
A. AudiogramExplanation
The audiologist plots the loudness (in decibels) on an audiogram.Rate this question:
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- 17.
F- Gathering lab-tested evidenceG-Establish existence of outbreakH-Verify the diagnosisI-Control disease J-CommunicateK-Prepare for field workL-Evaluate hypotheses M-Refine case definition/hypothesisN-Perform descriptive epidemiologyO-Define and identify casesP-Develop hypotheses Arrange the steps in outbreak investigations orderly from beginning to the end.
- A.
P, H, G, K, O, N, L, M, I, J
- B.
H, G, K, O, N, P, L, M, I, J
- C.
P, H, G, K, O, F, N, L, M, I, J
- D.
H, G, K, O, N, P, L, F, M, I, J
Correct Answer
B. H, G, K, O, N, P, L, M, I, JExplanation
1. Verify the diagnosis
2. Establish existence of outbreak
3. Prepare for field work
4. Define and identify cases
5. Perform descriptive epidemiology
6. Develop hypotheses
7. Evaluate hypotheses
8. Refine case definition/hypothesis
9. Control disease
10. CommunicateRate this question:
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- 18.
Which of these statements are FALSE about ROTAVIRUS?
- A.
Produces an enterotoxin which stimulates intestinal secretion, leading to a secretory diarrhoea
- B.
Commonest cause of childhood diarrhoea, normally toddlers
- C.
Can be immunised by RotaTeq or Rotarix
- D.
Enveloped, double-strand RNA in 11 segments
Correct Answer
D. Enveloped, double-strand RNA in 11 segmentsExplanation
it is non-enveloped, double-strand RNA in 11 segments, icosahedral, double capsid virus. It appears as a 60-80nm wheel with radiating spikesRate this question:
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- 19.
A 23 year old man has an acute onset of infectious diarrhoea.After consultation, these are the details you gathered:-Occur less than one week-Recent travel to Alice Springs-Watery and explosive diarrhoea-Recent anoreceptive sex-No recent medicationWhich one of these following hypothesis is the least important to consider?
- A.
Traveller's diarrhoea
- B.
Clostridium difficile infection
- C.
Viral gastroenteritis
- D.
Sexually transmitted gastrointestinal infection
- E.
Food poisoning
Correct Answer
B. Clostridium difficile infectionExplanation
He does not state the exposure to antibiotics, so Clostridium difficile infection is ruled out. It is usually acquired in hospital during or after antibiotic therapy
Anoreceptive means having anal sexRate this question:
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Current Version
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Dec 14, 2012Quiz Edited by
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Nov 07, 2008Quiz Created by
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