MSOC EXAM UPDATED QUESTIONS AND ANSWERS
The Activity-Passivity Model - CORRECT ANSWER✅✅✅This model closely parallels the asymmetrical
relationship described by Parsons. the physician represents medial expertise, controls the
communication flow between the two parties, and makes all important decisions. The patient is the
supplicant, regarded as lacking in important information and necessarily relying on the knowledge and
judgement of the physician. (Parent-Infant Model) Occurs during ER trauma like heart attack.
The Guidance-Cooperation Model - CORRECT ANSWER✅✅✅Typical of most medical encounters.
The patient is acknowledged to have feelings, may be alarmed by the medical problem, and has certain
hopes and aspirations for the outcome of the medical encounter. Compared to the activity-passivity
model, the patient has increased involvement in providing information and making decisions with
regard to treatment. While the physician is still in charge and has responsibility for guiding the
encounter, the cooperation of the patient is sought. The physician is less autocratic in the sense that
some explanation is provided to the patient and the patient's assent to decisions is desired, but the
physician retains the dominant position. (Parent-child (teen) Model). Acute
The Mutual Participation Model - CORRECT ANSWER✅✅✅In this case, both physician and patient
acknowledge that the patient must be a central player for the medical encounter to be successful. The
patient knows more about her or his own situation—medical history, symptoms, other relevant
events—than does the physician. While the physician attempts to ask the proper questions to elicit key
information, it is assumed that the patient also has an obligation to ensure that relevant information is
disclosed. Must have about equal power, a feeling of mutual interdependence, and must engage in
interaction that will be satisfying for both parties. (Adult-Adult Model)
Negotiation Model - CORRECT ANSWER✅✅✅Includes both Patient and Physician Negotiation
Strategies. Patient Negotiation Strategies include: selective verbal presentation, ordering and
emphasizing information, using "appropriate" combination of lay and medical language that gives
incomplete information. Physician Negotiation Strategies include: with holding information—facts about
the patient's illness; evaluations of competence of other doctors;— ignoring patient narratives and the
infantilization of patient.
Aggravated directives - CORRECT ANSWER✅✅✅Males use aggravated directives or a
communication style that implies a right to be issuing a command and asymmetrical relationship
between individuals
Mitigated directives - CORRECT ANSWER✅✅✅Females use mitigated directives or a communication
style with proposals and suggestions that minimizes distinctions between individuals.
, Complementary and Alternative Medicine (CAM) - CORRECT ANSWER✅✅✅"A group of diverse
medical and health care system's practices, and products that are not presently considered to be part of
conventional medicine" has flourished and is today more popular than ever before.
Relevant Dates for CAMs - CORRECT ANSWER✅✅✅1960s-Increased interest among middle class
and educated. 1970s-Radical movement of CAM. 1980-Accreditation of CAM practices; revised radical
claims. 1990 and beyond-incorporated biomedical knowledge into education and practice.
Consumer Reaction to CAM - CORRECT ANSWER✅✅✅25-36% use a form of CAM in western world.
Consumers rarely abandon biomedicine; they use CAM as a complement. Chronically ill and terminally ill
use CAM because: fewer side effects, more time with practitioner, holistic approach, and patient
participation.
Medical Society Reaction to CAM - CORRECT ANSWER✅✅✅Biomedicine resists CAM. HAve
tolerated CAM with clear jurisdictions and modest claims. Increasing inclusion of CAM modules in
medical school. Maintains the lack of scientific proof that CAM works.
Governmental Response to CAM - CORRECT ANSWER✅✅✅Healing in non-allopathic ways is illegal
and requires strict licensure legislation to be able to practice. Many of the acupuncture and chiropractic
treatments are an available medium for CAM treatment.
Causes of the Decline of Medical Sovereignty - CORRECT ANSWER✅✅✅Faith in tech being
questions. Crisis in access to health care. State intervention in health care. 1972 discovery of Tuskegee =
decline in trust. Internet & patient rights movement
Consequences of the Decline of Medical Sovereignty - CORRECT ANSWER✅✅✅Profession is no
longer 100% self-policing. Government, public, patients have a right to question=space for activism.
Created space for CAMs. Economic and social reward of being a doctor has declined.
Three Types of Medical Uncertainty - CORRECT ANSWER✅✅✅3 types of Medical Uncertainty.
Limitations of medicine (external).
Limitations of self/ability to learn all medical knowledge (internal).
Limitations in ability to distinguish between type 1 and type 2. Which leads to
The Activity-Passivity Model - CORRECT ANSWER✅✅✅This model closely parallels the asymmetrical
relationship described by Parsons. the physician represents medial expertise, controls the
communication flow between the two parties, and makes all important decisions. The patient is the
supplicant, regarded as lacking in important information and necessarily relying on the knowledge and
judgement of the physician. (Parent-Infant Model) Occurs during ER trauma like heart attack.
The Guidance-Cooperation Model - CORRECT ANSWER✅✅✅Typical of most medical encounters.
The patient is acknowledged to have feelings, may be alarmed by the medical problem, and has certain
hopes and aspirations for the outcome of the medical encounter. Compared to the activity-passivity
model, the patient has increased involvement in providing information and making decisions with
regard to treatment. While the physician is still in charge and has responsibility for guiding the
encounter, the cooperation of the patient is sought. The physician is less autocratic in the sense that
some explanation is provided to the patient and the patient's assent to decisions is desired, but the
physician retains the dominant position. (Parent-child (teen) Model). Acute
The Mutual Participation Model - CORRECT ANSWER✅✅✅In this case, both physician and patient
acknowledge that the patient must be a central player for the medical encounter to be successful. The
patient knows more about her or his own situation—medical history, symptoms, other relevant
events—than does the physician. While the physician attempts to ask the proper questions to elicit key
information, it is assumed that the patient also has an obligation to ensure that relevant information is
disclosed. Must have about equal power, a feeling of mutual interdependence, and must engage in
interaction that will be satisfying for both parties. (Adult-Adult Model)
Negotiation Model - CORRECT ANSWER✅✅✅Includes both Patient and Physician Negotiation
Strategies. Patient Negotiation Strategies include: selective verbal presentation, ordering and
emphasizing information, using "appropriate" combination of lay and medical language that gives
incomplete information. Physician Negotiation Strategies include: with holding information—facts about
the patient's illness; evaluations of competence of other doctors;— ignoring patient narratives and the
infantilization of patient.
Aggravated directives - CORRECT ANSWER✅✅✅Males use aggravated directives or a
communication style that implies a right to be issuing a command and asymmetrical relationship
between individuals
Mitigated directives - CORRECT ANSWER✅✅✅Females use mitigated directives or a communication
style with proposals and suggestions that minimizes distinctions between individuals.
, Complementary and Alternative Medicine (CAM) - CORRECT ANSWER✅✅✅"A group of diverse
medical and health care system's practices, and products that are not presently considered to be part of
conventional medicine" has flourished and is today more popular than ever before.
Relevant Dates for CAMs - CORRECT ANSWER✅✅✅1960s-Increased interest among middle class
and educated. 1970s-Radical movement of CAM. 1980-Accreditation of CAM practices; revised radical
claims. 1990 and beyond-incorporated biomedical knowledge into education and practice.
Consumer Reaction to CAM - CORRECT ANSWER✅✅✅25-36% use a form of CAM in western world.
Consumers rarely abandon biomedicine; they use CAM as a complement. Chronically ill and terminally ill
use CAM because: fewer side effects, more time with practitioner, holistic approach, and patient
participation.
Medical Society Reaction to CAM - CORRECT ANSWER✅✅✅Biomedicine resists CAM. HAve
tolerated CAM with clear jurisdictions and modest claims. Increasing inclusion of CAM modules in
medical school. Maintains the lack of scientific proof that CAM works.
Governmental Response to CAM - CORRECT ANSWER✅✅✅Healing in non-allopathic ways is illegal
and requires strict licensure legislation to be able to practice. Many of the acupuncture and chiropractic
treatments are an available medium for CAM treatment.
Causes of the Decline of Medical Sovereignty - CORRECT ANSWER✅✅✅Faith in tech being
questions. Crisis in access to health care. State intervention in health care. 1972 discovery of Tuskegee =
decline in trust. Internet & patient rights movement
Consequences of the Decline of Medical Sovereignty - CORRECT ANSWER✅✅✅Profession is no
longer 100% self-policing. Government, public, patients have a right to question=space for activism.
Created space for CAMs. Economic and social reward of being a doctor has declined.
Three Types of Medical Uncertainty - CORRECT ANSWER✅✅✅3 types of Medical Uncertainty.
Limitations of medicine (external).
Limitations of self/ability to learn all medical knowledge (internal).
Limitations in ability to distinguish between type 1 and type 2. Which leads to
