Questions & Answers
Question 1
A 45-year-old patient presents with a complaint of anxiety related to his wife's
criticism of his drinking. During the history you ask several of the CAGE model
questions and the patient tells you that he wants to cut down on his drinking. Which
conclusion would you draw about this patient?
A He is an alcoholic.
B His drinking is caused by anxiety.
C He may be an alcohol abuser.
D He should be examined for symptoms of withdrawal.
Correct Answer
c. he may be an alcohol abuser
Question 2
A 26-year-old woman presenting for a pre-employment physical is found to have
bruising on her back and buttocks? What would be your best immediate response?
Ask "Would you care to tell me about these bruises on your back and buttocks?"
Say "I see bruises. How did you get them?" Correct
Ask "Do you feel safe in your current relationships?"
Say "I am required by the law to document these bruises so I am asking your
permission to take a picture of them."
C Ask "Do you feel safe in your current relationships?"
D Say "I am required by the law to document these bruises so I am asking your
permission to take a picture of them."
Correct Answer
say i see bruises how did you get them
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,Question 3
A woman presents to a women's health clinic stating that she has had a positive
home pregnancy test and desires prenatal care. You would conduct a/an:
A complete history.
B focused history.
C problem-oriented history.
D interim history.
Correct Answer
a. complete history = makes you as throughouly familiar with the pt as possible.
Usually for the 1st time seeing pt
Question 4
During an initial interview with your patient, you ask the patient, "Can you describe
that for me?" Which statement best describes the question?
A. It is the most risky type of question because the patient can say anything.
B. The question is asking for specific information.
C. The patient has discretion about the extent of the answer.
D. The answer can lead the interviewer away from the purpose of the interview.
Correct Answer
c. the patient has discretion (freedom) about the extent of the answer
Question 5
Which statement best describes the chief complaint?
A General health and illness
B The reason the individual is seeking care
C Information to make the diagnosis
D Concerns about confidentiality and trust
Correct Answer
b. the reason why the individual is seeking care
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,Question 6
Which behavior is least likely to facilitate an interview with a patient who is
dissembling?
A Allow the topic to be changed.
B State "I noticed that you changed the topic."
C Use gentle questioning to help the patient explore the topic.
D Return to the topic at later time in the interview.
Correct Answer
a. allow the topic to be changed
Question 7
Some older adults may have sensory losses that make communication more difficult.
Some degree of hearing loss is common in older adults. One action that tends to
worsen hearing or communication problems is:
A positioning yourself so the patient is looking at your face.
B speaking clearly and slowly.
C using a high-pitched voice.
D avoiding noisy interviewing rooms.
Correct Answer
c. using a high-pitched voice
Question 8
Interviewers should identify and assess their own feelings, such as hostility and
prejudice, in order to:
A avoid inappropriate behavior.
B explain their biases to patients.
C express personal idiosyncrasies.
D promote self-awareness.
Correct Answer
a. avoid inappropriate behavior
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, Question 9
A conversation with a parent concerning a 5-year-old child:
A violates the child's need for privacy.
B is inappropriate because the child is able to talk with you.
C provides significant information about family dynamics.
D causes distrust in the child toward the examiner.
Correct Answer
c. provides significant information about family dynamics
Question 10
Which of the following information is particular to a pediatric history?
A Family history
B Developmental history
C Social history
D Past medical history
Correct Answer
b. developmental hx
Question 11
Mr. Jerry Spenser, a 26-year-old homosexual male, is having a health history taken.
Which question regarding sexual activity would most likely hamper trust between
Jerry and the interviewer?
A "Are you married or do you have a girlfriend?"
B "Tell me about your living situation."
C "Are you sexually active?"
D "Are your partners men, women, or both?"
Correct Answer
a. are you married or do you have a girlfriend
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