FUNDIES 2 Final
Mendelian (single gene disorders) can be inherited in five ways:
- Autosomal dominant - Autosomal recessive - X-linked dominant - X-linked recessive - Y-linked inheritance
For women who present with vaginal discharge ask about:
-onset -duration -frequency -color -consistency -volume -odor
In the quiz article "Interview strategies commonly used by pediatricians", at what age did it mention that substance use issues were on average first discussed? 8 years 10 years 12 years 17 years
12 years
start pap smears at age
21
Clinicians have a multiplicity of perspectives and relationships that shape their perceptions and ethical responses. Which of the following is correct? 1st layer is the physician and his personal family 2nd layer is the patient, mother, child and parents 3rd layer is the hospital, organization the clinician is working within 4th layer is the extended family and the grandparents influence
3rd layer is the hospital, organization the clinician is working within
Dr. Ritter reviewed how important the family history and pedigree chart is to our patient's history. He reviewed several inherited diseases. Mendelian (single gene disorders) can be inherited in how many ways? 1 3 5 7
5
Stop pap smears at age
65
Which if the following is CORRECT regarding professionalism as per Dr. Carter's lecture? It is challenged by technology It is ethical behavior It is concern only for the patient family A and B only All the above
A and B only
Which one of the following would be used for rapport building with a child or adolescent during the pediatric interview? Address the child directly rather than just asking the parents or guardians Ask the child's opinion Ask the parent's opinion All the above A and B only
A and B only
Which one of the following are considered "first degree" family relationships? Parents Grandparents Children All the above A and C only A and B only
A and C only
The practice of medicine is all the following EXCEPT, as per Dr. Carter's lecture on ethics and professionalism A sacred trust A covenant A contract A fiduciary relationship
A contract
Rapport can be facilitated by all of these EXCEPT: Showing and explaining lab results A reassuring touch or moment of silence A very high number of focus questions Provider's body language
A very high number of focus questions
Which one of the following is the CORRECT answer when looking at the "Layers of influence" noted by Dr. Carter, that effect a clinician's perceptions and ethical responses? A. Physician-patient relationship B. External family influence C. Hospital and insurance influence D. Social and Political influence
A, B, C and D
Fiduciary relationship is: A. Relationship built on trust B. Relationship built on finance C. Relationship built on insurance coverage D. Relationship built on patient diagnosis
A. Relationship built on trust
According to Dr. Ritter's lecture on family interviewing skills, which one of the following is a genetically determined disease that can affect multiple family members? Breast cancer Cardiovascular disease Psychiatric disorders All the above A and B only
All of the above
The public expects doctors to be which one of the following? Confident Dependable Dedicated All the above A and C only
All of the above
By gathering health information about which of the following people we gain insight into the patient's chief concerns and general health: Children Siblings Parents Dead relatives All the above A, B and C only
All the above
GOOD communication skills are the foundation of excellent medical care. Good communication alone can have effects on the patient and their symptoms. Which one is correct? Improve health outcome Decrease stress Resolve symptoms All the above A and B only
All the above
The "family" based on the definition given by Dr. Ritter includes which of the following? Children Siblings Neighbors Friends Clergy All the above A and B only
All the above
AAFP: ACOG: USPSTF:
American Academy of Family Practice American Congress of Obstetricians and Gynecologists United States Preventative Task Force
Humanism as defined by Dr. Carter is: Our first obligation is to do no harm to patients An intrinsic set of deep-seated convictions about one's obligations towards others A way of behaving in accordance with certain normative values
An intrinsic set of deep-seated convictions about one's obligations towards others
Which one of the following is the definition of a family as noted in Dr. Ritter's lecture? Any group of people genetically related Any group of people related biologically or legally Any group of people related biologically, legally or emotionally None of the above
Any group of people related biologically, legally or emotionally
Which of the following is considered "second degree" family relationship? Siblings Aunts and Uncles Nieces and Nephews B and C only All the above
B and C only
Which one of the following is an "instrumental activity of daily living"? (This one doesn't make sense) A. Toileting B. Shopping at the grocery store C. Transferring from bed to chair D. Dressing
B. Shopping at the grocery store
Components of a Well Woman Exam:
Basic History Women's Health History Problem Focused History Physical Examination Recommendations and anticipatory guidance
Dr. Carter discussed professionalism as related to the clinician relationship with the patient. He listed three important qualities. Which of the following is one of them? Bedside manor Xrays and lab tests ordered Referrals to specialists Whether they accept the patient insurance
Bedside manner
During the pediatric interview the "HEADDS" pneumonic is used as a guide to asking questions about specific aspects of the pediatric patient's life. Which one of the following is NOT associated with one of the letters of the pneumonic? Sex Drugs Rock and roll Alcohol Depression All the above C and D only
C and D only
Family interviewing requires which of the following? A. Focus only on the concerns of the patient B. Focus only on the concerns of the patient's caregiver C. Focus only on the concerns of all present parties D. Create treatment plan with any input
C. Focus only on the concerns of all present parties
Which of the following is an instrument to evaluate the patient emotional state/depression? A. MOCA B. Mini-cog C. PH-2 D. MMSE
C. PH-2
What does CRAFFT stand for?
Car Relax Alone Forget Friends Trouble
SELF-MONITORING HELPS ONE AVOID:
Categorization and judgment Being on auto pilot Stagnation Biases
In the quiz article "Interviewing when family members are present", when is the optimal time to interview the patient in private? Choose the BEST answer. Before family members enter the room Pull the curtain between the patient and family member to ask private and confidential Conduct this portion of the interview while performing the physical exam in private Schedule another appointment with the patient alone
Conduct this portion of the interview while performing the physical exam in private
Pediatric strategies to build rapport with a preschool aged child include all the following except: A. Making sounds B. Touching/holding patient C. Coloring projects D. Doing calisthenics
D. Doing calisthenics
Which of the following is NOT a challenge to Medical Professionalism? A. Technology in medicine B. Social media C. Telehealth D. Social equality
D. Social equality
Physician charter of 2002 lists responsibility of Individual Physician. Which of the following is correct? A. Advocate for equal access to healthcare B. Maintain confidentiality C. Continue medical education throughout Physician career D. A and B only E. All the above
E. All the above
Which answer best describes the perspectives that shape Physician's perceptions and ethical responsibilities: A. Physician - Patient B. Family C. Hospital - Insurance D. Political E. A, B and C F. All the above
F. All the above
Dr. Carter pointed out that good management skills are necessary skills for professionals as leaders. The professional clinician should use these management skills to protect the "organizations" economic interest as the overriding goal of management decisions for the organization to continue to care for patients. True or False?
False
Essential part of motivational interviewing is identifying the problem and a solution. You should always be supportive and empathetic but always correct insights based on poor choices and bad reasoning. True/False?
False
Social medial and internet use can potentially compromise a clinician's privacy. You can be completely secure by using the highest privacy settings on all social networking sites. True or False?
False
When conducting an interview of an infant with their parents, it is NOT necessary to address the infant as they are too young to really understand their concerns. True or False?
False
When interviewing a parent with their infant, it is not necessary to address the infant as they are too young to understand.
False
When interviewing a pediatric/teenage patient, you should always have the parent's present so they are aware of the teenager's problem and can help change their problematic behavior. True/False?
False
What are the degrees of relationship?
First Degree: Parents, Children, Brothers and Sisters Second Degree: Grandparents, Aunts, Uncles, Nieces and Nephews Third Degree: First Cousins
Which one of the following is considered "third degree" family relationship? First cousin Grandparents Nephews Aunts All the above
First cousin
Dr. Carter noted that the public recognized doctors as professionals by "positive attitudes" and "high values". What is the other quality he listed by which the public recognizes doctors as professionals? Clean office Good behavior Courteous office staff Up to date electronic medical records
Good behavior
As per Dr. Carter's lecture "Anticipatory guidance" during pediatric interviewing refers to which one of the following? Guidance to the child as to what to expect in their development Guidance to the child as how their treatment will resolve their problem Guidance to the child and parent as to when their next office visit will be scheduled Guidance to the parent regarding what to expect next in their child's development
Guidance to the child as to what to expect in their development
Obstetrical History: Gravida: Para:
Has the woman had babies. (Number of pregnancies) (number of births)
During motivational interviewing your job as clinicians is best described by which one of the following? Point out consequences of the patient's behavior if they do not change Highlight discrepancies between the behavior the patient wants to change and what they are doing to change their behavior Point out what the patient's family feels the patient should change and how Tell the patient you think they should change their behavior
Highlight discrepancies between the behavior the patient wants to change and what they are doing to change their behavior
What does HEADDS stand for?
Home, Education, Activities, Drugs, Depression, Sex
According to Dr. Ritter's lecture on Family interviewing skills, which one of the following is the FIRST thing that the patient and family members care most about regarding their physician? How much the physician knows How much the physician cares How much the physician earns How much the physician has accomplished
How much the physician cares
Why should we engage in Mindful Practice?
Improved patient satisfaction Improved physician satisfaction Improved diagnosis All of the above
Dr. Carter's lecture noted that education in the humanities has several effects for clinicians. Which one of the following is correct? Increases empathy Increases knowledge of human anatomy Inhibit clinician self-care Distracts from professionalism
Increases empathy
Vaccinations recommended for Older patients:
Influenza vaccine Pneumococcal Vaccine Herpes Zoster vaccine COVID-19 vaccine
The reciprocal co-existing relationships Dr. Carter noted form a triangle which includes all EXCEPT: Patient Insurance company Society Physician
Insurance company
Which of the following is TRUE about motivational interviewing? It allows the patient to express the reasons they want to change their behavior It allows the clinician to express the reasons why the patient should change their behavior It allows the patient's family to express whey they think they patient should change their behavior It allows the clinician to list the consequences off their behavior
It allows the patient to express the reasons they want to change their behavior
Which of the following is correct regarding the "Pedigree Chart" discussed by Dr. Ritter? It predicts genetic traits that a parent/patient's children may have It is used by the insurance companies to decide which disease they will cover for a patient It is used by Medicare to predict life expectancy It is part of the social history
It predicts genetic traits that a parent/patient's children may have
Parents of the patient relate professionalism to several qualities listed by Dr. Carter. Which one of the following is NOT on that list? Hygiene Honesty Treating patients as human Knowledgeable office staff
Knowledgeable office staff
Womens health history consists of:
Menstrual History, Obstetrical History, Sexual History, Contraception, Pap Smear History, History of gynecologic problems, Other basic history components.
For cognitive status you can use:
Mini-cog MMSE MoCA
______ is superior to ______ in the identification of mild cognitive impairment (MCI)
MoCA, MMSE
For an emotional assessment, you can use:
PHQ-2 PHQ-9 Geriatric depression screen
Which of the following may signal susceptibility of cancer in a family? Patient has family members with the same rare cancer The patient's significant other has a rare cancer The patient's child has diabetes All the above A and C only
Patient has family members with the same rare cancer
When creating a pedigree chart which one of the following should NOT be included? Patient's wife Patient's parents Patient's siblings Patient's grandparents
Patient's wife
In the quiz article "Interview strategies commonly used by pediatricians", the article noted different strategies for different children age groups. Which age group utilized talking, sharing toys, and a drawing project? Infants Toddlers Preschool aged children School aged children
Preschool aged children
What is rapport?
Respect Attention Person-centered Patience Observant Review Teach
Screening for depression is as simple as:
SIG-E-CAPS
Professional virtues include all the following EXCEPT Self-effacement Self interest Self-sacrifice Integrity
Self interest
What does SIG E CAPS stand for?
Sleep Interests Guilt Energy Concentration Appetite Psychomotor disturbances Suicidal ideations
You can do regular eye exam using the _____ chart.
Snellen
SELF-ASSESSMENT:
Summative (by engaging in periodic formal self assessments) Predictive (anticipating future needs) Concurrent (constant everyday self-monitoring)
Which of the following is the BEST approach to assessing the family genetic disorder of a patient? Talk to the patient Talk to the patient's parents Create a genetic trait diagram Investigate the illness of the patient's grandparents
Talk to the patient or create a genetic trait diagram
Which one of the following is considered a challenge to medical professionalism as discussed by Dr. Carter? Hospital and medical bylaws Insurance company requirements for patient care Telemedicine Covid patients
Telemedicine
The physician should always remember to whom they are primarily responsible:
The Patient
Family interviewing is most effective when it focuses on which one of the following? The patient's chief concerns only The chief concern of each person in the room during the interview The caregiver's chief concern only
The chief concern of each person in the room during the interview
Parental and physician "interference" during the pediatric interview occurs frequently. Which of the following is an example of this "interference"? The parent answers when the physician asks questions to the child The child answers the physician questions The physician asks the child their opinion The physician re-states what the child said for clarification
The parent answers when the physician asks questions to the child
During family interviewing, who is the MOST important person in the interview process? The person conveying the chief concerns The patient The caregiver The patient's partner or spouse
The patient
According to the "4 levels of good" of the patient as described by Dr. Pellegrino and David Thomasma. Which of the following is correct? The patient is good spiritually The patient has good insurance The patient has good family and friend support The patient has good income
The patient is good spiritually
As noted by Dr. Carter and J.J. Cohen, Acad Med 2007, the medical humanities use the medical literature to understand the connection between the spiritual and clinical aspects of a patient's illness. True or False?
True
Medical students have higher than average suicidal rate True or False?
True
The age of the patient when sexual issues are first discussed is younger in the urban setting than in the suburban setting. True/False?
True
At age 29, perform:
combined test with cytology and HPV testing
UI:
involuntary loss of urine
Normal vaginal discharge is made of: Typically clear, white oR light yellow in color
mucoid endocervical secretion and desquamated vagina wall epithelium and normal bacteria.
