medicine1mcu.doc

MCU-FDT MEDICAL FOUNDATION


COLLEGE OF MEDICINE

DEPARTMENT OF INTERNAL MEDICINE

DOCTOR-PATIENT RELATIONSHIPName: __________________________

Date: ______________

Quiz # 1 1st Semester

Dr. N. Collantes Learning to CommunicateMultiple Choice Questions (MCQ). Choose the best answer. Each item is worth 1 percent. Write your answer in the answer sheet.

1. What is the part of the getting ready for the interview that brings a deepening personal awareness to our work with patients and is one of the most rewarding aspects of providing patient care:

A. Reviewing the chart

C. Taking notes

B. Self-Reflection

D. Setting the goals of the interview

2. The term for simple repetition of the patients words which encourages the patient to express both factual details and feelings is:

A. Facilitation

C. Echoing

B. Empathic response

D. Validation

3. Which action during note taking when interviewing patients is appropriate?

A. Maintain eye contact on the writing pad

B. Jot down only short phrases or words

C. Use pencil

D. Complete the final format of the interview in front of the patient

4. The first in the sequence of the interview is:

A. Inviting the patients story

B. Planning

C. Creating a shared understanding of the problem

D. Greeting the patient and establishing rapport

5. The best example to start the interview is:

A. What is your problem?

C. Where is the pain?

B. How can I help you?

D. Are you alright?

II. Multiple True or False. Tell whether each letter in the responses is True or False in relation to the stem. Each letter is worth 0.25 %. Write the whole word True or False in the answer sheet provided.

6. Summarization gives the following indications:

A. That you have been listening carefully to the patient

B. It identifies what you know and still do not know about the patients history.

C. Shows empathy

D. It is a sign of reassurance

7. After greeting the patient, it is best to:

A. Introduce self and define role

B. Shake hands

C. Call children by their first name

D. Call adults by sweetheart or granny

8. Which appearance of the doctor can convey trust and improve relationship?

A. Clean nails

B. Tight and low waist pants

C. Blue highlights of the hair (hair dye)

D. Name tag

9. When there are other visitors inside the room, it is best to:

A. Maintain confidentiality

B. Greet all visitors and inquire about names and relationships with patientsC. Ask everybody to leave the room

D. Ask patients permission for the interview10. When expanding and clarifying the medical history of the patient, it is best to:

A. Use understandable language

B. Never use close ended type of questioning

C. Go back and forth from open ended to close ended questioning

D. Ask what then to establish chronology of eventsDr. Padilla - The Comprehensive Physical Examination

11. What is the most appropriate sequence of basic techniques when examining the

abdomen?

A. Inspection, Percussion, Palpation, Auscultation

B. Inspection, Auscultation, Percussion, Palpation

C. Palpation, Inspection, Auscultation, Percussion

D. Palpation, Percussion, Auscultation, Inspection

12. What basic technique of physical examination is involved when you perform the

General Survey?

A. Auscultation

C. Palpation

B. Inspection

D. Percussion

13. What basic technique of physical examination is obviously NOT performed on the

region of the head?

A. Auscultation

C. Palpation

B. Inspection

D. Percussion14. What part of the hand is the most appropriate to use when feeling for the

temperature of a body part?

A. Palms

C. Dorsum of the hand

B. Finger tips

D. Back of the fingers15. The finger tips are best used to palpate for:

A. Contour

C. Temperature

B. Symmetry

D. Texture16. The finger that is interposed between the area to be percussed and the finger

creating the vibrations is known as:

A. Hammer

C. Pleximeter

B. Immediate

D. Plexor

Match the following Percussion Notes to the Appropriate Body area where each is normally elicited.

__ B__ 17. Dull

A. Over the gastric air bubble

__ C__ 18. Flat

B. Over the liver

__ D__ 19. Renonant

C. Over the thigh

__ A__ 20. Tympanic

D. Over the normal expanded lung

Dr. Padilla The Medical History

21. Which of the following introductory materials in the health history is a judgment

made at the end of the interaction and not at the beginning?

A. Identifying data

C. Source of the history

B. Reliability

D. Source of referral

22. The main part of the medical history start with the patients:

A. Identifying data

C. Present illness

B. Chief complaints

D. Past history

23. Which part of the medical history will help you assess the patients risks of

developing certain diseases?

A. Present illness

C. Family history

B. Past history

D. Psychosocial history

Enumerate the 7 characteristics of a symptom that must be elicited:

24. Location

25. Quality

26. Quantity or severity

27. Timing

28. Setting in which it occur

29. Aggravating / Relieving factors

30. Associated manifestationsG O O D L U C K !


COLLEGE OF MEDICINE



Date: July 17, 2006

Prelims 1st Semester

Dr. N. Collantes Learning to CommunicateMultiple Choice Questions (MCQ). Choose the best answer. Each item is worth 1 percent. Write your answer in the answer sheet.

1. The best response to show empathy is to say:

A. I understand

C. Dont bother

B. Yes

D. You did it right

2. Which part of the interview indicates to the patient that you have been listening carefully?

A. Echoing

C. Facilitation

B. Summary

D. Exploring3. What is the part of the getting ready for the interview that brings a deepening personal awareness to our work with patients and is one of the most rewarding aspects of providing patient care:

A. Reviewing the chart

C. Taking notes

B. Self-Reflection

D. Setting the goals of the interview

4. The term for simple repetition of the patients words which encourages the patient to express both factual details and feelings is:

A. Facilitation

C. Echoing

B. Empathic response

D. Validation

5. Which action during note taking when interviewing patients is appropriate?

A. Maintain eye contact on the writing pad

B. Jot down only short phrases or words

C. Use pencil

D. Complete the final format of the interview in front of the patient

6. The first in the sequence of the interview is:

A. Inviting the patients story

B. Planning

C. Creating a shared understanding of the problem

D. Greeting the patient and establishing rapport

7. The best example to start the interview is:

A. What is your problem?

C. Where is the pain?

B. How can I help you?

D. Are you alright?

II. Multiple True or False. Tell whether each letter in the responses is True or False in relation to the stem. Each letter is worth 0.25 %. Write the whole word True or False in the answer sheet provided.

8. Which verbal cues allow patient to go tell their stories spontaneously?

T A. Go on

T B. I see

T C. Uh uh

F D. Make it quick9. Which non-verbal cues establish rapport?

F A. Look at the clock

F B. Yawn

T C. Lean forward with arms open

F D. Frown

10. The patient-centered interview explores the patients

T A. Perspective

T B. Point of view

T C. Perception

T D. Outlook

11. Which are examples of patient-centered interview?

T A. Why would you like a chest x ray done to you?

F B. You have postponed your check up for so long that your condition has worsened and you are dying

T C. What do you think caused your diarrhea?

T D. What do you feel when taking the antihypertensive drug that I prescribed?

12. Which non- verbal communications improve rapport?

T A. Match your position with that of the patient

F B. Closed arms

T C. Mirror the patients tone, volume, and pacing of language

T D. Placing of hands to patients arm

13. Which statements are true of communication skills?

T A. It is a series of learned skills

F B. Shy doctors will never learn to communicate well with patients

F C. Communication skills learned in medical school can easily be forgotten

F D. Different nationalities need different communication skills technique

14. Some of the options for clarifying the patients story are:

F A. Asking questions one after the other

F B. Directing questions from specific to general

T C. Offering multiple choices for answers

T D. Clarifying what the patient means

15. Doctors have to learn to communicate well because

T A. Most medico-legal cases are due to poor communication with patients.

F B. Good communication is equated to good monetary reward from your practice

T C. Communication improves rapport with patients

T D. Communication is the unit of medical time with patients16. Summarization gives the following indications:

T A. That you have been listening carefully to the patient

T B. It identifies what you know and still do not know about the patients history.

F C. Shows empathy

F D. It is a sign of reassurance

17. After greeting the patient, it is best to:

T A. Introduce self and define role

T B. Shake hands

T C. Call children by their first name

F D. Call adults by sweetheart or granny

18. Which appearance of the doctor can convey trust and improve relationship?

T A. Clean nails

F B. Tight and low waist pants

F C. Blue highlights of the hair (hair dye)

T D. Name tag

Dr. Padilla - The Comprehensive Physical Examination19. In doing percussion, the swing of the plexor is from the:

A. Elbow

C. Shoulder

B. Finger

D. Wrist

20. Which of the following physical examination findings can be elicited by both

Inspection and Palpation?

A. Consistency

C. Resonance

B. Events

D. Temperature

21. Which of the following habits should you develop when performing the physical

examination?

A. Constantly move and change your position during the examination

B. Do not talk to the patient through out the examination

C. Instruct the patient before you examine

D. Use each instrument at least five times

22. The measure of loudness of a sound heard during auscultation is known as:

A. Duration

C. Intensity

B. Frequency

D. Quality

23. Which of the following physical examination findings is included under Vital Signs?

A. Gait

C. Respiratory rate

B. Level of consciousness

D. State of Health

24. The Bell of the stethoscope is best used to listen for:

A. High-frequency sounds

C. Both high and low frequency sounds

B. Low-frequency sounds

D. None of the above

25. Which of the following physical examination findings on Inspection is hard to seen

under fluorescent light?

A. Cyanosis of the lips and fingersC. Erythema of the skin

B. Gross pallor

D. Subtle yellowing of the sclerae26. Soft, rubbery, stony-hard, flaccid are examples of descriptions that ascertain:

A. Consistency

C. Events

B. Dimensions

D. Texture

27. The ophthalmoscope is a special instrument that is used for:

A. Auscultation

C. Palpation

B. Inspection

D. Percussion

28. What is the most appropriate sequence of basic techniques when examining the

abdomen?

A. Inspection, Percussion, Palpation, Auscultation

B. Inspection, Auscultation, Percussion, Palpation

C. Palpation, Inspection, Auscultation, Percussion

D. Palpation, Percussion, Auscultation, Inspection

29. What basic technique of physical examination is involved when you perform the

General Survey?

A. Auscultation

C. Palpation

B. Inspection

D. Percussion

30. What basic technique of physical examination is obviously NOT performed on the

region of the head?

A. Auscultation

C. Palpation

B. Inspection

D. Percussion31. What part of the hand is the most appropriate to use when feeling for the

temperature of a body part?

A. Palms

C. Dorsum of the hand

B. Finger tips

D. Back of the fingers32. The finger tips are best used to palpate for:

A. Contour

C. Temperature

B. Symmetry

D. Texture33. The finger that is interposed between the area to be percussed and the finger

creating the vibrations is known as:

A. Hammer

C. Pleximeter

B. Immediate

D. Plexor

Dr. Padilla The Medical History 34. Problems that the patient has not mentioned can be identified and ferreted out in

the:

A. Past history

C. Family history

B. Current Health Status

D. Review of Systems35. What portion of the medical history is an outline or narrative description that

captures the importance and relevant information about the patient as a person?

A. Past history

C. Current Health Status

B. Family history


36. Mang Jose is a 50 year old male with a history of cigarette smoking since the age

of 20. He consumes 1 pack per day. How many pack year smoker is Mang Jose?

A. 10

C. 30

B. 20

D. 40

37. When conducting the medical interview, you should sit just outside the patients

private space. How many feet away from the patient is the private space?

A. 2

C. 4

B. 3

D. 6

38. What part of the medical history are information regarding childhood illnesses,

accidents, injuries, and operation included under?

A. Present illness


B. Past history


39. Which of the following statements regarding the uses of the medical record is

FALSE?

A. It is a log of patient care

B. It is a common record for everyones perusal

C. It is a medical-legal document

D. It is a research and education tool

40. Which part of the medical history would you inquire about the emotional and

psychological impact of an illness by asking how the patient has reacted to the

symptoms and about fears and concerns regarding their cause?

A. Present illness


B. Past History


41. Which of the following introductory materials in the health history is a judgment

made at the end of the interaction and not at the beginning?

A. Identifying data

C. Source of the history

B. Reliability

D. Source of referral

42. The main part of the medical history start with the patients:

A. Identifying data

C. Present illness

B. Chief complaints

D. Past history

43. Which part of the medical history will help you assess the patients risks of

developing certain diseases?

A. Present illness

C. Family history

B. Past history


44-50. Enumerate the 7 characteristics of a symptom that must be elicited:


COLLEGE OF MEDICINE



Date: August 14, 2006

Quiz # 2 1st Semester

Test I:

Choose the best answer.

1. Which part of the heart occupies mostly the anterior portion?

A. Right atrium

C. Right ventricle

B. Left ventricle

D. Left ventricle2. The point of maximal impulse is produced by:

A. Left atrial contraction

C. Aortic contraction

B. Left ventricular contraction

D. Left pulmonary vein3. The right heart border is formed by:

A. Right pulmonary artery

C. Right ventricle

B. Right atrium

D. Superior vena cava4. Which of the following carry unoxygenated blood?

A. Pulmonary artery

C. Aorta

B. Pulmonary vein

D. Brachial artery5. The systolic blood pressure corresponds to:

A. Left atrial contraction pressure

C. Left atrial pressure

B. Maximal left ventricular pressureD. Jugular venous pressure6. The aortic valve closes when:

A. The left ventricular pressure drops below aortic pressure

B. Blood flows from the left ventricle to the aorta

C. Left atrial pressure exceeds the left ventricular pressure

D. Right ventricular pressure exceeds left ventricular pressure7. S4 coincides with what cardiac event?

A. Ventricular contraction

C. Closure of the atrio-ventricular valves

B. Closure of the semi-lunar valves D. Atrial contraction8. In a normal young individual, split S2 can be accentuated by:

A. Valsalva maneuver

C. Inspiration

B. Squatting

D. Left lateral decubitus position9. Murmurs of the mitral valve can be best heard in the:

A. 4th Left sternal border

C. Apex only

B. 2nd Right sternal border

D. Apex to base10. Propagation of the electrical impulse in the myocardium is delayed in which of the following?

A. SA node

C. Bundle of His

B. AV node

D. Left bundle branch

11. The QRS complex of an ECG tracing corresponds to:

A. Atrial depolarization

C. Atrial repolarization

B. Ventricular depolarization

D. Ventricular repolarization12. The volume of blood ejected from each ventricle for every 1 minute is called:

A. Stroke volume

C. Cardiac output

B. Ejection volume

D. Afterload13. The brief period where the Korotkoff sounds disappear while releasing the cuff during blood pressure taking corresponds to:

A. Systole

C. Pulse pressure

B. Diastole

D. Auscultatory gap14. Which of the following does not describe chest pain of angina pectoris?

A. Pain is described as squeezing or heaviness on the chest

B. It is related to physical exertion

C. It radiates to the left side of the neck and to the left arm

D. The pain is described as sharp and radiates to the back or to the neck15. The pulses of atrial fibrillation is described as:

A. Transient skips and flip flops

B. Rapid regular beating of sudden onset and offset

C. Irregularly irregular

D. Rapid regular rate of 120 bpm starting and stopping gradually16. A sudden episode of dyspnea that awakens a patient from sleep is called:

A. Orthopnea

C. Platypnea

B. Paroxysmal nocturnal dyspneaD. Hyperventilation17. Which of the following is a characteristic of the JVP that is associated with obstructive lung disease?

A. JVP is elevated at inspiration and collapses at expiration

B. JVP collapses in squatting position

C. JVP is elevated at expiration and collapses at inspiration

D. JVP becomes elevated during Valsalva maneuver18. Decreased amplitude of the carotid pulse is due to:

A. Atherosclerotic narrowing of the carotids

B. Enlarged thyroid gland

C. Prominent sternocleidomastoid muscle

D. Recumbent position19. Pulsus alternanns is described as:

A. Small thready pulse

C. Drop in BP >10mmHg during inspiration

B. Bounding pulse

D. Bigeminal pulsed

20. The best positions for examination of the heart includes all of the following EXCEPT:

A. Supine

C. Leaning forward

B. Left lateral decubitus

D. Right lateral decubitus21. The normal location of the PMI is:

A. Left 5th interspace along the parasternal line

B. Left 5th interspace along the anterior axillary line

C. Left 5th interspace along the midclavicular line

D. Left 5th interspace along the midaxillary line22. A carotid bruit with or without as thrill in a middle-age or older indicates:

A. Aortic murmur

C. Kinking of the carotid artery

B. Narrowing of the carotid artery D. Complete obstruction of the carotid Artery23. Lateral displacement of the PMI can be seen in the following conditions, EXCEPT:

A. Left ventricular hypertrophy

C. Cardiomyopathy

B. Pregnancy

D. Ischemic heart disease24. The P2 is best heard in which area?

A. Right second interspace parasternal line

B. Left second insterspace parasternal line

C. Left 4th interspace parasternal line

D. Left interspace 5th midaxillary line

25. A loud murmur that is accompanied by a thrill is grade:

A. III

C. V

B. IV

D. VI

For Nos. 26 to 30.

Multiple TRUE or FALSE. Write the letter T if the statement in the lettered items is true and F if the statement is false.

26. Events during diastole:

A. Ventricular pressure drops below 5mmHgB. Blood flows from the vena cava to the atriumC. Blood flows from the atrium to the ventricles

D. During late diastole, ventricular pressure rises slightly due to atrial contraction27. Factors that increase arterial pressure:

A. Distensibility of the aorta and the large arteries

B. Peripheral vascular resistance

C. Right ventricular stroke volume

D. Volume of blood in the arterial system28. The a wave of the jugular pulsation

A. Occurs right before S2B. Is accentuated by tricuspid stenosisC. Occurs during diastoleD. Disappears in atrial fibrillatios

29. Characteristics of Carotid Pulses include:

A. Rarely palpable

B. A more vigorous thrust with single outward component

C. Pulsations are not eliminated by pressure

D. Level of pulsations unchanged by position30. Factors that increase preload

A. Inspiration

B. Exercise

C. Dilated right ventricular heart failure

D. Exhalation

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