Child presented to the ER with his first asthma exacerbation. He was placed on nebulized SABA and stabilized. The father is a smoker and when asked not to smoke at home he seemed uninterested. Which of the following is the best next step?
Anonymous Quiz
29%
Inform child protection services
8%
Ignore the father and focus on treating the child
63%
Counsel the father about the risks of smoking on his child
0%
File a hospital report
π17π€10β€9
A patient was recently diagnosed with lung disease. The physician explained the case to the patient including treatment options and answered his enquiries. What is this action referred as?
Anonymous Quiz
13%
Probing
39%
Breaking bad news
37%
Agenda setting
11%
Personalization
π21π’19π€13π€―8π1
A 7 year old sick child was brought to your clinic. He was found to be not compliant to medication you previously prescribed to him. Which of the following is the most appropriate action?
Anonymous Quiz
33%
Emphasize the importance of the medication to the parents
4%
Call child protection services
62%
Involve both the parents and the child in the medical plan
1%
Refer the case to the ethics committee
π€17π11π’3
Sarah, a 33 year old married teacher presented to your clinic with her husband asking for an appropriate contraceptive method. You recommend an IUD and offer it to the couple. Consent should be taken from:
Anonymous Quiz
39%
Sarah
1%
Sarahβs husband
59%
Sarah and her husband
0%
Sarahβs mother
π18π16π€15π4
A 36-year-old female patient underwent an appendectomy procedure. During the operation the surgeon discovered the appendix to be normal. After completion of the procedure what should the surgeon do?
Anonymous Quiz
8%
Inform the patient that the appendectomy succeeded without informing of findings
86%
Inform the patient of the findings and that there were no complications
5%
File a report of the findings to the supervising committee
1%
Refer the case after the operation to another physician
π10π5β€1
A pregnant smoker presented to the clinic for a routine antenatal check up. After advising her to quit smoking, she said she doesnβt believe smoking is harmful in pregnancy and will continue smoking. Which of the following is the best approach?
Anonymous Quiz
2%
Respect her beliefs and continue check up
3%
Refer her to the mental health services
85%
Counsel her about the risk of IUGR with smoking
10%
Counsel her about nicotine replacement therapy
π10β€2π’2
A 65-year-old man presented to the clinic complaining of an unusual lesion on his face which appeared 1 year ago. After further investigations the lesion was diagnosed as melanoma. The patient is known to be non-compliant, how would you ensure compliance?
Anonymous Quiz
21%
Explain the seriousness of the condition to the patient
2%
Ensure that patient understands that you are an excellent physician for this case
10%
Attempt to get the patientβs family involved so that the patient complies
68%
Communicate with the patient slowly, step by step and ensure patient understands you
π9π5π’3β‘1
A couple presented to the clinic complaining of trying to conceive for 3 years. After completing the fertility investigations, the wife was found to have blocked fallopian tubes. Regarding patient privacy, which of the following is the best approach?
Anonymous Quiz
75%
Inform the wife and husband
18%
Inform the wife only
0%
Inform the husband only
6%
Consult the ethics committee before informing the couple
π10π5β€2
A patient was scheduled for an abdominal examination at the clinic. The medical student examined the patient without closing the curtains and the patient became very upset. Which principle was violated in this case?
Anonymous Quiz
7%
Principle of dignity
2%
Principle of respect
87%
Principle of privacy
4%
Principle of confidentiality
π11π€5β€2
A 56-year-old smoker presented to your clinic for a regular physical examination. He claimed that he planned to quit smoking next year. Which state of change for smoking cessation is this?
Anonymous Quiz
28%
Precontemplation
41%
Contemplation
28%
Preparation
3%
Action
π30π21π€13β€5π2π₯°1
A 60-year-old female consulted the gynecologist about starting HRT. The doctor insisted that HRT will not help her postmenopausal symptoms at this stage however the patient insisted. Which of the following is the most appropriate action?
Anonymous Quiz
15%
Start her on HRT as per request of the patient
64%
Refuse to start her on HRT
21%
Refer the patient to another clinician
1%
Call security and get her out
π16β€2
A patient was admitted to the hospital with a diagnosis of Ebola. After a few hours, the patient wanted to leave to βjust buy a drink and come backβ you refused to let him out but he insisted. Which of the following is the most appropriate action?
Anonymous Quiz
77%
Call security
11%
Refer him to the infectious disease department
7%
Sign form of leave against medical advice
5%
Consult hospital administrators
π17β€2
The government did a health campaign to encourage the consumption of low fat products and a low salt intake in order to prevent hypertension and diabetes. Why type of prevention is this?
Anonymous Quiz
27%
Primordial prevention
70%
Primary prevention
2%
Secondary prevention
1%
Tertiary prevention
π24π€10π€―8β€4π2
A new health committee was founded in order to reduce the prevalence of diabetes in the country. Various plans and approaches were discussed. Which of the following is a form of secondary prevention of diabetes?
Anonymous Quiz
63%
Screening for cases
21%
Promote healthier lifestyle
12%
Immunization
4%
Implement a sugar tax
π19π€4β€1β‘1π³1
An abandoned baby was found at the hospital door with an abdominal defect. The pediatric surgeon recommended an urgent repair of the hernia. Which of the following is the best next step?
Anonymous Quiz
14%
Report the case to the police
8%
Call the social workers to take the baby
52%
Consult the ethics committee
26%
Proceed with the surgery
π14π’10π₯5π1
A 15-year old child was brought to the clinic by his parents with fever and neck stiffness. A lumbar puncture was ordered for the child. Consent for the investigation should be taken from:
Anonymous Quiz
82%
Both the parents and the patient
5%
The patient alone
12%
The parents alone
1%
Take that LP by force
π12π₯4β€3π1
A patient was scheduled for an operation and was told to stop warfarin. The nurse at the OR coincidentally learned that the patient is still taking warfarin and told the surgeon. The operation was postponed, which of the following is this referred as?
Anonymous Quiz
82%
A near miss
3%
An adverse event
3%
Medical negligence
11%
Poor communication
π18β€1
A researcher manipulated data in her research in order to produce more favorable results which comply with her hypothesis. What is this referred to as?
Anonymous Quiz
28%
Fabrication
2%
Deception
68%
Falsification
2%
Lying
π15β€2
A cohort study was carried out comparing the effects of green and black tea on heart disease. Over 10 years, the risk ratio of green tea was 0.85 compared with black tea. Which of the following is the correct interpretation?
Anonymous Quiz
15%
Black tea is better than green tea
78%
Green tea is better than black tea
5%
There is no difference
2%
The results happened by chance
π₯15π4π4β€2
A 25 year old female presented to the clinic worried about cervical cancer. She took her first dose of HPV vaccine 3 months ago. Which of the following is the most appropriate action?
Anonymous Quiz
11%
Schedule an appointment after 3 months
18%
Reassurance
68%
Administer the 2nd dose at this visit
2%
Re-administer the 1st dose at this visit
π32π’6π5β€2π1