Time limit: 0
Quiz Summary
0 of 4 Questions completed
Questions:
Information
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading…
You must sign in or sign up to start the quiz.
You must first complete the following:
Results
Quiz complete. Results are being recorded.
Results
0 of 4 Questions answered correctly
Your time:
Time has elapsed
You have reached 0 of 0 point(s), (0)
Earned Point(s): 0 of 0, (0)
0 Essay(s) Pending (Possible Point(s): 0)
Categories
- Not categorized 0%
- 1
- 2
- 3
- 4
- Current
- Review
- Answered
- Correct
- Incorrect
-
Question 1 of 4
1. Question
A 78-year-old woman is brought to the emergency department by her family after they noticed her bumping into objects and talking nonsensically. Evaluation found fluent speech but with frequent word substitutions and neologisms and a visual field deficit predominantly affecting the right upper field. Brain imaging revealed an acute infarction in the territory of the inferior division of the left middle cerebral artery. The patient was admitted to the hospital for further evaluation and treatment. Her extended family is quite large and very involved in her care. Several relatives are constantly at the bedside. Family members often approach the physician and nurses to ask questions or make requests, and it is difficult for family members to restrict their time to the hospital’s visitation hours. Although the patient’s son is the legal surrogate decision-maker, the family prefers to arrive at all decisions by consensus. Which of the following is the most effective approach to ensuring appropriate communication with the patient’s family?
CorrectIncorrect -
Question 2 of 4
2. Question
A 65-year-old man is brought to the emergency department by his neighbor after fainting in his garden. The neighbor says, “We were discussing how to manage weed overgrowth this season, and suddenly he started slurring his words, began drooling, and fell to the ground.” The patient cannot remember what happened, reports that he feels fine, and says, “It was probably just the heat.” Medical history is significant for hypercholesterolemia, hypertension, gout, and major depressive disorder. Medications include simvastatin, lisinopril-hydrochlorothiazide, escitalopram, and allopurinol. The patient lives with his daughter, who is his next of kin. The patient is mildly depressed and nonsuicidal. Blood pressure is 124/72 mm Hg and heart rate is 78/min. Neurological examination shows no localizing signs, and the remainder of the examination is normal. The physician leaves to order a full blood panel and ECG. On return to the patient’s room, the physician finds him standing next to his bed, fully dressed and ready to leave. The patient says, “I know you want to do tests but I am really fine and just want to get home.” The physician explains that cardiovascular events such as a heart attack or stroke need to be ruled out. The patient still refuses and says, “I understand your concerns and the risks involved, but I really think it was just the heat. I will feel better at home.” Which of the following is the most appropriate next step in management of this patient?
CorrectIncorrect -
Question 3 of 4
3. Question
The director of a busy primary care clinic purchases a patient communication module for the clinic’s electronic medical record system. The new module is designed to improve patient convenience by allowing patients to send messages to the clinic’s physicians. Both patient messages and physician responses are archived in the electronic medical record. The clinic’s physicians are concerned the new module might increase the risk of malpractice lawsuits. Which of the following policies is most likely to minimize malpractice liability associated with the new communication module?
CorrectIncorrect -
Question 4 of 4
4. Question
A 48-year-old man comes to the office for evaluation of generalized weakness. The patient reports decreased appetite, occasional abdominal cramping, and a weight loss of more than 10 kg (22 lb) in the past 6 months. He has multiple sexual partners and does not use condoms. The patient has no known medical conditions and takes no medications. The possibility of HIV infection is discussed, and testing, along with basic laboratory studies and evaluation for other sexually transmitted infections, is recommended. The patient expresses understanding that he is at high risk for HIV infection but is “not ready” to get tested. He agrees to all other laboratory studies. Which of the following is the most appropriate course of action?
CorrectIncorrect