Which of the follow ing injurie s in a 4-year-old child is most likely to be the result of physical abuse ?
(A) Cut chin
(B) Bilateral bruises on the knees
(C) Scraped forehead
(D) Cut elbow
(E) Ruptured spleen
An 18-year-old retarded woman with an IQ of 50 agrees to hav e sexual intercourse with the 18-year-old president of the high school senior class. Sexual intercourse between these two people is best
described as
(A) consensual sex
(B) statutory rape
(C) sodomy
(D) child abuse
(E) sexual abuse
In a hospital emergency room , a 43-year-old male patient shouts and then throw s his urine sample at the resident who is examining him . The first action the resident should take is to
(A) call hospital security
(B) ask an attending physician to take over the case
(C) demand that the patient stop shouting and throwing things
(D) say to the patient “I see you are upset, what can I do?”
(E) ask the patient why he is upset
(F) ignore the behavior and continue to examine the patient…
A 38-year-old salesman, who previously had a myocardial infarction, comes to the physician’s office for a routine visit. On seeing the physician, he angrily exclaims, “What is the matter with this place? I can never find a parking space around here and everyone is so disorganized! ” He then insists on making a phone call while the physician waits to examine him.The pe rsonality type that best describe s this patient is
(A) histrionic
(B) schizoid
(C) obsessive-compulsive
(D) passive-aggressive
(E) dependent
On the day he is to receive the results of a lung biopsy , a patient tells the phy sician that he feels fine .How ever, the physician notices that the patient is pale , sweaty , and shaky . Which of the follow ing is the most appropriate statement for the physician to make ?
(A) “T ell me again about the pain in your chest.”
(B) “How do you feel?”
(C) “You’ll be fine.”
(D) “You look frightened.”
(E) “How do you feel about being in the hospital?”
A le thargic, 19-m onth-old Me x ican Am e rican boy w ith a te m pe rature of 102° is brought to the e m e rge ncy room
by his mother. The physician finds that the child is dehydrated. When the child refuses to drink water, the doctor offers the child a Popsicle . When the child takes it, the mother becomes panicky and takes the Popsicle away .
She state s that in her culture , one neve r give s food to a child with a fever. What is the physician’s next step?
(A) Explain that the child needs rehydration and is more likely to eat a Popsicle than drink water.
(B) Follow the mother’s wishes and start an IV to replace fluids.
(C) Call in a consultant to convince the mother to allow the child to eat the Popsicle.
(D) Explain to the mother that you are a licensed physician and know what is best for the child.
(E) Explain to the mother that the child can die of dehydration.
(F) Elicit a suggestion from the mother about how to best get fluids into the child that fits in with her beliefs
A 35-year-old woman with a herniated disc has had back pain for the past 2 years. To help control her pain she takes an
opioid-based medication daily. Which of the follow ing is m ost like ly to be true about this patient?
(A) She is at high risk for drug addiction.
(B) Psychological therapies will not benefit her.
(C) Her expression of pain is related exclusively to the extent of her pain.
(D) She is at high risk for depression.
(E) She is receiving too much pain medication
A 30-year-old blind patient with a seeing-eye dog comes to a physician for the first time . When it is time for the
patient to go into the examining room the physician should most appropriately
(A) tell the patient that the dog will have to stay in the waiting room during the exam for reasons of sanitation
(B) take the patient by the arm and lead her into the examining room with the dog following
(C) ask a member of the office staff to care for the dog during the exam
(D) allow the patient to be led into the exam room by the dog
(E) make another appointment for the patient when she can come in without the dog
