Assessment and management of individual patient

Question 1

“C” in SCOAP stands for:

A. Culture
B. Congruence
C. Context
D. Coalition

Answer 1

C

Question 2

Which of the following accounts for the biopsychosocial perspective?

A. Family and community interventions are the most effective
B. Illnesses are developed from the patient’s misperceptions
C. Doctor-patient relationship is a priority
D. Assessment includes biological, psychological, and social perspectives

Answer 2

D

Question 3

What is the catharsis part of CEA?

A. Vent out during history taking
B. Correct patient misperception
C. Start of counseling and education
D. AOTA

Answer 3

A

Question 4

70 year old matriarch bone mass index of 16, menopause for 15 years

A. Biological
B. Psychological
C. Social

Answer 4

A

Question 5

Denial

A. Biological
B. Psychological
C. Social

Answer 5

B

Question 6

Family conflict

A. Biological
B. Psychological
C. Social

Answer 6

C

Question 7

Stress

A. Biological
B. Psychological
C. Social

Answer 7

B

Question 8

Lead

A. Biological
B. Psychological
C. Social

Answer 8

A

Question 9

Sanitation

A. Biological
B. Psychological
C. Social

Answer 9

C

Question 10

Type A personality

A. Biological
B. Psychological
C. Social

Answer 10

B

Question 11

Genetics

A. Biological
B. Psychological
C. Social

Answer 11

A

Question 12

ABO incompatibility

A. Biological
B. Psychological
C. Social

Answer 12

A

Question 13

Coping mechanisms

A. Biological
B. Psychological
C. Social

Answer 13

C

Question 14

Which of the ff. could a patient lose due to an illness?

A. Activities
B. Self-esteem
C. Sense of invincibility
D. AOTA

Answer 14

D

Question 15

SCREEM stands for?

Answer 15

S and C- Socio-cultural
R- Religious
E- Economic
E- Educational
M- Medical

Question 16

Inspection of genogram yields the ff data

A. life cycle stage
B. possible trauma
C. possible family role
D. AOTA

Answer 16

D

Question 17

Ischemia

A. Cell
B. Tissue
C. Organ
D. Person
E. Family

Answer 17

B

Question 18

Anxiety

A. Cell
B. Tissue
C. Organ
D. Person
E. Family

Answer 18

D

Question 19

Weight loss

A. Cell
B. Tissue
C. Organ
D. Person
E. Family

Answer 19

D

Question 20

Adjustment of role of parents

A. Cell
B. Tissue
C. Organ
D. Person
E. Family

Answer 20

E

Question 21

Cavitation lesions

A. Cell
B. Tissue
C. Organ
D. Person
E. Family

Answer 21

C

Question 22

Which of the following statements is FALSE?

A. Some may view stress as a “normal” experience and even acknowledge as a cause of their symptoms.
B. In some cases, there is stigma associated with stress-related symptoms
C. Poor self-esteem is not likely to be a predisposing factor of stress.
D. A “normalizing” approach can facilitate the patient’s report of life circumstances.

Answer 22

C

Question 23

Evaluating a patient in whom chronic stress is suspected to be a contributing factor should include the following EXCEPT:

A. Asking about personality-related factors
B. Identifying stressful life circumstances
C. Minimizing patient’s experience of symptoms
D. Determining the patient’s coping resources and skills

Answer 23

C

Question 24

When Mang Rucel was hospitalized for an operation, he started to become irritable and lashed out on all the health professionals with whom he came in contact. What is the best way to handle Mang Rucel?

A. Argue with him and show him who the boss is
B. Refer him to your consultant
C. Allow him to vent out his emotions as he may be experiencing much stress
D. Ignore him and avoid his room even during rounds

Answer 24

C

Question 25

Mr. Andrew Bonifacio, a 46-year old married man recently developed low-back pain after his company laid off some employees at work about two weeks. After performing a thorough examination and necessary laboratory work-up, the attending physician is unable to find any medical explanation for his complaint. What should he tell the patient? A. “It seems that your low-back pain is all in your head.” B. “Let’s perform more tests in order to get to the bottom of this.” C. “There is nothing wrong with you.” D. “Stress can make us more aware of bodily sensations and can produce negative changes in our health.”

Answer 25

D

Question 26

A 44-year old single mother came in consult for sudden onset of epigastric pain. Past history reveals that for the past years she has had episode of vague abdominal discomfort, headaches and various joint pains that spontaneously resolved over time. The physician should: A. Ask about circumstances in her life prior to and surrounding onset of her symptoms. B. Avoid eliciting information about her social history as this can be stressful to the patient. C. Limit physical examination to the gastrointestinal organ system only. D. Order an MRI to rule out an organic cause for headaches.

Answer 26

A

Question 27

Whenever Aling Zenaida is faced by Dr. Hababag, she calms down and becomes amiable. She was often heard saying that the good doctor reminded her of her son who is now working abroad. When other doctors and nurses attend to her, Aling Zenaida tended to be irritable even nasty. This may illustrate the following principle: A. personality factors that influence defenses B. the dynamism of defenses C. mood swings D. transference-countertransference issues

Answer 27

A

Question 28

Mr. Andrew Bonifacio, a 46-year old married man recently developed low-back pain after his company laid off some employees at work about two weeks. After performing a thorough examination and necessary laboratory work-up, the attending physician is unable to find any medical explanation for his complaint. He should tell the patient: A. “It seems that your low-back pain is all in your head.” B. “Let’s perform more tests in order to get to the bottom of this.” C. “There is nothing wrong with you.” D. “Stress can make us more aware of bodily sensations and can produce negative changes in our health.”

Answer 28

D

Question 29

The biospsychosocial model: A. States of health and illness are caused by a combination of biological, psychological and social factors. B. Applies the systems approach C. Believes that nature is made up of independent units that interact only at one level D. A, B and C are true E. Only A and B are true

Answer 29

E

Question 30

The biopsychosocial model: A. Every unit is a whole and a part at the same time. B. An individual is the highest form of organism but is the lowest from of social being. C. Every system acts/interacts with its environment D. A, B and C are true E. Only A and B are true

Answer 30

D

Question 31

The BPS model of health and disease: A. The state of illness is a dynamic state B. Illness is caused by interaction of several factors C. The person is best understood as composed of separate entities: body and mind D. A, B and C are true E. Only A and B are true

Answer 31

E

Question 32

The BPS Model in mental health and illness: A. Human personality is formed by the interaction of biological factors with the environment and social factors. B. Human personality is solely biologically determined C. Psychopathology originates from the psychological aspects of a person’s behavior D. A, B and C are true E. Only A and B are true

Answer 32

A

Question 33

Clinical implications of the BPS model of mental health and illness. A. Stress always come directly from within an individual B. To bring about change in a person’s behavior, one must address combination of biological, psychological and social factors C. All clinical interventions must be patient centered D. A, B and C are true E. Only A and B are true

Answer 33

B

Question 34

Among the biological, psychological and social factors that cause mental illness ``` A. Biological factors are the most basic B. Psychosocial factors have priority C. The person’s psychosocial needs should be addressed first D. A, B and C are true E. Only A and B are true ```

Answer 34

A

Question 35

The theoretical premises of the BPS model have evolved into the following clinical hypothesis A. The patient’s problems may be caused by multiple etiologies B. A patient may be predisposed to developing mental illness by a combination of biological, psychological and social factors C. The multimodal approach to interventions is preferred to a single treatment modality D. A, B and C are true E. Only A and B are true

Answer 35

D

Question 36

The BPS model is illustrated in depression: A. The risk factors are a combination of BPS factors. B. Management is purely psychotherapy C. A and B are true

Answer 36

A

Question 37

The BPS model of depression: A. Management is a combination of pharmacotherapy and cognitive-behavioral therapy B. Educating the family about the causes of depression is important C. Social factors like family dysfunction are not critical in the causation D. Only A and B are true

Answer 37

D

Question 38

The BPS model of psychopathology: ``` A. Applies to schizophrenia B. Applies to depression C. Applies to personality disorders D. A, B and C are true E. Only A and B are true ```

Answer 38

D