PRACTICE 1

Question 1

A child exhibits anxiety after parental separation. This reflects what kind of stress?
A. Developmental stress
B. Occupational stress
C. Chronic stress
D. Traumatic stress

Question 2

In the biopsychosocial model, how should a physician respond to a patient reporting stress due to caregiving duties?
A. Refer for surgery
B. Explore emotional burden and offer resources
C. Increase the dose of medication immediately
D. Dismiss concerns as non-medical

Question 3

A family experiences conflicting values between generations. What kind of challenge is this?
A. Intergenerational conflict
B. Gender role conflict
C. Chronic illness burden
D. Economic stress

Question 4

Parents of a 16-year-old boy face frequent arguments about his curfew and social media use. What issue characterizes this stage?
A. Managing increasing independence of adolescents
B. Establishing new couple identity
C. Preparing for parenthood
D. Coping with empty nest syndrome

Question 5

An ecomap shows a patient’s family with arrows pointing away from the health center. This indicates:
A. High dependence
B. Stressful or distant relationship
C. Religious conflict
D. Economic hardship

Question 6

A 70-year-old widow feels isolated after her husband’s death and is unsure how to stay socially connected. What issue does this best describe?
A. Reintegrating a returning adult child
B. Managing work-life boundaries
C. Adapting to loss and maintaining social integration
D. Balancing couple and parenting roles

Question 7

What is the basic unit of society?
A. Peer group
B. School
C. Community
D. Family

Question 8

What theory explains how family members’ roles are interdependent?
A. Psychoanalytic theory
B. Maslow’s theory
C. Behaviorist theory
D. Systems theory

Question 9

When grandparents take over parenting due to migration of the parents, what is the family structure called?
A. Blended family
B. Matrifocal family
C. Skipped-generation family
D. Extended family

Question 10

A community doctor encourages family meetings for palliative patients. This supports:
A. Forced compliance
B. Cost reduction
C. Holistic family care
D. Limited disclosure

Question 11

A teenage pregnancy in the household causes tension among family members. This situation illustrates:
A. Socioeconomic advancement
B. Role fulfillment
C. Family resilience
D. Role strain

Question 12

In family systems theory, what term refers to emotional separation of family members?
A. Displacement
B. Fusion
C. Differentiation
D. Triangulation

Question 13

A teenage patient’s family has difficulty discussing emotions openly. In the Family APGAR tool, which component is likely to score low?
A. Growth
B. Adaptability
C. Partnership
D. Resolve

Question 14

An adolescent stops school due to early pregnancy and lack of support. Which social determinant of health is most relevant?
A. Environment
B. Access to care
C. Health system bias
D. Education

Question 15

When assessing educational attainment and health literacy in a family, which SCREE M component is being evaluated?
A. Economic
B. Religious
C. Educational
D. Social

Question 16

A father must choose between buying medicine and paying rent. Which social determinant of health does this situation reflect?
A. Economic instability
B. Social cohesion
C. Environmental hazard
D. Health behavior

Question 17

A newly married couple frequently argues about their spending habits and household responsibilities. What is the primary issue faced in their current life cycle stage?
A. Negotiating roles and expectations within the new marital system
B. Managing parenting conflicts
C. Adjusting to aging and retirement
D. Dealing with teenage rebellion

Question 18

During home visits, a physician notes that families skip medical follow-ups due to costly transportation. This reflects a problem in:
A. Health literacy
B. Personal behavior
C. Access to services
D. Cultural competency

Question 19

In a biopsychosocial assessment, which of the following would be part of the psychological domain?
A. Sputum analysis
B. Household income
C. Coping mechanisms
D. Family size

Question 20

A family cannot afford fruits or vegetables due to low income. Which determinant is most directly affected?
A. Education
B. Social support
C. Neighborhood safety
D. Economic stability

Question 21

A newly married couple with no children is focused on establishing their home and roles. Which stage of the family life cycle are they in?
A. The unattached young adult
B. Families with adolescents
C. The new couple
D. Families with young children

Question 22

A patient feels emotionally disconnected from her mother and does not receive support. Which genogram symbol is most appropriate?
A. Circle
B. Triangle
C. Dotted line or broken line
D. X

Question 23

A family insists on hospitalizing an elderly relative despite DNR orders. What is the issue?
A. Family size
B. Cultural competence
C. Family autonomy vs. patient rights
D. Economic burden

Question 24

A family has no health insurance and avoids routine check-ups. This reflects a barrier in:
A. Access to health care
B. Neighborhood safety
C. Employment
D. Education

Question 25

A factory closure causes layoffs, leading to food insecurity in nearby homes. Which social determinant of health is impacted? A. Environmental exposure B. Education access C. Economic stability D. Health care quality

Question 26

A couple with two young children finds it difficult to balance their work obligations and family time. Which issue is most relevant in this stage? A. Balancing parenting and maintaining the marital relationship B. Rediscovering individual identity after retirement C. Establishing peer intimacy D. Letting go of children and refocusing on couple’s life

Question 27

The goal of secondary prevention is best aligned with which stage of disease? A. Susceptibility stage B. Recovery stage C. Pre-symptomatic (subclinical) stage D. Clinical stage

Question 28

In the SCREEM tool, which domain is being assessed if a family’s access to a community health worker is evaluated? A. Educational B. Social C. Economic D. Religious

Question 29

Which family function is disrupted if parents are unable to provide basic needs? A. Affective function B. Recreational function C. Reproductive function D. Economic function

Question 30

In a genogram, a double line connecting two family members typically indicates: A. A close emotional relationship B. Distance C. Divorce D. Conflict

Question 31

A community center offers free classes on nutrition and parenting. This best supports improvement in: A. Built environment B. Economic opportunity C. Medical treatment D. Health literacy

Question 32

In the natural history of tuberculosis, which of the following reflects the stage of clinical disease? A. Completing 6 months of anti-TB treatment B. Latent TB infection with normal chest X-ray C. Coughing, weight loss, and positive sputum results D. Living in a crowded area with exposure to TB

Question 33

A 65-year-old woman lives alone after her husband passed away and her children have moved out. She is active in community volunteer work. Which family life cycle stage does this illustrate? A. Families in later life B. Launching children and moving on C. Families with adolescents D. The new couple

Question 34

A 65-year-old diabetic patient reports his daughter handles all appointments, medications, and diet planning. This scenario is best explored using which tool? A. APGAR B. Ecomap C. Genogram D. SCREEM

Question 35

Which family function relates to teaching values and norms? A. Protection B. Reproduction C. Socialization D. Economic support

Question 36

What is the first stage in the natural history of disease? A. Stage of susceptibility B. Stage of clinical disease C. Stage of pre-symptomatic disease D. Stage of disability

Question 37

You are assessing a family where the father is unable to work due to illness, and the mother is struggling to support the family financially. Which SCREEM domain is affected? A. Medical B. Economic C. Cultural D. Educational

Question 38

Which of the following is a characteristic of a functional family? A. Role confusion B. Authoritarianism C. Emotional neglect D. Open communication

Question 39

A barangay council prioritizes crime prevention to reduce injuries. What social determinant of health are they addressing? A. Cultural diversity B. Neighborhood safety C. Medical bias D. Educational inequality

Question 40

Which family structure may pose challenges in identifying a health decision-maker? A. Nuclear family B. Extended family C. Childless family D. Single-parent family

Question 41

A stroke patient receiving physical therapy to regain motor function is in which stage of the natural history of disease? A. Stage of susceptibility B. Preclinical stage C. Incubation period D. Stage of disability

Question 42

A 21-year-old man is working his first job, living independently from his parents, and dating. What stage of the family life cycle is he experiencing? A. The new couple B. Launching children and moving on C. Families with young children D. The unattached young adult

Question 43

Which scenario best demonstrates application of the biopsychosocial approach in family medicine? A. Exploring how unemployment affects a patient’s hypertension B. Ignoring lifestyle during consultation C. Referring the patient to surgery without further questions D. Adjusting the patient’s medication only

Question 44

A school-based feeding program improves student attendance and health. What social determinant of health does this address? A. Employment B. Education C. Physical environment D. Healthcare access

Question 45

A physician advises a mother to include her husband in caregiving. What role is being promoted? A. Authoritative parenting B. Paternal avoidance C. Shared responsibility D. Maternal gatekeeping

Question 46

A genogram helps the physician determine: A. Health conditions that run in the family B. Community health beliefs C. Family income sources D. Availability of nearby hospitals

Question 47

Parents treating a sick child with herbs before seeking care reflect what dynamic? A. Financial constraint B. Formal support system C. Emotional detachment D. Health beliefs and cultural practice

Question 48

During a home visit, the physician notes that a family lives near a church where they regularly seek support. This is best captured by which SCREEM component? A. Social B. Economic C. Religious D. Cultural

Question 49

Which stage of the family life cycle involves launching children? A. Families with adolescents B. Retirement stage C. Beginning families D. Families with young children

Question 50

A family insists on herbal remedies but accepts antibiotics after education. What approach was effective? A. Culturally sensitive counseling B. Punitive approach C. Refusal of care D. Physician authority

Question 51

A physician draws a diagram showing a 3-generation family tree to understand hereditary patterns and emotional ties. Which tool is being used? A. SCREEM B. Family APGAR C. Genogram D. Ecomap

Question 52

A child presenting with asthma symptoms worsened by parental conflict exemplifies which component of the biopsychosocial model? A. Social B. Environmental C. Nutritional D. Biological

Question 53

A family expresses satisfaction with how they resolve conflicts together. In the Family APGAR, which domain does this reflect? A. Adaptability B. Affection C. Resolve D. Growth

Question 54

A barangay is situated near a river prone to flooding and contamination. What social determinant of health is most relevant? A. Economic stability B. Neighborhood and physical environment C. Access to education D. Social support networks

Question 55

A physician addressing a diabetic patient's dietary habits and family meal patterns is applying which approach? A. Pharmacologic B. Biopsychosocial C. Genetic D. Reductionist

Question 56

Which type of family has members from previous marriages? A. Blended family B. Extended family C. Nuclear family D. Childless family

Question 57

Which of the following is a structural determinant of health inequity? A. Medical treatment choice B. Dietary preference C. Medication compliance D. Income inequality

Question 58

A vaccination program is best categorized under which type of prevention? A. Secondary prevention B. Tertiary prevention C. Rehabilitation D. Primary prevention

Question 59

A family lives in a slum area with no potable water or toilets. Which social determinant of health is most implicated? A. Physical environment B. Cultural beliefs C. Employment D. Social structure

Question 60

What is the term for a family's ability to bounce back from stress? A. Resilience B. Homeostasis C. Dependency D. Dysfunction

Question 61

A family demonstrates flexibility in adapting to a parent's job loss by reassigning roles and responsibilities. This reflects which Family APGAR domain? A. Affection B. Resolve C. Adaptability D. Growth

Question 62

What is the role of the family in the biopsychosocial model? A. The family is responsible only for emotional care B. The family role is only economic C. The family is considered irrelevant in acute care D. The family is a key unit influencing health behavior and support

Question 63

A 30-year-old couple with a 2-year-old child seeks advice on parenting and managing family roles. Which stage of the family life cycle are they most likely in? A. Families in later life B. The unattached young adult C. Families with young children D. Launching children and moving on

Question 64

A mother lacks understanding of how to administer antibiotics. Which determinant is involved? A. Health literacy B. Environment C. Transportation D. Employment

Question 65

A 26-year-old man recently moved out of his parents' house and is struggling with loneliness and difficulty forming close relationships. Which challenge best represents this stage of the family life cycle? A. Adjusting to role of grandparent B. Balancing career and parenthood C. Coping with loss of a spouse D. Establishing independence and intimate relationships

Question 66

Which Filipino family value emphasizes debt of gratitude? A. Bayanihan B. Hiya C. Pakikisama D. Utang na loob

Question 67

A depressed patient improves significantly after regular family counseling. This is an example of which principle? A. Family therapy is only for behavioral issues B. Social factors affect psychological well-being C. Medications alone are sufficient D. Depression has no social basis

Question 68

A family where members encourage each other's career or personal development would score high in which APGAR domain? A. Partnership B. Resolve C. Affection D. Growth

Question 69

Which of the following is most consistent with the biopsychosocial model of patient-centered care? A. Assessing the patient's health beliefs and support systems B. Avoiding discussion of family roles C. Ignoring cultural practices D. Focusing only on clinical diagnosis

Question 70

A 45-year-old man and his 43-year-old wife are preparing for their eldest child's departure for college. What phase of the family life cycle does this describe? A. Families with adolescents B. The unattached young adult C. Launching children and moving on D. Families with young children

Question 71

A family reports strong ties with neighbors who help during emergencies. This reflects which social determinant of health? A. Employment B. Environmental safety C. Health services D. Social and community context

Question 72

A family constantly relies on an elderly grandparent for all decisions. The ecomap would most likely show: A. An over-functioning internal family system B. A lack of external support C. A highly mobile family D. A clear family hierarchy

Question 73

Which of the following best describes the biopsychosocial approach to patient care? A. It limits care to physical symptoms B. It emphasizes only psychological interventions C. It considers biological, psychological, and social factors in health and illness D. It is focused solely on family genetics

Question 74

How does the biopsychosocial model differ from the biomedical model? A. It requires only pharmacologic treatment B. It focuses more on lab results C. It is based on pathophysiology only D. It incorporates social and emotional contexts of illness

Question 75

A patient's health worsens due to family neglect. This indicates what type of influence? A. Positive reinforcement B. Negative social determinant C. Primary prevention D. Genetic predisposition

Question 76

A family avoids discussing their son's addiction problem. What pattern is this? A. Functional communication B. Enmeshment C. Denial and avoidance D. Open dialogue

Question 77

Which family structure consists of two generations living together? A. Nuclear family B. Single-parent family C. Blended family D. Extended family

Question 78

A family's collaborative participation in a diabetic patient's care shows: A. Systemic dysfunction B. Role confusion C. Health-promoting behavior D. Passive dependence

Question 79

During a home visit, a health worker sees signs of neglect in children. What should be the next step? A. Ignore the signs B. Confront the children C. Call the parents out publicly D. Report to social services

Question 80

A single mother can't find child care, limiting her job options. Which social determinant is involved? A. Literacy level B. Employment conditions C. Built environment D. Health system