CDM ReviewPresented by Ethics Club

DISCLAIMER

• The following questions and review may in no way reflect the actual CDM written exam

• Ethics Club is not responsible for any incorrect information presented in this review

• Ethics Club shall not be responsible if this review does not help you on the exam

Question 1:Asking your patient, “can you tell me about your chest pain?” is an example of:

a) a focused questionb) validatingc) an open-ended questiond) a closed question

Question 1:Asking your patient, “can you tell me about your chest pain?” is an example of:a) a focused question- asks about a particular

subjectb) validating- communicates acceptance of the

patient’s emotional responsec) an open-ended questiond) a closed question- range of possible answers

is restricted

Question 2:Disease differs from illness in that:

a) illness is acute, while disease is chronicb) disease is chronic, while illness is acutec) illness is the physician’s way of explaining the

patient’s problems using organs and systems, whereas disease is the patient’s personal experience of ill health

d) disease is the physician’s way of explaining the patient’s problems using organs and systems, whereas illness is the patient’s personal experience of ill health

Question 2:Disease differs from illness in that:

a) illness is acute, while disease is chronicb) disease is chronic, while illness is acutec) illness is the physician’s way of explaining the

patient’s problems using organs and systems, whereas disease is the patient’s personal experience of ill health

d) disease is the physician’s way of explaining the patient’s problems using organs and systems, whereas illness is the patient’s personal experience of ill health

Question 3:When obtaining the HPI, what question do each of the letters in the mnemonic FAR COLDER ask?

F-A-R-C-O-L-D-E-R-

Question 3:When obtaining the HPI, what question do each of the letters in the mnemonic FAR COLDER ask?

F- FrequencyA- Associated SymptomsR- RadiationC- CharacterO- OnsetL- LocationD- DurationE- Exacerbating FactorsR- Remitting Factors

Question 4:The CAGE questions are used in which special interviewing topic?

a) interpersonal violenceb) alcohol abusec) depressiond) tobacco abuse

Question 4:The CAGE questions are used in which special interviewing topic?a) interpersonal violenceb) alcohol abuse

C = cut downA = annoyedG = guiltyE = eye opener

c) depressiond) tobacco abuse

Question 5:Which of the following would NOT make a patient feel vulnerable?

a) unfamiliar surroundings b) dependence of the physicianc) being a minorityd) all of the above can make a patient feel

vulnerable

Question 5:Which of the following would NOT make a patient feel vulnerable?

a) unfamiliar surroundings b) dependence of the physicianc) being a minorityd) all of the above can make a patient feel

vulnerable

Question 6:What is the name of the law that prohibits group health insurance plans and issuers of coverage from basing eligibility or adjusting premiums on the basis of genetic information?

a) Nondiscrimination Information Actb) Genetic Nondiscrimination Actc) Discrimination Prevention Actd) Don’t Ask, Don’t Tell

Question 6:What is the name of the law that prohibits group health insurance plans and issuers of coverage from basing eligibility or adjusting premiums on the basis of genetic information?

a) Nondiscrimination Information Actb) Genetic Nondiscrimination Actc) Discrimination Prevention Actd) Don’t Ask, Don’t Tell

Question 7:Cultural competence:

a) moves us toward ethnocentricityb) occurs naturally in all first year med studentsc) is the passive application of awareness and

knowledge used to support recoveryd) requires extensive knowledge of different

culturese) none of the above are true

Question 7:Cultural competence:a) moves us toward ethnocentricityb) occurs naturally in all first year med studentsc) is the passive application of awareness and knowledge used to

support recoveryd) requires extensive knowledge of different culturese) none of the above are true

Explanation: Cultural competence does not occur naturally and therefore requires the active application of awareness and knowledge. However, this knowledge does not need to be extensive for each culture; a simple understanding of different cultures is sufficient. Cultural competence also moves us away from ethnocentricity, which is defined as using our own cultural rules to make judgments about people who are different.

Question 8:What is the proper way to correct an error in a SOAP note?

a) scribbling out the error, dating, timing, and signing

b) white out the error, dating, timing, and signing

c) crossing out the error with a single line, dating, timing, and signing

d) highlighting the error, dating, timing, and signing

Question 8:What is the proper way to correct an error in a SOAP note?

a) scribbling out the error, dating, timing, and signing

b) white out the error, dating, timing, and signing

c) crossing out the error with a single line, dating, timing, and signing

d) highlighting the error, dating, timing, and signing

Question 9:Medical paternalism can be defined as:

a) patients and physicians working together to make medical decisions

b) physicians making decisions for their patients based on what they believe is in the patients’ best interest

c) physicians making decisions for their patients based on their own (the physician’s own) beliefs

d) none of the above define paternalism

Question 9:Medical paternalism can be defined as:

a) patients and physicians working together to make medical decisions

b) physicians making decisions for their patients based on what they believe is in the patients’ best interest

c) physicians making decisions for their patients based on their own (the physician’s own) beliefs

d) none of the above define paternalism

Question 10:Which of the following is NOT an ethical argument against genetic testing?

a) genetic testing may enable the correlation of disease to genes

b) genetic testing provides information about relatives as well as the proband

c) genetic information might lead to stigma and discrimination

d) patients might overestimate the impact of genes on disease or behavior

Question 10:Which of the following is NOT an ethical argument against genetic testing?

a) genetic testing may enable the correlation of disease to genes- this is a good thing!

b) genetic testing provides information about relatives as well as the proband

c) genetic information might lead to stigma and discrimination

d) patients might overestimate the impact of genes on disease or behavior

Question 11:Which of the following is true regarding interpersonal violence?a) women who are victims of violence often

don’t know their attackerb) women between the ages of 60-65 are at the

greatest risk for intimate partner violencec) more men than women are stalked in their

lifetimed) children who witness violence in the home

are more likely to beat their own children

Question 11:Which of the following is true regarding interpersonal violence?a) women who are victims of violence often don’t know

their attacker- females are most often victimized by someone they know

b) women between the ages of 60-65 are at the greatest risk for intimate partner violence- women aged 20-24 are at the greatest risk

c) more men than women are stalked in their lifetime- women are more likely to be stalked

d) children who witness violence in the home are more likely to beat their own children

Question 12:List each step of the LEARN model.

L-E-A-R-N-

Question 12:List each step of the LEARN model.

L- ListenE- ExplainA- AcknowledgeR- RecommendN- Negotiate

Question 13:Ensuring that a patient’s decision on treatment is free from coercion is an example of which of the following bioethical principles?

a) beneficenceb) non-maleficencec) autonomyd) justice

Question 13:Ensuring that a patient’s decision on treatment is free from coercion is an example of which of the following bioethical principles?

a) beneficence- doing what’s in the patient’s best interest

b) non-maleficence- do no harmc) autonomy- free from interference and control of

othersd) justice- they never gave us a good definition of this

last year, but we were asked to define it on the test….good luck with that

Question 14:Which of the following is NOT a conflict of interest?

a) physicians who do research on their patientsb) an alcoholic physicianc) product sales in the physician’s officed) a cardiologist with a heart defect

Question 14:Which of the following is NOT a conflict of interest?a) physicians who do research on their patients- dual role of

physician and investigatorb) an alcoholic physician- colleagues may be torn between

helping the physician and allowing the physician to help his/her own patients

c) product sales in the physician’s office- patients might think these products are more legit

d) a cardiologist with a heart defect- that’s just ironic (unless of course it’s interfering with his/her ability to work)

Question 15:An African American woman with diabetes and renal failure has not been placed on the wait-list for a kidney transplant. A white woman with the exact same history and disease progression has received a transplant. These differences are called:

a) discriminationb) disparitiesc) favoritismd) prejudice

Question 15:An African American woman with diabetes and renal failure has not been placed on the wait-list for a kidney transplant. A white woman with the exact same history and disease progression has received a transplant. These differences are called:

a) discriminationb) disparitiesc) favoritismd) prejudice

Question 16:Which of the following is NOT one of the “5 P’s” of sexual history (i.e. which “P” is not asked when obtaining a sexual history)?

a) penis problemsb) protection from STDsc) practicesd) partnerse) prevention of pregnancyf) past STDs

Question 16:Which of the following is NOT one of the “5 P’s” of sexual history (i.e. which “P” is not asked when obtaining a sexual history)?

a) penis problems- probably important to know, but is not one of the 5 P’s

b) protection from STDsc) practicesd) partnerse) prevention of pregnancyf) past STDs

Question 17:Sighing is an example of:

a) reassuringb) non-verbal communicationc) confrontingd) verbal communication

Question 17:Sighing is an example of:

a) reassuring- puts the patient at easeb) non-verbal communicationc) confronting- draws attention to something

the patient is unconsciously doing or is purposely trying to avoid

d) verbal communication- this requires words

Question 18:Define justice.

Question 18:Define justice.

Justice is generally used to mean fairness. In medicine, this means treating similar patients similarly. It can also refer to the allocation of health care resources.

For a question like this, they’ll probably give a point for the first sentence, and a point for the second.

Question 19:In diagnosing depression, either depressed mood or this symptom must be present:

a) feelings of worthlessness or guiltb) fatigue or loss of energyc) anhedoniad) Impaired concentration

Question 19:In diagnosing depression, either depressed mood or this symptom must be present:

a) feelings of worthlessness or guiltb) fatigue or loss of energyc) anhedoniad) Impaired concentration

Explanation: Anhedonia is diminished interest or pleasure in all activities. To diagnose depression, 5 total symptoms must be present, and one must be either depressed mood or anhedonia.

Question 20:Trying to announce T-shirt tiiiime, The Situation walks in on Snooki smushing with Vinny. Upset, Vinny throws Snooki at The Situation, but misses and hits J-Woww who falls and hits her head. Using the bioethical principle of _________, J-Woww refuses to go to the ER. The roommates, worried about J-Woww’s health and considering what they learned in CDM, think that their bioethical principle of ________ overrules J-Woww, and they call an ambulance.

a) justice, beneficenceb) autonomy, beneficencec) autonomy, non-maleficenced) beneficence, beneficence

Question 20:Trying to announce T-shirt tiiiime, The Situation walks in on Snooki smushing with Vinny. Upset, Vinny throws Snooki at The Situation, but misses and hits J-Woww who falls and hits her head. Using the bioethical principle of _________, J-Woww refuses to go to the ER. The roommates, worried about J-Woww’s health and considering what they learned in CDM, think that their bioethical principle of ________ overrules J-Woww, and they call an ambulance.

a) justice, beneficenceb) autonomy, beneficence- J-Woww has the right to make

her own health care decisions, but the roommates know that she’s probably drunk (or concussed) and not thinking clearly, and just want to help her

c) autonomy, non-maleficenced) beneficence, beneficence

Other Stuff

• Statistics• Lecture on locating professional resources?• Questions?

• Equipment sale in the lobby!• AMA Halloween Party tonight