CS I Block Exam

Question 1

List the 3 broad types of skills required to become an “Effective Communicator”

Answer 1

1. Perceptual Skills; irritation with a patient’s personality
2. Process Skills; can interfere with listening and we miss important cues
3. Content Skills; so we do not provide accurate info.

Question 2

What type of skill is involved during what is said or communicated?

Answer 2

Content Skill

• any info gathered or given
• the treatment that are discussed

Question 3

Verbal facilitating skills
Non-verbal skills
Relationship building skills
And the organization and structure of the communication are all examples of what type of the 3 skills required to become an effective communicator?

Answer 3

Process Skills

i.e. nodding, smiling, listening and reflecting back what is heard, “tell me more”, “go on”, etc.

Question 4

Clinical reasoning, problem-solving skills, attitudes, capacity for compassion, awareness of feelings and awareness of their own biases are examples of which of the 3 broad types of skills to become an effective communicator?

Answer 4

Perceptual Skills

Question 5

Which model is based on content only?

1. Calgary Cambridge Model
2. Model Traditional Medical History

Answer 5

Model Traditional Medical History

Question 6

Which model uses both process and content skills during the medical interview?

1. Calgary Cambridge Model
2. Model Traditional Medical History

Answer 6

Calgary Cambridge Model

Question 7

List the 5 steps of the Calgary Cambridge Model of Consultation

Answer 7

1. Initiating the Session
2. Gathering Info
3. Physical Examination
4. Explanation and Planning
5. Closing the Session

Question 8

List the two tasks that are continuous during the medical interview of the Calgary Cambridge Model of Consultation

Answer 8

1. Providing Structure

2. Building the Relationship

Question 9

Background information is a content or context?

Answer 9

Context

Question 10

List the 7 components of the health history

Answer 10

1. Identifying data
2. Chief complaint
3. History of present illness
4. Past medical history
5. Family history
6. Personal and social history
7. Review of systems

Question 11

List the components that are included in identifying information

Answer 11

1. Age/DOB
2. Gender
3. Marital status
4. Occupation
5. Patient’s address (if necessary)
6. Reliability
7. Source of history; family, friend, referal letter, insurance companies, self, health care provider, etc.
8. Source of referral

Question 12

Which of the 2 models describes patients in terms of diseases (including psychiatric) and excludes most psychological and social aspects of the person?

1. Calgary Cambridge Model
2. Model Traditional Medical History

Answer 12

2. Model traditional medical history

Question 13

Which of the 2 models describes how each patient perceives, experiences and copes with their illness and weaves the patient’s perspective with the biomedical perspective?

1. Disease-Illness Model
2. Model Traditional Medical History

Answer 13

1. Disease-Illness Model

Question 14

The Disease-Illness Model contains a biomedical perspective and an illness framework (patient’s perspective), which perspective includes:

Symptoms, signs, investigations, underlying pathology, and differential diagnosis

Answer 14

Biomedical perspective

Question 15

Multiple determinants in the development of disease and resulting illness, a hierarchical organization of biologic and social systems that contribute to disease and illness, and any change in one complex system will change other systems are apart of the Biopsychosocial Model or the Integrated Science Model?

Answer 15

Biopsychosocial

Question 16

The 5 domains of biology, environment, socioculture, behavior, and cognitions are apart of the Biopsychosocial Model or the Integrated Science Model?

Answer 16

Integrated Science Model

Question 17

The key to being an effective physician is having a patient adhere to your recommendations, what percentage of patients in a general practice comply with treatment recommendations at any one time?

a. 24%
b. 34%
c. 44%
d. 54%
e. 0%

Answer 17

d. 54%

Question 18

Define the Paternalistic approach

Answer 18

Doctor-centered style; closed Qs, tends to use disease-centered model

“The Dr. did not take enough time with me to give the right treatment”

Physician assumes all power and patient loses the power and is not heard

Question 19

Define the Consumeristic approach

Answer 19

The patient knows exactly what they want and forces the Dr. into a patient focus w/out weaving in the biomedical, doctor-centered approach.

“The doctor doesn’t know what I want.”

Patient chooses not to adhere to recommendations or to come back to that physician if the physician doesn’t do what the patient wants.

Question 20

Patient adherence with medical advice is not related to which of the following?

a. some patient personality traits
b. how well the patient likes & respects the doctor
c. some patient defense mechanisms
d. patient’s education and marital status
e. the patient-centered approach taken by the doctor

Answer 20

d. patient’s education and marital status

Question 21

List the steps for initiating the session

Answer 21

1. Session Preparation
2. Establishing the initial rapport; greet patient, introduce self, clarify role & nature of interview, consent, patient’s name, patient’s physical comfort, respect & interest
3. Identifying the reason(s) for the consultation/interview
4. Negotiating the agenda; priorities are est., doctors agenda can be added

Question 22

List the components of establishing an initial rapport during the patient interview

Answer 22

1. Greet the patient
2. Introduce self
3. Clarify role and nature of interview and obtain consent
4. Obtain patient’s name
5. Attend to patient’s physical comfort
6. Demonstrate respect and interest