HBPS MCQ 2016-2017 Flashcards
Several years ago Paula suffered serious injuries in a car accident and had to spend 6 months in a rehabilitation hospital. Now, whenever she enters any hospital, the sights and smells remind her of being in the hospital, and she becomes very anxious. What process is Paula’s strong response when she enters any hospital an example of? A. Conditioned response B. Extinction C. Negative reinforcement D. Positive reinforcement E. Punishment
A. Conditioned response
Paula has an appointment with her GP. He begins the consultation by asking her how she has been feeling since they last met, followed by a detailed discussion about the results of her last set of tests. At the end of the consultation he tells Paula about a new medication he would like her to take. When telling her partner about the consultation Paula can tell him the name of the new medication, but is vague about many of the specific details of her test results. The best explanation for this type of remembering is known as what?
A. A flashbulb memory B. Misinformation effect C. Primacy effect D. Recency effect E. Source monitoring error
D. recency effect
*note if she remembered the beginning of their consultation but nothing from the middle or end, that is the ‘primacy effect’
Michael is 55-years-old and was admitted to a cardiac unit for some tests. He agreed to take part in research you are conducting on personality types and health. When you review his personality questionnaire, you discover that he scores very high in negative affectivity, but also in social inhibition. What personality type characterises Michael’s behavioural profile?
A. Type A B. Type B C. Type C D. Type D E. Type E
Type D personality
Whilst he was in the cardiac unit, Michael reports that he has been feeling generally unwell for a number of months, complaining of lethargy and breathlessness. He is 2 metres in height, and weighs 120 kilograms. His doctor took a measure of Michaels’s Body Mass Index (BMI). What is Michael’s BMI?
A. 22 B. 26 C. 30 D. 34 E. 40
To work out your BMI:
divide your weight in kilograms (kg) by your height in metres (m)
then divide the answer by your height again to get your BMI.
120kg/2m= 60 kg/m
60kg/m/2m= 30 kg/m^2
Q5. Some months later, Michael experiences a minor heart attack. He comes to your clinic for a follow-up appointment. When you discuss his condition, he says: “I know this is a chronic problem. I’ve started exercising regularly and I’m changing my diet to be healthier”. In terms of Michael’s illness perceptions/representations, how is this classified?
A. Causality (positive) B. Consequences (negative) C. Control/Cure (positive) D. Time-line (negative) E. Time-line (positive)
Time-line positive
- Timeline refers to beliefs about how long the illness will last i.e acute, chronic, cyclical
- positive refers to the positive representation of the timeline factor as “i can be healthier” instead of the negative which would be, “it’s chronic so I might as way lay down and die”.
Michael’s father Tom lived in a hospice before his death 5 years ago. Michael fondly remembered visiting his 85-year-old father shortly before his death. His father’s room was full of pictures of his family and he was always very eager and proud to talk about the latest accomplishments of his grandchildren. According to Erikson’s theory of psychosocial development, what stage had Tom achieved before his death? A. Autonomy B. Generativity C. Industry D. Integrity E. Intimacy
D. Integrity - Michael’s father is in the Integrity vs. despair stage i.e) Have I lived a full life?
Mark has just started his clinical rotation in obstetrics in a busy hospital. His peers find him quiet and aloof at times and he appears to prefer working independently rather than collaboratively within the clinical team. These personality characteristics suggest that Mark would score low on which of the following Big Five personality traits? A. Agreeableness B. Conscientiousness C. Extroversion D. Neuroticism E. Openness
C. Extroversion
Thomas has come to see you, because he has had unprotected sex with a woman and is worried he might have contracted a sexually transmitted infection (STI). Public health campaigns that highlight the likelihood of getting an STI from unprotected sexual intercourse aim to change beliefs relating to susceptibility. What model of health behaviour change are such beliefs an important part of? A. Classical conditioning B. Health belief model C. Operant conditioning D. Stages of change model E. Theory of planned behaviour
B) health belief model
Q9. Hasan had surgery. Despite a history of penicillin allergy that was recorded in his chart, he was administered a prophylactic antibiotic (penicillin) before induction of anaesthesia. Unfortunately he had a mild reaction during surgery, but this was managed and he was fine. According to the WHO surgical safety checklist, at what stage should Hasan’s allergies have been checked?
A. During outpatient visits B. Before patient leaves operating room C. Sign in D. Sign out E. Time out
C. Sign in
Q10. Jane has come into your pharmacy to get sleeping tablets. She says that she is incredibly stressed at work and has several deadlines coming up. In addition, she is worried about her father who was admitted to hospital two weeks ago after falling and breaking his hip. She says that she lies awake worrying and is in a constant state of agitation. What physiological response would most likely result from psychological stress?
A. Increased glucose reuptake B. Increased inflammation C. Inhibition of noradrenaline D. Secretion of glucocorticoids E. Suppression of adrenaline
D. Secretion of glucocorticoids
James is a 52-year-old man who smokes 20 cigarettes a day. He has come to your general practice because he saw a recent TV advertisement on the importance of screening for cardiovascular disease. What concept in health behaviour theory is this an example of?
A. Contemplation B. Cues to action C. Pre-contemplation D. Sickness belief E. Subjective norms
B. cues to action
You tell James that he needs to lose weight as his BMI is 36. According to the WHO BMI classification table, what category of obesity does James’s BMI of 36 place him in?
A. Obese Class 1 B. Obese Class 2 C. Obese Class 3 D. Obese Class A E. Obese Class B
B. Obese class 2
James had his cholesterol levels checked, and was told by his doctor that his cholesterol test results were normal. However, two days later on further checking at the clinic, his scores were found to be high. Assuming the second set of results to be accurate, how would you best describe his first set? A. False positive B. False negative C. Specificity effect D. True negative E. True positive
B. False negative
James’s father Tony, aged 65, had an infected gallbladder. He was taken to hospital as an emergency and had surgery to remove his gallbladder. Post-operatively, he developed a severe wound infection that took a long time to heal. After an extended stay in hospital he was eventually discharged home. In a case such as this, at what stage is an error most likely to occur?
A. Acute medical treatment B. Diagnosis C. Discharge D. Peri-operative E. Post-operative
D. Peri-operative - because of emergency?
Q15. What treatment approach(es) has / have been found to work best in the management of chronic pain? A. Alternative therapies B. Multidisciplinary pain programmes C. Pharmacological therapy D. Relaxation and distraction E. Surgical Intervention
B. Multidisciplinary pain programmes
Naseem has been smoking for 10 years. He has come to ask your advice about how to quit. He reports smoking his first cigarette of the day about 3 hours after he gets up in the morning, and says he smokes around 8-10 cigarettes a day. According to the Heaviness of Smoking Index (HSI), what score and classification does Naseem have: A. Low addiction – score 0 B. Low addiction – score 2 C. Moderate addiction – score 3 D. Moderate addiction – score 4 E. High addiction – score 5
A- low addiction score 0
