Thursday, 5 May 2011

Midterm PHOP 4

1.WOTF is the most correct for Family Physician?
A.Only attend to this patients in his clinic and hospital
B.In treating his patients treat just the signs and symptoms
C.Family physicians is a qualified medical practitioner who provides personal,primary, comprehensive and continuing health care of the individual in relation to his family,community and environment
D.Not necessary to interact with his medical colleague
E.Family physician is the solution to meet people's needs

3. WOTF correct for new paradigm in medicine?
A. Disease can be viewed independently from the person who is suffering from it and from his social context
B. Mental and physical disease can be considered separately
C. System hierarchy in the human body are molecules,cells,tissues,organ,system,neuroendocrine immune system,person,family,community,culture and society
D. Each disease has a specific causal agent
E. The physician's main task is to remove the cause and relieving the symptoms
4. In describing family physician, its start with the 9th principle of family medicine. Family physician should control of large resource and are able to care within certain limits for benefits of their patient. Which principle?
A. Dedicated to the person
B. Practise as a population at risk
C. Understand the context of illness
D. Manager of resource
E. All contact with the patient an opportunity for prevention and health education

5. Family physician should think normally in term of single patient and population group. It is the principle of family medicine:
A. Dedicated to the person
B. Practise as a population at risk
C. Understand the context of illness
D. Manager of resource
E. All contact with the patient an opportunity for prevention and health education

6. Family physician should think normally in term of single patient and population group. It is the principle of family medicine:
A. Dedicated to the person
B. Practise as a population at risk
C. Understand the context of illness
D. Manager of resource
E. All contact with the patient an opportunity for prevention and health education

7. Family physician will be more effective if they can manage resources available in the community and use them for the benefit of the community. This is the principle of:
A. All contact with patients an opportunity for prevention & health education
B. Home visits
C. Subjective aspect of medicine
D. Live in community
E. Does community networking

8. To be fully effective, a family physician needs to be a visible presence in the neighborhood. WOTF sentence is the most correct for this principle?
A. All contact with patients an opportunity for prevention & health education
B. Home visits
C. Subjective aspect of medicine
D. Live in community
E. Does community networking

9. Knowing the home, give the family physician of their knowledge of patients and families. Which principle?
A. All contact with patients an opportunity for prevention & health education
B. Home visits
C. Subjective aspect of medicine
D. Live in community
E. Does community networking

10. among the principles of family medicine, there are some possoble conflict between doctor's role and responsibilities
A. the principle of dedicated to person with all contact with patient and opportunity for prevention & health education
B. the principle of dedicated to person and does community networking
C. the principle of dedicated to person and manage of resource
D. the principle of dedicated to person and home visits

14. WOTF sentence is the most likely meaning of members of same family, although similar in their illness pattern, were not similar in their rates of patient-doctor consultation and admission to hospital?
A.Family factors affect morbidity and mortality in adult
B.The family is crucial in child development
C.The family is important in recovery from illness
D.Some families are more vulnerable to illness than others
E.Infectious disease spreads in families

15. Meaning of early postnatal bonding between mom n child
Ans: family is crucial in child development



16. Which of the following is most likely for family life cycle?

A. FLC has developed into 7 stages
B. All families go through complete cycle in sequence
C. Understanding of individual development cant help physician form good hypothesis about problem patients experiencing 
D. Sorry xmuat nak salin kat kertas. Hee
E. In development, family goes through a number of predictable transition such as marriage, child birth, etc

17. Level of physician involvement that the physician need to know about the development of the family and the reaction to the stressful experience
A. 1st level
B. 2nd level
C. 3rd level
D. 4th level
E. 5th level

20.Systemic assessment to make integrated plan to deal with patients problem. A. 1st level
B. 2nd level
C. 3rd level
D. 4th level
E. 5th level

22. Which of the following is correct about drawing skeletal genogram
A. Represent each family member with square for female and circle for male
B. Place sibling not always in order
C. Indicate death by single slash
D. Indicate separation by crossing
E. Try to keep member of same generation on same horizontal level each branch of family
23. BATHE…yg dia tny pasal home??
24. How much support do you get at home?
Ans: BATHE choice

25. "What most worries you about life?"
A. Background
B. Affect
C. Troubling
D. Handling
E. Empathy

26. Interviewing older patient can be challenging. They have more complex problem and number of barriers to communication. So, the physician should address and balance the need of patient and family member. The physician should evaluate and explicit ask about communication problem (hearing, vision, memory)
Ans:  Be prepared to spend more time with patient

27. Family concern can reflect changes in patient’s condition. Increase in other family distress or intensified fears and anxiety of family members projected onto elder
A. Be prepared to spend more time with older
B. Involve caregiver and family members early in patients care
C. Recognize emotional concerns underlying any explicit request
D. Do not make significant changes in treatment plan based on family’s report or evaluate elderly patient’s directly
E. Always address patient first.

28. Many patients and caregivers are fearful about patient's functional deterioration or death but may not make these concerns explicit to clinician.
A. be prepared to spend more time with older patients and more slowly
B. always address the patient first
C. involve caregivers and family members early in the patient's care
D. recognize the emotion concern underlying any explicit requests
E. do not make significant changes in a treatment plan based solely on the family's report without evaluating the elderly patient directly


29. Which of the following sentence is the most correct meaning that early involvement of family /other knowledgeable people allow the physician to know about any problem/ deficit which patient may be sensitive and trying to compensate?
A. Be prepared to spend more time with older patients and face the interview more slowly
B. Involve caregiver and family early in patients’ care
C. Recognize   the emotional concerns underlying any explicit request
D. Do not make significant changes in treatment plan based solely on family’s member report without evaluating elderly patient
E. Always address patient first


30. Palliative care is a form of care that:
A. Cure and long treatment is possible
B. Quantitative > quality
C. Bereavement care not required after one of the family member has died
D.           
E. Cloaks and troublesome and distressing symptom with treatment who’s primary aim is the highest possible measure of patient control

Question 31-35:
A. Descriptive epidemology
B. Analytical epidemology
C. Experimental epidemology
D. Primary prevention
E. Secondary prevention
F. Tertiary prevention
G. Risk reduction
H. Risk avoidance

31. Population divided into two groups. One receive treatment and the other one serve as a comparable
32. Identification of individuals with high risk to help them modify the risk
33. Early detection of disease/ precursor of disease
34. The management of prevalence rates based on person, place and time
35. The management of established disease in order to minimize disability

36. Which activity included in assessment of GRR?
A. Smoking cessation
B. Screening and case finding
C. Reduction with serum cholesterol
D. Coping ability
E. Nutrition education

Question 37-40:
A. DPT/DT
B. Hepatitis A & B
C. Measles
D. HiB
E. Pneumococcal
F. Thiamin
G. B6
H. Statin

37. This immunization is recommended in adolescent
38. This immunization is optional for adolescent
39. Immunization is contraindicated in pregnant women
40. Drug used for chemoprophylaxis for patient taking anti TB drugs

Question 41-44:
A. Fecal occult blood
B. Mammography
C. Papsmear
D. Speech examination
E. Bone densitometry
F. CEA markers
G. Vision examination

41. This activity is recommended for preschool age child every 6 months
42. Women need screening for 2-3 years until 65 years old
43. Conducted yearly to find risk for colon cancer
44. Women > 70 years old needs screening for1-2 years until 75 years old

Question 45-49:

A.Formal consultation
B.Informal consultation
C.Interval referral
D.Collateral referral
E.Cross referral
F.Split referral

45. If referred patient developed a respiratory infection following surgery, the surgeon can ask physician’s advice in dealing with respiratory problem
46. Dr Govind needed 2nd opinion, he wrote a letter to a surgeon with all patient’s problem, state a physician main findings, investigation that has been carried out and medication
47. Elly is referred to Dr Fendi due to prostate carcinomas. The surgeon decided on medical treatment and has all the responsibility
48. The responsibility of a patient is divided more or less evenly between 2 or more physician
49. Mrs. A referred by Dr. B for long treatment of chronic glaucoma. Dr. B retains all the responsibility but she referred the patients only for some specific problems

Question 50-54:
A. Leadership roles
B. Informational roles
C. Decisional roles
D. Personal effectiveness
E. Intrapreneurship
F. Entrepreneurship
G. Organizing

50. As a family physician, Dr. Robert should interact with district health office to ask a permission to set up a clinic
51. After graduating from faculty of medicine, Edward plans to set up a clinic. He is ready to take risks and start something new in order to apply his own knowledge and skills
52. Family physician should be a resource allocator and a negotiator as well
53. Entrepreneurship within an existing business structure also bridge the gap between science and market place
54. The ability to exert a positive influence on the task of management

56.  The advantage of group practice
        A.  Absent of individual’s freedom
        B. Sharing of income
        C.  Quality control thru peer review, peer support
        D.  Group control of invested capital
        E.  Equal responsibility for expanses, debt and banckrupt 

58.  What is central value defined of family doctor’s work?
A.      Patient centered cared
B.      Holistic approach
C.       
D.      Manage initially unclear problem
E.       Emphasive preventive medicine

59.  After 1 year, Dr. Y wanted to evaluate his clinic. What kind of evaluation tool does he need to evaluate the output of his practice.
A.      Market
B.      Audit
C.      Standard operation procedure (SOP)
D.      Disease pattern
E.       Medical records

60.  When Dr. Harry investigates the meaning of illness of patient,he find that the diagnosis of DM is  traumatic for patient who remember watching diabetic parent lose 1 leg and assume is usualoutcome of DM. What model of investigation meaning of illness used by Dr. Harry?
A.      The patient’s explainatory model
B.      Perception model
C.      The patient’s semantic illness  network
D.      The family member meaning of illness
E.       Cognitive framework model

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