DPC EXAM LATEST UPDATE
Mary is a 67 - year - old woman who just had a needle biopsy of the pancreas showing
adenocarcinoma . You run into her husband in the hall , who overheard the conversation
you had with your colleague and he begs you not to tell Mary because the knowledge
would destroy her . A family meeting to discuss the prognosis is already scheduled for
later that afternoon . What is the best way for the doctor to handle the situation ?
A. The doctor should ask Mary how she wants to handle the information and allow for
some family discussion time for this matter
B. The doctor should not disclose to the patient the information about pancreatic cancer
because it is a grave diagnosis
C. The doctor should honour the request of the family member who is protecting his
beloved wife from the bad news .
D. The doctor should tell Mary's husband that withholding information is not permitted in
any circumstance - ANSWER A. The doctor should ask Mary how she wants to handle
the information and allow for some family discussion time for this matter
In the patient's speech below, which area of the illness experience explicitly emerges?
Patient:" When they found I had cancer, I'd been told that I needed a surgery and then
after the surgery they told me that the surgery went well and that they took all the mass
out and yes, now I'm doing this preventive therapy but, you know, I'm young . Therefore,
I think I'm more at risk for the story of the cells that develop more quickly . And also
about that, I don't know if I'm having enough check-ups. Because I think I'm more at risk,
aren't I?"
A. Feelings
B. Interpretations
C. Context
D. Values - ANSWER B. Interpretations
( Reasoning question ) In humans , responses to life adversity depend on
A. Cognitive and psychological characteristics
B. Genetic factors
C. Social factors ( e.g. , models , support , etc. )
D. All the answers - ANSWER D. All the answers
, (Reasoning question) For a patient suffering from pain, the analgesic effect of a
painkiller represents:
A. Punishment
B. Reward
C. Positive reinforcement
D. Negative reinforcement - ANSWER D. Negative reinforcement
The steps required to have an effective patient education:
A. All the answers
B. Provide useful information and verify that it has become patient's heritage
C. Share and organize what the patient has in mind
D. Understand what is in our patient's mind - ANSWER A. All the answers
What is true concerning implicit memories?
A. They involve hippocampus and temporal lobe
B. They are facts and experiences we can consciously know and declare
C. They include procedural memory for automatic skills, such as how to ride a bike
D. None of the answers - ANSWER C. They include procedural memory for automatic
skills, such as how to ride a bike
A patient is poorly compliant with the treatment. You are worried about the possible
consequences. Which is the most appropriate sentence that you can use assertively?
A. Mr. (surname), it would be better if you took your medication
B. Mr. (surname), you are not following my prescription. I'm seriously worried about the
consequences of your behavior. For me, it's a big responsibility to assure your safety. I
think you are not aware of what could happen if you continued not to take your
medication. I want to discuss with you your difficulties and find together a strategy
C. Mr. (surname), you are not following my prescription. You are irresponsible. From this
day forward if you don't follow my treatment I can't visit you anymore
D. Mr. (surname), I would appreciate if you took the medication. It is very important -
ANSWER B. Mr. (surname), you are not following my prescription. I'm seriously worried
about the consequences of your behavior. For me, it's a big responsibility to assure your
safety. I think you are not aware of what could happen if you continued not to take your
medication. I want to discuss with you your difficulties and find together a strategy
Mary is a 67 - year - old woman who just had a needle biopsy of the pancreas showing
adenocarcinoma . You run into her husband in the hall , who overheard the conversation
you had with your colleague and he begs you not to tell Mary because the knowledge
would destroy her . A family meeting to discuss the prognosis is already scheduled for
later that afternoon . What is the best way for the doctor to handle the situation ?
A. The doctor should ask Mary how she wants to handle the information and allow for
some family discussion time for this matter
B. The doctor should not disclose to the patient the information about pancreatic cancer
because it is a grave diagnosis
C. The doctor should honour the request of the family member who is protecting his
beloved wife from the bad news .
D. The doctor should tell Mary's husband that withholding information is not permitted in
any circumstance - ANSWER A. The doctor should ask Mary how she wants to handle
the information and allow for some family discussion time for this matter
In the patient's speech below, which area of the illness experience explicitly emerges?
Patient:" When they found I had cancer, I'd been told that I needed a surgery and then
after the surgery they told me that the surgery went well and that they took all the mass
out and yes, now I'm doing this preventive therapy but, you know, I'm young . Therefore,
I think I'm more at risk for the story of the cells that develop more quickly . And also
about that, I don't know if I'm having enough check-ups. Because I think I'm more at risk,
aren't I?"
A. Feelings
B. Interpretations
C. Context
D. Values - ANSWER B. Interpretations
( Reasoning question ) In humans , responses to life adversity depend on
A. Cognitive and psychological characteristics
B. Genetic factors
C. Social factors ( e.g. , models , support , etc. )
D. All the answers - ANSWER D. All the answers
, (Reasoning question) For a patient suffering from pain, the analgesic effect of a
painkiller represents:
A. Punishment
B. Reward
C. Positive reinforcement
D. Negative reinforcement - ANSWER D. Negative reinforcement
The steps required to have an effective patient education:
A. All the answers
B. Provide useful information and verify that it has become patient's heritage
C. Share and organize what the patient has in mind
D. Understand what is in our patient's mind - ANSWER A. All the answers
What is true concerning implicit memories?
A. They involve hippocampus and temporal lobe
B. They are facts and experiences we can consciously know and declare
C. They include procedural memory for automatic skills, such as how to ride a bike
D. None of the answers - ANSWER C. They include procedural memory for automatic
skills, such as how to ride a bike
A patient is poorly compliant with the treatment. You are worried about the possible
consequences. Which is the most appropriate sentence that you can use assertively?
A. Mr. (surname), it would be better if you took your medication
B. Mr. (surname), you are not following my prescription. I'm seriously worried about the
consequences of your behavior. For me, it's a big responsibility to assure your safety. I
think you are not aware of what could happen if you continued not to take your
medication. I want to discuss with you your difficulties and find together a strategy
C. Mr. (surname), you are not following my prescription. You are irresponsible. From this
day forward if you don't follow my treatment I can't visit you anymore
D. Mr. (surname), I would appreciate if you took the medication. It is very important -
ANSWER B. Mr. (surname), you are not following my prescription. I'm seriously worried
about the consequences of your behavior. For me, it's a big responsibility to assure your
safety. I think you are not aware of what could happen if you continued not to take your
medication. I want to discuss with you your difficulties and find together a strategy
