Test Bank - Primary Care, Interprofessional Collaborative
Practice, 6th Edition (Buttaro, 2021) Chapter 1-228 | All
Chapters
1. Which of the following best describes the purpose of the SOAP note format
in primary care documentation?
A. Ensures patient billing is accurate
B. Organizes clinical reasoning and decision-making
C. Facilitates interdisciplinary meetings
D. Summarizes insurance requirements
SOAP (Subjective, Objective, Assessment, Plan) organizes clinical
reasoning to guide decision-making and continuity of care.
2. Which strategy is most effective in reducing medication errors in elderly
patients?
A. Using generic names only
B. Performing medication reconciliation at every visit
C. Writing prescriptions in cursive
D. Advising patients to avoid herbal remedies
Medication reconciliation ensures updated, accurate lists of medications
to avoid duplications or interactions.
3. In managing chronic diseases, which approach is foundational in the
patient-centered medical home model?
A. Physician-directed care
, B. Shared decision-making with the patient
C. Annual physical exams only
D. Passive follow-up care
Shared decision-making improves adherence, satisfaction, and outcomes
through active patient involvement.
4. What is the first step in clinical reasoning when evaluating a new symptom?
A. Order diagnostic tests
B. Take a detailed history
C. Prescribe treatment
D. Review old records
A detailed history guides hypothesis generation and focused assessment.
5. Which patient group should receive the shingles (zoster) vaccine according
to CDC guidelines?
A. Anyone over age 30
B. Adults with chronic pain
C. Adults 50 years and older regardless of prior infection
D. Children under 12
CDC recommends recombinant zoster vaccine for adults aged 50 and older
to prevent shingles.
6. A female patient presents with fatigue, weight gain, and cold intolerance.
What is the most appropriate initial diagnostic test?
A. CBC
B. TSH
C. ESR
, D. A1C
TSH evaluates for hypothyroidism, which commonly presents with these
symptoms.
7. In managing hypertension in African American patients, which first-line
therapy is recommended by JNC 8 guidelines?
A. ACE inhibitors
B. Thiazide diuretics or calcium channel blockers
C. Beta-blockers
D. ARBs only
Thiazides and calcium channel blockers are more effective in African
American populations.
8. Which screening tool is most appropriate for assessing alcohol misuse in
adults?
A. PHQ-9
B. MMSE
C. AUDIT-C
D. GAD-7
AUDIT-C is a validated screening tool for identifying risky alcohol use in
primary care.
9. When diagnosing depression, how long must symptoms be present to meet
DSM-5 criteria?
A. 3 days
B. 1 week
C. 2 weeks
, D. 1 month
DSM-5 criteria require at least 2 weeks of symptoms for major depressive
disorder.
10.Which lab result is most indicative of a urinary tract infection in a
symptomatic patient?
A. Negative nitrites
B. Positive leukocyte esterase
C. Low specific gravity
D. Negative blood
Leukocyte esterase indicates white cells in urine, suggesting infection.
11.What is the most appropriate management for asymptomatic bacteriuria in
a non-pregnant woman?
A. Treat with antibiotics
B. Do not treat
C. Order imaging studies
D. Refer to urology
Asymptomatic bacteriuria does not require treatment in non-pregnant
women unless they are undergoing urologic procedures.
12.A 55-year-old male smoker with no symptoms asks about lung cancer
screening. What should the provider recommend?
A. No screening unless symptoms develop
B. Annual low-dose CT scan if 30-pack-year history
C. Chest x-ray every two years
Practice, 6th Edition (Buttaro, 2021) Chapter 1-228 | All
Chapters
1. Which of the following best describes the purpose of the SOAP note format
in primary care documentation?
A. Ensures patient billing is accurate
B. Organizes clinical reasoning and decision-making
C. Facilitates interdisciplinary meetings
D. Summarizes insurance requirements
SOAP (Subjective, Objective, Assessment, Plan) organizes clinical
reasoning to guide decision-making and continuity of care.
2. Which strategy is most effective in reducing medication errors in elderly
patients?
A. Using generic names only
B. Performing medication reconciliation at every visit
C. Writing prescriptions in cursive
D. Advising patients to avoid herbal remedies
Medication reconciliation ensures updated, accurate lists of medications
to avoid duplications or interactions.
3. In managing chronic diseases, which approach is foundational in the
patient-centered medical home model?
A. Physician-directed care
, B. Shared decision-making with the patient
C. Annual physical exams only
D. Passive follow-up care
Shared decision-making improves adherence, satisfaction, and outcomes
through active patient involvement.
4. What is the first step in clinical reasoning when evaluating a new symptom?
A. Order diagnostic tests
B. Take a detailed history
C. Prescribe treatment
D. Review old records
A detailed history guides hypothesis generation and focused assessment.
5. Which patient group should receive the shingles (zoster) vaccine according
to CDC guidelines?
A. Anyone over age 30
B. Adults with chronic pain
C. Adults 50 years and older regardless of prior infection
D. Children under 12
CDC recommends recombinant zoster vaccine for adults aged 50 and older
to prevent shingles.
6. A female patient presents with fatigue, weight gain, and cold intolerance.
What is the most appropriate initial diagnostic test?
A. CBC
B. TSH
C. ESR
, D. A1C
TSH evaluates for hypothyroidism, which commonly presents with these
symptoms.
7. In managing hypertension in African American patients, which first-line
therapy is recommended by JNC 8 guidelines?
A. ACE inhibitors
B. Thiazide diuretics or calcium channel blockers
C. Beta-blockers
D. ARBs only
Thiazides and calcium channel blockers are more effective in African
American populations.
8. Which screening tool is most appropriate for assessing alcohol misuse in
adults?
A. PHQ-9
B. MMSE
C. AUDIT-C
D. GAD-7
AUDIT-C is a validated screening tool for identifying risky alcohol use in
primary care.
9. When diagnosing depression, how long must symptoms be present to meet
DSM-5 criteria?
A. 3 days
B. 1 week
C. 2 weeks
, D. 1 month
DSM-5 criteria require at least 2 weeks of symptoms for major depressive
disorder.
10.Which lab result is most indicative of a urinary tract infection in a
symptomatic patient?
A. Negative nitrites
B. Positive leukocyte esterase
C. Low specific gravity
D. Negative blood
Leukocyte esterase indicates white cells in urine, suggesting infection.
11.What is the most appropriate management for asymptomatic bacteriuria in
a non-pregnant woman?
A. Treat with antibiotics
B. Do not treat
C. Order imaging studies
D. Refer to urology
Asymptomatic bacteriuria does not require treatment in non-pregnant
women unless they are undergoing urologic procedures.
12.A 55-year-old male smoker with no symptoms asks about lung cancer
screening. What should the provider recommend?
A. No screening unless symptoms develop
B. Annual low-dose CT scan if 30-pack-year history
C. Chest x-ray every two years
