Harrison's Principles of Internal Medicine (Vol.1
& Vol.2)
21st Edition Newer Edition
Author(s)Joseph Loscalzo; Anthony S. Fauci;
Dennis L. Kasper; Stephen Hauser; Dan Longo; J.
Larry Jameson
TEST BANK
1
Reference
Ch. 1 — The Practice of Medicine
Question Stem
A 68-year-old man with multilobar community-acquired
pneumonia is admitted. You are supervising a junior resident
,who wants to withhold informed consent for ICU intubation
because the patient “looks frail.” Which action best
demonstrates appropriate professional practice?
A. Accept the resident’s judgment and postpone discussing
intubation unless condition worsens.
B. Ask the resident to document the judgment and proceed
with no further discussion.
C. Reassess prognosis, discuss risks/benefits with the
patient/surrogate, and document the shared decision.
D. Immediately transfer care to the ICU without informing the
patient or surrogate to save time.
Correct Answer
C
Rationales
Correct (C): Professional practice requires objective
reassessment, communication of risks/benefits, shared
decision-making, and documentation. This aligns with standards
for patient-centered care and accountability.
A: Postponing discussion ignores duty to inform and may delay
necessary decisions.
B: Documentation alone without patient/surrogate discussion
fails to respect autonomy and informed consent.
D: Transferring care without discussion violates patient
autonomy and transparency.
,Teaching Point
Shared decision-making with clear documentation is central to
professional practice.
Citation
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 1.
2
Reference
Ch. 2 — Promoting Good Health
Question Stem
A primary-care clinic serving adults in a low-income
neighborhood plans a preventive program. To maximize
population health impact, which strategy is most evidence-
based?
A. Offer one-time health fairs focused on screening tests.
B. Implement continuous outreach with culturally tailored
preventive counseling and follow-up.
C. Provide only online preventive material and expect patient
self-initiation.
D. Distribute generic flyers about healthy living in the clinic
waiting room.
Correct Answer
B
, Rationales
Correct (B): Sustainable, culturally tailored outreach with
follow-up increases preventive uptake and reduces disparities—
core public-health strategy.
A: One-time events have limited sustained impact and low
longitudinal follow-up.
C: Solely online resources neglect access barriers and are less
effective in low-resource populations.
D: Passive information rarely changes behavior without active
engagement.
Teaching Point
Sustained, tailored outreach with follow-up drives preventive
care uptake.
Citation
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 2.
3
Reference
Ch. 3 — Vaccine Opposition and Hesitancy
Question Stem
A pediatric nurse encounters a parent concerned that vaccines
cause long-term developmental problems. Which approach
most likely reduces vaccine hesitancy while maintaining trust?
& Vol.2)
21st Edition Newer Edition
Author(s)Joseph Loscalzo; Anthony S. Fauci;
Dennis L. Kasper; Stephen Hauser; Dan Longo; J.
Larry Jameson
TEST BANK
1
Reference
Ch. 1 — The Practice of Medicine
Question Stem
A 68-year-old man with multilobar community-acquired
pneumonia is admitted. You are supervising a junior resident
,who wants to withhold informed consent for ICU intubation
because the patient “looks frail.” Which action best
demonstrates appropriate professional practice?
A. Accept the resident’s judgment and postpone discussing
intubation unless condition worsens.
B. Ask the resident to document the judgment and proceed
with no further discussion.
C. Reassess prognosis, discuss risks/benefits with the
patient/surrogate, and document the shared decision.
D. Immediately transfer care to the ICU without informing the
patient or surrogate to save time.
Correct Answer
C
Rationales
Correct (C): Professional practice requires objective
reassessment, communication of risks/benefits, shared
decision-making, and documentation. This aligns with standards
for patient-centered care and accountability.
A: Postponing discussion ignores duty to inform and may delay
necessary decisions.
B: Documentation alone without patient/surrogate discussion
fails to respect autonomy and informed consent.
D: Transferring care without discussion violates patient
autonomy and transparency.
,Teaching Point
Shared decision-making with clear documentation is central to
professional practice.
Citation
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 1.
2
Reference
Ch. 2 — Promoting Good Health
Question Stem
A primary-care clinic serving adults in a low-income
neighborhood plans a preventive program. To maximize
population health impact, which strategy is most evidence-
based?
A. Offer one-time health fairs focused on screening tests.
B. Implement continuous outreach with culturally tailored
preventive counseling and follow-up.
C. Provide only online preventive material and expect patient
self-initiation.
D. Distribute generic flyers about healthy living in the clinic
waiting room.
Correct Answer
B
, Rationales
Correct (B): Sustainable, culturally tailored outreach with
follow-up increases preventive uptake and reduces disparities—
core public-health strategy.
A: One-time events have limited sustained impact and low
longitudinal follow-up.
C: Solely online resources neglect access barriers and are less
effective in low-resource populations.
D: Passive information rarely changes behavior without active
engagement.
Teaching Point
Sustained, tailored outreach with follow-up drives preventive
care uptake.
Citation
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 2.
3
Reference
Ch. 3 — Vaccine Opposition and Hesitancy
Question Stem
A pediatric nurse encounters a parent concerned that vaccines
cause long-term developmental problems. Which approach
most likely reduces vaccine hesitancy while maintaining trust?
