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 55-year-old man with newly diagnosed type 2 diabetes asks
whether his physician’s cultural background affects the
,treatment plan. Which clinician behavior best demonstrates
professionalism and fosters patient-centered care?
Options
A. Rely primarily on habit and standard protocols to avoid bias.
B. Elicit the patient’s values and collaboratively agree on goals.
C. Defer all treatment choices to the patient without guidance.
D. Emphasize that the clinician’s training supersedes patient
preferences.
Correct Answer
B
Rationales
Correct: Eliciting values and collaboratively setting goals
respects patient autonomy and demonstrates professionalism
in individualized care.
A: Relying solely on habit ignores individual context and may
perpetuate bias.
C: Deferring all choices avoids shared decision-making and may
leave patients unsupported.
D: Asserting clinician primacy undermines respect and informed
consent.
Teaching Point
Professionalism = respect, shared decision-making, and eliciting
patient values.
,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 community health nurse plans an intervention to reduce
cardiovascular risk. Which population-level strategy will most
effectively reduce population incidence of ischemic heart
disease?
Options
A. Intensive risk counseling for a small high-risk group.
B. Mass sodium reduction in processed foods.
C. Offering cholesterol screening clinics once yearly.
D. Distributing leaflets about exercise to clinic patients.
Correct Answer
B
Rationales
Correct: A population-wide reduction in sodium shifts risk
across the entire population and yields greater incidence
reduction than targeting only high-risk individuals.
A: Intensive counseling helps individuals but affects fewer
people overall.
, C: Screening alone does not change population incidence
without effective interventions.
D: Leaflets have low reach and effectiveness compared with
structural interventions.
Teaching Point
Population interventions that shift risk factors often yield the
largest public-health benefit.
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 pediatrician encounters parents hesitant about the MMR
vaccine who cite safety fears from internet sources. Which
response best addresses hesitancy and promotes vaccination?
Options
A. Provide a long list of technical safety data to convince them.
B. Dismiss their concerns as misinformation and proceed with
vaccination.
C. Acknowledge concerns, elicit specific fears, and offer clear
risk comparisons.
& 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 55-year-old man with newly diagnosed type 2 diabetes asks
whether his physician’s cultural background affects the
,treatment plan. Which clinician behavior best demonstrates
professionalism and fosters patient-centered care?
Options
A. Rely primarily on habit and standard protocols to avoid bias.
B. Elicit the patient’s values and collaboratively agree on goals.
C. Defer all treatment choices to the patient without guidance.
D. Emphasize that the clinician’s training supersedes patient
preferences.
Correct Answer
B
Rationales
Correct: Eliciting values and collaboratively setting goals
respects patient autonomy and demonstrates professionalism
in individualized care.
A: Relying solely on habit ignores individual context and may
perpetuate bias.
C: Deferring all choices avoids shared decision-making and may
leave patients unsupported.
D: Asserting clinician primacy undermines respect and informed
consent.
Teaching Point
Professionalism = respect, shared decision-making, and eliciting
patient values.
,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 community health nurse plans an intervention to reduce
cardiovascular risk. Which population-level strategy will most
effectively reduce population incidence of ischemic heart
disease?
Options
A. Intensive risk counseling for a small high-risk group.
B. Mass sodium reduction in processed foods.
C. Offering cholesterol screening clinics once yearly.
D. Distributing leaflets about exercise to clinic patients.
Correct Answer
B
Rationales
Correct: A population-wide reduction in sodium shifts risk
across the entire population and yields greater incidence
reduction than targeting only high-risk individuals.
A: Intensive counseling helps individuals but affects fewer
people overall.
, C: Screening alone does not change population incidence
without effective interventions.
D: Leaflets have low reach and effectiveness compared with
structural interventions.
Teaching Point
Population interventions that shift risk factors often yield the
largest public-health benefit.
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 pediatrician encounters parents hesitant about the MMR
vaccine who cite safety fears from internet sources. Which
response best addresses hesitancy and promotes vaccination?
Options
A. Provide a long list of technical safety data to convince them.
B. Dismiss their concerns as misinformation and proceed with
vaccination.
C. Acknowledge concerns, elicit specific fears, and offer clear
risk comparisons.
