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 67-year-old man with multiple chronic illnesses prefers to
avoid hospitalization and asks you to “do whatever is
,necessary” at home. Which approach best honors the principles
discussed when balancing patient values and clinical
uncertainty?
Options
A. Follow the patient's request literally and forgo any hospital
referral regardless of severity.
B. Explore the patient's goals and clarify tradeoffs, then
recommend a care plan aligned with those goals.
C. Defer all major decisions to the patient’s family to preserve
clinician neutrality.
D. Apply a standard guideline-driven plan without exploring
individual preferences.
Correct Answer
B
Rationales
• Correct (B): Harrison emphasizes integrating clinical
evidence with patient values via shared decision-making;
eliciting goals clarifies tradeoffs and aligns care with
patient priorities.
• A: Literal compliance may neglect safety and the need to
discuss risks/benefits when capacity or understanding is
limited.
• C: Unilateral family decision-making can violate patient
autonomy unless the patient lacks capacity.
, • D: Guidelines aid care but must be tied to individual
patient goals and context.
Teaching Point
Shared decision-making: merge evidence with patient goals and
tradeoffs.
Citation
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 1.
2)
Reference
Ch. 1 — The Practice of Medicine
Question Stem
During a busy clinic, you notice a medication reconciliation
error for a patient recently discharged. Which immediate
clinician action best reflects high-quality professional practice
per Harrison’s principles?
Options
A. Ignore the error because the patient reports feeling fine.
B. Correct the medication list, inform the patient, and
document the change with follow-up plans.
C. Wait until the next week’s appointment to discuss the
discrepancy.
D. Remove the medication from the list without informing the
primary team.
, Correct Answer
B
Rationales
• Correct (B): Harrison highlights vigilance in transitions of
care; promptly correcting records, informing the patient,
and planning follow-up reduces harm.
• A: Ignoring potential errors risks patient safety and violates
professional duty.
• C: Delaying action can allow harm from an active
medication error.
• D: Silent changes disrupt team communication and
continuity of care.
Teaching Point
Immediate correction, communication, and documentation
reduce transition-of-care errors.
Citation
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 1.
3)
Reference
Ch. 2 — Promoting Good Health
& 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 67-year-old man with multiple chronic illnesses prefers to
avoid hospitalization and asks you to “do whatever is
,necessary” at home. Which approach best honors the principles
discussed when balancing patient values and clinical
uncertainty?
Options
A. Follow the patient's request literally and forgo any hospital
referral regardless of severity.
B. Explore the patient's goals and clarify tradeoffs, then
recommend a care plan aligned with those goals.
C. Defer all major decisions to the patient’s family to preserve
clinician neutrality.
D. Apply a standard guideline-driven plan without exploring
individual preferences.
Correct Answer
B
Rationales
• Correct (B): Harrison emphasizes integrating clinical
evidence with patient values via shared decision-making;
eliciting goals clarifies tradeoffs and aligns care with
patient priorities.
• A: Literal compliance may neglect safety and the need to
discuss risks/benefits when capacity or understanding is
limited.
• C: Unilateral family decision-making can violate patient
autonomy unless the patient lacks capacity.
, • D: Guidelines aid care but must be tied to individual
patient goals and context.
Teaching Point
Shared decision-making: merge evidence with patient goals and
tradeoffs.
Citation
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 1.
2)
Reference
Ch. 1 — The Practice of Medicine
Question Stem
During a busy clinic, you notice a medication reconciliation
error for a patient recently discharged. Which immediate
clinician action best reflects high-quality professional practice
per Harrison’s principles?
Options
A. Ignore the error because the patient reports feeling fine.
B. Correct the medication list, inform the patient, and
document the change with follow-up plans.
C. Wait until the next week’s appointment to discuss the
discrepancy.
D. Remove the medication from the list without informing the
primary team.
, Correct Answer
B
Rationales
• Correct (B): Harrison highlights vigilance in transitions of
care; promptly correcting records, informing the patient,
and planning follow-up reduces harm.
• A: Ignoring potential errors risks patient safety and violates
professional duty.
• C: Delaying action can allow harm from an active
medication error.
• D: Silent changes disrupt team communication and
continuity of care.
Teaching Point
Immediate correction, communication, and documentation
reduce transition-of-care errors.
Citation
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 1.
3)
Reference
Ch. 2 — Promoting Good Health
