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 multimorbidity presents for routine
follow-up. You must prioritize goals of care. Which approach
best balances individual patient values with evidence-based
recommendations?
Options
A. Apply guideline-recommended therapies uniformly
,regardless of patient preferences.
B. Use shared decision-making to align evidence with the
patient’s goals and life expectancy.
C. Defer all decisions to the patient’s family to avoid clinician
bias.
D. Choose the least intensive treatment to minimize risk in older
adults.
Correct Answer
B
Rationales
• Correct (B): Shared decision-making integrates best
evidence with the patient’s values and prognosis,
optimizing individualized care as advocated in modern
clinical practice.
• Incorrect (A): Uniform application of guidelines ignores
individual preferences, comorbidity, and diminishing
benefit in some patients.
• Incorrect (C): Automatic deference to family risks sidelining
the patient’s autonomy unless the patient lacks capacity.
• Incorrect (D): Choosing the least intensive option by
default can under-treat and ignores patient priorities and
potential benefits.
Teaching Point
Shared decision-making aligns evidence with patient values and
prognosis.
,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 wants to increase smoking cessation
among middle-aged patients. Which intervention most
effectively combines population health and individual clinical
care?
Options
A. Display anti-smoking posters in waiting rooms only.
B. Offer clinic-based brief counseling plus referral to community
quit programs.
C. Prescribe nicotine replacement to every patient regardless of
readiness.
D. Rely on patients to bring up smoking during visits.
Correct Answer
B
Rationales
, • Correct (B): Combining brief clinician counseling with
linkage to community resources integrates individual care
and public health strategies shown to increase quit rates.
• Incorrect (A): Posters raise awareness but have limited
efficacy as a standalone measure.
• Incorrect (C): Universal pharmacotherapy without
assessing readiness risks overtreatment and poor
adherence.
• Incorrect (D): Passive reliance on patient initiation misses
opportunities for clinician-led prevention.
Teaching Point
Combine brief counseling with community resources for
effective smoking cessation.
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 nurse encounters a parent refusing routine childhood
vaccination due to safety concerns. Which communication
strategy is most likely to reduce vaccine hesitancy?
(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 multimorbidity presents for routine
follow-up. You must prioritize goals of care. Which approach
best balances individual patient values with evidence-based
recommendations?
Options
A. Apply guideline-recommended therapies uniformly
,regardless of patient preferences.
B. Use shared decision-making to align evidence with the
patient’s goals and life expectancy.
C. Defer all decisions to the patient’s family to avoid clinician
bias.
D. Choose the least intensive treatment to minimize risk in older
adults.
Correct Answer
B
Rationales
• Correct (B): Shared decision-making integrates best
evidence with the patient’s values and prognosis,
optimizing individualized care as advocated in modern
clinical practice.
• Incorrect (A): Uniform application of guidelines ignores
individual preferences, comorbidity, and diminishing
benefit in some patients.
• Incorrect (C): Automatic deference to family risks sidelining
the patient’s autonomy unless the patient lacks capacity.
• Incorrect (D): Choosing the least intensive option by
default can under-treat and ignores patient priorities and
potential benefits.
Teaching Point
Shared decision-making aligns evidence with patient values and
prognosis.
,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 wants to increase smoking cessation
among middle-aged patients. Which intervention most
effectively combines population health and individual clinical
care?
Options
A. Display anti-smoking posters in waiting rooms only.
B. Offer clinic-based brief counseling plus referral to community
quit programs.
C. Prescribe nicotine replacement to every patient regardless of
readiness.
D. Rely on patients to bring up smoking during visits.
Correct Answer
B
Rationales
, • Correct (B): Combining brief clinician counseling with
linkage to community resources integrates individual care
and public health strategies shown to increase quit rates.
• Incorrect (A): Posters raise awareness but have limited
efficacy as a standalone measure.
• Incorrect (C): Universal pharmacotherapy without
assessing readiness risks overtreatment and poor
adherence.
• Incorrect (D): Passive reliance on patient initiation misses
opportunities for clinician-led prevention.
Teaching Point
Combine brief counseling with community resources for
effective smoking cessation.
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 nurse encounters a parent refusing routine childhood
vaccination due to safety concerns. Which communication
strategy is most likely to reduce vaccine hesitancy?
