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 multiple chronic conditions sees you for
routine care. He asks you to «fix everything now.» Which
approach best aligns with high-quality practice of medicine
while respecting clinical priorities?
Options
A. Focus on immediate stabilization of all abnormal lab values
,identified today.
B. Prioritize problems by likelihood of near-term morbidity and
patient goals, then create a stepwise plan.
C. Order every recommended screening and specialist consult
immediately to be comprehensive.
D. Defer any care changes until all diagnostic tests are
completed.
Correct Answer
B
Rationales
• Correct (B): Prioritizing by near-term risk and patient goals
reflects patient-centered, value-based practice—aligns
interventions with likely benefit and patient preferences.
• A: Stabilizing all abnormal labs without assessing clinical
relevance may cause overtreatment and harm.
• C: Ordering every test/consult immediately increases cost,
delays shared decision-making, and may produce low-
value care.
• D: Blanket deferral ignores urgent needs and fails to
balance timeliness with diagnostic certainty.
Teaching Point
Prioritize care by risk, benefit, and patient goals for effective,
patient-centered medicine.
,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 45-year-old woman with hypertension and BMI 34 asks how
to reduce her cardiovascular risk. Which counseling approach
most effectively promotes sustained behavior change?
Options
A. Provide a one-time lecture on diet and exercise.
B. Use brief motivational interviewing to elicit her own goals
and create a follow-up plan.
C. Give a printed handout of national guidelines and discharge
her.
D. Refer immediately for bariatric surgery without further
discussion.
Correct Answer
B
Rationales
, • Correct (B): Motivational interviewing elicits patient
values, increases engagement, and supports realistic,
sustained behavior change.
• A: A single lecture rarely changes long-term behavior
without follow-up or individualized planning.
• C: Handouts alone have limited effect without tailored
counseling and follow-up.
• D: Bariatric surgery may be appropriate for select patients
but requires shared decision-making and is not first-line
without exploring non-surgical options.
Teaching Point
Motivational interviewing fosters patient ownership and
sustained lifestyle change.
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 parent expresses vaccine hesitancy citing safety concerns
from social media. Which clinician response most effectively
addresses hesitancy while maintaining trust?
(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 multiple chronic conditions sees you for
routine care. He asks you to «fix everything now.» Which
approach best aligns with high-quality practice of medicine
while respecting clinical priorities?
Options
A. Focus on immediate stabilization of all abnormal lab values
,identified today.
B. Prioritize problems by likelihood of near-term morbidity and
patient goals, then create a stepwise plan.
C. Order every recommended screening and specialist consult
immediately to be comprehensive.
D. Defer any care changes until all diagnostic tests are
completed.
Correct Answer
B
Rationales
• Correct (B): Prioritizing by near-term risk and patient goals
reflects patient-centered, value-based practice—aligns
interventions with likely benefit and patient preferences.
• A: Stabilizing all abnormal labs without assessing clinical
relevance may cause overtreatment and harm.
• C: Ordering every test/consult immediately increases cost,
delays shared decision-making, and may produce low-
value care.
• D: Blanket deferral ignores urgent needs and fails to
balance timeliness with diagnostic certainty.
Teaching Point
Prioritize care by risk, benefit, and patient goals for effective,
patient-centered medicine.
,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 45-year-old woman with hypertension and BMI 34 asks how
to reduce her cardiovascular risk. Which counseling approach
most effectively promotes sustained behavior change?
Options
A. Provide a one-time lecture on diet and exercise.
B. Use brief motivational interviewing to elicit her own goals
and create a follow-up plan.
C. Give a printed handout of national guidelines and discharge
her.
D. Refer immediately for bariatric surgery without further
discussion.
Correct Answer
B
Rationales
, • Correct (B): Motivational interviewing elicits patient
values, increases engagement, and supports realistic,
sustained behavior change.
• A: A single lecture rarely changes long-term behavior
without follow-up or individualized planning.
• C: Handouts alone have limited effect without tailored
counseling and follow-up.
• D: Bariatric surgery may be appropriate for select patients
but requires shared decision-making and is not first-line
without exploring non-surgical options.
Teaching Point
Motivational interviewing fosters patient ownership and
sustained lifestyle change.
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 parent expresses vaccine hesitancy citing safety concerns
from social media. Which clinician response most effectively
addresses hesitancy while maintaining trust?
