Medical-Surgical Nursing MCQ Study Guide | Fast Revision Practice Questions

Harrison's Principles of Internal Medicine
(Vol.1 & Vol.2)
22nd Edition
• Author(s)Joseph Loscalzo; Anthony S.
Fauci; Dennis L. Kasper; Stephen Hauser;
Dan Longo; J. Larry Jameson
Test Bank




Covered

PART 1: Foundations of Clinical Medicine

PART 2: Cardinal Symptoms & Clinical Presentations

PART 3: Clinical Pharmacology

PART 4: Oncology & Hematology

PART 5: Infectious Diseases

PART 6: Cardiovascular Disorders

PART 7: Respiratory Disorders

PART 8: Critical Care Medicine

PART 9: Kidney & Urinary Tract Disorders

PART 10: Gastrointestinal & Hepatobiliary Disorders

,PART 11: Immune-Mediated & Rheumatologic Disorders

PART 12: Endocrinology & Metabolism

PART 13: Neurologic & Psychiatric Disorders

PART 14: Toxicology & Environmental Injury

PART 15: Environmental & Occupational Medicine

PART 16: Genetics, Precision & Systems Medicine

PART 17–20: Special & Emerging Topics




Integrated Fast-Revision MCQs (Chapters 1–13)


1. The Practice of Medicine
Q1. Which principle best characterizes modern internal
medicine practice as described in Harrison’s?
A. Disease-centered care driven by technology
B. Population-based protocols without individualization
C. Integration of scientific evidence with patient values
D. Reliance on subspecialty referral for diagnosis
Correct Answer: C
Rationale: Harrison’s emphasizes evidence-based care
integrated with patient preferences and values.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
Ch. 1 The Practice of Medicine


2. Promoting Good Health

,Q2. Which nursing intervention aligns with Harrison’s concept
of health promotion?
A. Screening only symptomatic patients
B. Focusing solely on pharmacologic prevention
C. Addressing behavioral, social, and environmental
determinants
D. Prioritizing acute care over prevention
Correct Answer: C
Rationale: Health promotion extends beyond disease treatment
to social and behavioral determinants.
Citation: Harrison’s, 22nd ed., Ch. 2 Promoting Good Health


3. Vaccine Opposition and Hesitancy
Q3. A key contributor to vaccine hesitancy identified in
Harrison’s is:
A. Lack of vaccine availability
B. Distrust in health institutions
C. Excessive cost of vaccines
D. Complex administration schedules
Correct Answer: B
Rationale: Mistrust, misinformation, and sociocultural factors
drive hesitancy.
Citation: Harrison’s, 22nd ed., Ch. 3 Vaccine Opposition and
Hesitancy

, 4. Decision-Making in Clinical Medicine
Q4. Which approach best reflects sound clinical decision-
making?
A. Intuition-based decisions
B. Algorithm-only reasoning
C. Probabilistic reasoning integrating pretest likelihood
D. Delaying decisions until definitive diagnosis
Correct Answer: C
Rationale: Harrison’s stresses Bayesian reasoning and
probability-based decisions.
Citation: Harrison’s, 22nd ed., Ch. 4 Decision-Making in Clinical
Medicine


5. Precision Medicine and Clinical Care
Q5. Precision medicine primarily aims to:
A. Replace clinical judgment
B. Individualize care using genetic and molecular data
C. Eliminate population-based guidelines
D. Focus only on rare diseases
Correct Answer: B
Rationale: Precision medicine tailors prevention and treatment
to individual variability.
Citation: Harrison’s, 22nd ed., Ch. 5 Precision Medicine and
Clinical Care