ans please

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 1 Forum » Behavioral Science Forum

ans please

Author

12 Posts

dr.shar
Forum Elite

Topics: 38
Posts: 236

05/30/04 - 11:14 PM

A 51-year-old man who was previously a successful businessman and devoted husband and father now neglects and abuses his family. At his last visit, he confided to the physician that he abuses alcohol. His wife tells the physician that her husband’s drinking is destroying their family. Of the following responses, which is likely to be the most effective in initiating a discussion about his use of alcohol and its effect on his family?
A
) “Did you know most patients who drink as much as you do lose their families?”
B
) “Do you feel guilty about what you’re doing to your children?”
C
) “Do you realize the damage your use of alcohol is doing to your relationships?”
D
) “What do you think is the impact of your drinking on your family?”
E
) “Your wife says your use of alcohol is destroying your family.”

mash
Forum Fanatic

Topics: 147
Posts: 1,326

05/30/04 - 11:17 PM

D.......

___________________
I hear and I forget. I see and I remember. I do and I understand.
--Confucius

dr.shar
Forum Elite

Topics: 38
Posts: 236

05/30/04 - 11:26 PM

why not B, it is a CAGE question group

mash
Forum Fanatic

Topics: 147
Posts: 1,326

05/30/04 - 11:38 PM

sensitivity of the CAGE questionnaire in screening for alcoholism is enhanced by an open-ended introduction.
so, i think it shud be D

___________________
I hear and I forget. I see and I remember. I do and I understand.
--Confucius

mjl1717
Forum Hero
avatar

Topics: 955
Posts: 5,450

05/31/04 - 09:40 AM

d is more in line with "neutral objectivity"

___________________
Smell the coffee! "Is That an Osler move??"

ardae
Forum Newbie

Topics: 0
Posts: 11

06/14/04 - 06:39 AM

D.
It's an "open end" question, as well.

exeon
Forum Newbie

Topics: 11
Posts: 22

06/16/04 - 10:49 PM

d

___________________
exeon@inmail.sk

exeon
Forum Newbie

Topics: 11
Posts: 22

06/16/04 - 10:50 PM

i agree with d

___________________
exeon@inmail.sk

bluestar
Forum Guru

Topics: 236
Posts: 724

07/03/04 - 04:07 PM

"mash" wrote:
sensitivity of the CAGE questionnaire in screening for alcoholism is enhanced by an open-ended introduction.
so, i think it shud be D

what's CAGE? This is the first time I heard of it.

___________________
I leave no trace of wings in the air, but I am glad I have had my flight

mash
Forum Fanatic

Topics: 147
Posts: 1,326

07/03/04 - 05:39 PM

#10

these r 4 questions dat u can ask to know the the effect of alcohol use on the pt and his family/frnds
1 hv u ever thought to Cut down on ur alcohol intake?
2 hv u ever been Annoyed by criticism by ur frnds or family (on ur alcohol use)?
3 hv u ever felt Guilty abt wat u r doing to ur family?
4 hv u ever felt a need to take alcohol as an Eyeopener?

but the q is asking abt introduction and intro shud be open so, i thought it wud be D

___________________
I hear and I forget. I see and I remember. I do and I understand.
--Confucius

bluestar
Forum Guru

Topics: 236
Posts: 724

07/03/04 - 06:01 PM

#11

and the answer to CAGE can decide if the patient is dependent on alcohol or what? I agree with the selection of D to the posted question, too.

___________________
I leave no trace of wings in the air, but I am glad I have had my flight

mash
Forum Fanatic

Topics: 147
Posts: 1,326

07/03/04 - 08:12 PM

#12

criteria fr abuse is --1) rec use leading to failure to fulfill obligations
2) rec involvement in hazardous situations(accidents etc) while under the influence
3) rec legal problems(DUIs)
4) continued use despite -ve consequences

criteria fr dependance---1)tolerance
2)suicidal ideation
3)seizures (on withdrawl)
4)persistent desire/unsuccessful efforts to Cut down

___________________
I hear and I forget. I see and I remember. I do and I understand.
--Confucius

You don't have permission to post.