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Surgery in Africa MCQs - July 2012 Communication Skills

Please send your answers by email to ptolemy.info@utoronto.ca with your NAME, EMAIL, ADDRESS, ANSWERS.
1. Communication skills:
a. Cannot be improved once a persons language learning is cemented during adolescence.
b. If lacking, are adequately compensated by technical expertise
c. Can be improved by using courses emphasizing theory
d. Can be improved by using courses emphasizing practice and feedback

2. Robert Buckmans SPIKES model for breaking bad news includes all of the following except:
a. Setting aside time and a quiet place without interruptions
b. Inquiring what the patient/family already know about the situation
c. Expressing empathy
d. Withholding any information which may cause distress

3. Empathy describes:
a. Acknowledging the emotional responses of others
b. Suppressing ones own emotional response to a situation
c. Sharing deeply in the grief of others
d. An inappropriate loss of clinical objectivity

4. Clinicians can demonstrate empathy by:

a. Terminating an interview when patients become emotional and resuming later
b. Acknowledging and normalizing emotions expressed by the patient
c. Appropriate silence
d. Both B and C

5. When conducting a medical diagnostic interview

a. Direct, factual questions allow for efficient gathering of the patients perspective
b. Patients should not be allowed to talk to much or control the pace
c. A patient will typically reveal 80% of important history if allowed to talk for two minutes
d. Open ended questions make patients feel stressed and vulnerable

6. All of the following statements regarding practicing communications are true EXCEPT:
a. Practicing doctors can teach communication effectively after brief training
b. Involving nurses and patients in giving feedback reduces medical student confidence in what they know
c. Men can learn communication skills as quickly as women.
d. Students who do most poorly on pretests tend to learn the most from communications skills training

7. SBAR communication stands for:

a. Summon, berate, admonish, remediate
b. Situation, background, assessment, recommendation
c. Setting, briefing, actors, roles
d. Situation, background, action, response

8. Structured communication addresses which of the following:

a. Efficiency and concise communication
b. Signal to noise ration in a distracting environment
c. The need for frank communication despite a hierarchy
d. All of the above

01/11/2016 09.18

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01/11/2016 09.18