NBME Behavioral Science 2

Question 1

A patient newly diagnosed with terminal cancer angrily blames her physician for missing the diagnosis earlier. According to Kübler-Ross, which stage of grief is she most likely experiencing?

Accepted Answer

Anger

Answer

Denial

Answer

Bargaining

Answer

Depression

Question 2

A man who harbors unconscious hostility toward his boss instead becomes overly kind and complimentary toward him. This defense mechanism is best described as:

Accepted Answer

Reaction formation

Answer

Projection

Answer

Displacement

Answer

Sublimation

Question 3

A student studies harder after failing a quiz to avoid receiving a failing grade for the course. This best illustrates:

Accepted Answer

Negative reinforcement

Answer

Positive reinforcement

Answer

Punishment

Answer

Extinction

Question 4

A screening test for disease X has a sensitivity of 90% and specificity of 80%. If a patient tests negative, the most useful statistic for counseling them is:

Accepted Answer

Negative predictive value

Answer

Sensitivity

Answer

Specificity

Answer

Positive predictive value

Question 5

In a town of 10,000 people, 200 have diabetes at the start of the year and 50 new cases are diagnosed during that year. What is the incidence of diabetes in that year?

Accepted Answer

0.5%

Answer

2%

Answer

2.5%

Answer

5%

Question 6

A physician attributes his own feelings of attraction toward a patient onto that patient, believing the patient is attracted to him. This defense mechanism is:

Accepted Answer

Projection

Answer

Rationalization

Answer

Identification

Answer

Splitting

Question 7

An infant consistently seeks proximity to a caregiver when distressed and is easily soothed upon reunion. This pattern represents which type of attachment?

Accepted Answer

Secure attachment

Answer

Avoidant attachment

Answer

Disorganized attachment

Answer

Anxious-ambivalent attachment