During Bedside Rounds, a Medical Student Is Asked by the Senior

question 92

Multiple Choice

During bedside rounds, a medical student is asked by the senior resident to describe the differential diagnosis of hematuria.  After listing several diagnostic possibilities, but neglecting to mention nephrolithiasis, the resident sarcastically says, "What year of medical school are you in?  When I was a student, I could recite this in my sleep."  The student is upset by this comment and speaks to the resident privately later in the day, saying, "I am open to feedback on my performance but would hope that you would not belittle me in public."  Earlier that day the resident was reprimanded by the chief of service for mismanaging the care of a private patient.  The resident did not agree with the attending's assessment but said nothing.  Which of the following defense mechanisms is exhibited by the resident's behavior toward the student?

• A)Acting out
• B)Displacement
• C)Projection
• D)Reaction formation
• E)Sublimation
• F)Suppression

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Definitions:

Lower Unemployment

A situation or condition where there is a decrease in the number of people who are actively seeking work but are unable to find employment.

Higher Education

Education provided by universities and other institutions that award academic degrees, such as colleges and vocational schools.

Grade Inflation

The tendency over time for academic grades to become progressively higher, often without a corresponding increase in learning or achievement.

Assortative Mating

Occurs when marriage partners are selected so that spouses are similar on various criteria of social rank.