Then choose among the remaining options the one that is not true or least likely to be correct in the situation presented. Example Item 2 2. That's probably how he got hurt this time. On physical examination the patient appears unkempt. There is a 4-cm laceration on the palmar aspect of his left hand.
Child abuse is suspected.
A single patient-centered vignette may be associated with two, three, or four consecutive questions about the information presented. Each question is linked to the initial patient-centered vignette, but is testing a different point. Items are designed to be answered independently of each other. You are required to select the one best choice for each question. Other options may be partially correct, but there is only ONE BEST answer.