Legal, Ethical and Organizational… (Communication) — 46yo Patient | Communication & Professionalism | MCCQE1 Q#13527

MCCQE1 Question #13527

Dimension of Care

Health Promotion & Illness Prevention

Activity

Communication

Objective

Legal, Ethical and Organizational Aspects

Section

Public Health / Ethics / Legal / Organizational (PHELO/PMCH)

Subject

Communication & Professionalism

Last updated: February 2026
A 46-year-old patient attends an outpatient oncology clinic to review biopsy results. The physician plans to use the SPIKES framework to structure the conversation and wants to ensure they clearly explain the diagnosis, prognosis, and treatment options using understandable language and small chunks of information, while checking the patient’s understanding. Which step in the SPIKES protocol emphasizes providing medical facts to the patient when breaking bad news?
Full answer analysis and choices are available inside the practice session.