Health History Components Quiz
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Questions and Answers

What is an example of the technique of echoing?

  • Repeating the patient's words (correct)
  • Eliciting a spectrum of responses
  • Asking a leading question
  • Asking a graded response
  • What type of finding is pain in the right lower quadrant?

  • Physical examination finding
  • Subjective finding (correct)
  • Medical history finding
  • Objective finding
  • Which of the following is an objective finding?

  • History of vomiting
  • High stress level
  • Accelerated heart rate (correct)
  • Pale appearance
  • What type of information is the patient's report of a cut over their eye?

    <p>Subjective information</p> Signup and view all the answers

    Which examination technique involves striking the middle finger of one hand against the middle finger of the other?

    <p>Percussion</p> Signup and view all the answers

    Where should the clinician begin the examination of a patient who complains of always feeling tired and hungry?

    <p>Lower extremities</p> Signup and view all the answers

    What is an example of an open-ended question?

    <p>How many steps can you climb?</p> Signup and view all the answers

    What is the primary focus of the FIFE model in patient care?

    <p>To understand the patient's emotional and intellectual landscape</p> Signup and view all the answers

    Why is it important to use the FIFE model in patient care?

    <p>To avoid missing aspects of a patient's illness experience</p> Signup and view all the answers

    What is the purpose of percussion?

    <p>To determine the size and health of internal organs</p> Signup and view all the answers

    What is the purpose of echoing in patient interviewing?

    <p>To encourage the patient to continue their narrative</p> Signup and view all the answers

    What is an example of a leading question?

    <p>That chest pain is probably from your heart, isn’t it?</p> Signup and view all the answers

    What is the main difference between subjective and objective findings?

    <p>Subjective findings rely on the patient's report, while objective findings are measurable</p> Signup and view all the answers

    What is an example of a clarifying question?

    <p>His pain was that also located above the belly button as yours is?</p> Signup and view all the answers

    What is the purpose of encouraging with continuers in patient interviewing?

    <p>To encourage the patient to expand on their narrative</p> Signup and view all the answers

    What is the primary goal of the FIFE model in patient care?

    <p>To understand the patient's emotional and intellectual landscape</p> Signup and view all the answers

    What is the benefit of using the FIFE model in patient care?

    <p>It ensures that no aspects of the patient's illness experience are missed</p> Signup and view all the answers

    What is an example of echoing in patient interviewing?

    <p>Just like?</p> Signup and view all the answers

    What is the purpose of clarifying questions in patient interviewing?

    <p>To clarify the patient's concerns</p> Signup and view all the answers

    What is the benefit of encouraging with continuers in patient interviewing?

    <p>It encourages the patient to expand on their narrative</p> Signup and view all the answers

    What is the main difference between subjective and objective data in a health history?

    <p>Subjective data is what the patient tells you, while objective data is what you detect during the examination</p> Signup and view all the answers

    What is the purpose of the review of systems in a health history?

    <p>To gather information about the patient's symptoms and health status</p> Signup and view all the answers

    Which of the following is a component of the SOAP note?

    <p>Subjective, objective, assessment, and plan</p> Signup and view all the answers

    What is the purpose of the US Preventative Service Task Force?

    <p>To develop screening recommendations for patients</p> Signup and view all the answers

    What is the term for the probability that a person with a disease has a positive test result?

    <p>Sensitivity</p> Signup and view all the answers

    When conducting a physical examination, what is the recommended order to optimize patient comfort and ensure that nothing is missed?

    <p>Head and neck, posterior thorax, abdomen, lower extremities</p> Signup and view all the answers

    What is the purpose of the clinical reasoning process?

    <p>To generate hypotheses and develop a diagnosis and treatment plan</p> Signup and view all the answers

    What is included in the assessment and plan component of the SOAP note?

    <p>The diagnosis and differential diagnosis, and the plan for each problem</p> Signup and view all the answers

    What is the primary component of the past history that a physician assistant omitted during the patient's first visit?

    <p>Immunizations</p> Signup and view all the answers

    What is the medical term that defines obesity in a patient?

    <p>A patient with a body mass index (BMI) &gt;30</p> Signup and view all the answers

    What is the purpose of the health maintenance and screening component of healthcare?

    <p>To prevent and detect health problems through screenings and vaccinations</p> Signup and view all the answers

    What is the primary purpose of the CAGE questionnaire?

    <p>To identify alcohol abuse</p> Signup and view all the answers

    The CAGE questionnaire is primarily used to evaluate for which of the following?

    <p>Alcohol misuse</p> Signup and view all the answers

    What is the primary reason for starting a physical examination from the head and neck?

    <p>To minimize the number of changes in patient position</p> Signup and view all the answers

    What is the most important consideration when dealing with the patient's symptoms?

    <p>Ruling out potential life-threatening problems</p> Signup and view all the answers

    What is the primary component of the past history that includes childhood illnesses and adult illnesses?

    <p>Health maintenance behaviors</p> Signup and view all the answers

    What is the suspected diagnosis given the patient's symptoms?

    <p>Myocardial infarction (MI)</p> Signup and view all the answers

    What is the recommended approach to conducting a physical examination?

    <p>Proceeding from the top down to optimize patient comfort</p> Signup and view all the answers

    Why did the patient experience intense substernal chest pain?

    <p>Due to heavy lifting at work</p> Signup and view all the answers

    What step of clinical reasoning did the PA fail to follow?

    <p>Give special consideration to potential life-threatening problems</p> Signup and view all the answers

    What is the primary purpose of inquiring about a patient's family history?

    <p>To identify potential risk factors for the present illness</p> Signup and view all the answers

    Why is eliciting information about the patient's family history of digestive disorders not the correct answer?

    <p>Because it is not the most important next step</p> Signup and view all the answers

    What is the primary advantage of using the CAGE questionnaire in a patient evaluation?

    <p>It is a quick and effective screening tool for alcohol misuse</p> Signup and view all the answers

    What is the primary concern when dealing with the patient's symptoms?

    <p>Ruling out potential life-threatening problems</p> Signup and view all the answers

    What is the primary difference between a patient's past history and present illness?

    <p>The past history focuses on previous illnesses, while the present illness focuses on current symptoms and diagnoses</p> Signup and view all the answers

    What is the potential consequence of not considering life-threatening problems first?

    <p>Delayed treatment of a myocardial infarction (MI)</p> Signup and view all the answers

    Study Notes

    Health History Components

    • Identifying patient information: gathering data about the patient, including their chief complaint, medical history, and personal and social history
    • Source of history: identifying the source of the patient's information, such as the patient themselves, family members, or medical records
    • Chief complaint: the patient's primary reason for seeking medical attention
    • History of present illness: a detailed description of the patient's symptoms, including their onset, duration, and severity
    • Past medical history: a review of the patient's previous medical conditions, illnesses, and surgeries
    • Family history: a review of the patient's family medical history, including genetic disorders and illnesses
    • Personal and social history: a review of the patient's lifestyle, including their occupation, diet, and social habits
    • Review of Systems: a review of the patient's symptoms and medical history, organized by body system

    Subjective vs. Objective Data

    • Subjective data: information provided by the patient, including their symptoms, feelings, and experiences
    • Objective data: information gathered by the clinician through observation, examination, and laboratory tests

    Physical Examination

    • Setting the stage: preparing the patient and the environment for the examination
    • Preparing equipment: gathering necessary equipment, such as a stethoscope and blood pressure cuff
    • Making the patient comfortable: ensuring the patient's physical and emotional comfort during the examination
    • Suggested Head-to-Toe Physical Examination: a systematic approach to examining the patient's body, from head to toe
    • Documenting findings: recording the results of the examination, including any abnormalities or concerns

    Clinical Reasoning, Assessment, and Plan

    • Clinical reasoning: the process of gathering and interpreting information to develop a diagnosis and treatment plan
    • Gathering initial patient information: collecting data through the health history and physical examination
    • Organizing and interpreting information: analyzing the data to identify patterns and relationships
    • Generating hypotheses: developing potential diagnoses based on the data
    • Testing hypotheses: evaluating the hypotheses through further examination, testing, and consultation
    • Planning the diagnostic and treatment strategy: developing a plan to diagnose and treat the patient's condition

    SOAP Notes

    • Subjective: documenting the patient's subjective data, including their symptoms and experiences
    • Objective: documenting the patient's objective data, including examination findings and laboratory results
    • Assessment: documenting the clinician's interpretation of the data, including the diagnosis and treatment plan
    • Plan: documenting the plan for further diagnosis and treatment, including medications, procedures, and follow-up care

    Health Maintenance and Screening

    • US Preventative Service Task Force: a organization that recommends screening and preventive services for various populations
    • Screening recommendations: guidelines for screening tests, such as mammograms and colonoscopies
    • BMI assessment and diabetes screening: assessing the patient's body mass index and screening for diabetes
    • Substance use disorders screening: screening for substance abuse and dependence
    • Screening for intimate partner violence and elder abuse: screening for signs of abuse and neglect
    • STI screening: screening for sexually transmitted infections
    • HIV screening: screening for HIV infection
    • Immunizations: administering vaccinations to prevent infectious diseases

    Evaluating Clinical Evidence

    • Evaluating diagnostic tests: assessing the validity and reliability of diagnostic tests
    • Validity: the accuracy of a diagnostic test in identifying a disease or condition
    • Sensitivity: the ability of a diagnostic test to detect a disease or condition in people who have it
    • Specificity: the ability of a diagnostic test to exclude a disease or condition in people who do not have it
    • Critical appraisal of clinical evidence: evaluating the quality and relevance of research evidence to inform clinical practice

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    Description

    Test your knowledge of the components of a health history, including identifying patient information, source of history, chief complaint, and history of present illness.

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