Medical Social History Questions: Assessment Quiz and Flashcards

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Questions and Answers

Which of the following is NOT an internal factor that affects the interview process?

Empathy

Respect

Physical environment (correct)

Self-awareness

What is the main purpose of active listening during history taking?

To establish rapport with the patient (correct)

To gather information through questioning

To recap the findings at the end

To validate the patient's story

Which phase of the interview involves gathering information through questioning?

Introduction

Working (correct)

Conclusion

None of the above

What percentage of the diagnosis is made by the clinician during history taking?

80% Signup and view all the answers

Which of the following is NOT a communication technique during history taking?

Distancing Signup and view all the answers

What is the approximate distance between the clinician and the patient during the interview?

4 to 5 feet Signup and view all the answers

Which of the following is NOT a consideration when examining a teenager?

Using child language such as 'tummy' or 'belly' Signup and view all the answers

What should you do before gaining a child's trust during an examination?

Play games and ask questions Signup and view all the answers

Which of the following is NOT a component of the general survey?

Vital signs Signup and view all the answers

What is the purpose of the ABCDE approach during the general survey?

To ensure a quick assessment of airway, breathing, circulation, disability, and exposure Signup and view all the answers

Which of the following is NOT a common complaint in the general survey?

Nausea Signup and view all the answers

What is the significance of a waist circumference greater than 35 inches in women and 40 inches in men?

Increased risk for cardiovascular disease Signup and view all the answers

Which of the following is NOT a component of the comprehensive history-taking process?

A (Assessment) Signup and view all the answers

What does the abbreviation STI stand for in the context of sexual history-taking?

Sexual Transmitted Infection Signup and view all the answers

In the menstrual history, what does menarche refer to?

The age of the first period Signup and view all the answers

What does the abbreviation ADL stand for in the context of functional assessment?

Activities of Daily Life Signup and view all the answers

Which of the following is NOT a question to ask when assessing for domestic violence?

Do you feel safe in your current relationship? Signup and view all the answers

What is the purpose of the social history component in history-taking?

To assess the patient's support system and relationships Signup and view all the answers

Which of the following is NOT a recommended approach for effective communication with patients?

Offer multiple choices and examples Signup and view all the answers

What is the purpose of the S in the SET UP interview strategy for giving bad news?

Set the stage for the interview Signup and view all the answers

What is the purpose of the P in the SET UP interview strategy for giving bad news?

Seek the patient's perception Signup and view all the answers

What is the purpose of the I in the SET UP interview strategy for giving bad news?

Seek the patient's perception Signup and view all the answers

What is the purpose of the K in the SET UP interview strategy for giving bad news?

Summarize and clarify the information Signup and view all the answers

What is the purpose of the E in the SET UP interview strategy for giving bad news?

Invite the patient to share their knowledge Signup and view all the answers

Which of the following is NOT a component of the CAGE-AID screening tool?

Getting annoyed when people ask about drinking Signup and view all the answers

What is the purpose of the PHQ-2 screening tool?

To assess depression symptoms Signup and view all the answers

Which of the following is NOT a symptom assessed by the GAD-2 screening tool?

Feeling down, depressed or hopeless Signup and view all the answers

What is the purpose of the C in the CAGE Questions?

To assess thoughts of cutting back on drinking Signup and view all the answers

What is the purpose of the A in the CAGE Questions?

To assess annoyance about questioning drinking Signup and view all the answers

What is the purpose of the G in the CAGE Questions?

To assess guilt about drinking Signup and view all the answers

Study Notes

Internal Factors Affecting Interview Process

Anxiety, fear, and cultural barriers are internal factors that affect the interview process.
Patient's age, gender, and physical appearance are not internal factors that affect the interview process.

Active Listening

The main purpose of active listening during history taking is to ensure accurate information gathering and build trust with the patient.

Phases of the Interview

The information gathering phase of the interview involves gathering information through questioning.

Diagnosis during History Taking

80% of the diagnosis is made by the clinician during history taking.

Communication Techniques

Avoiding is not a communication technique during history taking.

Interview Distance

The approximate distance between the clinician and the patient during the interview is 3-4 feet.

Examining a Teenager

Considering the patient's autonomy is not a consideration when examining a teenager.

Gaining a Child's Trust

Before gaining a child's trust during an examination, establish rapport with the child.

General Survey

The patient's occupation is not a component of the general survey.
The purpose of the ABCDE approach during the general survey is to assess the patient's appearance, behavior, cognitive function, and emotional status.

Common Complaints

Family dynamics is not a common complaint in the general survey.

Waist Circumference

A waist circumference greater than 35 inches in women and 40 inches in men indicates an increased risk of cardiovascular disease.

Comprehensive History-Taking Process

Patient's credit card information is not a component of the comprehensive history-taking process.

Sexual History-Taking

STI stands for Sexually Transmitted Infection.

Menstrual History

Menarche refers to the onset of menstruation.

Functional Assessment

ADL stands for Activities of Daily Living.

Domestic Violence Assessment

Asking about the patient's favorite color is not a question to ask when assessing for domestic violence.

The purpose of the social history component in history-taking is to understand the patient's social context and its impact on health.

Effective Communication

Avoiding eye contact is not a recommended approach for effective communication with patients.

SET UP Interview Strategy

The S in SET UP stands for Setting, which involves setting the tone for the conversation.
The P in SET UP stands for Perception, which involves understanding the patient's perspective.
The I in SET UP stands for Invitation, which involves inviting the patient to share their concerns.
The K in SET UP stands for Knowledge, which involves sharing information with the patient.
The E in SET UP stands for Empathy, which involves expressing empathy and understanding.

CAGE-AID Screening Tool

The patient's occupation is not a component of the CAGE-AID screening tool.

PHQ-2 Screening Tool

The purpose of the PHQ-2 screening tool is to assess for depression.

GAD-2 Screening Tool

Feeling happy is not a symptom assessed by the GAD-2 screening tool.

CAGE Questions

The C in CAGE Questions stands for Cutting down, which involves assessing the patient's attempts to reduce their substance use.
The A in CAGE Questions stands for Annoyance, which involves assessing the patient's feelings about others criticizing their substance use.
The G in CAGE Questions stands for Guilt, which involves assessing the patient's feelings of guilt about their substance use.

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Description

Assessing Social History and Past Medical History: Test your knowledge on gathering information about work, relationships, safety in relationships, substance use, and previous headaches. Also, learn about conducting a follow-up visit and diagnosing problems in a focused history of present illness. Perfect for medical professionals looking to enhance their patient assessment skills.

Social History and Medical History Assessment Quiz