Test Your Advanced Health Assessment Skills
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Questions and Answers

Which of the following is NOT one of the 5 phases of a clinical encounter?

  • Gathering information
  • Diagnosis (correct)
  • Physical exam
  • Rapport

    • What is the purpose of the health history?

  • All of the above (correct)
  • To educate the patient
  • To gather sensitive and nuanced information
  • To establish a diagnosis

    • Which of the following is a component of the health history?

  • Patient education
  • Chief complaint (correct)
  • Objective data
  • Physical exam

    • What are some useful tools for CC and HPI?

    <p>OLDCART, PQRST, eight descriptors of a symptom</p> Signup and view all the answers

    What is included in a HEENT and Focused Airway Assessment?

    <p>All of the above</p> Signup and view all the answers

    What is the order of operations for physical exam techniques?

    <p>Inspection, palpation, percussion, auscultation</p> Signup and view all the answers

    What should be assessed when examining the head?

    <p>All of the above</p> Signup and view all the answers

    What factors can cause difficult mask ventilation?

    <p>Obesity and history of snoring</p> Signup and view all the answers

    What is included in a full anesthesia airway assessment?

    <p>Evaluation of mallampati score and thyromental distance</p> Signup and view all the answers

    Which of the following is NOT one of the 5 phases of a clinical encounter?

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

    What is the purpose of the health history?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a component of the health history?

    <p>Chief complaint</p> Signup and view all the answers

    What are some useful tools for CC and HPI?

    <p>OLDCART, PQRST, eight descriptors of a symptom</p> Signup and view all the answers

    What is included in a HEENT and Focused Airway Assessment?

    <p>All of the above</p> Signup and view all the answers

    What is the order of operations for physical exam techniques?

    <p>Inspection, palpation, percussion, auscultation</p> Signup and view all the answers

    What should be assessed when examining the head?

    <p>All of the above</p> Signup and view all the answers

    What factors can cause difficult mask ventilation?

    <p>Obesity and history of snoring</p> Signup and view all the answers

    What is included in a full anesthesia airway assessment?

    <p>Evaluation of mallampati score and thyromental distance</p> Signup and view all the answers

    Which of the following is NOT one of the phases of the clinical encounter?

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

    What is the purpose of the health history?

    <p>All of the above</p> Signup and view all the answers

    What are the components of the health history?

    <p>Identifying data, reliability, chief complaint, subjective data, objective data, and SOAP note</p> Signup and view all the answers

    What are some useful tools for CC and HPI?

    <p>OLDCART, PQRST, and the eight descriptors of a symptom</p> Signup and view all the answers

    What does the anesthesia H&P include?

    <p>All of the above</p> Signup and view all the answers

    What are some common pitfalls during health history taking?

    <p>All of the above</p> Signup and view all the answers

    What are some examples of perioperative lab testing and imaging?

    <p>BMP/CMP, coag panel, CBC, 12 leads EKG, CXR, and CT/MRI</p> Signup and view all the answers

    What are some examples of assessments included in HEENT and Focused Airway Assessments?

    <p>Assessing pain, headaches, tinnitus, vertigo, difficulty breathing/blockage, rhinorrhea, sore throat, hoarseness, and swollen glands</p> Signup and view all the answers

    What is the order of operations for physical exam techniques?

    <p>Inspection, palpation, percussion, and auscultation</p> Signup and view all the answers

    • The Weber and Rinne tests can be used to test auditory ______

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

    • The inter-incisor gap should be measured in ______, with a minimal acceptable value of > 4cm to facilitate easy insertion of a laryngoscope blade

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

    • The nose and paranasal sinuses should be inspected for symmetry, deformity, and ______

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

    • The full anesthesia airway assessment includes examination of tongue size, nostril patency, mallampati score, dentition, facial hair, thyromental distance, atlanto-occipital joint extension, and cervical spine ______

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

    • The airway template includes Mallampati score, thyromental distance, inter-incisor distance, mandibular protrusion/TMJ mobility, teeth, neck ROM, neck circumference, and neck ______

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

    • Difficult mask ventilation can be caused by factors such as obesity, age > 55, lack of teeth, and history of ______

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

    • The neck should be inspected for symmetry, masses, scars, and visible ______

    <p>lymph nodes</p> Signup and view all the answers

    • The purpose of the health history is to gather sensitive and nuanced information, establish a diagnosis, educate the patient, and promote health and ______ prevention

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

    • Common pitfalls during health history taking include not listening to the patient's answer, using jargon, not speaking directly to the patient, and not listening to family and ______

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

    Study Notes

    Advanced Health Assessment: Patient Interview and Health History

    • The clinical encounter has 5 phases: initializing, preparation, rapport, gathering information, physical exam, explaining and planning, and closing.

    • The purpose of the health history is to gather sensitive and nuanced information, establish a diagnosis, educate the patient, and promote health and disease prevention.

    • The components of the health history include identifying data, reliability, chief complaint, subjective data (CC, HPI, PMH, FH, PSH, ROS), objective data (physical exam, labs and imaging, patient education), and SOAP note.

    • Useful tools for CC and HPI include OLDCART, PQRST, and the eight descriptors of a symptom.

    • Anesthesia H&P includes assessing the patient's status of health and illnesses, airway and spinal issues, and determining if the procedure/surgery is elective, urgent or emergent.

    • Common pitfalls during health history taking include not listening to the patient's answer, using jargon, not speaking directly to the patient, and not listening to family and friends.

    • Perioperative lab testing and imaging are related to the surgery type and patient's condition, including BMP/CMP, coag panel, CBC, 12 leads EKG, CXR, and CT/MRI.

    • HEENT and Focused Airway Assessments include evaluating pain, headaches, tinnitus, vertigo, difficulty breathing/blockage, rhinorrhea, sore throat, hoarseness, and swollen glands.

    • Physical exam techniques include inspection, palpation, percussion, and auscultation.

    • The order of operations for physical exam techniques is inspection, palpation, percussion, and auscultation.

    • Cranial nerves should be assessed, including CN VII (Facial) for raising eyebrows, smiling/frowning, showing teeth, and puffing cheeks.

    • The head should be assessed for face color, pigmentation, texture, thickness, and hair distribution.An Overview of Airway Assessment

    • The airway assessment includes examination of the mouth, nose, throat, ears, trachea, and thyroid gland.

    • The auditory acuity can be tested using the Weber and Rinne tests.

    • The nose and paranasal sinuses should be inspected for symmetry, deformity, and obstruction.

    • The tongue, floor of the mouth, and pharynx should be checked for lesions, color, and texture.

    • The neck should be inspected for symmetry, masses, scars, and visible lymph nodes.

    • The full anesthesia airway assessment includes examination of tongue size, nostril patency, mallampati score, dentition, facial hair, thyromental distance, atlanto-occipital joint extension, and cervical spine movement.

    • The inter-incisor gap should be measured in fingerbreadths, with a minimal acceptable value of > 4cm to facilitate easy insertion of a laryngoscope blade.

    • The thyromental distance should be measured to determine how readily the laryngeal axis will fall in line with the pharyngeal axis.

    • The Delikans sign can be used to assess atlanto-occipital joint extension.

    • Difficult mask ventilation can be caused by factors such as obesity, age > 55, lack of teeth, and history of snoring.

    • The airway template includes Mallampati score, thyromental distance, inter-incisor distance, mandibular protrusion/TMJ mobility, teeth, neck ROM, neck circumference, and neck masses.

    • A thorough airway assessment is crucial for successful airway management during anesthesia.

    Advanced Health Assessment: Patient Interview and Health History

    • The clinical encounter has 5 phases: initializing, preparation, rapport, gathering information, physical exam, explaining and planning, and closing.

    • The purpose of the health history is to gather sensitive and nuanced information, establish a diagnosis, educate the patient, and promote health and disease prevention.

    • The components of the health history include identifying data, reliability, chief complaint, subjective data (CC, HPI, PMH, FH, PSH, ROS), objective data (physical exam, labs and imaging, patient education), and SOAP note.

    • Useful tools for CC and HPI include OLDCART, PQRST, and the eight descriptors of a symptom.

    • Anesthesia H&P includes assessing the patient's status of health and illnesses, airway and spinal issues, and determining if the procedure/surgery is elective, urgent or emergent.

    • Common pitfalls during health history taking include not listening to the patient's answer, using jargon, not speaking directly to the patient, and not listening to family and friends.

    • Perioperative lab testing and imaging are related to the surgery type and patient's condition, including BMP/CMP, coag panel, CBC, 12 leads EKG, CXR, and CT/MRI.

    • HEENT and Focused Airway Assessments include evaluating pain, headaches, tinnitus, vertigo, difficulty breathing/blockage, rhinorrhea, sore throat, hoarseness, and swollen glands.

    • Physical exam techniques include inspection, palpation, percussion, and auscultation.

    • The order of operations for physical exam techniques is inspection, palpation, percussion, and auscultation.

    • Cranial nerves should be assessed, including CN VII (Facial) for raising eyebrows, smiling/frowning, showing teeth, and puffing cheeks.

    • The head should be assessed for face color, pigmentation, texture, thickness, and hair distribution.An Overview of Airway Assessment

    • The airway assessment includes examination of the mouth, nose, throat, ears, trachea, and thyroid gland.

    • The auditory acuity can be tested using the Weber and Rinne tests.

    • The nose and paranasal sinuses should be inspected for symmetry, deformity, and obstruction.

    • The tongue, floor of the mouth, and pharynx should be checked for lesions, color, and texture.

    • The neck should be inspected for symmetry, masses, scars, and visible lymph nodes.

    • The full anesthesia airway assessment includes examination of tongue size, nostril patency, mallampati score, dentition, facial hair, thyromental distance, atlanto-occipital joint extension, and cervical spine movement.

    • The inter-incisor gap should be measured in fingerbreadths, with a minimal acceptable value of > 4cm to facilitate easy insertion of a laryngoscope blade.

    • The thyromental distance should be measured to determine how readily the laryngeal axis will fall in line with the pharyngeal axis.

    • The Delikans sign can be used to assess atlanto-occipital joint extension.

    • Difficult mask ventilation can be caused by factors such as obesity, age > 55, lack of teeth, and history of snoring.

    • The airway template includes Mallampati score, thyromental distance, inter-incisor distance, mandibular protrusion/TMJ mobility, teeth, neck ROM, neck circumference, and neck masses.

    • A thorough airway assessment is crucial for successful airway management during anesthesia.

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    Interview & Health History PDF

    Description

    Are you a healthcare professional looking to improve your patient assessment skills? Take this quiz on Advanced Health Assessment: Patient Interview and Health History. Test your knowledge on the 5 phases of a clinical encounter, components of a health history, common pitfalls, and physical exam techniques. Additionally, learn about the key aspects of airway assessment and their importance in anesthesia management. Improve your clinical practice and patient care with this informative quiz.

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