Maryville AHA 612 exam 1 Questions With
Complete Solutions
OLDCARTS correct answer: Onset,Location, Duration,
Characteristics, Aggravating factors, Relieving factors,
Temporal factors, Severity
PQRST correct answer: provocative/palliative, quality,
region/radiation, severity, and timing
COLDPA correct answer: characteristic, onset, location,
duration, pattern, and associated factors
PMH correct answer: General health, childhood illnesses, adult
illnesses or chronic diseases, Immunizations, surgeries, serious
injuries resulting in disability, medications, ability to complete
ADLs, allergies and reactions, transfusions, recent screening
tests, emotional status,
FM correct answer: Investigate blood relatives in the immediate
family with features similar to the patient's. If a disease "runs in
the family", ask about everyone from grandparents to cousins.
Ask about heart disease, hypertension, cancer, TB, stroke, sickle
cell, CF, kidney disease, thyroid disease, blood diseases,
Ascertain whether cancers are multiple, bilateral, and occurring
more than once in the family, or at a young age.
SH correct answer: birthplace, home environment, cultural and
ethnic background, education, occupation, marital status,hobbies
,or interests, sources of stress, habits of self-care (self breast
exams, etc), habits regarding smoking, alcohol and drug use, and
sexual history. Five Ps of sexual history-partners, practices,
protection, past history of STIs, pregnancy prevention.
ROS correct answer: general, skin hair and nails, head and
neck, eyes, ears, nose, throat and mouth, lymph nodes, chest and
lungs, breasts, heart and blood vessels, peripheral vasculature,
hematologic, GI, diet, endocrine, GU, musculoskeletal,
neurologic, psychiatric.
concepts of developing a relationship with the patient correct
answer: A primary objective is to discover the details about a
patient's concern, explore expectations for the encounter and
display interest, curiosity and partnership. Identifying
underlying worries, believing them, and trying to deal with them
optimizes your ability to be of help
effective communication strategies correct answer:
Communication built on courtesy, comfort, connection, and
confirmation.
patient-centered care correct answer: respecting and responding
to patients wants and needs so they can make choices that best
fit their circumstances
potential barriers of patient and provider communication correct
answer: moments of tension this includes: patient curiosity
about you, anxiety, silence, depression, seduction, anger, crying,
financial issues, and avoidance.
, Chief Concern correct answer: a brief statement about why the
patient is seeking care. Many interviewers include duration in
the CC
Females- correct answer: start and character of meneses, LMP,
last PAP smear, pregnancies
Males correct answer: puberty onset, difficulty with erections,
emissions, testicular pain and libido.
objective correct answer: direct observation, what you see, hear,
smell and touch
Subjective correct answer: information patients offer about their
condition or feelings. This includes chief complaint, past
medical history, history or present illness, family history, and
review of symptoms.
Sensitive issues correct answer: Provide privacy
Do not waffle be, direct and firm. Avoid asking, leading
questions; open-ended
Do not apologize for asking a question
Do not preach. Avoid confrontation. You are not there to pass
judgement
Use language that is understandable to the patient, yet not
patronizing
Do not push too hard
Document carefully, using the pts own words
culturally aware and culturally competent correct answer:
sensitive to heritage, sexual orientation, economic situation, and