OST 553 - DPR and CDW Flashcards (6 Questions on Exam) Qs&As
2024
This is defined as the ability to sort through a cluster of features presented by a patient and accurately
assign a diagnostic label, with the development of an appropriate treatment strategy as an end
goal
It is how you bridg...
OST 553 - DPR and CDW Flashcards (6 Questions on Exam) Qs&As
2024
This is defined as the ability to sort through a cluster of features presented by a patient and accurately
assign a diagnostic label, with the development of an appropriate treatment strategy as an end
goal
It is how you bridge the gap between data gathering and treating the patient - ANS-✔✔Clinical
reasoning
What kind of questions should you always open up with when taking a patient's history? - ANS-✔✔
OPEN ended questions ("Can you tell me a more about your leg pain?")
What does OPPQRSTA stand for? - ANS-✔✔O - onset
P - Palliative
P - Provokes
Q - Quality
R - Radiation
S - Severity
T - Time
A - Associated symptoms
Are we waiting until we've conducted the entire interview and exam before we start thinking about
what could cause the patient's symptoms? When do we start thinking about it? - ANS-✔✔NO
Start thinking about it as soon as they start talking
, Can you obtain severity of pain without using an arbitrary pain scale? How is this done? - ANS-✔✔YES,
ask how the pain affects the functioning of the patient (Does it keep them up at night? Affect their daily
living? etc.)
Much more useful than an arbitrary pain scale
Assessment format? - ANS-✔✔Numbered list of problems
-Most important problem at the top (usually the main reason for seeking help and reflects the patient's
chief complaint)
-Each problem should be accompanied by a differential diagnosis or explanation of status of the
problem AND with a plan for how to work up/treat the problem
1. Problem 1
-Differential dx (or status)
-Plan for problem 1
What are the three types of problems listed on the assessment portion? - ANS-✔✔1. New problems
(not yet diagnosed)
2. Established problems (already diagnosed; things like HTN or diabetes)
3. Health maintenance
Your assessment of NEW problems should include a __________ _______ and your clinical reasoning
behind each listed - ANS-✔✔Differential diagnosis
How many differentials are needed in the assessment of new problems? - ANS-✔✔Should try to have
at least three (may have more depending on the case)
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