MN552 /MN 552 Advanced Health __., __., __., __., __.,
Assessment Midterm Exam Review __., __., __., __.,
with correct solutions (Graded A) __., __., __., __.,
Ms. Washington is a 67year
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old who had a heart attack last month. Now she complains of shortness
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of breath and not being able to sleep in a flat position (orthopnea). On
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examination you note increased jugular venous pressure, an S3 gallop,
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crackles low in the lung fields, and swollen ankles (edema). This is an
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example of a: __., __.,
__., Pathophysiologic problem __., __.,
__., Psychopathologic problem __., __.,__., __., Pathophysiologic problem __.,
This is an example of a pathophysiologic problem because Ms. Washington
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's symptoms are consistent with a pathophysiologic process. The heart
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attack reduced the ability of her heart to handle her volume status and
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subsequently produced the many features of congestive heart failure.
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The following information is recorded in the health history: "The patient
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has had abdominal pain for 1 week. The pain lasts for 30 minutes at a
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time; it comes and goes. The severity is 7 to 9 on a scale of 1 to 10.
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It is accompanied by nausea and vomiting. It is located in the mid-
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epigastric area." __.,
Which of these categories does it belong to?
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Chief complaint __.,
Present illness __., __.,
Personal and social history __., __., __.,
Review of systems __., __., __.,__., __.,Present illness __., __.,
,This information describes the problem of abdominal pain, which is the
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present illness. The interviewer has obtained the location, timing, severity,
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and associated manifestations of the pain. The interviewer will still need
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to obtain information concerning the quality of the pain, the setting in
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which it occurred, and the factors that aggravate and alleviate the pain.
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You will notice that it does include portions of the pertinent review of
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systems, but because it relates directly to the complaint, it is included in
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the history of present illness.
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The following information is recorded in the health history: "Patient denies
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chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
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Which category does it belong to?
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__.,Chief complaint __., __.,
__.,Present illness __., __.,
__.,Personal and social history __., __., __., __.,
__.,Review of systems __., __., __.,__., __., Review of systems __., __.,
Review of systems documents the presence or absence of common
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symptoms related to each major body system. The absence of cardiac
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symptoms is listed in the above example.
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For which of the following patients would a comprehensive health history
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be appropriate?
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A new patient with the chief complaint of "I sprained my ankle
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An established patient with the chief complaint of "I have an upper
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respiratory infection" __.,
A new patient with the chief complaint of "I am here to establish care"
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A new patient with the chief complaint of "I cut my hand"
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patient with the chief complaint of "I am here to establish care"
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,This patient is here to establish care, and because she is new to you, a
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comprehensive health history is appropriate. __., __., __., __.,
The components of the health history include all of the following except
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which one? __.,
Review of systems __., __.,
Thorax and lungs __., __.,
Present illness __., __.,
Personal and social items __., __., __., __.,__., __., Thorax and lungs __., __.,
The thorax and lungs are part of the physical examination, not part of
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the health history. The others answers are all part of a complete health
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history.
Is the following information subjective or objective?
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Mr. M. has shortness of breath that has persisted for the past 10 days;
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it is worse with activity and relieved by rest.
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This is information given by the patient about the circumstances of his
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chief complaint. It does not represent an objective observation by the
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examiner.
Is the following information subjective or objective?
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Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
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Objective
This is a measurement obtained by the examiner, so it is considered
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objective data. The patient is unlikely to be able to give this information
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to the examiner.
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, The following information is recorded in the health history: "The patient
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completed 8th grade. He currently lives with his wife and two children.
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He works on old cars on the weekend. He works in a glass factory
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during the week." __., __.,
Which category does it belong to?
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Chief complaint __.,
Present illness __., __.,
Personal and social history __., __., __.,
Review of systems __., __., __.,__., __., Personal and social history __., __., __.,
Personal and social history information includes educational level, family of
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origin, current household status, personal interests, employment, religious
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beliefs, military history, and lifestyle (including diet and exercise habits;
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use of alcohol, tobacco, and/or drugs; and sexual preferences and history).
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All of this information is documented in this example.
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The following information is recorded in the health history: "I feel really
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tired."
Which category does it belong to?
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__., Chief complaint
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__., Present illness __., __.,
__., Personal and social history __., __., __., __.,
__., Review of systems __., __., __.,__., __.,Chief complaint __.,
