,Bates guide to Physical Examination and History Taking, 12th Edition
v vn v
Chapter1 Overview: Physical Examination and History Taking
Multiple Choice vn
1. For which of the following patients would a comprehensive health history be appropriate?
vn vn vn vn vn vn vn vn vn vn vn vn
A) A new patient with the chief complaint of ―I sprained my ankle‖
vn vn vn vn vn vn vn vn vn vn vn
B) An established patient with the chief complaint of ―I have an upper respiratory infection‖
vn vn vn vn vn vn vn vn vn vn vn vn vn
C) A new patient with the chief complaint of “I am here to establish care”
vn vn vn vn vn vn vn vn vn vn vn vn vn
D) A new patient with the chief complaint of ―I cut my hand‖
vn vn vn vn vn vn vn vn vn vn vn
Ans: C Cha vn vn
pter: 01 v n
Page and Header: 4, Patient Assessment: Comprehensive or Focused
vn vn v n vn vn vn vn vn
Feedback: This patient is here to establish care, and because she is new to you, a comprehensive
v n vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
health history is appropriate.
vn vn vn
2. The components of the health history include all of the following except which one?
vn vn vn vn vn vn vn vn vn vn vn vn vn
A) Review of systems vn vn
B) Thorax and lungs vn vn
C) Present illness vn
D) Personal and social items vn vn vn
Ans: B Cha vn vn
pter: 01 v n
Page and Header: 4, Patient Assessment: Comprehensive or Focused
vn vn v n vn vn vn vn vn
Feedback: The thorax and lungs are part of the physical examination, not part of the healthhisto
v n vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
ry. The others answers are all part of a complete health history.
v n vn vn vn vn vn vn vn vn vn vn
3. Is the following information subjective or objective?
vn vn vn vn vn vn
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activityand
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
relieved by rest.
vn vn vn
,A) Subjective
B) Objective
Ans: A Cha vn vn
pter: 01 v n
Page and Header: 6, Differences Between Subjective and Objective Data
vn vn v n vn vn vn vn vn vn
Feedback: This is information given by the patient about the circumstances of his chiefcomplai
v n vn vn vn vn vn vn vn vn vn vn vn vn vn
nt. It does not represent an objective observation by the examiner.
v n vn vn vn vn vn vn vn vn vn
4. Is the following information subjective or objective?
vn vn vn vn vn vn vn
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
vn vn vn vn vn vn vn vn vn vn vn vn vn
A) Subjective
B) Objective
Ans: B Cha vn vn
pter: 01 v n
Page and Header: 6, Differences Between Subjective and Objective Data
vn vn v n vn vn vn vn vn vn
Feedback: This is a measurement obtained by the examiner, so it is considered objective data.T
v n vn vn vn vn vn vn vn vn vn vn vn vn vn vn
he patient is unlikely to be able to give this information to the examiner.
vn vn vn vn vn vn vn vn vn vn vn vn vn
5. The following information is recorded in the health history: ―The patient has had abdominal
vn vn vn vn vn vn vn vn vn vn vn vn vn vn
pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
epigastric area.‖
vn vn
Which of these categories does it belong to?
vn vn vn vn vn vn vn
A) Chief complaint vn
B) Present illness vn
C) Personal and social history vn vn vn
D) Review of systems vn vn
Ans: B Cha vn vn
pter: 01 v n
Page and Header: 6, The Comprehensive Adult Health History
vn vn v n vn vn vn vn vn
Feedback: This information describes the problem of abdominal pain, which is the present illnes
vn vn vn vn vn vn vn vn vn vn vn vn vn
s. The interviewer has obtained the location, timing, severity, and associated manifestationsof the
vn vn vn vn vn vn vn vn vn vn vn vn vn vn
pain. The interviewer will still need to obtain information concerning the quality of the pain, the
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
setting in which it occurred, and the factors that aggravate and alleviate the pain. You will notice
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
that it does include portions of the pertinent review of systems, but because it relates directly to
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
the complaint, it is included in the history of present illness.
vn vn vn vn vn vn vn vn vn vn
, 6. The following information is recorded in the health history: ―The patient completed 8th grade.
vn vn vn vn vn vn vn vn vn vn vn vn vn vn
He currently lives with his wife and two children. He works on old cars on the weekend. He wor
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
ks in a glass factory during the week.‖
vn vn vn vn vn vn vn
Which category does it belong to?
vn vn vn vn vn
A) Chief complaint vn
B) Present illness vn
C) Personal and social history vn vn vn
D) Review of systems vn vn
Ans: C Cha vn vn
pter: 01 v n
Page and Header: 6, The Comprehensive Adult Health History
vn vn v n vn vn vn vn vn
Feedback: Personal and social history information includes educational level, family of origin, cu
vn vn vn vn vn vn vn vn vn vn vn vn
rrent household status, personal interests, employment, religious beliefs, military history, andlife
vn vn vn vn vn vn vn v n vn vn vn
style (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual prefere
vn vn vn vn vn vn vn vn vn vn vn vn vn vn
nces and history). All of this information is documented in this example.
vn vn vn vn vn vn vn vn vn vn vn
7. The following information is recorded in the health history: ―I feel really tired.‖
vn vn vn vn vn vn vn vn vn vn vn vn vn
Which category does it belong to?
vn vn vn vn vn
A) Chief complaint vn
B) Present illness vn
C) Personal and social history vn vn vn
D) Review of systems vn vn
Ans: A Cha vn vn
pter: 01 v n
Page and Header: 6, The Comprehensive Adult Health History
vn vn v n vn vn vn vn vn
Feedback: The chief complaint is an attempt to quote the patient's own words, as long as they a
v n vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
re suitable to print. It is brief, like a headline, and further details should be sought in the presenti
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
llness section. The above information is a chief complaint.
vn vn vn vn vn vn vn vn
8. The following information is recorded in the health history: ―Patient denies chest pain,
vn vn vn vn vn vn vn vn vn vn vn vn vn
palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖
vn vn vn vn vn
Which category does it belong to?
vn vn vn vn vn
A) Chief complaint vn
B) Present illness vn
C) Personal and social history vn vn vn
