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