Exam (elaborations)
Clinical Assessment History & Physical Examination Test Questions
- Course
- Institution
Clinical Assessment History & Physical Examination Test Questions
[Show more]
Content preview
Clinical Assessment History & Physical Examination TestQuestions
What's a holistic summary of the diagnostic process?
1. Take a history
2. Develop hypotheses
3. Perform a Physical Examination
4. Generate a differential diagnosis
5. Test the hypotheses
6. Modify your differential diagnosis
7. Repeat steps 1 to 6
8. Make the diagnosis or diagnoses
9. If uncertain, consider a provisional diagnosis or watchful waiting
What's a holistic summary of the history?
Chief Complaints (CC)
History of Present Illness (HPI)
Medications (Meds)
Allergies
Past Medical History (PMH)
Past Surgical History (PSH)
Family History (FH)
Personal & Social History (SH)
Review of Systems (ROS)
What are some big first impressions that your patient is going to make when you first walk in the door?
Dress, Hygiene (Are you wearing sweatpants?)
Demeanor (Are you nice? Immature?)
Verbal tone/word usage (No medical jargon/swearing).
Body language/Non verbal cues (Eye contact).
Truthfulness (Don't make up something to answer a patient's question).
What is the medical history?
- Patient information, NOT clinician's interpretation
- What the patient tells us, not what we find through examination
- Symptoms vs. Signs ("My stomach really hurts" vs. "The Pt exhibited a rash around the bite."
- Details and clarification a must!
, What is the OBJECTIVE of the medical history?
- To gather information about the patient.
- To establish rapport (get them to trust you).
- Discover symptoms.
- Obtain accurate qualitative descriptions ("I'm experiencing a tearing pain in my back.")
- Secure precise chronology of events (when everything happened).
- Determine how illness changes the Pt's life; ADL affected?
- Facilitate understanding.
- Assist in Pt's management.
- Pt education regarding diagnosis, treatment, & prevention.
- Provide therapeutic outlet
- Guide physical examination
What are open-ended questions?
- Questions that have more than just a "yes or no" answer.
What are direct questions?
Those that seek specific information. Such as "How long ago did that happen?" or "Where does it hurt?"
What are leading questions?
A question which because of the way it has been phrased suggests a certain answer. "It's a sharp pain,
right?"
What is the appropriate way to interact with pediatric patients?
- Pay attention to them.
- Play with them.
- Be sensitive to their needs.
- Family dynamics.
What is the appropriate way to interact with adolescent patients?
- Respect need for confidentiality.
- Respect impending adult status.
- Don't force conversation.
- Establish an alliance.
- Be flexible in approach.
What is the best way to obtain a history from a pregnant woman?
- View health needs of mother and fetus; make sure she has a gynecologist/primary care doctor.
- Explore effects of pregnancy on health status.
- Use interview as time for teaching health care practices. Improve nutrition.
- Involve partner if possible.
What is the appropriate way to interact with elderly patients?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller grade_bender. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.50. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now