Bates’ Guide To Physical Examination and
History Taking well revised questions and
certified answers with All Chapters 1-27
Covered With Rationales And Grdaed A+
, TABLE OF CONTENT
Unit I — Foundations of Health Assessment
1. Approach to the Clinical Encounter
2. Interviewing, Communication, and Interpersonal
Skills
3. Health History
4. Physical Examination
5. Clinical Reasoning, Assessment, and Plan
6. Health Maintenance and Screening
7. Evaluating Clinical Evidence
Unit II — Regional Examinations
8. General Survey, Vital Signs, and Pain
9. Cognition, Behavior, and Mental Status
10. Skin, Hair, and Nails
11. Head and Neck
12. Eyes
13. Ears and Nose
, 14. Throat and Oral Cavity
15. Thorax and Lungs
16. Cardiovascular System
17. Peripheral Vascular System
18. Breasts and Axillae
19. Abdomen
20. Male Genitalia
21. Female Genitalia
22. Anus, Rectum, and Prostate
23. Musculoskeletal System
24. Nervous System
Unit III — Special Populations
25. Children: Infancy through Adolescence
,26. Pregnant Woman
27. Older Adult
Question: Which of the following best describes the primary purpose of the clinical
encounter?
A) Diagnosing the patient immediately
B) Establishing rapport, gathering information, and initiating a therapeutic relationship
C) Conducting laboratory tests first
D) Completing documentation before seeing the patient
Answer: B) Establishing rapport, gathering information, and initiating a therapeutic
relationship
Rationale: The clinical encounter is the first step in patient care. Its main purpose is to
build trust with the patient, collect a thorough history, and begin assessment, rather than
rushing to a diagnosis or administrative tasks.
Question: The “patient-centered” approach emphasizes:
A) Following the clinician’s agenda
B) Understanding the patient’s experience, beliefs, and concerns
C) Performing the exam as quickly as possible
D) Prioritizing administrative tasks
Answer: B) Understanding the patient’s experience, beliefs, and concerns
Rationale: Patient-centered care focuses on incorporating the patient’s perspective into
decision-making, which strengthens communication, trust, and shared decision-making.
Question: Which of the following is an essential component of a professional appearance
during a clinical encounter?
A) Wearing casual clothing and minimal hygiene
B) Clean, appropriate attire, good hygiene, and a professional demeanor
C) Prioritizing fashion trends over functionality
D) Wearing personal accessories that may distract the patient
Answer: B) Clean, appropriate attire, good hygiene, and a professional demeanor
Rationale: A professional appearance conveys competence and respect for the patient. It
includes clean clothing, good personal hygiene, and a demeanor that fosters patient
confidence and comfort.
,Question: What is considered subjective information in a health history?
A. Respiratory rate
B. Pulse rate
C. Patient-reported shortness of breath
D. Blood pressure
Answer: C. Patient-reported shortness of breath
Rationale: Subjective information refers to data obtained from the patient’s own report,
such as symptoms they are experiencing. Objective data, such as respiratory rate, pulse, or
blood pressure, are measured by the clinician.
Here’s the first batch of questions based on your content:
1. Which of the following describes objective information?
A. The patient complains of nausea
B. The patient reports feeling fatigued
C. The clinician measures a pulse of 88 bpm
D. The patient says they have chest pain
Answer: C. The clinician measures a pulse of 88 bpm
Rationale: Objective information is obtained directly by the examiner through
measurement or observation, such as vital signs. Subjective information comes from the
patient’s description of symptoms.
2. What is the chief complaint?
A. A list of all past illnesses
B. The primary health issue reported by the patient, often in their own words
C. The results of laboratory tests
D. A detailed review of systems
Answer: B. The primary health issue reported by the patient, often in their own words
Rationale: The chief complaint is the main reason the patient is seeking care, documented
exactly or nearly in the patient’s own words to preserve their perspective.
3. Which component of health history includes educational level, family status, and
lifestyle factors?
, A. Review of systems
B. Present illness
C. Personal and social history
D. Physical examination
Answer: C. Personal and social history
Rationale: Personal and social history captures information about the patient’s life
context, habits, and social determinants of health.
4. Which of the following is an example of a severity scale in patient assessment?
A. Rating pain from 1 to 10
B. Measuring blood pressure
C. Counting respiratory rate
D. Observing skin color
Answer: A. Rating pain from 1 to 10
Rationale: A severity scale quantifies a symptom, often pain, to monitor intensity and
track changes over time. Objective measurements like BP and respiratory rate are not
severity scales.
5. Which symptom would most likely be classified under “associated manifestations”?
A. Chest pain in a patient with myocardial infarction
B. Nausea accompanying abdominal pain
C. Blood pressure measured at 130/80
D. Past history of appendectomy
Answer: B. Nausea accompanying abdominal pain
Rationale: Associated manifestations are additional symptoms that occur alongside the
primary complaint and help in understanding the full clinical picture.
6. Which of the following best describes pleuritic chest pain?
A. Pain worsened by moving the chest wall muscles
B. Sharp pain that increases with deep breathing due to pleural inflammation
C. Pain relieved by lying down
D. Dull, constant pain in the epigastric area
Answer: B. Sharp pain that increases with deep breathing due to pleural inflammation
History Taking well revised questions and
certified answers with All Chapters 1-27
Covered With Rationales And Grdaed A+
, TABLE OF CONTENT
Unit I — Foundations of Health Assessment
1. Approach to the Clinical Encounter
2. Interviewing, Communication, and Interpersonal
Skills
3. Health History
4. Physical Examination
5. Clinical Reasoning, Assessment, and Plan
6. Health Maintenance and Screening
7. Evaluating Clinical Evidence
Unit II — Regional Examinations
8. General Survey, Vital Signs, and Pain
9. Cognition, Behavior, and Mental Status
10. Skin, Hair, and Nails
11. Head and Neck
12. Eyes
13. Ears and Nose
, 14. Throat and Oral Cavity
15. Thorax and Lungs
16. Cardiovascular System
17. Peripheral Vascular System
18. Breasts and Axillae
19. Abdomen
20. Male Genitalia
21. Female Genitalia
22. Anus, Rectum, and Prostate
23. Musculoskeletal System
24. Nervous System
Unit III — Special Populations
25. Children: Infancy through Adolescence
,26. Pregnant Woman
27. Older Adult
Question: Which of the following best describes the primary purpose of the clinical
encounter?
A) Diagnosing the patient immediately
B) Establishing rapport, gathering information, and initiating a therapeutic relationship
C) Conducting laboratory tests first
D) Completing documentation before seeing the patient
Answer: B) Establishing rapport, gathering information, and initiating a therapeutic
relationship
Rationale: The clinical encounter is the first step in patient care. Its main purpose is to
build trust with the patient, collect a thorough history, and begin assessment, rather than
rushing to a diagnosis or administrative tasks.
Question: The “patient-centered” approach emphasizes:
A) Following the clinician’s agenda
B) Understanding the patient’s experience, beliefs, and concerns
C) Performing the exam as quickly as possible
D) Prioritizing administrative tasks
Answer: B) Understanding the patient’s experience, beliefs, and concerns
Rationale: Patient-centered care focuses on incorporating the patient’s perspective into
decision-making, which strengthens communication, trust, and shared decision-making.
Question: Which of the following is an essential component of a professional appearance
during a clinical encounter?
A) Wearing casual clothing and minimal hygiene
B) Clean, appropriate attire, good hygiene, and a professional demeanor
C) Prioritizing fashion trends over functionality
D) Wearing personal accessories that may distract the patient
Answer: B) Clean, appropriate attire, good hygiene, and a professional demeanor
Rationale: A professional appearance conveys competence and respect for the patient. It
includes clean clothing, good personal hygiene, and a demeanor that fosters patient
confidence and comfort.
,Question: What is considered subjective information in a health history?
A. Respiratory rate
B. Pulse rate
C. Patient-reported shortness of breath
D. Blood pressure
Answer: C. Patient-reported shortness of breath
Rationale: Subjective information refers to data obtained from the patient’s own report,
such as symptoms they are experiencing. Objective data, such as respiratory rate, pulse, or
blood pressure, are measured by the clinician.
Here’s the first batch of questions based on your content:
1. Which of the following describes objective information?
A. The patient complains of nausea
B. The patient reports feeling fatigued
C. The clinician measures a pulse of 88 bpm
D. The patient says they have chest pain
Answer: C. The clinician measures a pulse of 88 bpm
Rationale: Objective information is obtained directly by the examiner through
measurement or observation, such as vital signs. Subjective information comes from the
patient’s description of symptoms.
2. What is the chief complaint?
A. A list of all past illnesses
B. The primary health issue reported by the patient, often in their own words
C. The results of laboratory tests
D. A detailed review of systems
Answer: B. The primary health issue reported by the patient, often in their own words
Rationale: The chief complaint is the main reason the patient is seeking care, documented
exactly or nearly in the patient’s own words to preserve their perspective.
3. Which component of health history includes educational level, family status, and
lifestyle factors?
, A. Review of systems
B. Present illness
C. Personal and social history
D. Physical examination
Answer: C. Personal and social history
Rationale: Personal and social history captures information about the patient’s life
context, habits, and social determinants of health.
4. Which of the following is an example of a severity scale in patient assessment?
A. Rating pain from 1 to 10
B. Measuring blood pressure
C. Counting respiratory rate
D. Observing skin color
Answer: A. Rating pain from 1 to 10
Rationale: A severity scale quantifies a symptom, often pain, to monitor intensity and
track changes over time. Objective measurements like BP and respiratory rate are not
severity scales.
5. Which symptom would most likely be classified under “associated manifestations”?
A. Chest pain in a patient with myocardial infarction
B. Nausea accompanying abdominal pain
C. Blood pressure measured at 130/80
D. Past history of appendectomy
Answer: B. Nausea accompanying abdominal pain
Rationale: Associated manifestations are additional symptoms that occur alongside the
primary complaint and help in understanding the full clinical picture.
6. Which of the following best describes pleuritic chest pain?
A. Pain worsened by moving the chest wall muscles
B. Sharp pain that increases with deep breathing due to pleural inflammation
C. Pain relieved by lying down
D. Dull, constant pain in the epigastric area
Answer: B. Sharp pain that increases with deep breathing due to pleural inflammation
