Advanced Health Assessment Exam 1
Questions and All Correct Answers.
What is the general sequence of the clinical encounter? - Answer 1. initiating the encounter
2. Gathering information
3. Performing the physical exam
4. Explaining and planning
5. Closing the encounter
What are the 5 R's of Cultural Humility as stated in Bickley? - Answer Reflection,
Respect,
Regard,
Relevance,
Resiliency
Semi-Fowler's Position - Answer
dorsal recumbent position - Answer
Lithiotomy position - Answer
prone position - Answer
trendelenburg - Answer
Reverse Trendelenburg - Answer
Subjective Data - Answer things a person tells you about that you cannot observe through
your senses; symptoms
objective data - Answer information that is seen, heard, felt, or smelled by an observer; signs
PQRST - Answer provocative/palliative, quality, region/radiation, severity, timing
OLDCARTS - Answer Onset
,Location
Duration
Characteristics
Aggravating and Alleviating Factors
Related Symptoms
Treatment
Severity
intuitive decision making (augenblink) - Answer Making decisions on the basis of experience,
feelings, and accumulated judgment.
Analytical Decision Making - Answer considers more information and alternatives
Justice - Answer fairness
Nonmaleficence - Answer do no harm
Confidentiality - Answer the act of holding information in confidence, not to be released to
unauthorized individuals
Beneficence (ethical principle) - Answer to do good
What is included in a general appearence assessment? - Answer state of health
LOC
signs of distress
skin color/condition
grooming and odors
facial expression
posture
height and weight
mental status
vital signs?
General survey written example - Answer Patient is short, overweight, middle aged female,
who is animated and responds quickly to questions. Her hair is well groomed. Her color is good,
and she lays flat without discomfort
, What is included in a past medical history? - Answer 1. Childhood illnesses
2. Adult illnesses - Med, Surgery, OB/GYN, Psych (think 3rd year rotations)
3. Immunizations, screenings, lifestyle, home safety
SHIMAXI (surgery, hospitalization, illness, meds, allergies, transfusions, immunizations)
What is included in a review of systems? - Answer - general (weight change, fever, fatigue)
- skin
- head, ears, eyes, nose/sinuses and throat
- neck
- breasts
- respiratory
- cardiovascular
- gastrointestinal
- peripheral vascular
- urinary
- reproductive
- musculoskeletal
- psychiatric
- neurologic
- hematologic
- endocrine
What is included in a social history? - Answer 1. Cultural background/personal status
2. Sources of stress
3. Health beliefs
4. Habits (exercise, nutrition, caffeine, obesity/weight control, self-care, safety measures)
5. Tobacco use
6. ETOH use - CAGE screening
7. Illegal street drugs
8. Sexual history
9. Exposures/travel
10. Home situation (intimate partner violence screening, elder abuse screening)
11. Occupational Health - current, retired/past, unemployed/reason. Military?
Questions and All Correct Answers.
What is the general sequence of the clinical encounter? - Answer 1. initiating the encounter
2. Gathering information
3. Performing the physical exam
4. Explaining and planning
5. Closing the encounter
What are the 5 R's of Cultural Humility as stated in Bickley? - Answer Reflection,
Respect,
Regard,
Relevance,
Resiliency
Semi-Fowler's Position - Answer
dorsal recumbent position - Answer
Lithiotomy position - Answer
prone position - Answer
trendelenburg - Answer
Reverse Trendelenburg - Answer
Subjective Data - Answer things a person tells you about that you cannot observe through
your senses; symptoms
objective data - Answer information that is seen, heard, felt, or smelled by an observer; signs
PQRST - Answer provocative/palliative, quality, region/radiation, severity, timing
OLDCARTS - Answer Onset
,Location
Duration
Characteristics
Aggravating and Alleviating Factors
Related Symptoms
Treatment
Severity
intuitive decision making (augenblink) - Answer Making decisions on the basis of experience,
feelings, and accumulated judgment.
Analytical Decision Making - Answer considers more information and alternatives
Justice - Answer fairness
Nonmaleficence - Answer do no harm
Confidentiality - Answer the act of holding information in confidence, not to be released to
unauthorized individuals
Beneficence (ethical principle) - Answer to do good
What is included in a general appearence assessment? - Answer state of health
LOC
signs of distress
skin color/condition
grooming and odors
facial expression
posture
height and weight
mental status
vital signs?
General survey written example - Answer Patient is short, overweight, middle aged female,
who is animated and responds quickly to questions. Her hair is well groomed. Her color is good,
and she lays flat without discomfort
, What is included in a past medical history? - Answer 1. Childhood illnesses
2. Adult illnesses - Med, Surgery, OB/GYN, Psych (think 3rd year rotations)
3. Immunizations, screenings, lifestyle, home safety
SHIMAXI (surgery, hospitalization, illness, meds, allergies, transfusions, immunizations)
What is included in a review of systems? - Answer - general (weight change, fever, fatigue)
- skin
- head, ears, eyes, nose/sinuses and throat
- neck
- breasts
- respiratory
- cardiovascular
- gastrointestinal
- peripheral vascular
- urinary
- reproductive
- musculoskeletal
- psychiatric
- neurologic
- hematologic
- endocrine
What is included in a social history? - Answer 1. Cultural background/personal status
2. Sources of stress
3. Health beliefs
4. Habits (exercise, nutrition, caffeine, obesity/weight control, self-care, safety measures)
5. Tobacco use
6. ETOH use - CAGE screening
7. Illegal street drugs
8. Sexual history
9. Exposures/travel
10. Home situation (intimate partner violence screening, elder abuse screening)
11. Occupational Health - current, retired/past, unemployed/reason. Military?
