BATES' GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING, 3RD EDITION – COMPLETE CHAPTERS / CONTENT

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======== Bates’ Guide to Physical Examination and History Taking, 3rd Edition
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Chapter=1:=Overview:=Physical=Examination=and=History=Taking=
Multiple=Choice=
1.=For=which=of=the=following=patients=would=a=comprehensive=health=history=be=appropriate?=
A) A=new=patient=with=the=chief=complaint=of=―I=sprained=my=ankle‖=
B) An=established=patient=with=the=chief=complaint=of=―I=have=an=upper=respiratory=infection‖=
C) A=new=patient=with=the=chief=complaint=of=“I=am=here=to=establish=care”=D)=A=new=patient=
with=the=chief=complaint=of=―I=cut=my=hand‖=
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Ans:= C=
Chapter:=01=
Page=and=Header:=4,=Patient=Assessment:=Comprehensive=or=Focused=
Feedback:=This=patient=is=here=to=establish=care,=and=because=she=is=new=to=you,=a=comprehensive=
health=history=is=appropriate.=
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2.=The=components=of=the=health=history=include=all=of=the=following=except=which=one?=
A) Review=of=systems=
B) Thorax=and=lungs=
C) Present=illness=
D) Personal=and=social=items=
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Ans:=B=
Chapter:=01=
Page=and=Header:=4,=Patient=Assessment:=Comprehensive=or=Focused=
Feedback:=The=thorax=and=lungs=are=part=of=the=physical=examination,=not=part=of=the=health=histor
y.=The=others=answers=are=all=part=of=a=complete=health=history.=
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3.=Is=the=following=information=subjective=or=objective?=
Mr.=M.=has=shortness=of=breath=that=has=persisted=for=the=past=10=days;=it=is=worse=with=activity=and
=relieved=by=rest.=

A) Subjective=
B) Objective=
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Ans:=A=
Chapter:=01=
Page=and=Header:=6,=Differences=Between=Subjective=and=Objective=Data=
Feedback:=This=is=information=given=by=the=patient=about=the=circumstances=of=his=chief=complaint
.=It=does=not=represent=an=objective=observation=by=the=examiner.=
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4.=Is=the=following=information=subjective=or=objective?=
Mr.=M.=has=a=respiratory=rate=of=32=and=a=pulse=rate=of=120.=
A) Subjective=

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B) Objective=
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Ans:=B=
Chapter:=01=
Page=and=Header:=6,=Differences=Between=Subjective=and=Objective=Data=
Feedback:=This=is=a=measurement=obtained=by=the=examiner,=so=it=is=considered=objective=data.=Th
e=patient=is=unlikely=to=be=able=to=give=this=information=to=the=examiner.=
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5.=The=following=information=is=recorded=in=the=health=history:=―The=patient=has=had=abdominal=
pain=for=1=week.=The=pain=lasts=for=30=minutes=at=a=time;=it=comes=and=goes.=The=severity=is=7=to=9
=on=a=scale=of=1=to=10.=It=is=accompanied=by=nausea= and=vomiting.=It=is=located=in=the=mid-

=epigastric=area.=‖=

Which=of=these=categories=does=it=belong=to?=
A) Chief=complaint=
B) Present=illness=
C) Personal=and=social=history=
D) Review=of=systems=
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Ans:=B=
Chapter:=01=
Page=and=Header:=6,=The=Comprehensive=Adult=Health=History=
Feedback:=This=information=describes=the=problem=of=abdominal=pain,=which=is=the=present=illness
.=The=interviewer=has=obtained=the=location,=timing,=severity,=and=associated=manifestations=of=the=
pain.=The=interviewer=will=still=need=to=obtain=information=concerning=the=quality=of=the=pain,=the=s
etting=in=which=it=occurred,=and=the=factors=that=aggravate=and=alleviate=the=pain.=You=will=notice=t
hat=it=does=include=portions=of=the=pertinent=review=of=systems,=but=because=it=relates=directly=to=th
e=complaint,=it=is=included=in=the=history=of=present=illness.=
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6.=The=following=information=is=recorded=in=the=health=history:=―The=patient=completed=8th=grade
.=He=currently=lives=with=his=wife=and=two=children.=He=works=on=old=cars=on=the=weekend.=He=wor
ks=in=a=glass=factory=during=the=week.‖=Which=category=does=it=belong=to?=
A) Chief=complaint=
B) Present=illness=
C) Personal=and=social=history=
D) Review=of=systems=
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Ans:=C=
Chapter:=01=
Page=and=Header:=6,=The=Comprehensive=Adult=Health=History=
Feedback:=Personal=and=social=history=information=includes=educational=level,=family=of=origin,=cu
rrent=household=status,=personal=interests,=employment,=religious=beliefs,=military=history,=and=life
style=(including=diet=and=exercise=habits;=use=of=alcohol,=tobacco,=and/or=drugs;=and=sexual=prefere
nces=and=history).=All=of=this=information=is=documented=in=this=example.=
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7.=The=following=information=is=recorded=in=the=health=history:=―I=feel=really=tired.‖=Whic
h=category=does=it=belong=to?=
A) Chief=complaint=
B) Present=illness=
C) Personal=and=social=history=
D) Review=of=systems=
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Ans:=A=
Chapter:=01=
Page=and=Header:=6,=The=Comprehensive=Adult=Health=History=
Feedback:=The=chief=complaint=is=an=attempt=to=quote=the=patient's=own=words,=as=long=as=they=are=
suitable=to=print.=It=is=brief,=like=a=headline,=and=further=details=should=be=sought=in=the=present=illn
ess=section.=The=above=information=is=a=chief=complaint.=
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8.=The=following=information=is=recorded=in=the=health=history:=―Patient=denies=chest=pain
,=palpitations,=orthopnea,=and=paroxysmal=nocturnal=dyspnea.‖=Which=category=does=it=bel
ong=to?=
A) Chief=complaint=
B) Present=illness=
C) Personal=and=social=history=
D) Review=of=systems=
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Ans:=D=
Chapter:=01=
Page=and=Header:=6,=The=Comprehensive=Adult=Health=History=
Feedback:=Review=of=systems=documents=the=presence=or=absence=of=common=symptoms=related=t
o=each=major=body=system.=The=absence=of=cardiac=symptoms=is=listed=in=the=above=example.=
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9.=The=following=information=is=best=placed=in=which=category?=
―The=patient=has=had=three=cesarean=sections.‖=
A) Adult=illnesses=
B) Surgeries=
C) Obstetrics/gynecology=
D) Psychiatric=
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Ans:=B=
Chapter:=01=
Page=and=Header:=9,=Past=History=
Feedback:=A=cesarean=section=is=a=surgical=procedure.=Approximate=dates=or=the=age=of=the=patient
=at=the=time=of=the=surgery=should=also=be=recorded.=
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10.=The=following=information=is=best=placed=in=which=category?=

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―The=patient=had=a=stent=placed=in=the=left=anterior=descending=artery=(LAD)=in=1999.‖=
A)=Adult=illnesses=
B) Surgeries=
C) Obstetrics/gynecology=
D) Psychiatric=
=

Ans:=A=
Chapter:=01=
Page=and=Header:=9,=Past=History=
Feedback:=The=adult=illnesses=category=is=reserved=for=chronic=illnesses,=significant=hospitalizati
ons,=significant=injuries,=and=significant=procedures.=A=stent=is=a=major=procedure=but=does=not=in
volve=a=surgeon.=
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11.=The=following=information=is=best=placed=in=which=category?=
―The=patient=was=treated=for=an=asthma=exacerbation=in=the=hospital=last=year;=the=patient=has=
never=been=intubated.‖=
A) Adult=illnesses=
B) Surgeries=
C) Obstetrics/gynecology=
D) Psychiatric=
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Ans:=A=
Chapter:=01=
Page=and=Header:=9,=Past=History=
Feedback:=This=is=information=about=a=significant=hospitalization=and=should=be=placed=in=the=adu
lt=illnesses=section.=If=the=patient=is=being=seen=for=an=asthma=exacerbation,=you=may=consider=pla
cing=this=information=in=the=present=illness=section,=because=it=relates=to=the=chief=complaint=at=tha
t=visit.=
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Bates’=Guide=to=Physical=Examination=and=History=Taking,=3rd=Edition=


Chapter=2:=Clinical=Reasoning,=Assessment,=and=Recording=Your=Findings=

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Multiple=Choice=
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1.=A=patient=presents=for=evaluation=of=a=sharp,=aching=chest=pain=which=increases=with=breathing.=
Which=anatomic=area=would=you=localize=the=symptom=to?=
A) Musculoskeletal=
B) Reproductive=
C) Urinary=