Test Bank for Seidel’s
Guide to Physical
Examination 9th Edition
Latest Update
, Test Bank for Seidel's Guide to Physical Examination:
An Interprofessional Approach, 9th Edition
PART A: MULTIPLE CHOICE QUESTIONS (35 Questions)
1. The most effective way to begin a patient interview is with:
A) A closed-ended question about the chief complaint
B) An open-ended question such as "What brings you here today?"
C) A review of systems questionnaire
D) A physical examination immediately
Answer: B
Rationale: Open-ended questions allow the patient to describe their concerns in their
own words and establish rapport. This approach facilitates a patient-centered interview
and encourages the patient to share information they consider most important .
Difficulty: Easy
Learning Objective: 1.1
2. Which question would be considered a "leading question"?
A) "Please describe any associated symptoms with your headaches?"
B) "You don't get headaches often, do you?"
C) "What activities affect the severity of your headaches?"
D) "What times of the day are your headaches the most severe?"
Answer: B
Rationale: A leading question suggests a desired answer and limits the information in
the patient's response. "You don't get headaches often, do you?" implies the patient
should confirm they don't have frequent headaches. The other choices allow the patient
more discretion about the extent of an answer .
, Difficulty: Medium
Learning Objective: 1.1
3. Which action would best promote accurate translations as well as confidentiality
when the caregiver does not speak the patient's language?
A) Ask a person unfamiliar with the patient to translate
B) Have a friend of the patient translate
C) Ask simple leading questions that the patient may understand
D) Use a neighbor as translator
Answer: A
Rationale: When you do not speak the patient's language, family members or friends
may pose a communication barrier and may have issues of confidentiality. A stranger as
an interpreter is less biased. Professional medical interpreters are the gold standard
when available .
Difficulty: Easy
Learning Objective: 1.2
4. Periods of silence during the interview can serve important purposes, such as:
A) Allowing the clinician to catch up on documentation
B) Giving you a clue that you should speed up the interview
C) Providing time for reflection
D) Increasing the length of the visit
Answer: C
Rationale: Silence is a useful tool during interviews for the purposes of reflection,
summoning of courage, and displaying compassion. It is usually a clue for the clinician
to go slower and not to push too hard .
Difficulty: Medium
Learning Objective: 1.1
, 5. Which technique is most likely to result in the patient's understanding of
questions?
A) Use phrases that are commonly used by other patients in the area
B) Use the patient's own terms if possible
C) Use language that keeps the patient from being expansive in their answer
D) Use proper medical and technical terminology
Answer: B
Rationale: To ensure that your questions have been correctly understood, be clear and
explicit while using the patient's idiom and level of understanding. Using the patient's
own terms improves communication and demonstrates respect .
Difficulty: Easy
Learning Objective: 1.1
6. A patient becomes restless during the history and says, "I don't have time for all
of this conversation. I've got to get back to work." Your most appropriate
response would be to:
A) Stop using open-ended questions and become more direct
B) Ask another open-ended question and insist on an answer
C) Ask questions about his anger and move closer to him
D) Acknowledge his anger and proceed with the history and examination
Answer: D
Rationale: This response resists the tendency for patient manipulation, pursues the
necessary information, and acknowledges the patient's anger without becoming
confrontational. It validates the patient's feelings while maintaining the clinical purpose
of the encounter .
Difficulty: Hard
Learning Objective: 1.3
Guide to Physical
Examination 9th Edition
Latest Update
, Test Bank for Seidel's Guide to Physical Examination:
An Interprofessional Approach, 9th Edition
PART A: MULTIPLE CHOICE QUESTIONS (35 Questions)
1. The most effective way to begin a patient interview is with:
A) A closed-ended question about the chief complaint
B) An open-ended question such as "What brings you here today?"
C) A review of systems questionnaire
D) A physical examination immediately
Answer: B
Rationale: Open-ended questions allow the patient to describe their concerns in their
own words and establish rapport. This approach facilitates a patient-centered interview
and encourages the patient to share information they consider most important .
Difficulty: Easy
Learning Objective: 1.1
2. Which question would be considered a "leading question"?
A) "Please describe any associated symptoms with your headaches?"
B) "You don't get headaches often, do you?"
C) "What activities affect the severity of your headaches?"
D) "What times of the day are your headaches the most severe?"
Answer: B
Rationale: A leading question suggests a desired answer and limits the information in
the patient's response. "You don't get headaches often, do you?" implies the patient
should confirm they don't have frequent headaches. The other choices allow the patient
more discretion about the extent of an answer .
, Difficulty: Medium
Learning Objective: 1.1
3. Which action would best promote accurate translations as well as confidentiality
when the caregiver does not speak the patient's language?
A) Ask a person unfamiliar with the patient to translate
B) Have a friend of the patient translate
C) Ask simple leading questions that the patient may understand
D) Use a neighbor as translator
Answer: A
Rationale: When you do not speak the patient's language, family members or friends
may pose a communication barrier and may have issues of confidentiality. A stranger as
an interpreter is less biased. Professional medical interpreters are the gold standard
when available .
Difficulty: Easy
Learning Objective: 1.2
4. Periods of silence during the interview can serve important purposes, such as:
A) Allowing the clinician to catch up on documentation
B) Giving you a clue that you should speed up the interview
C) Providing time for reflection
D) Increasing the length of the visit
Answer: C
Rationale: Silence is a useful tool during interviews for the purposes of reflection,
summoning of courage, and displaying compassion. It is usually a clue for the clinician
to go slower and not to push too hard .
Difficulty: Medium
Learning Objective: 1.1
, 5. Which technique is most likely to result in the patient's understanding of
questions?
A) Use phrases that are commonly used by other patients in the area
B) Use the patient's own terms if possible
C) Use language that keeps the patient from being expansive in their answer
D) Use proper medical and technical terminology
Answer: B
Rationale: To ensure that your questions have been correctly understood, be clear and
explicit while using the patient's idiom and level of understanding. Using the patient's
own terms improves communication and demonstrates respect .
Difficulty: Easy
Learning Objective: 1.1
6. A patient becomes restless during the history and says, "I don't have time for all
of this conversation. I've got to get back to work." Your most appropriate
response would be to:
A) Stop using open-ended questions and become more direct
B) Ask another open-ended question and insist on an answer
C) Ask questions about his anger and move closer to him
D) Acknowledge his anger and proceed with the history and examination
Answer: D
Rationale: This response resists the tendency for patient manipulation, pursues the
necessary information, and acknowledges the patient's anger without becoming
confrontational. It validates the patient's feelings while maintaining the clinical purpose
of the encounter .
Difficulty: Hard
Learning Objective: 1.3
