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When is comprehensive exam appropriate? - correct ans:when you are seeing the pt for the first time,
provides baselines & it strengthens provider-pt relationship
, When is a problem focused exam appropriate? - correct ans:when pt returns for routine follow-up care
or for pts with specific urgent concerns or for screening/prevention
Identifying data includes: - correct ans:name, age, gender, race (occupation, marital status, DOB)
Reliability of health hx depends on - correct ans:Source, pt's memory, mood, trust
OLD CARTS - correct ans:Onset, Location, Duration, Character, Aggravating/Alleviating Factors,
Radiation, Timing, Severity
OPQRST - correct ans:Onset, Palliating/Provoking Factors, Quality, Radiation, Site, and Timing
What info should you obtain regarding medications - correct ans:name, dose, route, frequency
Signs of medication allergy (not intolerance) - correct ans:swelling, rash, SOB, wheeze, anaphylaxis,
edema
Signs of medication intolerance (not allergy) - correct ans:N/V/GI, dizziness, HA, malaise, wt gain
Past medical history (PMH) should include - correct ans:childhood illnesses, adult illnesses (medical,
surgical, ob/gyn, psych), immunizations, screening tests, lifestyle issues, and home safety, both active &
inactive past dx
What to include about surgeries - correct ans:Date, indications, types of operations
OB/GYN hx should include - correct ans:age of menarche/menopause, LMP/LNMP, cycle length, length
of menstrual flow, # pads/tampons per day, birth control, estrogen use, last PAP/mammo, TPAL (term
preg, preemies, abortions, living children)