HM PQS CORE REVIEW ANSWERS AND QUESTIONS
SET A+
✔✔discuss the following components associated with pt hx:
-last menstrual period
-past medical hx
-past surgical hx
-allergies
-medications
-family hx
-social hx - ✔✔-last menstrual period (LMP:) first day of bright red bleeding
-past medical hx (PMH:) major illnesses or any ongoing diseases
-past surgical hx (PSH:) previous surgical hx
-allergies- medications, food, latex, environmental
-medications-OTC, medicated or prescribed
-family hx: immediate family (family tree,) hereditary illnesses such as DM, HTN,
cancer, heart disease, illnesses similar to HPI.
-social hx: living arrangments, occupation, marital status, number of children, drug or
alcohol use, recent foreign travel, exposure to environmental pathogens, (recent activity
or pets,) and sexual hx.
✔✔Discuss the following components associated with a history of present illness (HPI)
interview:
-chief complaint using OLDCARTS
-description of complaint
-chronology of events
-review pt charts
-pertinent negatives - ✔✔-chief complaint using OLDCARTS:
the c/c is the focus of the exam. if several, document in order of the highest to lowest
medical risk.
-description of complaint:
location, quality, severity, duration, severity, duration, timing, context, modifying factors,
associated sighs and symptoms.
,-chronology of events: chronological
-review pt charts: key events from other evaluations
-pertinent positives:
expected signs ans symptoms related to the c/c, that the patient reports having
-pertinent negatives:
expected signs and symptoms related to the chief of complaint, but the patient denies
having.
✔✔Define: chief complaint using OLDCARTS - ✔✔O-onset: "when did it start?" "what
were you doing when the pain started?"
P-provocation/palliation: "what makes the pain better and/or worse? ex:
medications/stance.
Q-Quality: "Describe the pain--is it dull, sharp, achy, constant, intermittent?"
R-region/radiation: "does your pain radiate anywhere?"
S-severity and symptoms: "Are there any other symptoms associated with your c/c?"
T- "when did it start?" "is it improving/getting worse/staying the same?" "was there a
trigger/what do you think is causing your pain?"
✔✔Define: description of complaint - ✔✔a. Location
b. Quality
c. Severity
d. Duration
e. Timing
f. Context
g. Modifying factors
h. Associated signs and symptoms
✔✔Define: chronology of events - ✔✔chronological
✔✔Define: review pt charts - ✔✔key events from other evaluations
✔✔Define: Pertinent positives - ✔✔expected signs and symptoms related to chief
complaint, that the patient report having
✔✔Define: pertinent negatives - ✔✔expected signs/symptoms related to c/c, but the pt
denies having
✔✔discuss the screening procedures for medical appointment - ✔✔screeners must
refer the pt to the MO/PA/IDC if:
-febrile illness w/ temp exceeding 101F
-Acute distress such as breathing difficulties, chest pain, acute abdominal pain,
suspected fractures, lacerations, etc.
, -altered mental status
-unexplained pulse above 120 bpm
-unexplained RR above 28 or less than 12 per min.
-Diastolic B/P over 100mmHg
✔✔discuss the procedures for conducting a primary assessment - ✔✔1. Scene Size up:
-don bsi/scene safe
-MOI/NOI
-# of pt's
-Additional assistance on standby
-c-spine
2.Primary survey:
-general impression
-LOC
-C/C/life threats/bleeding
3. ABC shock:
-airway, breathing,circulation,shock, pt priority of transport.
4. PT HX/ "SAMPLE"
-Signs/symptoms
-allergy
-meds
-past illnesses
-last oral intake
-events leading up to present illness/injury
✔✔discuss the procedure for conducting a secondary assessment - ✔✔1. DCAPBTLS
(deformities, contusions, abrasions,
punctures/penetrations,burns,tenderness,laceration,swelling.)
2. F/U: vital signs, manage secondary injuries
3. PMARCHP:
a. Patient/Provider Safety
b. Massive Hemorrhage
c. Airway
d. Respirations
e. Circulation
f. Head Trauma/Hypothermia
g. Pain Management
4. Patient/provider safety:
a. Scene is safe?
b. Fire superiority
SET A+
✔✔discuss the following components associated with pt hx:
-last menstrual period
-past medical hx
-past surgical hx
-allergies
-medications
-family hx
-social hx - ✔✔-last menstrual period (LMP:) first day of bright red bleeding
-past medical hx (PMH:) major illnesses or any ongoing diseases
-past surgical hx (PSH:) previous surgical hx
-allergies- medications, food, latex, environmental
-medications-OTC, medicated or prescribed
-family hx: immediate family (family tree,) hereditary illnesses such as DM, HTN,
cancer, heart disease, illnesses similar to HPI.
-social hx: living arrangments, occupation, marital status, number of children, drug or
alcohol use, recent foreign travel, exposure to environmental pathogens, (recent activity
or pets,) and sexual hx.
✔✔Discuss the following components associated with a history of present illness (HPI)
interview:
-chief complaint using OLDCARTS
-description of complaint
-chronology of events
-review pt charts
-pertinent negatives - ✔✔-chief complaint using OLDCARTS:
the c/c is the focus of the exam. if several, document in order of the highest to lowest
medical risk.
-description of complaint:
location, quality, severity, duration, severity, duration, timing, context, modifying factors,
associated sighs and symptoms.
,-chronology of events: chronological
-review pt charts: key events from other evaluations
-pertinent positives:
expected signs ans symptoms related to the c/c, that the patient reports having
-pertinent negatives:
expected signs and symptoms related to the chief of complaint, but the patient denies
having.
✔✔Define: chief complaint using OLDCARTS - ✔✔O-onset: "when did it start?" "what
were you doing when the pain started?"
P-provocation/palliation: "what makes the pain better and/or worse? ex:
medications/stance.
Q-Quality: "Describe the pain--is it dull, sharp, achy, constant, intermittent?"
R-region/radiation: "does your pain radiate anywhere?"
S-severity and symptoms: "Are there any other symptoms associated with your c/c?"
T- "when did it start?" "is it improving/getting worse/staying the same?" "was there a
trigger/what do you think is causing your pain?"
✔✔Define: description of complaint - ✔✔a. Location
b. Quality
c. Severity
d. Duration
e. Timing
f. Context
g. Modifying factors
h. Associated signs and symptoms
✔✔Define: chronology of events - ✔✔chronological
✔✔Define: review pt charts - ✔✔key events from other evaluations
✔✔Define: Pertinent positives - ✔✔expected signs and symptoms related to chief
complaint, that the patient report having
✔✔Define: pertinent negatives - ✔✔expected signs/symptoms related to c/c, but the pt
denies having
✔✔discuss the screening procedures for medical appointment - ✔✔screeners must
refer the pt to the MO/PA/IDC if:
-febrile illness w/ temp exceeding 101F
-Acute distress such as breathing difficulties, chest pain, acute abdominal pain,
suspected fractures, lacerations, etc.
, -altered mental status
-unexplained pulse above 120 bpm
-unexplained RR above 28 or less than 12 per min.
-Diastolic B/P over 100mmHg
✔✔discuss the procedures for conducting a primary assessment - ✔✔1. Scene Size up:
-don bsi/scene safe
-MOI/NOI
-# of pt's
-Additional assistance on standby
-c-spine
2.Primary survey:
-general impression
-LOC
-C/C/life threats/bleeding
3. ABC shock:
-airway, breathing,circulation,shock, pt priority of transport.
4. PT HX/ "SAMPLE"
-Signs/symptoms
-allergy
-meds
-past illnesses
-last oral intake
-events leading up to present illness/injury
✔✔discuss the procedure for conducting a secondary assessment - ✔✔1. DCAPBTLS
(deformities, contusions, abrasions,
punctures/penetrations,burns,tenderness,laceration,swelling.)
2. F/U: vital signs, manage secondary injuries
3. PMARCHP:
a. Patient/Provider Safety
b. Massive Hemorrhage
c. Airway
d. Respirations
e. Circulation
f. Head Trauma/Hypothermia
g. Pain Management
4. Patient/provider safety:
a. Scene is safe?
b. Fire superiority
