Maryville AHA 612 exam 1 Questions and Answers with complete solution

OLDCARTS - Onset,Location, Duration, Characteristics, Aggravating factors, Relieving factors, Temporal factors, Severity PQRST - provocative/palliative, quality, region/radiation, severity, and timing COLDPA - characteristic, onset, location, duration, pattern, and associated factors PMH - General health, childhood illnesses, adult illnesses or chronic diseases, Immunizations, surgeries, serious injuries resulting in disability, medications, ability to complete ADLs, allergies and reactions, transfusions, recent screening tests, emotional status, FM - Investigate blood relatives in the immediate family with features similar to the patient's. If a disease "runs in the family", ask about everyone from grandparents to cousins. Ask about heart disease, hypertension, cancer, TB, stroke, sickle cell, CF, kidney disease, thyroid disease, blood diseases, Ascertain whether cancers are multiple, bilateral, and occurring more than once in the family, or at a young age. SH - birthplace, home environment, cultural and ethnic background, education, occupation, marital status,hobbies or interests, sources of stress, habits of self-care (self breast exams, etc), habits regarding smoking, alcohol and drug use, and sexual history. Five Ps of sexual history-partners, practices, protection, past history of STIs, pregnancy prevention. ROS - general, skin hair and nails, head and neck, eyes, ears, nose, throat and mouth, lymph nodes, chest and lungs, breasts, heart and blood vessels, peripheral vasculature, hematologic, GI, diet, endocrine, GU, musculoskeletal, neurologic, psychiatric. concepts of developing a relationship with the patient - A primary objective is to discover the details about a patient's concern, explore expectations for the encounter and display interest, curiosity and partnership. Identifying underlying worries, believing them, and trying to deal with them optimizes your ability to be of helpeffective communication strategies - Communication built on courtesy, comfort, connection, and confirmation. patient-centered care - respecting and responding to patients wants and needs so they can make choices that best fit their circumstances