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Exam (elaborations)

HPI questions and answers graded A+ 2024/2025

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HPI questions and answers graded A+ 2024/2025

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HPI

In your own words, describe the significance of an HPI. - ANSThe HPI addresses the exact
reason regarding why the patient came into the ED. Determines the rest of the visit.

How is the HPI different from the ROS? - ANSHPI is the chief complaint, the history of present
illness. The ROS is everything about the patient from head to toe, the review of symptoms.

Name eight "elements of the HPI. - ANS1. Onset
2. Provocation (Modifying Factors)
3. Quality
→Radiation
4. Severity
5. Timing
6. Location
7. Associated Symptoms
8. Context

Name eight of the body systems included in the ROS. - ANSHEENT, Respiratory,
Integumentary, GI, GU, Musculoskeletal, Cardiovascular

Can the symptoms listed in the ROS ever contradict the symptoms described in the HPI? Why
or Why not? - ANSNo, because the ROS covers everything in the HPI. Both are subjective.

What do you need to remember to document in the HPI and ROS for any patient that is
unconscious or incapable of providing information? - ANS"Complete ROS and HPI are
unobtainable due to the patient's condition."

Identify the error in this sentence from an example HPI: "pt states the CP has been intermittent
since Thursday." - ANSNeeds a specific date.

Why is it important to remember to document if the patient has had similar symptoms in the
past? - ANSBecause the current symptoms may be related.

Name one detail that is important to document if the patient has been evaluated in the past for a
similar complaint. - ANSWhether it is better or worse than it was before, or if there is anything
new or different.

What should you focus on when writing an HPI (choose one)
a. Capturing everything that is said by the patient.
b. Documenting the answers to every question asked by the doctor. - ANSB. Documenting the
answers to every question asked by the doctor.

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