Bates' Advanced Health Assessment Test (Health
History, HEENT) with Questions and 100% Correct
Answers Already Passed
The following information is recorded in the health history: "The patient has had abdominal
pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9
on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-
epigastric area."
Which of these categories does it belong to?
Present illness
chief complaint
personal and social history
review of systems - ✔✔present illness
The following information is recorded in the health history: "The patient completed 8th grade.
He currently lives with his wife and two children. He works on old cars on the weekend. He
works in a glass factory during the week."
Which category does it belong to?
Present illness
chief complaint
personal and social history
review of systems - ✔✔personal and social history
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
Present illness
chief complaint
personal and social history
,review of systems - ✔✔chief complaint
The following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
Present illness
chief complaint
personal and social history
review of systems - ✔✔review of systems
The following information is best placed in which category?
"The patient has had three cesarean sections."
Adult illness
Surgeries
Obstetric/gynecology
psychiatric - ✔✔Surgeries
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
Adult illness
Surgeries
Obstetric/gynecology
psychiatric - ✔✔Adult illness
The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year; the patient has
never been intubated."
Adult illness
, Surgeries
Obstetric/gynecology
psychiatric - ✔✔Adult illness
inspection - ✔✔close observation of the details of the patient's appearance, behavior, and
movement such as facial expression, mood, body habitus and conditioning, skin conditions such
as petechiae or ecchymoses, eye movements, pharyngeal color, symmetry of the thorax, height
of jugular venous pulsations, abdominal contour, lower extremity edema, and gait.
palpation - ✔✔tactile pressure from the palmar fingers or fingerpads to assess areas of skin
elevation, depression, warmth, or tenderness, lymph nodes, pulses, contours and sizes of
organs and masses, and crepitus in the joints.
Percussion - ✔✔use of the striking or plexor finger, usually the third, to deliver a rapid tap or
blow against the distal pleximeter finger, usually the distal third finger of the left hand laid
against the surface of the chest or abdomen, to evoke a sound wave such as resonance or
dullness from the underlying tissue or organs. This sound wave also generates a tactile vibration
against the pleximeter finger.
auscultation - ✔✔use of the diaphragm and bell of the stethoscope to detect the
characteristics of heart, lung, and bowel sounds, including location, timing, duration, pitch, and
intensity. For the heart, this involves sounds from closing of the four valves and flow into the
ventricles as well as murmurs. Auscultation also permits detection of bruits or turbulence over
arterial vessels.
A patient presents for evaluation of a sharp, aching chest pain which increases with breathing.
Which anatomic area would you localize the symptom to?
Musculoskeletal
Reproductive
Urinary
Endocrine - ✔✔Chest pain may be due to a musculoskeletal condition, such as
costochondritis or intercostal muscle cramp. This would be worsened by motion of the chest
History, HEENT) with Questions and 100% Correct
Answers Already Passed
The following information is recorded in the health history: "The patient has had abdominal
pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9
on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-
epigastric area."
Which of these categories does it belong to?
Present illness
chief complaint
personal and social history
review of systems - ✔✔present illness
The following information is recorded in the health history: "The patient completed 8th grade.
He currently lives with his wife and two children. He works on old cars on the weekend. He
works in a glass factory during the week."
Which category does it belong to?
Present illness
chief complaint
personal and social history
review of systems - ✔✔personal and social history
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
Present illness
chief complaint
personal and social history
,review of systems - ✔✔chief complaint
The following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
Present illness
chief complaint
personal and social history
review of systems - ✔✔review of systems
The following information is best placed in which category?
"The patient has had three cesarean sections."
Adult illness
Surgeries
Obstetric/gynecology
psychiatric - ✔✔Surgeries
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
Adult illness
Surgeries
Obstetric/gynecology
psychiatric - ✔✔Adult illness
The following information is best placed in which category?
"The patient was treated for an asthma exacerbation in the hospital last year; the patient has
never been intubated."
Adult illness
, Surgeries
Obstetric/gynecology
psychiatric - ✔✔Adult illness
inspection - ✔✔close observation of the details of the patient's appearance, behavior, and
movement such as facial expression, mood, body habitus and conditioning, skin conditions such
as petechiae or ecchymoses, eye movements, pharyngeal color, symmetry of the thorax, height
of jugular venous pulsations, abdominal contour, lower extremity edema, and gait.
palpation - ✔✔tactile pressure from the palmar fingers or fingerpads to assess areas of skin
elevation, depression, warmth, or tenderness, lymph nodes, pulses, contours and sizes of
organs and masses, and crepitus in the joints.
Percussion - ✔✔use of the striking or plexor finger, usually the third, to deliver a rapid tap or
blow against the distal pleximeter finger, usually the distal third finger of the left hand laid
against the surface of the chest or abdomen, to evoke a sound wave such as resonance or
dullness from the underlying tissue or organs. This sound wave also generates a tactile vibration
against the pleximeter finger.
auscultation - ✔✔use of the diaphragm and bell of the stethoscope to detect the
characteristics of heart, lung, and bowel sounds, including location, timing, duration, pitch, and
intensity. For the heart, this involves sounds from closing of the four valves and flow into the
ventricles as well as murmurs. Auscultation also permits detection of bruits or turbulence over
arterial vessels.
A patient presents for evaluation of a sharp, aching chest pain which increases with breathing.
Which anatomic area would you localize the symptom to?
Musculoskeletal
Reproductive
Urinary
Endocrine - ✔✔Chest pain may be due to a musculoskeletal condition, such as
costochondritis or intercostal muscle cramp. This would be worsened by motion of the chest
