Bates’ Guide to Physical Examination and History Taking, 11th Edition
Chapter 2: Clinical Reasoning, Assessment, and Recording Your Findings
Multiple Choice
1. A patient presents for evaluation of a sharp, aching chest pain which increases with breathing.
Which anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
Ans: A
Chapter: 02
Page and Header: 27, Assessment and Plan: The Process of Clinical Reasoning
Feedback: 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 wall. Pleuritic chest
pain is also a sharp chest pain which increases with a deep breath. This type of pain can occur
with inflammation of the pleura from pneumonia or other conditions and pulmonary embolus.
2. A patient comes to the emergency room for evaluation of shortness of breath. To which
anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic
Ans: C
Chapter: 02
Page and Header: 27, Assessment and Plan: The Process of Clinical Reasoning
Feedback: Cardiac disorders such as congestive heart failure are the most likely on this list to
result in shortness of breath. There are cases within the other categories which may also result in
shortness of breath, such as anemia in the hematologic category, pregnancy in the reproductive
category, or sepsis with UTI in the urinary category. This demonstrates the “tension” in clinical
reasoning between making sure all possibilities are covered, while still being able to pick the
SCHOLARVAULT
, most #bdlikely #bdcause.
3. A #bdpatient #bdpresents #bdfor #bdevaluation #bdof #bda #bdcough. #bdWhich #bdof #bdthe #bdfollowing #bdanatomic
#bdregions #bdcan #bdbe #bdresponsible #bdfor #bda #bdcough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine
Ans: # b d C
#bdChapter: # b d 02
Page #bdand #bdHeader: # b d 27, #bdAssessment #bdand #bdPlan: #bdThe #bdProcess #bdof #bdClinical #bdReasoning
Feedback: # b d The #bdcardiac #bdsystem #bdcan #bdcause #bda #bdcough #bdif #bdthe #bdpatient #bdhas #bdcongestive #bdheart
#bdfailure. #bdThis #bdresults #bdin #bdfluid #bdbuildup #bdin #bdthe #bdlungs, #bdwhich #bdin #bdturn #bdcan #bdcause #bda #bdcough
#bdthat #bdproduces #bdpink, #bdfrothy #bdsputum. # b d A #bdforeign #bdbody #bdin #bdthe #bdear #bdmay #bdalso #bdcause #bda
#bdcough #bdby #bdstimulating #bdArnold's #bdbranch #bdof #bdthe #bdvagus #bdnerve, #bdbut #bdthis #bdis #bdless #bdlikely #bdto
#bdbe #bdseen #bdclinically #bdthan #bdheart #bdfailure.
4. A #bd22-year-old #bdadvertising #bdcopywriter #bdpresents #bdfor #bdevaluation #bdof #bdjoint #bdpain. #bdThe
#bdpain #bdis #bdnew, #bdlocated #bdin #bdthe #bdwrists #bdand #bdfingers #bdbilaterally, #bdwith #bdsome #bdsubjective
#bdfever. #bdThe #bdpatient #bddenies #bda #bdrash; #bdshe #bdalso #bddenies #bdrecent #bdtravel #bdor #bdcamping
#bdactivities. #bdShe #bdhas #bda #bdfamily #bdhistory #bdsignificant #bdfor #bdrheumatoid #bdarthritis. #bdBased #bdon
#bdthis #bdinformation, #bdwhich #bdof #bdthe #bdfollowing #bdpathologic #bdprocesses #bdwould #bdbe #bdthe
#bdmost #bdcorrect?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
Ans: # b d B
#bdChapter: # b d 02
Page #bdand #bdHeader: # b d 27, #bdAssessment #bdand #bdPlan: #bdThe #bdProcess #bdof #bdClinical #bdReasoning
Feedback: # b d The #bddescription #bdis #bdmost #bdconsistent #bdwith #bdan #bdinflammatory #bdprocess,
#bdalthough #bdall #bdthe #bdother #bdetiologies #bdshould #bdbe #bdconsidered. # b d Lyme #bddisease #bdis #bdan
#bdinfection #bdwhich #bdcommonly #bdcauses #bdarthritis, #bdhemophilia #bdis #bda #bdhematologic #bdcondition
#bdwhich #bdcan #bdcause #bdbleeding #bdin #bdthe #bdjoints, #bdand #bdtrauma #bdcan #bdobviously #bdcause #bdjoint
#bdpain. # b d Your #bdclinical #bdreasoning #bdskills #bdare #bdimportant #bdfor #bdsorting #bdthrough #bdall #bdof #bdthe
#bddata #bdto #bdarrive #bdat #bdthe #bdmost #bdlikely #bdconclusion.
5. A #bd47-year-old #bdcontractor #bdpresents #bdfor #bdevaluation #bdof #bdneck #bdpain, #bdwhich #bdhas #bdbeen
#bdintermittent #bdfor
SCHOLARVAULT
Chapter 2: Clinical Reasoning, Assessment, and Recording Your Findings
Multiple Choice
1. A patient presents for evaluation of a sharp, aching chest pain which increases with breathing.
Which anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
Ans: A
Chapter: 02
Page and Header: 27, Assessment and Plan: The Process of Clinical Reasoning
Feedback: 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 wall. Pleuritic chest
pain is also a sharp chest pain which increases with a deep breath. This type of pain can occur
with inflammation of the pleura from pneumonia or other conditions and pulmonary embolus.
2. A patient comes to the emergency room for evaluation of shortness of breath. To which
anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic
Ans: C
Chapter: 02
Page and Header: 27, Assessment and Plan: The Process of Clinical Reasoning
Feedback: Cardiac disorders such as congestive heart failure are the most likely on this list to
result in shortness of breath. There are cases within the other categories which may also result in
shortness of breath, such as anemia in the hematologic category, pregnancy in the reproductive
category, or sepsis with UTI in the urinary category. This demonstrates the “tension” in clinical
reasoning between making sure all possibilities are covered, while still being able to pick the
SCHOLARVAULT
, most #bdlikely #bdcause.
3. A #bdpatient #bdpresents #bdfor #bdevaluation #bdof #bda #bdcough. #bdWhich #bdof #bdthe #bdfollowing #bdanatomic
#bdregions #bdcan #bdbe #bdresponsible #bdfor #bda #bdcough?
A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine
Ans: # b d C
#bdChapter: # b d 02
Page #bdand #bdHeader: # b d 27, #bdAssessment #bdand #bdPlan: #bdThe #bdProcess #bdof #bdClinical #bdReasoning
Feedback: # b d The #bdcardiac #bdsystem #bdcan #bdcause #bda #bdcough #bdif #bdthe #bdpatient #bdhas #bdcongestive #bdheart
#bdfailure. #bdThis #bdresults #bdin #bdfluid #bdbuildup #bdin #bdthe #bdlungs, #bdwhich #bdin #bdturn #bdcan #bdcause #bda #bdcough
#bdthat #bdproduces #bdpink, #bdfrothy #bdsputum. # b d A #bdforeign #bdbody #bdin #bdthe #bdear #bdmay #bdalso #bdcause #bda
#bdcough #bdby #bdstimulating #bdArnold's #bdbranch #bdof #bdthe #bdvagus #bdnerve, #bdbut #bdthis #bdis #bdless #bdlikely #bdto
#bdbe #bdseen #bdclinically #bdthan #bdheart #bdfailure.
4. A #bd22-year-old #bdadvertising #bdcopywriter #bdpresents #bdfor #bdevaluation #bdof #bdjoint #bdpain. #bdThe
#bdpain #bdis #bdnew, #bdlocated #bdin #bdthe #bdwrists #bdand #bdfingers #bdbilaterally, #bdwith #bdsome #bdsubjective
#bdfever. #bdThe #bdpatient #bddenies #bda #bdrash; #bdshe #bdalso #bddenies #bdrecent #bdtravel #bdor #bdcamping
#bdactivities. #bdShe #bdhas #bda #bdfamily #bdhistory #bdsignificant #bdfor #bdrheumatoid #bdarthritis. #bdBased #bdon
#bdthis #bdinformation, #bdwhich #bdof #bdthe #bdfollowing #bdpathologic #bdprocesses #bdwould #bdbe #bdthe
#bdmost #bdcorrect?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
Ans: # b d B
#bdChapter: # b d 02
Page #bdand #bdHeader: # b d 27, #bdAssessment #bdand #bdPlan: #bdThe #bdProcess #bdof #bdClinical #bdReasoning
Feedback: # b d The #bddescription #bdis #bdmost #bdconsistent #bdwith #bdan #bdinflammatory #bdprocess,
#bdalthough #bdall #bdthe #bdother #bdetiologies #bdshould #bdbe #bdconsidered. # b d Lyme #bddisease #bdis #bdan
#bdinfection #bdwhich #bdcommonly #bdcauses #bdarthritis, #bdhemophilia #bdis #bda #bdhematologic #bdcondition
#bdwhich #bdcan #bdcause #bdbleeding #bdin #bdthe #bdjoints, #bdand #bdtrauma #bdcan #bdobviously #bdcause #bdjoint
#bdpain. # b d Your #bdclinical #bdreasoning #bdskills #bdare #bdimportant #bdfor #bdsorting #bdthrough #bdall #bdof #bdthe
#bddata #bdto #bdarrive #bdat #bdthe #bdmost #bdlikely #bdconclusion.
5. A #bd47-year-old #bdcontractor #bdpresents #bdfor #bdevaluation #bdof #bdneck #bdpain, #bdwhich #bdhas #bdbeen
#bdintermittent #bdfor
SCHOLARVAULT
