Exam Questions and CORRECT Answers
Leading questions - CORRECT ANSWER -may limit the information provided to what
the patient thinks you want to know
Open ended vs closed ended questions - CORRECT ANSWER -Open: gives the patient
discretion about the extent of an answer
Closed: yes or no
OLD CARTS - CORRECT ANSWER -onset
location
duration
character (of pain)
aggravating/associating factors
relieving factors
temporal factors
severity of symptoms
structure of history - CORRECT ANSWER -identifiers
chief concern
history of present illness
past medical history
family history
personal & social history
review of systems
What is the purpose of a high quality history taking process? - CORRECT ANSWER -The
history is vital to the appropriate interpretation of the physical examination
, -knowing what questions to ask
-finding the present problem
-building a relationship with the patient
Techniques of how to interview for a history, and set the patient at ease, develop trust & get
sensitive information - CORRECT ANSWER -facilitate, reflect, clarify, empathize,
confront, interpret
facilitate - CORRECT ANSWER -encourage patient to say more, either with your words
or with silence
reflect - CORRECT ANSWER -repeat what you have heard to encourage more detail
clarify - CORRECT ANSWER -"What do you mean?"
Empathize - CORRECT ANSWER -show understanding and acceptance
confront - CORRECT ANSWER -do not hesitate to discuss a patient's disturbing behavior
interpret - CORRECT ANSWER -repeat what you have heard to confirm the patient's
meaning
allergies - CORRECT ANSWER -medications
environmental
food
latex
Characteristics of culture - CORRECT ANSWER -1. learned: through experiences
2. taught: parents, family, peers