A new patient with the chief complaint of "I am here to establish care"
This patient is here to establish care, and because she is new to you, a compre
For which of the following patients would a appropriate.
comprehensive health history be appropriate?
A new patient with the chief complaint of "I sprained
my ankle"
An established patient with the chief complaint of "I
have an upper respiratory infection"
A new patient with the chief complaint of "I am here
to establish care"
A new patient with the chief complaint of "I cut my
hand"
Thorax and lungs
The components of the health history include all of The thorax and lungs are part of the physical examination, not part of the heal
the following except which one? answers are all part of a complete health history.
Review of systems
Thorax and lungs
Present illness
Personal and social items
Subjective
Is the following information subjective or objective? This is information given by the patient about the circumstances of his chief c
Mr. M. has shortness of breath that has persisted for represent an objective observation by the examiner.
the past 10 days; it is worse with activity and relieved
by rest.
Objective
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of This is a measurement obtained by the examiner, so it is considered objective
120. unlikely to be able to give this information to the examiner.
Present illness
This information describes the problem of abdominal pain, which is the prese
has obtained the location, timing, severity, and associated manifestations of th
The following information is recorded in the health will still need to obtain information concerning the quality of the pain, the set
history: "The patient has had abdominal pain for 1 and the factors that aggravate and alleviate the pain. You will notice that it doe
week. The pain lasts for 30 minutes at a time; it pertinent review of systems, but because it relates directly to the complaint, it
comes and goes. The severity is 7 to 9 on a scale of 1 of present illness.
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?
Chief complaint
Present illness
, Chief complaint
The following information is recorded in the health The chief complaint is an attempt to quote the patient's own words, as long as
history: "I feel really tired." It is brief, like a headline, and further details should be sought in the present il
Which category does it belong to? information is a chief complaint.
Chief complaint
Present illness
Personal and social history
Review of systems
Review of systems
Review of systems documents the presence or absence of common symptoms
The following information is recorded in the health body system. The absence of cardiac symptoms is listed in the above example
history: "Patient denies chest pain, palpitations,
orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
Chief complaint
Present illness
Personal and social history
Review of systems
Surgeries
The following information is best placed in which A cesarean section is a surgical procedure. Approximate dates or the age of th
category? surgery should also be recorded.
"The patient has had three cesarean sections."
Adult illnesses
Surgeries
Obstetrics/gynecology
Psychiatric
Adult illnesses
The adult illnesses category is reserved for chronic illnesses, significant hospi
The following information is best placed in which injuries, and significant procedures. A stent is a major procedure but does not
category?
"The patient had a stent placed in the left anterior
descending artery (LAD) in 1999."
Adult illnesses
Surgeries
Obstetrics/gynecology
Psychiatric
Adult illnesses
, Musculoskeletal
Chest pain may be due to a musculoskeletal condition, such as costochondritis
A patient presents for evaluation of a sharp, aching cramp. This would be worsened by motion of the chest wall. Pleuritic chest pa
chest pain which increases with breathing. Which pain which increases with a deep breath. This type of pain can occur with infl
anatomic area would you localize the symptom to? from pneumonia or other conditions and pulmonary embolus.
Musculoskeletal
Reproductive
Urinary
Endocrine
Cardiac
Cardiac disorders such as congestive heart failure are the most likely on this li
A patient comes to the emergency room for breath. There are cases within the other categories which may also result in sh
evaluation of shortness of breath. To which anatomic anemia in the hematologic category, pregnancy in the reproductive category, o
region would you assign the symptom? urinary category. This demonstrates the tension in clinical reasoning between
possibilities are covered, while still being able to pick the most likely cause.
Reproductive
Urinary
Cardiac
Hematologic
Cardiac
A patient presents for evaluation of a cough. Which The cardiac system can cause a cough if the patient has congestive heart failur
of the following anatomic regions can be responsible buildup in the lungs, which in turn can cause a cough that produces pink, froth
for a cough? in the ear may also cause a cough by stimulating Arnold's branch of the vagus
likely to be seen clinically than heart failure.
Ophthalmologic
Auditory
Cardiac
Endocrine
We have an expert-written
solution to this problem!
Inflammatory
The description is most consistent with an inflammatory process, although all
be considered. Lyme disease is an infection which commonly causes arthritis,
, Degenerative
The description is most consistent with degenerative arthritis in the neck. The
intermittent symptoms and the questions asked to elicit pertinent negative and
negative for infectious, traumatic, or neoplastic disease.
A 47-year-old contractor presents for evaluation of
neck pain, which has been intermittent for several
years. He normally takes over-the-counter
medications to ease the pain, but this time they
haven't worked as well and he still has discomfort. He
recently wallpapered the entire second floor in his
house, which caused him great discomfort. The pain
resolved with rest. He denies fever, chills, rash, upper
respiratory symptoms, trauma, or injury to the neck.
Based on this description, what is the most likely
pathologic process?
Infectious
Neoplastic
Degenerative
Traumatic
Allergic
This description is most consistent with allergic rhinitis.
A 15-year-old high school sophomore comes to the
clinic for evaluation of a 3-week history of sneezing;
itchy, watery eyes; clear nasal discharge; ear pain;
and nonproductive cough. Which is the most likely
pathologic process?
Infection
Inflammation
Allergic
Vascular
Head is normocephalic and atraumatic, fundi with blurred disc margins, neck
to perform range of motion
Blurred disc margins are consistent with papilledema, and neck tenderness an
are consistent with neck stiffness, which in this scenario is likely to be caused
inflammation. Later, you will learn about Kernig's and Brudzinski's signs, wh
A 19-year old-college student presents to the for meningeal irritation on examination.
emergency room with fever, headache, and neck
pain/stiffness. She is concerned about the possibility
of meningococcal meningitis. Several of her dorm
mates have been vaccinated, but she hasn't been.
Which of the following physical examination
descriptions is most consistent with meningitis?
Head is normocephalic and atraumatic, fundi with
sharp discs, neck supple with full range of motion
Head is normocephalic and atraumatic, fundi with
sharp discs, neck with paraspinous muscle spasm and
limited range of motion to the right
Head is normocephalic and atraumatic, fundi with
blurred disc margins, neck tender to palpation, unable
This patient is here to establish care, and because she is new to you, a compre
For which of the following patients would a appropriate.
comprehensive health history be appropriate?
A new patient with the chief complaint of "I sprained
my ankle"
An established patient with the chief complaint of "I
have an upper respiratory infection"
A new patient with the chief complaint of "I am here
to establish care"
A new patient with the chief complaint of "I cut my
hand"
Thorax and lungs
The components of the health history include all of The thorax and lungs are part of the physical examination, not part of the heal
the following except which one? answers are all part of a complete health history.
Review of systems
Thorax and lungs
Present illness
Personal and social items
Subjective
Is the following information subjective or objective? This is information given by the patient about the circumstances of his chief c
Mr. M. has shortness of breath that has persisted for represent an objective observation by the examiner.
the past 10 days; it is worse with activity and relieved
by rest.
Objective
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of This is a measurement obtained by the examiner, so it is considered objective
120. unlikely to be able to give this information to the examiner.
Present illness
This information describes the problem of abdominal pain, which is the prese
has obtained the location, timing, severity, and associated manifestations of th
The following information is recorded in the health will still need to obtain information concerning the quality of the pain, the set
history: "The patient has had abdominal pain for 1 and the factors that aggravate and alleviate the pain. You will notice that it doe
week. The pain lasts for 30 minutes at a time; it pertinent review of systems, but because it relates directly to the complaint, it
comes and goes. The severity is 7 to 9 on a scale of 1 of present illness.
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?
Chief complaint
Present illness
, Chief complaint
The following information is recorded in the health The chief complaint is an attempt to quote the patient's own words, as long as
history: "I feel really tired." It is brief, like a headline, and further details should be sought in the present il
Which category does it belong to? information is a chief complaint.
Chief complaint
Present illness
Personal and social history
Review of systems
Review of systems
Review of systems documents the presence or absence of common symptoms
The following information is recorded in the health body system. The absence of cardiac symptoms is listed in the above example
history: "Patient denies chest pain, palpitations,
orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
Chief complaint
Present illness
Personal and social history
Review of systems
Surgeries
The following information is best placed in which A cesarean section is a surgical procedure. Approximate dates or the age of th
category? surgery should also be recorded.
"The patient has had three cesarean sections."
Adult illnesses
Surgeries
Obstetrics/gynecology
Psychiatric
Adult illnesses
The adult illnesses category is reserved for chronic illnesses, significant hospi
The following information is best placed in which injuries, and significant procedures. A stent is a major procedure but does not
category?
"The patient had a stent placed in the left anterior
descending artery (LAD) in 1999."
Adult illnesses
Surgeries
Obstetrics/gynecology
Psychiatric
Adult illnesses
, Musculoskeletal
Chest pain may be due to a musculoskeletal condition, such as costochondritis
A patient presents for evaluation of a sharp, aching cramp. This would be worsened by motion of the chest wall. Pleuritic chest pa
chest pain which increases with breathing. Which pain which increases with a deep breath. This type of pain can occur with infl
anatomic area would you localize the symptom to? from pneumonia or other conditions and pulmonary embolus.
Musculoskeletal
Reproductive
Urinary
Endocrine
Cardiac
Cardiac disorders such as congestive heart failure are the most likely on this li
A patient comes to the emergency room for breath. There are cases within the other categories which may also result in sh
evaluation of shortness of breath. To which anatomic anemia in the hematologic category, pregnancy in the reproductive category, o
region would you assign the symptom? urinary category. This demonstrates the tension in clinical reasoning between
possibilities are covered, while still being able to pick the most likely cause.
Reproductive
Urinary
Cardiac
Hematologic
Cardiac
A patient presents for evaluation of a cough. Which The cardiac system can cause a cough if the patient has congestive heart failur
of the following anatomic regions can be responsible buildup in the lungs, which in turn can cause a cough that produces pink, froth
for a cough? in the ear may also cause a cough by stimulating Arnold's branch of the vagus
likely to be seen clinically than heart failure.
Ophthalmologic
Auditory
Cardiac
Endocrine
We have an expert-written
solution to this problem!
Inflammatory
The description is most consistent with an inflammatory process, although all
be considered. Lyme disease is an infection which commonly causes arthritis,
, Degenerative
The description is most consistent with degenerative arthritis in the neck. The
intermittent symptoms and the questions asked to elicit pertinent negative and
negative for infectious, traumatic, or neoplastic disease.
A 47-year-old contractor presents for evaluation of
neck pain, which has been intermittent for several
years. He normally takes over-the-counter
medications to ease the pain, but this time they
haven't worked as well and he still has discomfort. He
recently wallpapered the entire second floor in his
house, which caused him great discomfort. The pain
resolved with rest. He denies fever, chills, rash, upper
respiratory symptoms, trauma, or injury to the neck.
Based on this description, what is the most likely
pathologic process?
Infectious
Neoplastic
Degenerative
Traumatic
Allergic
This description is most consistent with allergic rhinitis.
A 15-year-old high school sophomore comes to the
clinic for evaluation of a 3-week history of sneezing;
itchy, watery eyes; clear nasal discharge; ear pain;
and nonproductive cough. Which is the most likely
pathologic process?
Infection
Inflammation
Allergic
Vascular
Head is normocephalic and atraumatic, fundi with blurred disc margins, neck
to perform range of motion
Blurred disc margins are consistent with papilledema, and neck tenderness an
are consistent with neck stiffness, which in this scenario is likely to be caused
inflammation. Later, you will learn about Kernig's and Brudzinski's signs, wh
A 19-year old-college student presents to the for meningeal irritation on examination.
emergency room with fever, headache, and neck
pain/stiffness. She is concerned about the possibility
of meningococcal meningitis. Several of her dorm
mates have been vaccinated, but she hasn't been.
Which of the following physical examination
descriptions is most consistent with meningitis?
Head is normocephalic and atraumatic, fundi with
sharp discs, neck supple with full range of motion
Head is normocephalic and atraumatic, fundi with
sharp discs, neck with paraspinous muscle spasm and
limited range of motion to the right
Head is normocephalic and atraumatic, fundi with
blurred disc margins, neck tender to palpation, unable
