CASE STUDIES, QUIZ, QUESTIONS W1-
W4 AND ALL CORRECT RESOVLED
ANSWERS
d) Accumulation of body fluids - answer ✔✔-A patient presents with a 6-day history of rapid weight
gain. The most likely explanation is:
a) Dysphagia
b) Excessive absorption of nutrients
c) Diabetes mellitus
d) Accumulation of body fluids
b) Repeat the blood pressure and verify in contralateral arm - answer ✔✔-A patient presents a routine
check-up. You see that the patient's vital signs have already been recorded as follows:
T 98.4 F, HR 74, R 18, BP 180/98
What would be the MOST appropriate action related to this patient's vital signs?
a)The blood pressure should be repeated at the next visit
b) Repeat the blood pressure and verify in contralateral arm
c) Check the heart rate again to see if it is regular
d) Listen to the patient's lungs for adventitious sounds
a) Tell me about your chest pain
*open ended question - answer ✔✔-Your patient presents with a chief complaint of chest pain. Which
of the following would be the most appropriate first question/statement?
,a) Tell me about your chest pain
b) Does your pain radiate to any other area?
c) How many steps can you climb before the pain begins?
d) Do you have any nausea/vomiting/diarrhea?
e) When did your pain start?
b) History of present illness (gives the pt's story of what is going on)
******************
CC: reason for seeking care, quote pt's complaint
ROS: presence or absence of sx r/t major body systems - answer ✔✔-In which of the following sections
would you use the OLDCARTS mnemonic to attain the required information?
a) Chief complaint
b) History of present illness
c) Social history
d) Personal history
e) Review of systems
[S] The patient presented with a chief complaint of fever for the last 6 days
[O] The patient is well groomed and appears withdrawn
[O] You obtained vital signs at this visit
[S] The patient denies ever smoking, admits to 2-12oz beers daily, and denies any illicit drug use
[O] The patient has ring shaped burns on the forearms resembling the coil of a stove
[S] The patient's chest pain radiates to the left arm - answer ✔✔-Identify if the following are subjective
or objective
- The patient presented with a chief complaint of fever for the last 6 days
- The patient is well groomed and appears withdrawn
- You obtained vital signs at this visit
,- The patient denies ever smoking, admits to 2-12oz beers daily, and denies any illicit drug use
- The patient has ring shaped burns on the forearms resembling the coil of a stove
- The patient's chest pain radiates to the left arm
A) Sexual orientation: ARE YOU SEXUALLY ACTIVE? DO YOU HAVE SEX W MEN, WOMEN OR BOTH?
B) Suspected abuse: DO YOU FEEL SAFE AT HOME? ARE YOU IN A REL. WHERE YOU ARE BEING HIT OR
THREATENED? THIS IS WHAT I'M SEEING, TELL ME WHAT'S HAPPENING?
C) Cultural differences: DO YOU HAVE ANY SPECIAL REQUESTS? DO YOU NEED AN INTERPRETER? ANY
CULTURAL CONSIDERATIONS I SHOULD BE AWARE OF?
D) Minor presenting for possible pregnancy or STD with a parent: ASK CHILD IF THEY WANT TO BE
ALONE OR HAVE THE PARENT PRESENT. - answer ✔✔-How would you ask about the following sensitive
situations?
A) Sexual orientation
B) Suspected abuse
C) Cultural differences
D) Minor presenting for possible pregnancy or STD with a parent
b) This is considered underweight - answer ✔✔-A 32 year-old patient is undergoing a physical
examination and you document a BMI of 13.2 kg/m2. You recognize:
a) This is a normal BMI
b) This is considered underweight
c) This is considered obesity
d) This is considered severe obesity
Multiply the number of packs of cigarettes smoked per day by the number of years the person has
smoked.
, For example, 1 pack year is equal to smoking 1 pack per day for 1 year, or 2 packs per day for half a year,
and so on. - answer ✔✔-How to calculate pack per year?
c) 30 pack-years - answer ✔✔-A 50 year-old patient reports smoking 1 pack of cigarettes per day since
age 20. How would you document this information?
a) 1 PPD x 30 years smoking history
b) 1 PPD smoking history since age 20
c) 30 pack-years
d) Current smoker with 1 PPD
a) Nociceptive or somatic
*acute pain - answer ✔✔-A patient presents with a superficial burn to the forearm and is complaining of
4/10 pain. Which type of pain is the patient experiencing?
a) Nociceptive or somatic
b) Neuropathic
c) Idiopathic
d) Psychogenic
a) Subjective
This is information given by the patient about the circumstances of his chief complaint. It does not
represent an objective observation by the examiner. - answer ✔✔-Is the following information
subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and
relieved by rest.
A. Subjective
W4 AND ALL CORRECT RESOVLED
ANSWERS
d) Accumulation of body fluids - answer ✔✔-A patient presents with a 6-day history of rapid weight
gain. The most likely explanation is:
a) Dysphagia
b) Excessive absorption of nutrients
c) Diabetes mellitus
d) Accumulation of body fluids
b) Repeat the blood pressure and verify in contralateral arm - answer ✔✔-A patient presents a routine
check-up. You see that the patient's vital signs have already been recorded as follows:
T 98.4 F, HR 74, R 18, BP 180/98
What would be the MOST appropriate action related to this patient's vital signs?
a)The blood pressure should be repeated at the next visit
b) Repeat the blood pressure and verify in contralateral arm
c) Check the heart rate again to see if it is regular
d) Listen to the patient's lungs for adventitious sounds
a) Tell me about your chest pain
*open ended question - answer ✔✔-Your patient presents with a chief complaint of chest pain. Which
of the following would be the most appropriate first question/statement?
,a) Tell me about your chest pain
b) Does your pain radiate to any other area?
c) How many steps can you climb before the pain begins?
d) Do you have any nausea/vomiting/diarrhea?
e) When did your pain start?
b) History of present illness (gives the pt's story of what is going on)
******************
CC: reason for seeking care, quote pt's complaint
ROS: presence or absence of sx r/t major body systems - answer ✔✔-In which of the following sections
would you use the OLDCARTS mnemonic to attain the required information?
a) Chief complaint
b) History of present illness
c) Social history
d) Personal history
e) Review of systems
[S] The patient presented with a chief complaint of fever for the last 6 days
[O] The patient is well groomed and appears withdrawn
[O] You obtained vital signs at this visit
[S] The patient denies ever smoking, admits to 2-12oz beers daily, and denies any illicit drug use
[O] The patient has ring shaped burns on the forearms resembling the coil of a stove
[S] The patient's chest pain radiates to the left arm - answer ✔✔-Identify if the following are subjective
or objective
- The patient presented with a chief complaint of fever for the last 6 days
- The patient is well groomed and appears withdrawn
- You obtained vital signs at this visit
,- The patient denies ever smoking, admits to 2-12oz beers daily, and denies any illicit drug use
- The patient has ring shaped burns on the forearms resembling the coil of a stove
- The patient's chest pain radiates to the left arm
A) Sexual orientation: ARE YOU SEXUALLY ACTIVE? DO YOU HAVE SEX W MEN, WOMEN OR BOTH?
B) Suspected abuse: DO YOU FEEL SAFE AT HOME? ARE YOU IN A REL. WHERE YOU ARE BEING HIT OR
THREATENED? THIS IS WHAT I'M SEEING, TELL ME WHAT'S HAPPENING?
C) Cultural differences: DO YOU HAVE ANY SPECIAL REQUESTS? DO YOU NEED AN INTERPRETER? ANY
CULTURAL CONSIDERATIONS I SHOULD BE AWARE OF?
D) Minor presenting for possible pregnancy or STD with a parent: ASK CHILD IF THEY WANT TO BE
ALONE OR HAVE THE PARENT PRESENT. - answer ✔✔-How would you ask about the following sensitive
situations?
A) Sexual orientation
B) Suspected abuse
C) Cultural differences
D) Minor presenting for possible pregnancy or STD with a parent
b) This is considered underweight - answer ✔✔-A 32 year-old patient is undergoing a physical
examination and you document a BMI of 13.2 kg/m2. You recognize:
a) This is a normal BMI
b) This is considered underweight
c) This is considered obesity
d) This is considered severe obesity
Multiply the number of packs of cigarettes smoked per day by the number of years the person has
smoked.
, For example, 1 pack year is equal to smoking 1 pack per day for 1 year, or 2 packs per day for half a year,
and so on. - answer ✔✔-How to calculate pack per year?
c) 30 pack-years - answer ✔✔-A 50 year-old patient reports smoking 1 pack of cigarettes per day since
age 20. How would you document this information?
a) 1 PPD x 30 years smoking history
b) 1 PPD smoking history since age 20
c) 30 pack-years
d) Current smoker with 1 PPD
a) Nociceptive or somatic
*acute pain - answer ✔✔-A patient presents with a superficial burn to the forearm and is complaining of
4/10 pain. Which type of pain is the patient experiencing?
a) Nociceptive or somatic
b) Neuropathic
c) Idiopathic
d) Psychogenic
a) Subjective
This is information given by the patient about the circumstances of his chief complaint. It does not
represent an objective observation by the examiner. - answer ✔✔-Is the following information
subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and
relieved by rest.
A. Subjective
