Bates’ Guide to Physical Examination andHistory Taking, 3rd Edition
. . . . . . . . .
Chapter.1:.Overview:.Physical.Examination.and.History.Taking.Multiple.C
hoice
1. For.which.of.the.following.patients.would.a.comprehensive.health.history.be.appropriate?
A) A.new.patient.with.the.chief.complaint.of.―I.sprained.my.ankle‖
B) An.established.patient.with.the.chief.complaint.of.―I.have.an.upper.respiratory.infection‖
C) A.new.patient.with.the.chief.complaint.of.“I.am.here.to.establish.care”
D) A.new.patient.with.the.chief.complaint.of.―I.cut.my.hand‖
Ans:.C.Chapter
:.01
Page.and.Header:. 4,.Patient.Assessment:.Comprehensive.or.Focused
Feedback:.This.patient.is.here.to.establish.care,.and.because.she.is.new.to.you,.a.comprehensive.health.hist
ory.is.appropriate.
2. The.components.of.the.health.history.include.all.of.the.following.except.which.one?
A) Review.of.systems
B) Thorax.and.lungs
C) Present.illness
D) Personal.and.social.items
Ans:.B.Chapter
:.01
Page.and.Header:. 4,.Patient.Assessment:.Comprehensive.or.Focused
Feedback:. The.thorax.and.lungs.are.part.of.the.physical.examination,.not.part.of.the.health.history.. T
he.others.answers.are.all.part.of.a.complete.health.history.
3. 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.reliev
ed.by.rest.
, Test.bank.for.bates’.Guide.to.physical.examination.and.history.taking.3rd.edition.
A) Subjective
B) Objective
Ans:.A.Chapter
:.01
Page.and.Header:. 6,.Differences.Between.Subjective.and.Objective.Data
Feedback:. This.is.information.given.by.the.patient.about.the.circumstances.of.his.chief.complaint..It.
does.not.represent.an.objective.observation.by.the.examiner.
4. Is.the.following.information.subjective.or.objective?.Mr..
M..has.a.respiratory.rate.of.32.and.a.pulse.rate.of.120.
A) Subjective
B) Objective
Ans:.B.Chapter
:.01
Page.and.Header:. 6,.Differences.Between.Subjective.and.Objective.Data
Feedback:.This.is.a.measurement.obtained.by.the.examiner,.so.it.is.considered.objective.data..The.pat
ient.is.unlikely.to.be.able.to.give.this.information.to.the.examiner.
5. 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?
A) Chief.complaint
B) Present.illness
C) Personal.and.social.history
D) Review.of.systems
Ans:.B.Chapter
:.01
Page.and.Header:.6,.The.Comprehensive.Adult.Health.History
Feedback:.This.information.describes.the.problem.of.abdominal.pain,.which.is.the.present.illness..Th
e.interviewer.has.obtained.the.location,.timing,.severity,.and.associated.manifestations.of.the.pain..Th
e.interviewer.will.still.need.to.obtain.information.concerning.the.quality.of.the.pain,.the.setting.in.whi
ch.it.occurred,.and.the.factors.that.aggravate.and.alleviate.the.pain..You.will.notice.that.it.does.include.
portions.of.the.pertinent.review.of.systems,.but.because.it.relates.directly.to.the.complaint,.it.is.includ
ed.in.the.history.of.present.illness.
, Test.bank.for.bates’.Guide.to.physical.examination.and.history.taking.3rd.edition.
6. The.following.information.is.recorded.in.the.health.history:.―The.patient.completed.8th.grade..He.c
urrently.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?
A) Chief.complaint
B) Present.illness
C) Personal.and.social.history
D) Review.of.systems
Ans:.C.Chapter
:.01
Page.and.Header:.6,.The.Comprehensive.Adult.Health.History
Feedback:.Personal.and.social.history.information.includes.educational.level,.family.of.origin,.current.ho
usehold.status,.personal.interests,.employment,.religious.beliefs,. military.history,.and.lifestyle.(including.
diet.and.exercise.habits;.use.of.alcohol,.tobacco,.and/or.drugs;.and.sexual.preferences.and.history)..All.of.t
his.information.is.documented.in.this.example.
7. The.following.information.is.recorded.in.the.health.history:.―I.feel.really.tired.‖.Whi
ch.category.does.it.belong.to?
A) Chief.complaint
B) Present.illness
C) Personal.and.social.history
D) Review.of.systems
Ans:.A.Chapter
:.01
Page.and.Header:.6,.The.Comprehensive.Adult.Health.History
Feedback:. The.chief.complaint.is.an.attempt.to.quote.the.patient's.own.words,.as.long.as.they.are.suita
ble.to.print..It.is.brief,.like.a.headline,.and.further.details.should.be.sought.in.the.present.illness.section..
The.above.information.is.a.chief.complaint.
8. The.following.information.is.recorded.in.the.health.history:.―Patient.denies.chest.pain,.palp
itations,.orthopnea,.and.paroxysmal.nocturnal.dyspnea.‖
Which.category.does.it.belong.to?
A) Chief.complaint
B) Present.illness
C) Personal.and.social.history
, Test.bank.for.bates’.Guide.to.physical.examination.and.history.taking.3rd.edition.
D) Review.of.systems
Ans:.D.Chapter
:.01
Page.and.Header:.6,.The.Comprehensive.Adult.Health.History
Feedback:.Review.of.systems.documents.the.presence.or.absence.of.common.symptoms.related.to.ea
ch.major.body.system..The.absence.of.cardiac.symptoms.is.listed.in.the.above.example.
9. The.following.information.is.best.placed.in.which.category?
―The.patient.has.had.three.cesarean.sections.‖
A) Adult.illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans:.B.Chapter
:.01
Page.and.Header:. 9,.Past.History
Feedback:.A.cesarean.section.is.a.surgical.procedure..Approximate.dates.or.the.age.of.the.patient.at.the.
time.of.the.surgery.should.also.be.recorded.
10. The.following.information.is.best.placed.in.which.category?
―The.patient.had.a.stent.placed.in.the.left.anterior.descending.artery.(LAD).in.1999.‖
A) Adult.illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans:.A.Chapter
:.01
Page.and.Header:. 9,.Past.History
Feedback:.The.adult.illnesses.category.is.reserved.for.chronic.illnesses,.significant.hospitalizations,.
significant.injuries,.and.significant.procedures..A.stent.is.a.major.procedure.but.does.not.involve.a.surg
eon.
11. 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