Advanced Health Assessment Midterm
Review
For which of the following patients would a comprehensive health history be appropriate?
xx xx xx xx xx xx xx xx xx xx xx xx
A new patient with the chief complaint of "I sprained my ankle"
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An established patient with the chief complaint of "I have an upper respiratory infection"
xx xx xx xx xx xx xx xx xx xx xx xx xx
A new patient with the chief complaint of "I am here to establish care"
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
A new patient with the chief complaint of "I cut my hand" - ANS>>A new patient with the
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chief complaint of "I am here to establish care"
xx xx xx xx xx xx xx xx xx xx
This patient is here to establish care, and because she is new to you, a comprehensive
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
health history is appropriate.
xx xx xx xx
The components of the health history include all of the following except which one?
xx xx xx xx xx xx xx xx xx xx xx xx xx
Review of systems xx xx
Thorax and lungs xx xx
Present illness xx xx
,Personal and social items - ANS>>Thorax and lungs
xx xx xx xx xx xx xx
The thorax and lungs are part of the physical examination, not part of the health history.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
The others answers are all part of a complete health history.
xx xx xx xx xx xx xx xx xx xx xx
Is the following information subjective or objective?
xx xx xx xx xx xx
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
activity and relieved by rest. - ANS>>Subjective
xx xx xx xx xx xx xx
This is information given by the patient about the circumstances of his chief complaint. It
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
does not represent an objective observation by the examiner.
xx xx xx xx xx xx xx xx xx
Is the following information subjective or objective?
xx xx xx xx xx xx
Mr. M. has a respiratory rate of 32 and a pulse rate of 120. - ANS>>Objective
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
This is a measurement obtained by the examiner, so it is considered objective data. The
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
patient is unlikely to be able to give this information to the examiner.
xx xx xx xx xx xx xx xx xx xx xx xx xx
The following information is recorded in the health history: "The patient has had abdominal
xx xx xx xx xx xx xx xx xx xx xx xx xx
pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
the mid-epigastric area."
xx xx xx
Which of these categories does it belong to?
xx xx xx xx xx xx xx
Chief complaint xx
Present illness xx xx
,Personal and social historyxx xx xx
Review of systems - ANS>>Present illness
xx xx xx xx xx xx
This information describes the problem of abdominal pain, which is the present illness. The
xx xx xx xx xx xx xx xx xx xx xx xx xx
interviewer has obtained the location, timing, severity, and associated manifestations of the
xx xx xx xx xx xx xx xx xx xx xx xx
pain. The interviewer will still need to obtain information concerning the quality of the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
pain, the setting in which it occurred, and the factors that aggravate and alleviate the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
pain. You will notice that it does include portions of the pertinent review of systems, but
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
because it relates directly to the complaint, it is included in the history of present illness.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
The following information is recorded in the health history: "The patient completed 8th
xx xx xx xx xx xx xx xx xx xx xx xx
grade. He currently lives with his wife and two children. He works on old cars on the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
weekend. He works in a glass factory during the week."
xx xx xx xx xx xx xx xx xx xx
Which category does it belong to?
xx xx xx xx xx
Chief complaint
xx
Present illness xx xx
Personal and social historyxx xx xx
Review of systems - ANS>>Personal and social history
xx xx xx xx xx xx xx
Personal and social history information includes educational level, family of origin, current
xx xx xx xx xx xx xx xx xx xx xx
household status, personal interests, employment, religious beliefs, military history, and
xx xx xx xx xx xx xx xx xx xx
lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and
xx xx xx xx xx xx xx xx xx xx xx xx xx
sexual preferences and history). All of this information is documented in this example.
xx xx xx xx xx xx xx xx xx xx xx xx xx
, The following information is recorded in the health history: "I feel really tired."
xx xx xx xx xx xx xx xx xx xx xx xx
Which category does it belong to?
xx xx xx xx xx
xx Chief complaint
xx xx
xx Present illnessxx xx
xx Personal and social history
xx xx xx xx
xx Review of systems - ANS>>Chief complaint
xx xx xx xx xx
The chief complaint is an attempt to quote the patient's own words, as long as they are
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
suitable to print. It is brief, like a headline, and further details should be sought in the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
present illness section. The above information is a chief complaint.
xx xx xx xx xx xx xx xx xx xx
The following information is recorded in the health history: "Patient denies chest pain,
xx xx xx xx xx xx xx xx xx xx xx xx
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
xx xx xx xx xx xx
Which category does it belong to?
xx xx xx xx xx
xx Chief complaint
xx xx
xx Present illnessxx xx
xx Personal and social history
xx xx xx xx
xx Review of systems - ANS>>Review of systems
xx xx xx xx xx xx
Review
For which of the following patients would a comprehensive health history be appropriate?
xx xx xx xx xx xx xx xx xx xx xx xx
A new patient with the chief complaint of "I sprained my ankle"
xx xx xx xx xx xx xx xx xx xx xx
An established patient with the chief complaint of "I have an upper respiratory infection"
xx xx xx xx xx xx xx xx xx xx xx xx xx
A new patient with the chief complaint of "I am here to establish care"
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
A new patient with the chief complaint of "I cut my hand" - ANS>>A new patient with the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
chief complaint of "I am here to establish care"
xx xx xx xx xx xx xx xx xx xx
This patient is here to establish care, and because she is new to you, a comprehensive
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
health history is appropriate.
xx xx xx xx
The components of the health history include all of the following except which one?
xx xx xx xx xx xx xx xx xx xx xx xx xx
Review of systems xx xx
Thorax and lungs xx xx
Present illness xx xx
,Personal and social items - ANS>>Thorax and lungs
xx xx xx xx xx xx xx
The thorax and lungs are part of the physical examination, not part of the health history.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
The others answers are all part of a complete health history.
xx xx xx xx xx xx xx xx xx xx xx
Is the following information subjective or objective?
xx xx xx xx xx xx
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
activity and relieved by rest. - ANS>>Subjective
xx xx xx xx xx xx xx
This is information given by the patient about the circumstances of his chief complaint. It
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
does not represent an objective observation by the examiner.
xx xx xx xx xx xx xx xx xx
Is the following information subjective or objective?
xx xx xx xx xx xx
Mr. M. has a respiratory rate of 32 and a pulse rate of 120. - ANS>>Objective
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
This is a measurement obtained by the examiner, so it is considered objective data. The
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
patient is unlikely to be able to give this information to the examiner.
xx xx xx xx xx xx xx xx xx xx xx xx xx
The following information is recorded in the health history: "The patient has had abdominal
xx xx xx xx xx xx xx xx xx xx xx xx xx
pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
the mid-epigastric area."
xx xx xx
Which of these categories does it belong to?
xx xx xx xx xx xx xx
Chief complaint xx
Present illness xx xx
,Personal and social historyxx xx xx
Review of systems - ANS>>Present illness
xx xx xx xx xx xx
This information describes the problem of abdominal pain, which is the present illness. The
xx xx xx xx xx xx xx xx xx xx xx xx xx
interviewer has obtained the location, timing, severity, and associated manifestations of the
xx xx xx xx xx xx xx xx xx xx xx xx
pain. The interviewer will still need to obtain information concerning the quality of the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
pain, the setting in which it occurred, and the factors that aggravate and alleviate the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
pain. You will notice that it does include portions of the pertinent review of systems, but
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
because it relates directly to the complaint, it is included in the history of present illness.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
The following information is recorded in the health history: "The patient completed 8th
xx xx xx xx xx xx xx xx xx xx xx xx
grade. He currently lives with his wife and two children. He works on old cars on the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
weekend. He works in a glass factory during the week."
xx xx xx xx xx xx xx xx xx xx
Which category does it belong to?
xx xx xx xx xx
Chief complaint
xx
Present illness xx xx
Personal and social historyxx xx xx
Review of systems - ANS>>Personal and social history
xx xx xx xx xx xx xx
Personal and social history information includes educational level, family of origin, current
xx xx xx xx xx xx xx xx xx xx xx
household status, personal interests, employment, religious beliefs, military history, and
xx xx xx xx xx xx xx xx xx xx
lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and
xx xx xx xx xx xx xx xx xx xx xx xx xx
sexual preferences and history). All of this information is documented in this example.
xx xx xx xx xx xx xx xx xx xx xx xx xx
, The following information is recorded in the health history: "I feel really tired."
xx xx xx xx xx xx xx xx xx xx xx xx
Which category does it belong to?
xx xx xx xx xx
xx Chief complaint
xx xx
xx Present illnessxx xx
xx Personal and social history
xx xx xx xx
xx Review of systems - ANS>>Chief complaint
xx xx xx xx xx
The chief complaint is an attempt to quote the patient's own words, as long as they are
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
suitable to print. It is brief, like a headline, and further details should be sought in the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
present illness section. The above information is a chief complaint.
xx xx xx xx xx xx xx xx xx xx
The following information is recorded in the health history: "Patient denies chest pain,
xx xx xx xx xx xx xx xx xx xx xx xx
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
xx xx xx xx xx xx
Which category does it belong to?
xx xx xx xx xx
xx Chief complaint
xx xx
xx Present illnessxx xx
xx Personal and social history
xx xx xx xx
xx Review of systems - ANS>>Review of systems
xx xx xx xx xx xx
