PHYSICAL ASSESSMENT EXAM 1 QUESTIONS AND ANSWERS
BP sounds - CORRECT ANSWER✅✅silence -- artery is occluded; no flow
first sound -- artery compressed; blood flow is audible --> SBP
silence -- artery not compressed; flow free --> DBP
Goal of interview - CORRECT ANSWER✅✅§ Establish a trusting and supportive relationship
§ Gather information
§ Offer information
AIDET - CORRECT ANSWER✅✅A Acknowledge
I Introduce
D Duration
E Explanation
T Thank you
Components of a health history - CORRECT ANSWER✅✅medications
allergies
family history
social history
PMH
Patient centered interview - CORRECT ANSWER✅✅based on biopsychosocial model
o Let the patient lead the interview at first
o Listen to their perspective, how their daily lives are affected, and their interpretation of their
symptoms
,o Allows clinician to explore patients thoughts/feeling
o Encourages patient to discuss experience of illness
o Patients share in the responsibility for their care
Clinician centered interview - CORRECT ANSWER✅✅based on medical model
Use your medical knowledge and training to interpret the patients perspective in order to formulate a
diagnosis
Open ended questions - CORRECT ANSWER✅✅elicit the patients description in their own words
reflects patients concerns with minimal bias from the interview
· Open-ended questions begin interview
o Can you tell me more about that
o What else did you notice
o Tell me what the pain was like
Non-focusing Skills - CORRECT ANSWER✅✅encourage patient to talk
silence; nonverbal encouragement; neutral utterances and continuers
Focused Skills - CORRECT ANSWER✅✅utilized if patient doesnt talk freely
reflection, echoing
open ended requests
- tell me more
,-what else did you notice
encourages patient communication
summary/paraphrasing - CORRECT ANSWER✅✅· interviewer indicates their understanding of the
story/symptoms and encourages patient to express deeper feelings
o Allows patient to clarify any misinterpretations that may have arisen
o Allows patient to add any other information they feel is pertinent to their visit
Directive questions - CORRECT ANSWER✅✅used to clarify complaint
· Where: Exactly where is it on your body? (localization)
· What: Tell me what it feels like.
· When: When does it start? Does it come and go?
· How: How is it affected by sleep/food/exertion?
· Why: Why do you think you have this problem?
· Who: Who is affected by it?
Closed ended questions - CORRECT ANSWER✅✅· Answered with a yes, no, or brief response
· Most prominent during the clinician centered portion of the interview
· EX:
o Are you having chest pain right now?
o How high was the fever?
o Do you take blood pressure medicine?
, Types of questions to avoid during a patient interview - CORRECT ANSWER✅✅Leading questions:
accusatory and inapporpriate; diminishes patients autonomy
-EX: you haven't had any STDS, have you?
Compound questions: increases patient confusion; be clear and concise; ask each question individually
-EX: are you having any coughing or CP?
Medical jargon questions: use laymens terms to enhance patient understanding
-EX: have you ever had an MI
Interview Sequence - CORRECT ANSWER✅✅Open ended questions --> Wh questions --> close ended
questions
Close ended questions help you use the medical model to clarify complaints
· Includes sacred 7 information, pertinent positives/negatives, ROS
Techniques of skilled interviewing - CORRECT ANSWER✅✅Active listening
nonverbal communication
therapeutic core qualities
Summarization
Empowering the patient
Therapeutic core qualities - CORRECT ANSWER✅✅Respect -- to value and individuals traits/beliefs
despite your own personal feelings about them
Genuineness -- ability to be yourself both as a person and a professional
Empathy -- objective awareness and insight into feelings, emotions, and behaviors of another person
BP sounds - CORRECT ANSWER✅✅silence -- artery is occluded; no flow
first sound -- artery compressed; blood flow is audible --> SBP
silence -- artery not compressed; flow free --> DBP
Goal of interview - CORRECT ANSWER✅✅§ Establish a trusting and supportive relationship
§ Gather information
§ Offer information
AIDET - CORRECT ANSWER✅✅A Acknowledge
I Introduce
D Duration
E Explanation
T Thank you
Components of a health history - CORRECT ANSWER✅✅medications
allergies
family history
social history
PMH
Patient centered interview - CORRECT ANSWER✅✅based on biopsychosocial model
o Let the patient lead the interview at first
o Listen to their perspective, how their daily lives are affected, and their interpretation of their
symptoms
,o Allows clinician to explore patients thoughts/feeling
o Encourages patient to discuss experience of illness
o Patients share in the responsibility for their care
Clinician centered interview - CORRECT ANSWER✅✅based on medical model
Use your medical knowledge and training to interpret the patients perspective in order to formulate a
diagnosis
Open ended questions - CORRECT ANSWER✅✅elicit the patients description in their own words
reflects patients concerns with minimal bias from the interview
· Open-ended questions begin interview
o Can you tell me more about that
o What else did you notice
o Tell me what the pain was like
Non-focusing Skills - CORRECT ANSWER✅✅encourage patient to talk
silence; nonverbal encouragement; neutral utterances and continuers
Focused Skills - CORRECT ANSWER✅✅utilized if patient doesnt talk freely
reflection, echoing
open ended requests
- tell me more
,-what else did you notice
encourages patient communication
summary/paraphrasing - CORRECT ANSWER✅✅· interviewer indicates their understanding of the
story/symptoms and encourages patient to express deeper feelings
o Allows patient to clarify any misinterpretations that may have arisen
o Allows patient to add any other information they feel is pertinent to their visit
Directive questions - CORRECT ANSWER✅✅used to clarify complaint
· Where: Exactly where is it on your body? (localization)
· What: Tell me what it feels like.
· When: When does it start? Does it come and go?
· How: How is it affected by sleep/food/exertion?
· Why: Why do you think you have this problem?
· Who: Who is affected by it?
Closed ended questions - CORRECT ANSWER✅✅· Answered with a yes, no, or brief response
· Most prominent during the clinician centered portion of the interview
· EX:
o Are you having chest pain right now?
o How high was the fever?
o Do you take blood pressure medicine?
, Types of questions to avoid during a patient interview - CORRECT ANSWER✅✅Leading questions:
accusatory and inapporpriate; diminishes patients autonomy
-EX: you haven't had any STDS, have you?
Compound questions: increases patient confusion; be clear and concise; ask each question individually
-EX: are you having any coughing or CP?
Medical jargon questions: use laymens terms to enhance patient understanding
-EX: have you ever had an MI
Interview Sequence - CORRECT ANSWER✅✅Open ended questions --> Wh questions --> close ended
questions
Close ended questions help you use the medical model to clarify complaints
· Includes sacred 7 information, pertinent positives/negatives, ROS
Techniques of skilled interviewing - CORRECT ANSWER✅✅Active listening
nonverbal communication
therapeutic core qualities
Summarization
Empowering the patient
Therapeutic core qualities - CORRECT ANSWER✅✅Respect -- to value and individuals traits/beliefs
despite your own personal feelings about them
Genuineness -- ability to be yourself both as a person and a professional
Empathy -- objective awareness and insight into feelings, emotions, and behaviors of another person
