PRIMARY CARE ART 2026 COMPREHENSIVE
CLINICAL PRACTICE STUDY GUIDE
◉Key Parts of the HPI -- OLDCART . Answer: Onset Location
Duration Characteristics Aggravating Factors Relieving Factors
Treatment
◉OLDCART . Answer: Onset -- When did this problem start?
How did it start?
Location -- Where exactly are the symptoms experienced?
Duration --Are the symptoms constant, fluctuating, getting better or
worse? Has it changed over time?
Characteristics -- How are the symptoms experienced? Dull ache,
sharp pain, heat, or electrical? For an injury, exactly how did the
injury occur (the mechanism of injury)?
Aggravating factors -- What makes the symptoms worse?
Relieving factors -- What makes the symptoms better? Can a specific
location be identified, or is the problem more generalized?
, Has the symptom moved?
Treatment -- What have you done so far to try to help the problem?
◉The overall level of Medical Decision-Making (MDM) in E&M is
determined by which 3 areas? . Answer: 1. Number of diagnoses or
management options:
Minimal
Limited
Multiple
Extensive
2. Amount and/or complexity of data to be reviewed:
Minimal
Limited
Multiple
Extensive
3. Risk of complications and/or morbidity or mortality
CLINICAL PRACTICE STUDY GUIDE
◉Key Parts of the HPI -- OLDCART . Answer: Onset Location
Duration Characteristics Aggravating Factors Relieving Factors
Treatment
◉OLDCART . Answer: Onset -- When did this problem start?
How did it start?
Location -- Where exactly are the symptoms experienced?
Duration --Are the symptoms constant, fluctuating, getting better or
worse? Has it changed over time?
Characteristics -- How are the symptoms experienced? Dull ache,
sharp pain, heat, or electrical? For an injury, exactly how did the
injury occur (the mechanism of injury)?
Aggravating factors -- What makes the symptoms worse?
Relieving factors -- What makes the symptoms better? Can a specific
location be identified, or is the problem more generalized?
, Has the symptom moved?
Treatment -- What have you done so far to try to help the problem?
◉The overall level of Medical Decision-Making (MDM) in E&M is
determined by which 3 areas? . Answer: 1. Number of diagnoses or
management options:
Minimal
Limited
Multiple
Extensive
2. Amount and/or complexity of data to be reviewed:
Minimal
Limited
Multiple
Extensive
3. Risk of complications and/or morbidity or mortality
