ADVANCED HEALTH ASSESSMENT AND
CLINICAL DIAGNOSIS IN PRIMARY CARE
CERTIFICATION EVALUATION EXAMS 2026
SOLVED QUESTIONS WITH FULL SOLUTION
◉ ___________________ screens for Anxiety
Answer: GAD- 7
◉ questions to ask for depression or suicidal ideations:
Answer: Depression:
Over the past two weeks, have you fell down, depressed or hopeless?
Over the past 2 weeks, have you felt little interest or pleasure in
doing things?
Suicidal:
Have you ever felt so blue you thought of hurting yourself?
Do you have a plan to hurt yourself?
How would you do it?
***Must not ignore any talk of suicide***
◉ When is a full mental status exam necessary?
,Answer: * Patients whose initial screening suggests an anxiety
disorder or depression
* Behavioral changes: such as memory loss, inappropriate social
interaction
* Brain lesions: trauma, tumor, cerebrovascular accident or stroke
* Aphasia: impairment of language ability secondary to brain
damage
* Symptoms- of psychiatric mental illness especially with acute onset
◉ ________________ Screens for Alcoholism.
Answer: CAGE: Score 2 or greater highly significant
* Have you ever felt you should CUT down on your drinking?
* Have people ANNOYED you by criticizing your drinking?
* Have you ever felt bad or GUILTY about your drinking?
* Have you ever had a drink first thing in the morning to steady your
nerves or get rid of a hangover? (EYE OPENER)
◉ Things to Consider When Assessing Older Adults mental status
include:
Answer: Ask about chronic illness and how they are managing?
Sensory impairments?
Polypharmacy (med list again!)
Social isolation
,Physiological issue
- Delirium vs. Dementia
- UTI
- Sundowners
◉ Delirium VS Dementia VS Depression:
Onset
course
duration
consciousness
attention
psychomotor changes
reversibility
Answer: Delirium ** Dementia ** Depression:
==========================================
O: Acute insidious Acute or insidious
C: Fluctuating Progressive May be chronic
D: Hrs to wks Mos to yrs Mos to yrs
C: Altered Usually clear clear
A: Impaired Normal unless May be decreased
severe dementia
, P: increased often normal may be slowed in decreased severe cases
R: usually irreversible usually
◉ Delirium Causes:
Answer: D- Dementia
E- Electrolyte disorders
L - Lung, liver, heart, kidney, brain dysfunction
I- Infection
R- Rx Drugs
I- Injury, pain, stress
U- Unfamiliar environment
M- Metabolic
◉ Adolescent: heeadsss psychosocial interview:
Answer: - Home
- Education & Employment
- Eating
- Activities
- Drugs
- Sexuality
- Suicide & Depression
- Safety (injury/violence)
CLINICAL DIAGNOSIS IN PRIMARY CARE
CERTIFICATION EVALUATION EXAMS 2026
SOLVED QUESTIONS WITH FULL SOLUTION
◉ ___________________ screens for Anxiety
Answer: GAD- 7
◉ questions to ask for depression or suicidal ideations:
Answer: Depression:
Over the past two weeks, have you fell down, depressed or hopeless?
Over the past 2 weeks, have you felt little interest or pleasure in
doing things?
Suicidal:
Have you ever felt so blue you thought of hurting yourself?
Do you have a plan to hurt yourself?
How would you do it?
***Must not ignore any talk of suicide***
◉ When is a full mental status exam necessary?
,Answer: * Patients whose initial screening suggests an anxiety
disorder or depression
* Behavioral changes: such as memory loss, inappropriate social
interaction
* Brain lesions: trauma, tumor, cerebrovascular accident or stroke
* Aphasia: impairment of language ability secondary to brain
damage
* Symptoms- of psychiatric mental illness especially with acute onset
◉ ________________ Screens for Alcoholism.
Answer: CAGE: Score 2 or greater highly significant
* Have you ever felt you should CUT down on your drinking?
* Have people ANNOYED you by criticizing your drinking?
* Have you ever felt bad or GUILTY about your drinking?
* Have you ever had a drink first thing in the morning to steady your
nerves or get rid of a hangover? (EYE OPENER)
◉ Things to Consider When Assessing Older Adults mental status
include:
Answer: Ask about chronic illness and how they are managing?
Sensory impairments?
Polypharmacy (med list again!)
Social isolation
,Physiological issue
- Delirium vs. Dementia
- UTI
- Sundowners
◉ Delirium VS Dementia VS Depression:
Onset
course
duration
consciousness
attention
psychomotor changes
reversibility
Answer: Delirium ** Dementia ** Depression:
==========================================
O: Acute insidious Acute or insidious
C: Fluctuating Progressive May be chronic
D: Hrs to wks Mos to yrs Mos to yrs
C: Altered Usually clear clear
A: Impaired Normal unless May be decreased
severe dementia
, P: increased often normal may be slowed in decreased severe cases
R: usually irreversible usually
◉ Delirium Causes:
Answer: D- Dementia
E- Electrolyte disorders
L - Lung, liver, heart, kidney, brain dysfunction
I- Infection
R- Rx Drugs
I- Injury, pain, stress
U- Unfamiliar environment
M- Metabolic
◉ Adolescent: heeadsss psychosocial interview:
Answer: - Home
- Education & Employment
- Eating
- Activities
- Drugs
- Sexuality
- Suicide & Depression
- Safety (injury/violence)
