Advanced Health Assessment 2027 Update With Complete Solutions

ADVANCED HEALTH ASSESSMENT 2027 UPDATE WITH COMPLETE
SOLUTIONS

Question 1.
What is the name of the format commonly used to organize data obtained during the
history and physical examination?

Correct Answer: Problem-Oriented Medical Record


Question 2.
What are the components of a SOAP note?

Correct Answer: S = subjective O = objective A = assessment P = plan


Question 3.
In which section of a SOAP note does the following information belong:
Patient's heart rate is 72

Correct Answer: Objective


Question 4.
In which section of a SOAP note does the following information belong: Patient's pain is not
well controlled

Correct Answer: Subjective


Question 5.
In which section of a SOAP note does the following information belong:
Put patient on heparin for DVT prophylaxis

Correct Answer: Plan


Question 6.
In which section of a SOAP note does the following information belong: Patient didn't sleep
well last night

Correct Answer: Subjective


Question 7.
In which section of a SOAP note does the following information belong:
Patient's breath sounds are clear

Correct Answer: Objective

,Question 8.
What is an example of a well formatted assessment/plan for a patient who come to your
office with high cholesterol and a UTI?

Correct Answer: 1. Hyperlipidemia - On 7/8/18 total cholesterol 275 - Continue
on atorvastatin 10 mg PO QD - Counsel on healthy diet and exercise - Recheck
lipid panel in 3 months
2. Uncomplicated cystitis - Today urine analysis positive for ketones, nitrites,
and leukocyte esterase - Pt experiencing burning with urination x2days - Start
on ciproflaxacin 250 mg PO Q12H x 3 days - Follow up in 1 week


Question 9.
In which section of a SOAP note does the following information belong:
Patient has a scar on his right lower abdomen

Correct Answer: Objective


Question 10.
In which section of a SOAP note does the following information belong:
Patient's had an MI

Correct Answer: Assessment


Question 11.
In which section of a SOAP note does the following information belong:
Schedule patient for psych evaluation

Correct Answer: Plan


Question 12.
What is a pertinent negative?

Correct Answer: The absence of a sign or symptom that can help you rule out or
rule in a diagnosis


Question 13.
How should you arrange your physical exam findings?

Correct Answer: Head to toe by body system


Question 14.
What four actions should you think about doing when assessing every body system?

Correct Answer: Inspect Palpate Percuss Auscultate

,Question 15.
When writing pertinent review of systems, what should go first?

Correct Answer: The pertinent symptoms that your patient admits to.
For example:
"Patient admits fever, chills, and night sweats. Patient denies shortness of
breath, syncope, or chest pain"


Question 16.
Name the seven components of the Comprehensive Adult Health History.

Correct Answer: 1. Identifying data/source/reliability
2. Chief complaint
3. History of present illness
4. Past medical history
5. Family history
6. Social history
7. Review of symptoms


Question 17.
What are the major components of the "past medical history?"

Correct Answer: Childhood illnesses Adult illnesses (medical, surgical, OB,
psychiatric) Health maintenance (immunizations, screenings, safety)


Question 18.
What are the major components of the "social history?"

Correct Answer: Education Family Personal interests Lifestyle


Question 19.
What is the best way to document a chief complaint?

Correct Answer: In the patient's own words.
Ex: "pounding headache for 2 days"


Question 20.
What is the most important part when documenting a family tree diagram?

Correct Answer: A key

, Question 21.
What does it mean if a test is sensitive versus specific?

Correct Answer: Sensitivity = "SnNout" sensitivity rules out
Specificity = "SpPin" specificity rules in


Question 22.
What is patient centered interviewing?

Correct Answer: Following the patient's lead to understand their thoughts,
ideas, concerns, and requests, without adding additional information from the
professional's perspective.


Question 23.
What is symptom-focused interviewing?

Correct Answer: The clinician takes charge of the interview to meet his or her
need to acquire details and data in order to identify the disease.


Question 24.
What is the difference between disease and illness?

Correct Answer: Disease = the explanation that the clinician brings to the
symptoms
Illness = the way the patient experiences all aspects of the disease


Question 25.
What are the eight attributes you should know for every symptom? What is a good
mnemonic that can help you remember them?

Correct Answer: OLD CARTS:
O = Onset L = Location D = Duration
C = Character A = Aggravating/alleviating factors R = Radiation T = Timing S =
Severity


Question 26.
What is cultural competence?

Correct Answer: A set of attitudes, skills, behaviors, and policies that enable
organizations and staff to work effectively in cross- cultural situations.


Question 27.
What would you want to include in a description of a breast mass?

Correct Answer: Tenderness Induration Heat Color Size Nipple discharge
Location Consistency Shape Texture Mobility