ADVANCED HEALTH ASSESSMENT
MIDTERM REVIEW QUESTIONS AND
ANSWERS
Forawhichaofatheafollowingapatientsawouldaaacomprehensiveahealthahistoryabeaappropriate
?
Aanewapatientawithatheachiefacomplaintaofa"Iasprainedamyaankle"
Anaestablishedapatientawithatheachiefacomplaintaofa"Iahaveaanaupperarespiratoryainfection"
Aanewapatientawithatheachiefacomplaintaofa"Iaamahereatoaestablishacare"a
Aanewapatientawithatheachiefacomplaintaofa"Iacutamyahand"a-aans--
Aanewapatientawithatheachiefacomplaintaofa"Iaamahereatoaestablishacare"a
Thisapatientaisahereatoaestablishacare,aandabecauseasheaisanewatoayou,aaacomprehensivea
healthahistoryaisaappropriate.
Theacomponentsaofatheahealthahistoryaincludeaallaofatheafollowingaexceptawhichaone?
Reviewaofasystems
Thoraxaandalungs
Presentaillnessa
Personalaandasocialaitemsa-aans--Thoraxaandalungs
Theathoraxaandalungsaareapartaofatheaphysicalaexamination,anotapartaofatheahealthahistory.a
Theaothersaanswersaareaallapartaofaaacompleteahealthahistory.
Isatheafollowingainformationasubjectiveaoraobjective?
Mr.aM.ahasashortnessaofabreathathatahasapersistedaforatheapasta10adays;aitaisaworseawithaa
ctivityaandarelievedabyarest.a-aans--Subjective
Thisaisainformationagivenabyatheapatientaaboutatheacircumstancesaofahisachiefacomplaint.aIt
adoesanotarepresentaanaobjectiveaobservationabyatheaexaminer.
Isatheafollowingainformationasubjectiveaoraobjective?
Mr.aM.ahasaaarespiratoryarateaofa32aandaaapulsearateaofa120.a-aans--Objective
,Thisaisaaameasurementaobtainedabyatheaexaminer,asoaitaisaconsideredaobjectiveadata.aThe
apatientaisaunlikelyatoabeaableatoagiveathisainformationatoatheaexaminer.
Theafollowingainformationaisarecordedainatheahealthahistory:a"Theapatientahasahadaabdomi
nalapainafora1aweek.aTheapainalastsafora30aminutesaataaatime;aitacomesaandagoes.aTheasev
erityaisa7atoa9aonaaascaleaofa1atoa10.aItaisaaccompaniedabyanauseaaandavomiting.aItaisalocat
edainatheamid-epigastricaarea."
Whichaofatheseacategoriesadoesaitabelongato?
Chiefacomplaint
Presentaillnessa
Personalaandasocialahistory
Reviewaofasystemsa-aans--Presentaillnessa
Thisainformationadescribesatheaproblemaofaabdominalapain,awhichaisatheapresentaillness.a
Theainterviewerahasaobtainedathealocation,atiming,aseverity,aandaassociatedamanifestation
saofatheapain.aTheainterviewerawillastillaneedatoaobtainainformationaconcerningatheaqualityao
fatheapain,atheasettingainawhichaitaoccurred,aandatheafactorsathataaggravateaandaalleviateath
eapain.aYouawillanoticeathataitadoesaincludeaportionsaofatheapertinentareviewaofasystems,abu
tabecauseaitarelatesadirectlyatoatheacomplaint,aitaisaincludedainatheahistoryaofapresentaillness
.
Theafollowingainformationaisarecordedainatheahealthahistory:a"Theapatientacompleteda8thagr
ade.aHeacurrentlyalivesawithahisawifeaandatwoachildren.aHeaworksaonaoldacarsaonatheaweek
end.aHeaworksainaaaglassafactoryaduringatheaweek."
Whichacategoryadoesaitabelongato?
Chiefacomplaint
Presentaillnessa
Personalaandasocialahistory
Reviewaofasystemsa-aans--Personalaandasocialahistory
Personalaandasocialahistoryainformationaincludesaeducationalalevel,afamilyaofaorigin,acurre
ntahouseholdastatus,apersonalainterests,aemployment,areligiousabeliefs,amilitaryahistory,aa
ndalifestylea(includingadietaandaexerciseahabits;auseaofaalcohol,atobacco,aand/oradrugs;aan
dasexualapreferencesaandahistory).aAllaofathisainformationaisadocumentedainathisaexample.
Theafollowingainformationaisarecordedainatheahealthahistory:a"Iafeelareallyatired."
Whichacategoryadoesaitabelongato?
,a Chiefacomplainta
a Presentaillnessa
a Personalaandasocialahistorya
a Reviewaofasystemsa-aans--Chiefacomplaint
Theachiefacomplaintaisaanaattemptatoaquoteatheapatient'saownawords,aasalongaasatheyaarea
suitableatoaprint.aItaisabrief,alikeaaaheadline,aandafurtheradetailsashouldabeasoughtainatheapre
sentaillnessasection.aTheaaboveainformationaisaaachiefacomplaint.
Theafollowingainformationaisarecordedainatheahealthahistory:a"Patientadeniesachestapain,ap
alpitations,aorthopnea,aandaparoxysmalanocturnaladyspnea."
Whichacategoryadoesaitabelongato?
a Chiefacomplainta
a Presentaillnessa
a Personalaandasocialahistorya
a Reviewaofasystemsa-aans--Reviewaofasystems
Reviewaofasystemsadocumentsatheapresenceaoraabsenceaofacommonasymptomsarelatedat
oaeachamajorabodyasystem.aTheaabsenceaofacardiacasymptomsaisalistedainatheaaboveaexa
mple.
Theafollowingainformationaisabestaplacedainawhichacategory?
"Theapatientahasahadathreeacesareanasections."
a Adultaillnessesa
a Surgeriesa
a Obstetrics/gynecologya
a Psychiatrica-aans--Surgeries
Aacesareanasectionaisaaasurgicalaprocedure.aApproximateadatesaoratheaageaofatheapatienta
atatheatimeaofatheasurgeryashouldaalsoabearecorded.
Theafollowingainformationaisabestaplacedainawhichacategory?
"Theapatientahadaaastentaplacedainathealeftaanterioradescendingaarterya(LAD)aina1999."
, a Adultaillnessesa
a Surgeriesa
a Obstetrics/gynecologya
a Psychiatrica-aans--Adultaillnessesa
Theaadultaillnessesacategoryaisareservedaforachronicaillnesses,asignificantahospitalizations
,asignificantainjuries,aandasignificantaprocedures.aAastentaisaaamajoraprocedureabutadoesan
otainvolveaaasurgeon.
Theafollowingainformationaisabestaplacedainawhichacategory?
"Theapatientawasatreatedaforaanaasthmaaexacerbationainatheahospitalalastayear;atheapatient
ahasaneverabeenaintubated."
a Adultaillnessesa
a Surgeriesa
a Obstetrics/gynecologya
a Psychiatrica-aans--Adultaillnesses
Thisaisainformationaaboutaaasignificantahospitalizationaandashouldabeaplacedainatheaadultaill
nessesasection.aIfatheapatientaisabeingaseenaforaanaasthmaaexacerbation,ayouamayaconsid
eraplacingathisainformationainatheapresentaillnessasection,abecauseaitarelatesatoatheachiefac
omplaintaatathatavisit.
Aapatientapresentsaforaevaluationaofaaasharp,aachingachestapainawhichaincreasesawithabre
athing.aWhichaanatomicaareaawouldayoualocalizeatheasymptomato?
a Musculoskeletala
a Reproductivea
a Urinarya
a Endocrinea-aans--Musculoskeletala
Chestapainamayabeadueatoaaamusculoskeletalacondition,asuchaasacostochondritisaorainterc
ostalamuscleacramp.aThisawouldabeaworsenedabyamotionaofatheachestawall.aPleuriticachest
apainaisaalsoaaasharpachestapainawhichaincreasesawithaaadeepabreath.aThisatypeaofapainaca
naoccurawithainflammationaofatheapleuraafromapneumoniaaoraotheraconditionsaandapulmon
aryaembolus.
MIDTERM REVIEW QUESTIONS AND
ANSWERS
Forawhichaofatheafollowingapatientsawouldaaacomprehensiveahealthahistoryabeaappropriate
?
Aanewapatientawithatheachiefacomplaintaofa"Iasprainedamyaankle"
Anaestablishedapatientawithatheachiefacomplaintaofa"Iahaveaanaupperarespiratoryainfection"
Aanewapatientawithatheachiefacomplaintaofa"Iaamahereatoaestablishacare"a
Aanewapatientawithatheachiefacomplaintaofa"Iacutamyahand"a-aans--
Aanewapatientawithatheachiefacomplaintaofa"Iaamahereatoaestablishacare"a
Thisapatientaisahereatoaestablishacare,aandabecauseasheaisanewatoayou,aaacomprehensivea
healthahistoryaisaappropriate.
Theacomponentsaofatheahealthahistoryaincludeaallaofatheafollowingaexceptawhichaone?
Reviewaofasystems
Thoraxaandalungs
Presentaillnessa
Personalaandasocialaitemsa-aans--Thoraxaandalungs
Theathoraxaandalungsaareapartaofatheaphysicalaexamination,anotapartaofatheahealthahistory.a
Theaothersaanswersaareaallapartaofaaacompleteahealthahistory.
Isatheafollowingainformationasubjectiveaoraobjective?
Mr.aM.ahasashortnessaofabreathathatahasapersistedaforatheapasta10adays;aitaisaworseawithaa
ctivityaandarelievedabyarest.a-aans--Subjective
Thisaisainformationagivenabyatheapatientaaboutatheacircumstancesaofahisachiefacomplaint.aIt
adoesanotarepresentaanaobjectiveaobservationabyatheaexaminer.
Isatheafollowingainformationasubjectiveaoraobjective?
Mr.aM.ahasaaarespiratoryarateaofa32aandaaapulsearateaofa120.a-aans--Objective
,Thisaisaaameasurementaobtainedabyatheaexaminer,asoaitaisaconsideredaobjectiveadata.aThe
apatientaisaunlikelyatoabeaableatoagiveathisainformationatoatheaexaminer.
Theafollowingainformationaisarecordedainatheahealthahistory:a"Theapatientahasahadaabdomi
nalapainafora1aweek.aTheapainalastsafora30aminutesaataaatime;aitacomesaandagoes.aTheasev
erityaisa7atoa9aonaaascaleaofa1atoa10.aItaisaaccompaniedabyanauseaaandavomiting.aItaisalocat
edainatheamid-epigastricaarea."
Whichaofatheseacategoriesadoesaitabelongato?
Chiefacomplaint
Presentaillnessa
Personalaandasocialahistory
Reviewaofasystemsa-aans--Presentaillnessa
Thisainformationadescribesatheaproblemaofaabdominalapain,awhichaisatheapresentaillness.a
Theainterviewerahasaobtainedathealocation,atiming,aseverity,aandaassociatedamanifestation
saofatheapain.aTheainterviewerawillastillaneedatoaobtainainformationaconcerningatheaqualityao
fatheapain,atheasettingainawhichaitaoccurred,aandatheafactorsathataaggravateaandaalleviateath
eapain.aYouawillanoticeathataitadoesaincludeaportionsaofatheapertinentareviewaofasystems,abu
tabecauseaitarelatesadirectlyatoatheacomplaint,aitaisaincludedainatheahistoryaofapresentaillness
.
Theafollowingainformationaisarecordedainatheahealthahistory:a"Theapatientacompleteda8thagr
ade.aHeacurrentlyalivesawithahisawifeaandatwoachildren.aHeaworksaonaoldacarsaonatheaweek
end.aHeaworksainaaaglassafactoryaduringatheaweek."
Whichacategoryadoesaitabelongato?
Chiefacomplaint
Presentaillnessa
Personalaandasocialahistory
Reviewaofasystemsa-aans--Personalaandasocialahistory
Personalaandasocialahistoryainformationaincludesaeducationalalevel,afamilyaofaorigin,acurre
ntahouseholdastatus,apersonalainterests,aemployment,areligiousabeliefs,amilitaryahistory,aa
ndalifestylea(includingadietaandaexerciseahabits;auseaofaalcohol,atobacco,aand/oradrugs;aan
dasexualapreferencesaandahistory).aAllaofathisainformationaisadocumentedainathisaexample.
Theafollowingainformationaisarecordedainatheahealthahistory:a"Iafeelareallyatired."
Whichacategoryadoesaitabelongato?
,a Chiefacomplainta
a Presentaillnessa
a Personalaandasocialahistorya
a Reviewaofasystemsa-aans--Chiefacomplaint
Theachiefacomplaintaisaanaattemptatoaquoteatheapatient'saownawords,aasalongaasatheyaarea
suitableatoaprint.aItaisabrief,alikeaaaheadline,aandafurtheradetailsashouldabeasoughtainatheapre
sentaillnessasection.aTheaaboveainformationaisaaachiefacomplaint.
Theafollowingainformationaisarecordedainatheahealthahistory:a"Patientadeniesachestapain,ap
alpitations,aorthopnea,aandaparoxysmalanocturnaladyspnea."
Whichacategoryadoesaitabelongato?
a Chiefacomplainta
a Presentaillnessa
a Personalaandasocialahistorya
a Reviewaofasystemsa-aans--Reviewaofasystems
Reviewaofasystemsadocumentsatheapresenceaoraabsenceaofacommonasymptomsarelatedat
oaeachamajorabodyasystem.aTheaabsenceaofacardiacasymptomsaisalistedainatheaaboveaexa
mple.
Theafollowingainformationaisabestaplacedainawhichacategory?
"Theapatientahasahadathreeacesareanasections."
a Adultaillnessesa
a Surgeriesa
a Obstetrics/gynecologya
a Psychiatrica-aans--Surgeries
Aacesareanasectionaisaaasurgicalaprocedure.aApproximateadatesaoratheaageaofatheapatienta
atatheatimeaofatheasurgeryashouldaalsoabearecorded.
Theafollowingainformationaisabestaplacedainawhichacategory?
"Theapatientahadaaastentaplacedainathealeftaanterioradescendingaarterya(LAD)aina1999."
, a Adultaillnessesa
a Surgeriesa
a Obstetrics/gynecologya
a Psychiatrica-aans--Adultaillnessesa
Theaadultaillnessesacategoryaisareservedaforachronicaillnesses,asignificantahospitalizations
,asignificantainjuries,aandasignificantaprocedures.aAastentaisaaamajoraprocedureabutadoesan
otainvolveaaasurgeon.
Theafollowingainformationaisabestaplacedainawhichacategory?
"Theapatientawasatreatedaforaanaasthmaaexacerbationainatheahospitalalastayear;atheapatient
ahasaneverabeenaintubated."
a Adultaillnessesa
a Surgeriesa
a Obstetrics/gynecologya
a Psychiatrica-aans--Adultaillnesses
Thisaisainformationaaboutaaasignificantahospitalizationaandashouldabeaplacedainatheaadultaill
nessesasection.aIfatheapatientaisabeingaseenaforaanaasthmaaexacerbation,ayouamayaconsid
eraplacingathisainformationainatheapresentaillnessasection,abecauseaitarelatesatoatheachiefac
omplaintaatathatavisit.
Aapatientapresentsaforaevaluationaofaaasharp,aachingachestapainawhichaincreasesawithabre
athing.aWhichaanatomicaareaawouldayoualocalizeatheasymptomato?
a Musculoskeletala
a Reproductivea
a Urinarya
a Endocrinea-aans--Musculoskeletala
Chestapainamayabeadueatoaaamusculoskeletalacondition,asuchaasacostochondritisaorainterc
ostalamuscleacramp.aThisawouldabeaworsenedabyamotionaofatheachestawall.aPleuriticachest
apainaisaalsoaaasharpachestapainawhichaincreasesawithaaadeepabreath.aThisatypeaofapainaca
naoccurawithainflammationaofatheapleuraafromapneumoniaaoraotheraconditionsaandapulmon
aryaembolus.
