HPI and ROS Review Questions And
Answers
Describe the significance of an HPI? - ANSthe HPI is the story of the Sx and events that led to
the pt's ED visit. It includes the CC and the associated SX
How is the HPI different from the ROS? - ANSHPI focuses is a story about the chief complaint
and its associated symptoms. ROS is a checklist of symptoms. It includes the chief
complaint, associated symptoms, and all other complaints the pt may have.
Name five "elements" of the HPI - ANSOnset, timing, location, quality, severity, modifying
factors, associated symptoms, context
Name eight of the body systems included in the ROS/ - ANSconstitutional, eyes, ENT, CV,
Resp, GI, GU, MS, skin, near, psych, endocrine, heme/lymph, immunological
Can the symptoms listed in the ROS ever contradict the symptoms described in the HPI? Why
or why not? - ANSno, symptoms that are documented in the HPI also need to be documented in
the ROS
What do you need to remember to document in the HPI and ROS for an pt that is unconscious
or incapable of providing information? - ANS"HPI/ROS limited by..."
Identify the error in this sentence from an example HPI and ROS for any pt that is unconscious
or incapable of providing information? - ANSwe do not document days of the week in the HPI.
instead we would count back the number of days and document this numerically
Why is it important to remember to document if the pt has had similar symptoms in the past? -
ANSBecause it is less likely that their current symptoms are life threatening if they have
survived similar symptoms in the past
Name one detail that is important to document if the patient has been evaluated in the past for a
similar complaint. - ANSwhat symptoms prompted the prior evaluation? how long ago did the
prior evaluation occur? who did they see? (name and specialty) what treatment did they
receive? did it help? What diagnosis was given? any prior test results?
What should you focus on when writing an HPI (choose one).
a) capturing everything that is said by the pt
b) documenting the answers to every question asked by the dr - ANSdocumenting the answers
to every question asked by the doctor
Answers
Describe the significance of an HPI? - ANSthe HPI is the story of the Sx and events that led to
the pt's ED visit. It includes the CC and the associated SX
How is the HPI different from the ROS? - ANSHPI focuses is a story about the chief complaint
and its associated symptoms. ROS is a checklist of symptoms. It includes the chief
complaint, associated symptoms, and all other complaints the pt may have.
Name five "elements" of the HPI - ANSOnset, timing, location, quality, severity, modifying
factors, associated symptoms, context
Name eight of the body systems included in the ROS/ - ANSconstitutional, eyes, ENT, CV,
Resp, GI, GU, MS, skin, near, psych, endocrine, heme/lymph, immunological
Can the symptoms listed in the ROS ever contradict the symptoms described in the HPI? Why
or why not? - ANSno, symptoms that are documented in the HPI also need to be documented in
the ROS
What do you need to remember to document in the HPI and ROS for an pt that is unconscious
or incapable of providing information? - ANS"HPI/ROS limited by..."
Identify the error in this sentence from an example HPI and ROS for any pt that is unconscious
or incapable of providing information? - ANSwe do not document days of the week in the HPI.
instead we would count back the number of days and document this numerically
Why is it important to remember to document if the pt has had similar symptoms in the past? -
ANSBecause it is less likely that their current symptoms are life threatening if they have
survived similar symptoms in the past
Name one detail that is important to document if the patient has been evaluated in the past for a
similar complaint. - ANSwhat symptoms prompted the prior evaluation? how long ago did the
prior evaluation occur? who did they see? (name and specialty) what treatment did they
receive? did it help? What diagnosis was given? any prior test results?
What should you focus on when writing an HPI (choose one).
a) capturing everything that is said by the pt
b) documenting the answers to every question asked by the dr - ANSdocumenting the answers
to every question asked by the doctor
