ADVANCED HEALTH ASSSESSMENT
FINAL EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+
1. What is the name of the format commonly used to organize data
obtained during the history and physical examination? - ANSWER
✔ Problem-Oriented Medical Record
2. What are the components of a SOAP note? - ANSWER ✔ S=
subjective O = objective A = assessment P = plan
3. In which section of a SOAP note does the following information
belong: Patient's heart rate is 72 - ANSWER ✔ Objective
4. In which section of a SOAP note does the following information
belong: Patient has a scar on his right lower abdomen - ANSWER
✔ Objective
5. In which section of a SOAP note does the following information
belong: Patient's had an MI - ANSWER ✔ Assessment
6. In which section of a SOAP note does the following information
belong: Schedule patient for psych evaluation - ANSWER ✔ Plan
,7. In which section of a SOAP note does the following information
belong: Patient's pain is not well controlled - ANSWER ✔
Subjective
8. In which section of a SOAP note does the following information
belong: Put patient on heparin for DVT prophylaxis - ANSWER ✔
Plan
9. In which section of a SOAP note does the following information
belong: Patient didn't sleep well last night - ANSWER ✔
Subjective
10. In which section of a SOAP note does the following
information belong: Patient's breath sounds are clear - ANSWER
✔ Objective
11. What is an example of a well formatted assessment/plan for a
patient who come to your office with high cholesterol and a UTI? -
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
12. What is a pertinent negative? - ANSWER ✔ The absence of
a sign or symptom that can help you rule out or rule in a diagnosis
,13. How should you arrange your physical exam findings? -
ANSWER ✔ Head to toe by body system
14. What four actions should you think about doing when
assessing every body system? - ANSWER ✔ Inspect, Palpate,
Percuss, Auscultate
15. When writing pertinent review of systems, what should go
first? - 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"
16. Name the seven components of the Comprehensive Adult
Health History. - 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
17. What are the major components of the "past medical
history?" - ANSWER ✔ Childhood illnesses, Adult illnesses
(medical, surgical, OB, psychiatric), Health maintenance
(immunizations, screenings, safety)
18. What are the major components of the "social history?" -
ANSWER ✔ Education, Family, Personal interests, Lifestyle
, 19. What is the best way to document a chief complaint? -
ANSWER ✔ In the patient's own words.Ex: "pounding headache
for 2 days"
20. What is the most important part when documenting a family
tree diagram? - ANSWER ✔ A key
21. What does it mean if a test is sensitive versus specific? -
ANSWER ✔ Sensitivity = "SnNout" sensitivity rules out,
Specificity = "SpPin" specificity rules in
22. What is patient centered interviewing? - ANSWER ✔
Following the patient's lead to understand their thoughts, ideas,
concerns, and requests, without adding additional information from
the professional's perspective.
23. What is symptom-focused interviewing? - 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.
24. What is the difference between disease and illness? -
ANSWER ✔ Disease = the explanation that the clinician brings to
the symptoms Illness = the way the patient experiences all aspects
of the disease
25. What are the eight attributes you should know for every
symptom? What is a good mnemonic that can help you remember
FINAL EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+
1. What is the name of the format commonly used to organize data
obtained during the history and physical examination? - ANSWER
✔ Problem-Oriented Medical Record
2. What are the components of a SOAP note? - ANSWER ✔ S=
subjective O = objective A = assessment P = plan
3. In which section of a SOAP note does the following information
belong: Patient's heart rate is 72 - ANSWER ✔ Objective
4. In which section of a SOAP note does the following information
belong: Patient has a scar on his right lower abdomen - ANSWER
✔ Objective
5. In which section of a SOAP note does the following information
belong: Patient's had an MI - ANSWER ✔ Assessment
6. In which section of a SOAP note does the following information
belong: Schedule patient for psych evaluation - ANSWER ✔ Plan
,7. In which section of a SOAP note does the following information
belong: Patient's pain is not well controlled - ANSWER ✔
Subjective
8. In which section of a SOAP note does the following information
belong: Put patient on heparin for DVT prophylaxis - ANSWER ✔
Plan
9. In which section of a SOAP note does the following information
belong: Patient didn't sleep well last night - ANSWER ✔
Subjective
10. In which section of a SOAP note does the following
information belong: Patient's breath sounds are clear - ANSWER
✔ Objective
11. What is an example of a well formatted assessment/plan for a
patient who come to your office with high cholesterol and a UTI? -
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
12. What is a pertinent negative? - ANSWER ✔ The absence of
a sign or symptom that can help you rule out or rule in a diagnosis
,13. How should you arrange your physical exam findings? -
ANSWER ✔ Head to toe by body system
14. What four actions should you think about doing when
assessing every body system? - ANSWER ✔ Inspect, Palpate,
Percuss, Auscultate
15. When writing pertinent review of systems, what should go
first? - 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"
16. Name the seven components of the Comprehensive Adult
Health History. - 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
17. What are the major components of the "past medical
history?" - ANSWER ✔ Childhood illnesses, Adult illnesses
(medical, surgical, OB, psychiatric), Health maintenance
(immunizations, screenings, safety)
18. What are the major components of the "social history?" -
ANSWER ✔ Education, Family, Personal interests, Lifestyle
, 19. What is the best way to document a chief complaint? -
ANSWER ✔ In the patient's own words.Ex: "pounding headache
for 2 days"
20. What is the most important part when documenting a family
tree diagram? - ANSWER ✔ A key
21. What does it mean if a test is sensitive versus specific? -
ANSWER ✔ Sensitivity = "SnNout" sensitivity rules out,
Specificity = "SpPin" specificity rules in
22. What is patient centered interviewing? - ANSWER ✔
Following the patient's lead to understand their thoughts, ideas,
concerns, and requests, without adding additional information from
the professional's perspective.
23. What is symptom-focused interviewing? - 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.
24. What is the difference between disease and illness? -
ANSWER ✔ Disease = the explanation that the clinician brings to
the symptoms Illness = the way the patient experiences all aspects
of the disease
25. What are the eight attributes you should know for every
symptom? What is a good mnemonic that can help you remember
