What is inductive reasoning? - Answers Moving from specific finding or complaint to more general.
What does diagnostic reasoning allow the NP to do? - Answers Focus on what needs to be asked and
examined
Cluster abnormal findings
Develop differential diagnoses
Analyze and interpret findings
What may the differential diagnosis of a cough include? - Answers Viral syndrome.
bronchitis/pneumonia
Chronic condition: asthma, COPD, heart failure
GERD
Allergic rhinitis, sinusitis, cancer
What are the differential diagnoses of dyspnea? - Answers Copd
Heart failure
Anemia
Asthma, poor conditioning
Acute = PE or foreign body aspiration, anaphylaxis, pneumothorax, epiglottitis, asthma
The differential diagnoses of rhinitis/congestion may include? - Answers Sinusitis
Allergic Rhinitis
Abuse of nasal decongestants (no discharge just congestion)
URI
Why do we take a history? - Answers Gather information/clues to help you make the diagnosis
,Begins the therapeutic relationship
Determines patient goals
What type of questions should be asked in the interview?
What is the Chief Complaint?
What type of information do you collect for the HPI? - Answers Open-ended. Tell me about .....
The reason the patient states they are here for a visit, use quotes
OLD CART
Onset, location, duration, character, aggravating or associating symptoms, releving, treatment
What is the ROS?
When is it completed?
How many areas do you focus on for symptomatic/acute visit? - Answers Review of systems
Ask any pertinent question related to new information using OLDCART
At the end of the subjective portion
Look at the big 5
What order is correct to complete a patient visit? - Answers Chief complaint
HPI
Past medical history
, Social history
Family History
ROS
Physical Exam
Diagnostic Tests
Assessment
Plan
What order is correct to complete the hands on portion of the patient physical exam? - Answers Start
from the Head to toe (top to bottom). Can do Neuro and MSK at the beginning or end
Skin
HEENT
Respiratory
Cardiac
GI
GU
Neuro
MSK
Extremities
Mental health
What characteristics should tentative diagnoses' have? - Answers Coherance (does it make sense),
Adequacy (does it explain all the symptoms),
Parsimony (simplest explanation), and can other competing diagnoses be eliminated?
Common disease occur _______ and rare diseases occur ___________