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Exam (elaborations)

Intro to medicine exam 2 with accurate solutions

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Intro to medicine exam 2 with accurate solutions

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Intro to medicine exam 2 with accurate
solutions

PAs are trained in what? - correct answer-primary care medicine

what kind of training to PAs have? - correct answer-broad and complex

what types of visits do primary care offices see? examples? (4) - correct answer--
preventative or health maintenance visit (physicals)
-problem specific or "sick" visits (patient comes in w a cough)
-disease monitoring (refill meds)
-follow-up appointments (come back in a week to see if rash went down)

what are the 5 puzzle pieces of making a diagnosis? - correct answer--symptoms
-signs
-diagnostic tests
-diagnosis
-treatment and management

what are symptoms? S or O? - correct answer-subjective
-things the patient tells us

what are signs? S or O? - correct answer-objective
-what the PA notices on a physical exam

what are the 3 steps to making a diagnosis? what is at the center? - correct answer-1.
gather information (history, PE, testing)
2. analyze the information
3. make judgements and decisions (diagnosis)
-patient is at the center, keep them informed, tell them what you are doing

what should you do upon entering the room with a patient? - correct answer--establish a
rapport with the patient
-introduce yourself properly
-provide the purpose of the visit

what is the introductory statement you should say when talking to a patient? - correct
answer-Hello Mr./Ms./Mrs. ___________. I am ___________, a physician assistant
student from saint francis university. I am working with Dr. ____________ today. I will
be asking you a few questions and completing a physical exam to help figure out what
is causing the problem that brought you into the office today.

, why is the introductory statement important? (3) - correct answer--makes the patient
feel more comfortable
-the patient will share more and listen/trust you
-they need to know you are qualified

when gathering information on a patient's medical history, elicit the what? - correct
answer-chief complaint WITH DURATION
(main reason for patient's visit with duration of complaint. ex: chest pain x 10 minutes)

use the 7 factors to gather information for the what? - correct answer-history of present
illness (HPI)

when gathering information on a patient's medical history, what other background
information should you ask about? (3) - correct answer--past medical history (PMHx)
-personal and social history
-family history (FHx)

what kind of information is patient history? (anything the patient tells us) - correct
answer-subjective

what are the 7 factors of gathering a patients medical history? - correct answer--setting
-chronology
-location
-quality
-quantity
-aggravating/ alleviating factors
-associated manifestations

what is performance of a problem specific exam? - correct answer--based off of the
chief complaint

exam findings are what kind of sign? - correct answer-objective
-anything we find is objective

things that are objective: - correct answer-things you see, hear, feel, smell

always remember what? how do we do this? - correct answer-patient comfort
-tell them what you are doing, ask something personal, make a note and ask them
about it next time u see them

what is the systematic process a physical exam is completed in? - correct answer-1.
inspection
2. palpitation
3. percussion
4. auscultation

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