Test Bank For Bates’ Guide to Physical Examination and Bates’ Guide to Physical Examination and History Taking, 12th
History Taking Edition
Test bank Chapter 1-20
Edition
Test bank Chapter 1-20 A) Subjective
B) Objective
Ans: A Chapter:
01
Page and Header: 6, Differences Between Subjective and Objective Data
Feedback: This is information given by the patient about the circumstances of his chief
complaint. It does not represent an objective observation by the examiner.
3. Is the following information subjective or objective? 1. For which of the following patients would a comprehensive health history be appropriate?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with A) A new patient with the chief complaint of “I sprained my ankle”
activityand relieved by rest. B) An established patient with the chief complaint of “I have an upper respiratory infection”
C) A new patient with the chief complaint of “I am here to establish care” D) A new
patient with the chief complaint of “I cut my hand”
Ans: C Chapter:
01
Page and Header: 4, Patient Assessment: Comprehensive or Focused
Feedback: This patient is here to establish care, and because she is new to you, a comprehensive
health history is appropriate.
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B Chapter:
01
Page and Header: 4, Patient Assessment: Comprehensive or Focused
Feedback: The thorax and lungs are part of the physical examination, not part of the health
history. The others answers are all part of a complete health history.
4. Is the following information subjective or objective?
Page Page
1 2
, Test Bank For Bates’ Guide to Physical Examination and Bates’ Guide to Physical Examination and History Taking, 12th
History Taking Edition
Test bank Chapter 1-20
Edition
Test bank Chapter 1-20
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective 6. The following information is recorded in the health history: “The patient completed 8th grade.
B) Objective He currently lives with his wife and two children. He works on old cars on the weekend. He works
in a glass factory during the week.” Which category does it belong to?
Ans: B Chapter: A) Chief complaint
01 B) Present illness
Page and Header: 6, Differences Between Subjective and Objective Data C) Personal and social history
Feedback: This is a measurement obtained by the examiner, so it is considered objective data. D) Review of systems
The patient is unlikely to be able to give this information to the examiner.
Ans: C Chapter:
01
Page and Header: 6, The Comprehensive Adult Health History
Feedback: Personal and social history information includes educational level, family of origin,
5. The following information is recorded in the health history: “The patient has had abdominal current household status, personal interests, employment, religious beliefs, military history, and
pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual
9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid- preferences and history). All of this information is documented in this example.
epigastric area.”
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history 7. The following information is recorded in the health history: “I feel really tired.” Which
D) Review of systems category does it belong to?
A) Chief complaint
Ans: B Chapter: B) Present illness
01 C) Personal and social history
Page and Header: 6, The Comprehensive Adult Health History D) Review of systems
Feedback: This information describes the problem of abdominal pain, which is the present
illness. The interviewer has obtained the location, timing, severity, and associated manifestations Ans: A Chapter:
of the pain. The interviewer will still need to obtain information concerning the quality of the 01
pain, the setting in which it occurred, and the factors that aggravate and alleviate the pain. You Page and Header: 6, The Comprehensive Adult Health History
will notice that it does include portions of the pertinent review of systems, but because it relates Feedback: The chief complaint is an attempt to quote the patient's own words, as long as they
directly to the complaint, it is included in the history of present illness. are suitable to print. It is brief, like a headline, and further details should be sought in the
present illness section. The above information is a chief complaint.
8. The following information is recorded in the health history: “Patient denies chest pain,
Page Page
3 4
, Test Bank For Bates’ Guide to Physical Examination and Bates’ Guide to Physical Examination and History Taking, 12th
History Taking Edition
Test bank Chapter 1-20
Edition
Test bank Chapter 1-20 D) Review of systems
palpitations, orthopnea, and paroxysmal nocturnal dyspnea.” Which Ans: D Chapter:
category does it belong to? 01
A) Chief complaint Page and Header: 6, The Comprehensive Adult Health History
B) Present illness Feedback: Review of systems documents the presence or absence of common symptoms related
C) Personal and social history to each major body system. The absence of cardiac symptoms is listed in the above example.
9. The following information is best placed in which category?
“The patient has had three cesarean sections.”
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: B Chapter:
01
Page and Header: 9, Past History
Feedback: A cesarean section is a surgical procedure. Approximate dates or the age of the
patient at the time of the surgery should also be recorded.
10. The following information is best placed in which category?
“The patient had a stent placed in the left anterior descending artery (LAD) in 1999.”
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A Chapter:
01
Page and Header: 9, Past History
Feedback: The adult illnesses category is reserved for chronic illnesses, significant
hospitalizations, significant injuries, and significant procedures. A stent is a major procedure but
does not involve a surgeon.
Page Page
5 6
, Test Bank For Bates’ Guide to Physical Examination and Bates’ Guide to Physical Examination and History Taking, 12th
History Taking Edition
Test bank Chapter 1-20
Edition
Test bank Chapter 1-20 never been intubated.”
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
11. The following information is best placed in which category?
“The patient was treated for an asthma exacerbation in the hospital last year; the patient has
Ans: A Chapter:
01
Page and Header: 9, Past History
Feedback: This is information about a significant hospitalization and should be placed in the
adult illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
placing this information in the present illness section, because it relates to the chief complaint at
that visit.
Bates’ Guide to Physical Examination and History Taking, 12th Edition
Chapter 2: Clinical Reasoning, Assessment, and Recording Your Findings
Multiple Choice
1. A patient presents for evaluation of a sharp, aching chest pain which increases with breathing.
Which anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
Ans: A Chapter:
02
Page and Header: 27, Assessment and Plan: The Process of Clinical Reasoning
Page Page
7 8
History Taking Edition
Test bank Chapter 1-20
Edition
Test bank Chapter 1-20 A) Subjective
B) Objective
Ans: A Chapter:
01
Page and Header: 6, Differences Between Subjective and Objective Data
Feedback: This is information given by the patient about the circumstances of his chief
complaint. It does not represent an objective observation by the examiner.
3. Is the following information subjective or objective? 1. For which of the following patients would a comprehensive health history be appropriate?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with A) A new patient with the chief complaint of “I sprained my ankle”
activityand relieved by rest. B) An established patient with the chief complaint of “I have an upper respiratory infection”
C) A new patient with the chief complaint of “I am here to establish care” D) A new
patient with the chief complaint of “I cut my hand”
Ans: C Chapter:
01
Page and Header: 4, Patient Assessment: Comprehensive or Focused
Feedback: This patient is here to establish care, and because she is new to you, a comprehensive
health history is appropriate.
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B Chapter:
01
Page and Header: 4, Patient Assessment: Comprehensive or Focused
Feedback: The thorax and lungs are part of the physical examination, not part of the health
history. The others answers are all part of a complete health history.
4. Is the following information subjective or objective?
Page Page
1 2
, Test Bank For Bates’ Guide to Physical Examination and Bates’ Guide to Physical Examination and History Taking, 12th
History Taking Edition
Test bank Chapter 1-20
Edition
Test bank Chapter 1-20
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective 6. The following information is recorded in the health history: “The patient completed 8th grade.
B) Objective He currently lives with his wife and two children. He works on old cars on the weekend. He works
in a glass factory during the week.” Which category does it belong to?
Ans: B Chapter: A) Chief complaint
01 B) Present illness
Page and Header: 6, Differences Between Subjective and Objective Data C) Personal and social history
Feedback: This is a measurement obtained by the examiner, so it is considered objective data. D) Review of systems
The patient is unlikely to be able to give this information to the examiner.
Ans: C Chapter:
01
Page and Header: 6, The Comprehensive Adult Health History
Feedback: Personal and social history information includes educational level, family of origin,
5. The following information is recorded in the health history: “The patient has had abdominal current household status, personal interests, employment, religious beliefs, military history, and
pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual
9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid- preferences and history). All of this information is documented in this example.
epigastric area.”
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history 7. The following information is recorded in the health history: “I feel really tired.” Which
D) Review of systems category does it belong to?
A) Chief complaint
Ans: B Chapter: B) Present illness
01 C) Personal and social history
Page and Header: 6, The Comprehensive Adult Health History D) Review of systems
Feedback: This information describes the problem of abdominal pain, which is the present
illness. The interviewer has obtained the location, timing, severity, and associated manifestations Ans: A Chapter:
of the pain. The interviewer will still need to obtain information concerning the quality of the 01
pain, the setting in which it occurred, and the factors that aggravate and alleviate the pain. You Page and Header: 6, The Comprehensive Adult Health History
will notice that it does include portions of the pertinent review of systems, but because it relates Feedback: The chief complaint is an attempt to quote the patient's own words, as long as they
directly to the complaint, it is included in the history of present illness. are suitable to print. It is brief, like a headline, and further details should be sought in the
present illness section. The above information is a chief complaint.
8. The following information is recorded in the health history: “Patient denies chest pain,
Page Page
3 4
, Test Bank For Bates’ Guide to Physical Examination and Bates’ Guide to Physical Examination and History Taking, 12th
History Taking Edition
Test bank Chapter 1-20
Edition
Test bank Chapter 1-20 D) Review of systems
palpitations, orthopnea, and paroxysmal nocturnal dyspnea.” Which Ans: D Chapter:
category does it belong to? 01
A) Chief complaint Page and Header: 6, The Comprehensive Adult Health History
B) Present illness Feedback: Review of systems documents the presence or absence of common symptoms related
C) Personal and social history to each major body system. The absence of cardiac symptoms is listed in the above example.
9. The following information is best placed in which category?
“The patient has had three cesarean sections.”
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: B Chapter:
01
Page and Header: 9, Past History
Feedback: A cesarean section is a surgical procedure. Approximate dates or the age of the
patient at the time of the surgery should also be recorded.
10. The following information is best placed in which category?
“The patient had a stent placed in the left anterior descending artery (LAD) in 1999.”
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A Chapter:
01
Page and Header: 9, Past History
Feedback: The adult illnesses category is reserved for chronic illnesses, significant
hospitalizations, significant injuries, and significant procedures. A stent is a major procedure but
does not involve a surgeon.
Page Page
5 6
, Test Bank For Bates’ Guide to Physical Examination and Bates’ Guide to Physical Examination and History Taking, 12th
History Taking Edition
Test bank Chapter 1-20
Edition
Test bank Chapter 1-20 never been intubated.”
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
11. The following information is best placed in which category?
“The patient was treated for an asthma exacerbation in the hospital last year; the patient has
Ans: A Chapter:
01
Page and Header: 9, Past History
Feedback: This is information about a significant hospitalization and should be placed in the
adult illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
placing this information in the present illness section, because it relates to the chief complaint at
that visit.
Bates’ Guide to Physical Examination and History Taking, 12th Edition
Chapter 2: Clinical Reasoning, Assessment, and Recording Your Findings
Multiple Choice
1. A patient presents for evaluation of a sharp, aching chest pain which increases with breathing.
Which anatomic area would you localize the symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine
Ans: A Chapter:
02
Page and Header: 27, Assessment and Plan: The Process of Clinical Reasoning
Page Page
7 8
