You have just asked a patient how he feels about his emphysema. He becomes
silent, folds his arms across his chest and leans back in his chair, and then replies,
"It is what it is." How should you respond?
A) "You seem bothered by this question."
B) "Next, I would like to talk with you about your smoking habit."
C) "Okay, let's move on to your other problems."
D) "You have adopted a practical attitude toward your problem." - ANSWER:
A) you seem bothered by this question
a 78 year old resident of a long term care facility complains of generalized
itchiness at night that disturbs her sleep. Her examination is consistent with
scabies. Which of the following do you expect to find on examination?
a. excoriated papule on the interdigital area
,b. annular lesions over the buttocks
c. vesicular lesions in a linear pattern
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d. honey-colored crusted lesions that began as vesicles - ANSWER: a.
excoriated (from itching) papule on the interdigital area
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 - ANSWER: B) thorax and lungs
these are part of the physical examination
Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse
with activity and relieved by rest.
A) Subjective
B) Objective - ANSWER: A) subjective
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this is information given by the patient
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective - ANSWER: B) objective
this is information obtained by the examiner
3. The following information is recorded in the health history: "The patient has
had abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes
and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea
and vomiting. It is located in the mid-epigastric area."
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - ANSWER: B) Present illness