Advanced Health Assessment And
Diagnostic Reasoning 2025 UPDATE|
MOST TESTED QUESTIONS AND VERIFIED
SOLUTIONS|ASSURED SUCCESS !!!
Subjective Data - ANSWER Things the pt tells you
Objective data - ANSWER What your seeing, observing, or
examining
The chief compliant should use the ____ - ANSWER Patient's own
words
History of present illness nomics - ANSWER -OLDCARTS (onset,
location, duration, characteristics, aggravating/alleviating, radiation,
timing, severity)
-OPQRST (onset, provocation, quality, radiation, severity, timing)
Concerning health history findings - ANSWER -Changes in weight
-Fatigue or weakness
-Fever, chills, and night sweats
Concerning health history findings: changes in weight - ANSWER
-Rapid or gradual - rapid changes over a few days suggest changes in
fluid, not tissue
-Weight gain: nutrition vs. medical causes
-Weight loss: medical vs. psychosocial causes
Concerning health history findings: fatigue and weakness - ANSWER
Medical vs. psychosocial
Fatigue - ANSWER A sense of weariness or loss of energy
Weakness - ANSWER A demonstrable loss of muscle muscle
power
Concerning health history findings: fever, chills, and night sweats -
ANSWER -Ask about exposure to illness or any recent travel
-Some medications may cause elevated temperature
,What are the types of pain? - ANSWER -Nociceptive (somatic)
-Neuropathic
-Idiopathic
-Psychogenic
-Chronic
Nociceptive (somatic) - ANSWER -Damage to tissue or viscera
but sensory nerves intact
-Described as dull, pressing, pulling, throbbing, boring, spasmodic, or
colicky
Neuropathic - ANSWER -Direct trauma to the peripheral or
central nervous system
-Described as shock like, stabbing, burning, pins and needles
Idiopathic - ANSWER No identifiable etiology
Psychogenic - ANSWER Related to factors that influence the
patient's report of pain (psychiatric conditions, personality and coping
style, cultural norms, social support systems)
ChronicN - ANSWER -Not due to cancer or illness lasting > 3-6
months
-Lasting > 1 month beyond the course of an illness
-Recurring at intervals over months or years
All notes should start with the following documentation: - ANSWER
-Date of encounter
-Patient name (age is also important)
-Informant and reliability
SOAP format - ANSWER -Subjective
-Objective
-Assessment
-Plan
BMI - ANSWER -Weight (lbs) x 700/height (inches)
-Weight (kgs)/height (m^2)
BMI: underweight - ANSWER < 18.5
, BMI: normal - ANSWER 18.5 - 24.9
BMI: overweight - ANSWER 25-29.9
BMI: obesity - ANSWER -I: 30 - 34.9
-II: 35 - 39.9
BMI: extreme obesity - ANSWER III: > (or equal to) 40
Orthostasis - ANSWER Systolic BP drops >20 mm Hg or diastolic
BP drops >10 mm Hg
Heart rate and rhythm - ANSWER -Count 30 seconds (if rate is
50-90 and rhythm regular)
-Count 60 seconds (if rate is <50 or >90 and/or rhythm is irregular)
Respiratory rate - ANSWER -Normal rate: 12-20 breaths/minute
-Count for a full 60 seconds
-Observe
Rhythm: regular, irregular
Depth: shallow, gasping
Effort: normal, labored
A patient presents with a 6-day history of rapid weight gain. The most
likely explanation is:
-A. Dysphagia
-B. Excessive absorption of nutrients
-C. Diabetes mellitus
-D. Accumulation of body fluids - ANSWER D
A patient presents a routine check-up. You see that the patient's vital
signs have already been recorded as follows: T 98.4 F, HR 74, R 18, BP
180/98 What would be the MOST appropriate action related to this
patient's vital signs?
-A. The blood pressure should be repeated at the next visit
-B. Repeat the blood pressure and verify in contralateral arm
-C. Check the heart rate again to see if it is regular
-D. Listen to the patient's lungs for adventitious sounds - ANSWER
B
Diagnostic Reasoning 2025 UPDATE|
MOST TESTED QUESTIONS AND VERIFIED
SOLUTIONS|ASSURED SUCCESS !!!
Subjective Data - ANSWER Things the pt tells you
Objective data - ANSWER What your seeing, observing, or
examining
The chief compliant should use the ____ - ANSWER Patient's own
words
History of present illness nomics - ANSWER -OLDCARTS (onset,
location, duration, characteristics, aggravating/alleviating, radiation,
timing, severity)
-OPQRST (onset, provocation, quality, radiation, severity, timing)
Concerning health history findings - ANSWER -Changes in weight
-Fatigue or weakness
-Fever, chills, and night sweats
Concerning health history findings: changes in weight - ANSWER
-Rapid or gradual - rapid changes over a few days suggest changes in
fluid, not tissue
-Weight gain: nutrition vs. medical causes
-Weight loss: medical vs. psychosocial causes
Concerning health history findings: fatigue and weakness - ANSWER
Medical vs. psychosocial
Fatigue - ANSWER A sense of weariness or loss of energy
Weakness - ANSWER A demonstrable loss of muscle muscle
power
Concerning health history findings: fever, chills, and night sweats -
ANSWER -Ask about exposure to illness or any recent travel
-Some medications may cause elevated temperature
,What are the types of pain? - ANSWER -Nociceptive (somatic)
-Neuropathic
-Idiopathic
-Psychogenic
-Chronic
Nociceptive (somatic) - ANSWER -Damage to tissue or viscera
but sensory nerves intact
-Described as dull, pressing, pulling, throbbing, boring, spasmodic, or
colicky
Neuropathic - ANSWER -Direct trauma to the peripheral or
central nervous system
-Described as shock like, stabbing, burning, pins and needles
Idiopathic - ANSWER No identifiable etiology
Psychogenic - ANSWER Related to factors that influence the
patient's report of pain (psychiatric conditions, personality and coping
style, cultural norms, social support systems)
ChronicN - ANSWER -Not due to cancer or illness lasting > 3-6
months
-Lasting > 1 month beyond the course of an illness
-Recurring at intervals over months or years
All notes should start with the following documentation: - ANSWER
-Date of encounter
-Patient name (age is also important)
-Informant and reliability
SOAP format - ANSWER -Subjective
-Objective
-Assessment
-Plan
BMI - ANSWER -Weight (lbs) x 700/height (inches)
-Weight (kgs)/height (m^2)
BMI: underweight - ANSWER < 18.5
, BMI: normal - ANSWER 18.5 - 24.9
BMI: overweight - ANSWER 25-29.9
BMI: obesity - ANSWER -I: 30 - 34.9
-II: 35 - 39.9
BMI: extreme obesity - ANSWER III: > (or equal to) 40
Orthostasis - ANSWER Systolic BP drops >20 mm Hg or diastolic
BP drops >10 mm Hg
Heart rate and rhythm - ANSWER -Count 30 seconds (if rate is
50-90 and rhythm regular)
-Count 60 seconds (if rate is <50 or >90 and/or rhythm is irregular)
Respiratory rate - ANSWER -Normal rate: 12-20 breaths/minute
-Count for a full 60 seconds
-Observe
Rhythm: regular, irregular
Depth: shallow, gasping
Effort: normal, labored
A patient presents with a 6-day history of rapid weight gain. The most
likely explanation is:
-A. Dysphagia
-B. Excessive absorption of nutrients
-C. Diabetes mellitus
-D. Accumulation of body fluids - ANSWER D
A patient presents a routine check-up. You see that the patient's vital
signs have already been recorded as follows: T 98.4 F, HR 74, R 18, BP
180/98 What would be the MOST appropriate action related to this
patient's vital signs?
-A. The blood pressure should be repeated at the next visit
-B. Repeat the blood pressure and verify in contralateral arm
-C. Check the heart rate again to see if it is regular
-D. Listen to the patient's lungs for adventitious sounds - ANSWER
B
