CLINICAL MEDICINE I EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS
medical interview - ANS -conversation with a purpose
gather information
establish a relationship
offer information
more than just asking a series of questions
one of the most effective diagnostic tools
8 sections of blue sheet (complete medical history) - ANS -chief complaint (CC)
history of present illness (HPI)
medications
allergies
past medical history (PMH)
family history
social history
review of systems
chief complaint - ANS -one or more symptoms causing the pt to seek care
reason(s) for visit; directly quoted in the patient's own words
history of present illness - ANS -timing
description
,location
quality
quantity or severity
setting in which it occurs
alleviating factors
aggravating factors
associated manifestations/symptoms (for pain, include any radiation)
medications - ANS -prescription medications (dose and frequency, reason taken)
over the counter medications (dose and frequency, reason taken)
herbal remedies, vitamins supplements (dose and frequency, reason taken)
allergies or adverse reactions - ANS -medication allergy: name and describe reaction
other allergies/adverse reactions to food, latex, contrast and describe reaction
past medical history - ANS -Significant childhood illnesses
Immunizations
Adult illnesses and chronic illnesses
Injuries and accidents Hospitalizations
Surgeries
OBGYN history
Health maintenance
family history - ANS -History of blood clotting
Mental disabilities
Birth defects
, Genetic disorders
Chronic medical problems
Sight or hearing problems
Grandparents ages & health
Mothers age & health
Fathers age & health
Siblings, aunts, uncles, etc
Offspring age, health
social history - ANS -Current & past Residence
Place of birth
Living situation
Occupation
Education
Marital status
Children
Support systems
Stress with family
Substance use (tobacco, EtOH, drugs , caffeine)
Diet
Exercise
Recreation/ hobbies
Recent travel
Religion
ROS categories - ANS -General
QUESTIONS AND CORRECT
DETAILED ANSWERS
medical interview - ANS -conversation with a purpose
gather information
establish a relationship
offer information
more than just asking a series of questions
one of the most effective diagnostic tools
8 sections of blue sheet (complete medical history) - ANS -chief complaint (CC)
history of present illness (HPI)
medications
allergies
past medical history (PMH)
family history
social history
review of systems
chief complaint - ANS -one or more symptoms causing the pt to seek care
reason(s) for visit; directly quoted in the patient's own words
history of present illness - ANS -timing
description
,location
quality
quantity or severity
setting in which it occurs
alleviating factors
aggravating factors
associated manifestations/symptoms (for pain, include any radiation)
medications - ANS -prescription medications (dose and frequency, reason taken)
over the counter medications (dose and frequency, reason taken)
herbal remedies, vitamins supplements (dose and frequency, reason taken)
allergies or adverse reactions - ANS -medication allergy: name and describe reaction
other allergies/adverse reactions to food, latex, contrast and describe reaction
past medical history - ANS -Significant childhood illnesses
Immunizations
Adult illnesses and chronic illnesses
Injuries and accidents Hospitalizations
Surgeries
OBGYN history
Health maintenance
family history - ANS -History of blood clotting
Mental disabilities
Birth defects
, Genetic disorders
Chronic medical problems
Sight or hearing problems
Grandparents ages & health
Mothers age & health
Fathers age & health
Siblings, aunts, uncles, etc
Offspring age, health
social history - ANS -Current & past Residence
Place of birth
Living situation
Occupation
Education
Marital status
Children
Support systems
Stress with family
Substance use (tobacco, EtOH, drugs , caffeine)
Diet
Exercise
Recreation/ hobbies
Recent travel
Religion
ROS categories - ANS -General
