Bates' Advanced Health Assessment –
Chapters 1–4 & 7 (Health History & HEENT) |
Latest 2025/2026 Exam Prep
For which of the following patients would a comprehensive health history be
appropriate? - correct answerA new patient with the chief complaint of "I am here to
establish care"
comprehensive assessment - correct answerall the elements of the health history and
the complete physical examination
focused or problem-oriented assessment - correct answerfor patients that you know well
that are returning for routine office care or for patients with specific "urgent care"
concerns
subjective data - correct answerwhat the patient tells you
objective data - correct answerwhat you detect during the examination. All physical
examination findings.
Name the components of the health history. - correct answerReview of systems,
present illness, personal and social items.
Also: identifying data and source of the history; reliability, chief complaints, present
illness, past history, family history, personal and social history, review of systems.
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 - correct answerSubjective
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120 - correct answerObjective
seven attributes of a symptom - correct answer1. Location
2. Quality
3. Quantity or severity
4. Timing (including onset, duration, and frequency)
5. The setting in which it occurs
6. factors that have aggravated or relieved the symptom
7. associated manifestations
,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?
Present illness
chief complaint
personal and social history
review of systems - correct answerpresent illness
The following information is recorded in the health history: "The patient completed 8th
grade. 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?
Present illness
chief complaint
personal and social history
review of systems - correct answerpersonal and social history
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
Present illness
chief complaint
personal and social history
review of systems - correct answerchief complaint
The following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
Present illness
chief complaint
personal and social history
review of systems - correct answerreview of systems
The following information is best placed in which category?
"The patient has had three cesarean sections."
Adult illness
Surgeries
Obstetric/gynecology
psychiatric - correct answerSurgeries
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
Adult illness
Surgeries
Obstetric/gynecology
, psychiatric - correct answerAdult illness
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 never been intubated."
Adult illness
Surgeries
Obstetric/gynecology
psychiatric - correct answerAdult illness
inspection - correct answerclose observation of the details of the patient's appearance,
behavior, and movement such as facial expression, mood, body habitus and
conditioning, skin conditions such as petechiae or ecchymoses, eye movements,
pharyngeal color, symmetry of the thorax, height of jugular venous pulsations,
abdominal contour, lower extremity edema, and gait.
palpation - correct answertactile pressure from the palmar fingers or fingerpads to
assess areas of skin elevation, depression, warmth, or tenderness, lymph nodes,
pulses, contours and sizes of organs and masses, and crepitus in the joints.
Percussion - correct answeruse of the striking or plexor finger, usually the third, to
deliver a rapid tap or blow against the distal pleximeter finger, usually the distal third
finger of the left hand laid against the surface of the chest or abdomen, to evoke a
sound wave such as resonance or dullness from the underlying tissue or organs. This
sound wave also generates a tactile vibration against the pleximeter finger.
auscultation - correct answeruse of the diaphragm and bell of the stethoscope to detect
the characteristics of heart, lung, and bowel sounds, including location, timing, duration,
pitch, and intensity. For the heart, this involves sounds from closing of the four valves
and flow into the ventricles as well as murmurs. Auscultation also permits detection of
bruits or turbulence over arterial vessels.
A patient presents for evaluation of a sharp, aching chest pain which increases with
breathing. Which anatomic area would you localize the symptom to?
Musculoskeletal
Reproductive
Urinary
Endocrine - correct answerChest pain may be due to a musculoskeletal condition, such
as costochondritis or intercostal muscle cramp. This would be worsened by motion of
the chest wall. Pleuritic chest pain is also a sharp chest pain which increases with a
deep breath. This type of pain can occur with inflammation of the pleura from
pneumonia or other conditions and pulmonary embolus.
A patient comes to the emergency room for evaluation of shortness of breath. To which
anatomic region would you assign the symptom?
Reproductive
Chapters 1–4 & 7 (Health History & HEENT) |
Latest 2025/2026 Exam Prep
For which of the following patients would a comprehensive health history be
appropriate? - correct answerA new patient with the chief complaint of "I am here to
establish care"
comprehensive assessment - correct answerall the elements of the health history and
the complete physical examination
focused or problem-oriented assessment - correct answerfor patients that you know well
that are returning for routine office care or for patients with specific "urgent care"
concerns
subjective data - correct answerwhat the patient tells you
objective data - correct answerwhat you detect during the examination. All physical
examination findings.
Name the components of the health history. - correct answerReview of systems,
present illness, personal and social items.
Also: identifying data and source of the history; reliability, chief complaints, present
illness, past history, family history, personal and social history, review of systems.
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 - correct answerSubjective
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120 - correct answerObjective
seven attributes of a symptom - correct answer1. Location
2. Quality
3. Quantity or severity
4. Timing (including onset, duration, and frequency)
5. The setting in which it occurs
6. factors that have aggravated or relieved the symptom
7. associated manifestations
,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?
Present illness
chief complaint
personal and social history
review of systems - correct answerpresent illness
The following information is recorded in the health history: "The patient completed 8th
grade. 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?
Present illness
chief complaint
personal and social history
review of systems - correct answerpersonal and social history
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
Present illness
chief complaint
personal and social history
review of systems - correct answerchief complaint
The following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
Present illness
chief complaint
personal and social history
review of systems - correct answerreview of systems
The following information is best placed in which category?
"The patient has had three cesarean sections."
Adult illness
Surgeries
Obstetric/gynecology
psychiatric - correct answerSurgeries
The following information is best placed in which category?
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
Adult illness
Surgeries
Obstetric/gynecology
, psychiatric - correct answerAdult illness
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 never been intubated."
Adult illness
Surgeries
Obstetric/gynecology
psychiatric - correct answerAdult illness
inspection - correct answerclose observation of the details of the patient's appearance,
behavior, and movement such as facial expression, mood, body habitus and
conditioning, skin conditions such as petechiae or ecchymoses, eye movements,
pharyngeal color, symmetry of the thorax, height of jugular venous pulsations,
abdominal contour, lower extremity edema, and gait.
palpation - correct answertactile pressure from the palmar fingers or fingerpads to
assess areas of skin elevation, depression, warmth, or tenderness, lymph nodes,
pulses, contours and sizes of organs and masses, and crepitus in the joints.
Percussion - correct answeruse of the striking or plexor finger, usually the third, to
deliver a rapid tap or blow against the distal pleximeter finger, usually the distal third
finger of the left hand laid against the surface of the chest or abdomen, to evoke a
sound wave such as resonance or dullness from the underlying tissue or organs. This
sound wave also generates a tactile vibration against the pleximeter finger.
auscultation - correct answeruse of the diaphragm and bell of the stethoscope to detect
the characteristics of heart, lung, and bowel sounds, including location, timing, duration,
pitch, and intensity. For the heart, this involves sounds from closing of the four valves
and flow into the ventricles as well as murmurs. Auscultation also permits detection of
bruits or turbulence over arterial vessels.
A patient presents for evaluation of a sharp, aching chest pain which increases with
breathing. Which anatomic area would you localize the symptom to?
Musculoskeletal
Reproductive
Urinary
Endocrine - correct answerChest pain may be due to a musculoskeletal condition, such
as costochondritis or intercostal muscle cramp. This would be worsened by motion of
the chest wall. Pleuritic chest pain is also a sharp chest pain which increases with a
deep breath. This type of pain can occur with inflammation of the pleura from
pneumonia or other conditions and pulmonary embolus.
A patient comes to the emergency room for evaluation of shortness of breath. To which
anatomic region would you assign the symptom?
Reproductive
