PHYSICAL EXAMINATION AND HISTORY
TAKING TEST BANK QUESTIONS & VERIFIED
SOLUTIONS
SnNOUT Acronym - ANS-a Sensitive test with a Negative result rules OUT disease
SpPIN Acronym - ANS-a Specific test with a Positive result rules IN disease
SOAP Format for H&P - ANS-S- Subjective [History]
O- Objective [Vital signs, Physical Exam, Lab Results]
A- Assessment [List of diagnoses]
P- Plan
7 attributes of a symptom - ANS-1. Location- where is it, does it radiate?
2. Quality- what does it feel like?
3. Quantity or Severity- how bad is it? (for pain, how bad is it on a scale of 1 to 10?)
4. Timing: Onset, duration, & frequency- when did it start, how long does it last, how often does it
occur?
5. Setting in which it occurs- include environmental factors, personal activities (walking), emotional
reactions, and any other contributing factors
6. Factors that aggravate or relief the symptom- what makes it better? what makes it worse?
7. Associated manifestations
OLDCART
Onset, Location, Duration, Character, Aggravating/Alleviating Factors, Radiating, Timing
or
OPQRST
Onset, Palliating/Provoking Factors, Quality, Radiation, Site, Timing
Subjective Data - ANS-What the patients tells you
The health history
Ex: I had pneumonia two years ago
Ex: My pain feels like an elephant sitting on my chest
Objective Data - ANS-What your findings include/what you observe
, All physical exam findings
Ex) Vital signs, labs, heart sounds
Review of systems - ANS-Do NOT include objective data
Subjective data only
Ex: Reports decrease in appetite
Standard Precautions - ANS-Hand hygiene, respiratory hygiene, patient isolation criteria, laundry
handling, precautions r/t equipment, and safe-needle injection practices
Universal Precautions - ANS-Guidelines to prevent transmission of HIV, Hep B, and other blood-borne
pathogens (also includes bodily fluids such as semen, vaginal secretions, CSF, synovial fluid, pleural,
peritoneal, pericardial, and amniotic fluid)
Includes needle-safety
Physical Exam - ANS-Objective data ONLY!
Mental Status Exam - ANS-It is a structured way of observing and describing a patient's psychological
functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and
affect, speech, thought process, thought content, perception, cognition, insight and judgment.
Partnering - ANS-When building rapport with patients, express your commitment to an ongoing
relationship. Make patients feel that no matter what happens, you will continue to provide their care.
Empathetic responses - ANS-Your capacity to identify with the patient and feel the patient's pain as your
own
To express empathy, you must first recognize the patient's feelings, then actively move toward and elicit
emotional content.
For a response to be empathetic, you must convey that you feel what the patient is feeling.
Echoing - ANS-Simply repeating the patient's last words to encourage the patient to elaborate on
details/feelings
Example of validating a patient's feelings - ANS-"Your accident must have been very scary, car accidents
are so unsettling because they remind us how vulnerable we are. Maybe that explains why you are so
upset."
This validates the patient's response as legitimate and understandable.
Exploring the patient's perspective using F-I-F-E - ANS-FEELINGS- including fears & concerns about the
problem
- "What concerns you most about the pain?"
TAKING TEST BANK QUESTIONS & VERIFIED
SOLUTIONS
SnNOUT Acronym - ANS-a Sensitive test with a Negative result rules OUT disease
SpPIN Acronym - ANS-a Specific test with a Positive result rules IN disease
SOAP Format for H&P - ANS-S- Subjective [History]
O- Objective [Vital signs, Physical Exam, Lab Results]
A- Assessment [List of diagnoses]
P- Plan
7 attributes of a symptom - ANS-1. Location- where is it, does it radiate?
2. Quality- what does it feel like?
3. Quantity or Severity- how bad is it? (for pain, how bad is it on a scale of 1 to 10?)
4. Timing: Onset, duration, & frequency- when did it start, how long does it last, how often does it
occur?
5. Setting in which it occurs- include environmental factors, personal activities (walking), emotional
reactions, and any other contributing factors
6. Factors that aggravate or relief the symptom- what makes it better? what makes it worse?
7. Associated manifestations
OLDCART
Onset, Location, Duration, Character, Aggravating/Alleviating Factors, Radiating, Timing
or
OPQRST
Onset, Palliating/Provoking Factors, Quality, Radiation, Site, Timing
Subjective Data - ANS-What the patients tells you
The health history
Ex: I had pneumonia two years ago
Ex: My pain feels like an elephant sitting on my chest
Objective Data - ANS-What your findings include/what you observe
, All physical exam findings
Ex) Vital signs, labs, heart sounds
Review of systems - ANS-Do NOT include objective data
Subjective data only
Ex: Reports decrease in appetite
Standard Precautions - ANS-Hand hygiene, respiratory hygiene, patient isolation criteria, laundry
handling, precautions r/t equipment, and safe-needle injection practices
Universal Precautions - ANS-Guidelines to prevent transmission of HIV, Hep B, and other blood-borne
pathogens (also includes bodily fluids such as semen, vaginal secretions, CSF, synovial fluid, pleural,
peritoneal, pericardial, and amniotic fluid)
Includes needle-safety
Physical Exam - ANS-Objective data ONLY!
Mental Status Exam - ANS-It is a structured way of observing and describing a patient's psychological
functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and
affect, speech, thought process, thought content, perception, cognition, insight and judgment.
Partnering - ANS-When building rapport with patients, express your commitment to an ongoing
relationship. Make patients feel that no matter what happens, you will continue to provide their care.
Empathetic responses - ANS-Your capacity to identify with the patient and feel the patient's pain as your
own
To express empathy, you must first recognize the patient's feelings, then actively move toward and elicit
emotional content.
For a response to be empathetic, you must convey that you feel what the patient is feeling.
Echoing - ANS-Simply repeating the patient's last words to encourage the patient to elaborate on
details/feelings
Example of validating a patient's feelings - ANS-"Your accident must have been very scary, car accidents
are so unsettling because they remind us how vulnerable we are. Maybe that explains why you are so
upset."
This validates the patient's response as legitimate and understandable.
Exploring the patient's perspective using F-I-F-E - ANS-FEELINGS- including fears & concerns about the
problem
- "What concerns you most about the pain?"
