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MULTIPLE CHOICE r
1. For which of the following patients would a comprehensive health history be appropriate?
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A) A new patient with the chief complaint of ―I sprained my ankle‖
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B) An established patient with the chief complaint of ―I have an upper respiratory infection‖
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C) A new patient with the chief complaint of ―I am here to establish care‖
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D) A new patient with the chief complaint of ―I cut my hand‖
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Ans: C r
Chapter: 01 r
Page and Header: 4, Patient Assessment: Comprehensive or Focused
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Feedback: This patient is here to establish care, and because she is new to you, a comprehensive health
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history is appropriate.
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2. The components of the health history include all of the following except which one?
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A) Review of systems r r
B) Thorax and lungs r r
C) Present illness r
D) Personal and social items r r r
Ans: B r
Chapter: 01 r
Feedback: The thorax and lungs are part of the physical examination, not part of the health
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history. The others answers are all part of a complete health history.
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3. Is the following information subjective or objective?
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Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and
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relieved by rest.
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A) Subjective
B) Objective
Ans: A r
Chapter: 01 r
4. Is the following information subjective or objective?
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Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
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A) Subjective
B) Objective
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Ans: B
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5. The following information is recorded in the health history: ―The patient has had abdominal
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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
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scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid- epigastric
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area.‖
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Which of these categories does it belong to?
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A) Chief complaint r
B) Present illness r
C) Personal and social history r r r
D) Review of systems r r
Ans: B r
Chapter: 01 r
Feedback: This information describes the problem of abdominal pain, which is the present illness.
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The interviewer has obtained the location, timing, severity, and associated manifestations of the
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pain. The interviewer will still need to obtain information concerning the quality of the pain, the
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setting in which it occurred, and the factors that aggravate and alleviate the pain. You will notice
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that it does include portions of the pertinent review of systems, but because it relates directly to
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the complaint, it is included in the history of present illness.
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6. The following information is recorded in the health history: ―The patient completed 8th grade. He
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currently lives with his wife and two children. He works on old cars on the weekend. He works in
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a glass factory during the week.‖
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Ans: C r
Chapter: 01 r
Feedback: Personal and social history information includes educational level, family of origin,
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current household status, personal interests, employment, religious beliefs, military history, and
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lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual
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preferences and history). All of this information is documented in this example.
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7. The following information is recorded in the health history: ―I feel really tired.‖
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Which category does it belong to?
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A) Chief complaint r
B) Present illness r
C) Personal and social history r r r
D) Review of systems r r