SEIDEL'S GUIDE TO PHYSICAL EXAMINATION 9TH
EDITION
BY BALL COMPLETE CHAPTERS 1-26
,Table of Contents
Chapter 01: The History And Interviewing Process ...................................................................................... 3
Chapter 02: Cultural Competency............................................................................................................... 13
Chapter 03: Examination Techniques And Equipment ............................................................................... 22
Chapter 04: Clinical Reasoning.................................................................................................................... 34
Chapter 05: Documentation ....................................................................................................................... 40
Chapter 06: Vital Signs And Pain Assessment ............................................................................................. 50
Chapter 07: Mental Status .......................................................................................................................... 54
Chapter 08: Growth, Measurement, And Nutrition ................................................................................... 65
Chapter 09: Skin, Hair, And Nails ................................................................................................................ 82
Chapter 10: Lymphatic System ................................................................................................................. 101
Chapter 11: Head And Neck ...................................................................................................................... 110
Chapter 12: Eyes ....................................................................................................................................... 118
Chapter 13: Ears, Nose, And Throat.......................................................................................................... 130
Chapter 14: Chest And Lungs .................................................................................................................... 139
Chapter 15: Heart ..................................................................................................................................... 145
Chapter 16: Blood Vessels ........................................................................................................................ 153
Chapter 17: Breasts And Axillae ................................................................................................................ 161
Chapter 18: Abdomen ............................................................................................................................... 168
Chapter 19: Female Genitalia ................................................................................................................... 178
Chapter 20: Male Genitalia ....................................................................................................................... 190
Chapter 21: Anus, Rectum, And Prostate ................................................................................................. 201
Chapter 22: Musculoskeletal System ........................................................................................................ 211
Chapter 23: Neurologic System ................................................................................................................ 224
Chapter 24: Sports Participation Evaluation ............................................................................................. 242
Chapter 25: Putting It All Together ........................................................................................................... 247
Chapter 26: Emergency Or Life-Threatening Situations ........................................................................... 265
,Chapter 01: The History And Interviewing Process
Ball: Seidel’s Guide To Physical Examination, 9th Edition
MULTIPLE CHOICE
1. Which Question Would Be Considered A “Leading Question?”
A. “What Do You Think Is Causing Your Headaches?”
B. “You Don’t Get Headaches Often, Do You?”
C. “On A Scale Of 1 To 10, How Would You Rate The Severity Of Your Headaches?”
D. “At What Time Of The Day Are Your Headaches The Most Severe?”
ANSWER: B
Stating To The Patient That He Or She Does Not Get Headaches Would Limit The Information In The
Patient’s Answer. Asking The Patient What He Or She Thinks Is Causing The Headaches Is An Open-
Ended Question. Asking The Patient How He Or She Would Rate The Severity Of The Headaches And
Asking What Time Of The Day The Headaches Are The Most Severe Are Direct Questions.
2. When Are Open-Ended Questions Generally Most Useful?
A. During Sensitive Area Part Of The Interview
B. After Several Closed-Ended Questions Have Been Asked
C. While Designing The Genogram
D. During The Review Of Systems
ANSWER: A
Asking Open-Ended Questions During The Sensitive Part Of The Interview Allows You To Gather More
Information And Establishes You As An Empathic Listener, Which Is The First Step Of Effective
, Communication. Asking Closed-Ended Questions May Stifle The Patient’s Desire To Discuss The History
Of The Illness. Interviewing For The Purpose Of Designing A Genogram Or Conducting A Review Of
Systems Requires More Focused Data Than Can Be More Easily Gathered With Direct Questioning.
3. Periods Of Silence During The Interview Can Serve Important Purposes, Such As:
A. Allowing The Clinician To Catch Up On Documentation.
B. Promoting Calm.
C. Providing Time For Reflection.
D. Increasing The Length Of The Visit.
ANSWER: C
Silence Is A Useful Tool During Interviews For The Purposes Of Reflection, Summoning Courage, And
Displaying Compassion. This Is Not A Time To Document In The Chart, But Rather To Focus On The
Patient. Periods Of Silence May Cause Anxiety Rather Than Promote Calm. The Length Of The Visit Is
Less Important Than Getting Critical Information.
4. Mr. Franklin Is Speaking With You, The Healthcare Provider, About His Respiratory Problem. Mr.
Franklin Says, “I’ve Had This Cough For 3 Days, And It’s Getting Worse.” You Reply, “Tell Me More About
Your Cough.” Mr. Franklin States, “I Wish I Could Tell You More. That’s Why I’m Here. You Tell Me
What’s Wrong!” Which Caregiver Response Would Be Most Appropriate For Enhancing Communication?
A. “After 3 Days, You’re Tired Of Coughing. Have You Had A Fever?”
B. “I’d Like To Hear More About Your Experiences. Where Were You Born?”
C. “I Don’t Know What’s Wrong. You Could Have Almost Any Disease.”
D. “I’ll Examine You And Figure Out Later What The Problem Is.”
ANSWER: A
“After 3 Days, You’re Tired Of Coughing. Have You Had A Fever?” Is The Only Response Aimed At
Focusing On The Chief Compliant To Gather More Data And Does Not Digress From The Issue.
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