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
... [Show More] and relieved by rest.
A) Subjective
B) Objective - A) Subjective
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?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - B) Present 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?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - C) Personal and social history
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - A) Chief 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?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems - D) Review of systems
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.A) Subjective
B) Objective - B) Objective
Which of the following is consistent with good percussion technique?
A) Allow all of the fingers to touch the chest while performing percussion.
B) Maintain a stiff wrist and hand.
C) Leave the plexor finger on the pleximeter after each strike.
D) Strike the pleximeter over the distal interphalangeal joint - D) Strike the pleximeter
over the distal interphalangeal joint
Which of the following percussion notes would you obtain over the gastric bubble?
A) Resonance
B) Tympany
C) Hyperresonance
D) Flatness - B) Tympany
Which of the following conditions would produce a hyperresonant percussion note?
A) Large pneumothorax
B) Lobar pneumonia
C) Pleural effusion
D) Empyema - A) Large pneumothorax
Which lung sound possesses the characteristics of being louder and higher in pitch, with
a short silence between inspiration and expiration and with expiration being longer than
inspiration?
A) Bronchovesicular
B) Vesicular
C) Bronchial
D) Tracheal - C) Bronchial
When percussing the chest in a patient who has left sided heart failure, the sound
emanated would be: - Resonant
Alexandra is a 28-year-old editor who presents to the clinic with abdominal pain. The
pain is a dull ache, located in the right upper quadrant, that she rates as a 3 at the least
and an 8 at the worst. The pain started a few weeks ago, it lasts for 2 to 3 hours at a
time, it comes and goes, and it seems to be worse a couple of hours after eating. She
has noticed that it starts after eating greasy foods, so she has cut down on these as
much as she can. Initially it occurred once a week, but now it is occurring every other
day. Nothing makes it better. From this description, which of the seven attributes of a
symptom has been omitted?
A) Setting in which the symptom occurs
B) Associated manifestations
C) Quality
D) Timing - B) Associated manifestationsJason is a 41-year-old electrician who presents to the clinic for evaluation of shortness
of breath. The shortness of breath occurs with exertion and improves with rest. It has
been going on for several months and initially occurred only a couple of times a day with
strenuous exertion; however, it has started to occur with minimal exertion and is
happening more than a dozen times per day. The shortness of breath lasts for less than
5 minutes at a time. He has no cough, chest pressure, chest pain, swelling in his feet,
palpitations, orthopnea, or paroxysmal nocturnal dyspnea.
Which of the following symptom attributes was not addressed in this description?
A) Severity
B) Setting in which the symptom occurs
C) Timing
D) Associated manifestations - A) Severity
You are interviewing an elderly woman in the ambulatory setting and trying to get more
information about her urinary symptoms. Which of the following techniques is not a
component of adaptive questioning?
A) Directed questioning: starting with the general and proceeding to the specific in a
manner that does not make the patient give a yes/no answer
B) Reassuring the patient that the urinary symptoms are benign and that she doesn't
need to worry about it being a sign of cancer
C) Offering the patient multiple choices in order to clarify the character of the urinary
symptoms that she is experiencing
D) Asking her to tell you exactly what she means when she states that she has a urinary
tract infection - B) Reassuring the patient that the urinary symptoms are benign and that
she doesn't need to worry about it being a sign of cancer
For which of the following patients would a comprehensive health history be
appropriate?
A) A new patient with the chief complaint of "I sprained my ankle"
B) An established patient with the chief complaint of "I have an upper respiratory
infection"
C) A new patient with the chief complaint of "I am here to establish care"
D) A new patient with the chief complaint of "I cut my hand" - C) A new patient with the
chief complaint of "I am here to establish care"
Mrs. T. comes for her regular visit to the clinic. She is on your schedule because her
regular provider is on vacation and she wanted to be seen. You have heard about her
many times from your colleague and are aware that she is a very talkative person.
Which of the following is a helpful technique to improve the quality of the interview for
both the provider and the patient?
A) Allow the patient to speak uninterrupted for the duration of the appointment.
B) Briefly summarize what you heard from the patient in the first 5 minutes and then try
to have her focus on one aspect of what she told you.
C) Set the time limit at the beginning of the interview and stick with it, no matter what
occurs in the course of the interview.D) Allow your impatience to show so that the patient picks up on your nonverbal cue
that the appointment needs to end. - B) Briefly summarize what you heard from the
patient in the first 5 minutes and then try to have her focus on one aspect of what she
told you.
Mrs. H. comes to your clinic, wanting antibiotics for a sinus infection. When you enter
the room, she appears to be very angry. She has a raised tone of voice and states that
she has been waiting for the past hour and has to get back to work. She states that she
is unimpressed by the reception staff, the nurse, and the clinic in general and wants to
know why the office wouldn't call in an antibiotic for her. Which of the following
techniques is not useful in helping to calm this patient?
A) Avoiding admission that you had a part in provoking her anger because you were
late
B) Accepting angry feelings from the patient and trying not to get angry in return
C) Staying calm
D) Keeping your posture relaxed - A) Avoiding admission that you had a part in
provoking her anger because you were late
You have just asked a patient how he feels about his emphysema. He becomes silent,
folds his arms across his chest and leans back in his chair, and then replies, "It is what it
is." How should you respond?
A) "You seem bothered by this question."
B) "Next, I would like to talk with you about your smoking habit."
C) "Okay, let's move on to your other problems."
D) "You have adopted a practical attitude toward your problem." - A) "You seem
bothered by this question."
Mrs. R. is a 92-year-old retired teacher who comes to your clinic accompanied by her
daughter. You ask Mrs. R. why she came to your clinic today. She looks at her daughter
and doesn't say anything in response to your question. This is an example of which type
of challenging patient?
A) Talkative patient
B) Angry patient
C) Silent patient
D) Hearing-impaired patient - C) Silent patient [Show Less]