For which of the following patients would a comprehensive health history be
appropriate? - A new patient with the chief complaint of "I am here to
... [Show More] establish care"
The components of the health history include all of the following except which one? -
Thorax and lungs
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. - Subjective
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120. - Objective
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." - 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? - Personal and social history
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to? - 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? - Review of systems
The following information is best placed in which category?
"The patient has had three cesarean sections." - Surgeries
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 illnesses
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 illnesses
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
A patient comes to the emergency room for evaluation of shortness of breath. To which
anatomic region would you assign the symptom? - Cardiac
A patient presents for evaluation of a cough. Which of the following anatomic regions
can be responsible for a cough?A patient presents for evaluation of a cough. Which of
the following anatomic regions can be responsible for a cough? - Cardiac
A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is
new, located in the wrists and fingers bilaterally, with some subjective fever. The patient
denies a rash; she also denies recent travel or camping activities. She has a family
history significant for rheumatoid arthritis. Based on this information, which of the
following pathologic processes would be the most correct? - Inflammatory
A 47-year-old contractor presents for evaluation of neck pain, which has been
intermittent for several years. He normally takes over-the-counter medications to ease
the pain, but this time they haven't worked as well and he still has discomfort. He
recently wallpapered the entire second floor in his house, which caused him great
discomfort. The pain resolved with rest. He denies fever, chills, rash, upper respiratory
symptoms, trauma, or injury to the neck. Based on this description, what is the most
likely pathologic process? - Degenerative
A 15-year-old high school sophomore comes to the clinic for evaluation of a 3-week
history of sneezing; itchy, watery eyes; clear nasal discharge; ear pain; and
nonproductive cough. Which is the most likely pathologic process? - Allergic
A 19-year old-college student presents to the emergency room with fever, headache,
and neck pain/stiffness. She is concerned about the possibility of meningococcal
meningitis. Several of her dorm mates have been vaccinated, but she hasn't been.
Which of the following physical examination descriptions is most consistent with
meningitis? - Head is normocephalic and atraumatic, fundi with blurred disc margins,
neck tender to palpation, unable to perform range of motion
A 37-year-old nurse comes for evaluation of colicky right upper quadrant abdominal
pain. The pain is associated with nausea and vomiting and occurs 1 to 2 hours after
eating greasy foods. Which one of the following physical examination descriptions
would be most consistent with the diagnosis of cholecystitis? - Abdomen is soft and
tender to palpation in the right upper quadrant with inspiration, to the point of stopping
inspiration, and there is no rebound or guarding.A 55-year-old data entry operator comes to the clinic to establish care. She has the
following symptoms: headache, neck pain, sinus congestion, sore throat, ringing in ears,
sharp brief chest pains at rest, burning abdominal pain with spicy foods, constipation,
urinary frequency that is worse with coughing and sneezing, and swelling in legs. This
cluster of symptoms is explained by: - More than one disease process
A 62-year-old teacher presents to the clinic for evaluation of the following symptoms:
fever, headache, sinus congestion, sore throat, green nasal discharge, and cough. This
cluster of symptoms is best explained by: - One disease process
Steve has just seen a 5-year-old girl who wheezes when exposed to cats. The patient's
family history is positive for asthma. You think the child most likely has asthma. What
have you just accomplished? - You have created a hypothesis.
Ms. Washington is a 67-year-old who had a heart attack last month. Now she complains
of shortness of breath and not being able to sleep in a flat position (orthopnea). On
examination you note increased jugular venous pressure, an S3 gallop, crackles low in
the lung fields, and swollen ankles (edema). This is an example of a: - Pathophysiologic
problem
On the way to see your next patient, you glance at the calendar and make a mental
note to buy a Mother's Day card. Your patient is Ms. Hernandez, a 76-year-old widow
who lost her husband in May, two years ago. She comes in today with a headaches,
abdominal pain, and general malaise. This happened once before, about a year ago,
according to your detailed office notes. You have done a thorough evaluation but are
unable to arrive at a consistent picture to tie these symptoms together. This is an
example of a: - Psychopathologic problem
Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He works in
a sales office to support his family. Recently he has injured his back and you are
thinking he would benefit from physical therapy, three times a week, for an hour per
session. What would be your next step? - Discuss the plan with Mr. Larson.
You are seeing an elderly man with multiple complaints. He has chronic arthritis, pain
from an old war injury, and headaches. Today he complains of these pains, as well as
dull chest pain under his sternum. What would the order of priority be for your problem
list? - Chest pain, headaches, arthritis, war injury pain
You are excited about a positive test finding you have just noticed on physical
examination of your patient. You go on to do more examination, laboratory work, and
diagnostic tests, only to find that there is no sign of the disease you thought would
correlate with the finding. This same experience happens several times. What should
you conclude? - Continue using the test, perhaps doing less laboratory work and
diagnostics [Show Less]