,
,
, 1. A 58-year-old male presents with chest pain. Which open-ended
question is most appropriate to begin the history of present illness
(HPI)?
A) "Does the pain radiate to your arm?"
B) "Is the pain sharp or dull?"
C) "Tell me about the pain you are experiencing."
D) "Have you ever had a heart attack before?"
Answer: C) "Tell me about the pain you are experiencing."
Rationale: Open-ended questions allow patients to describe symptoms in
their own words without biasing the response, yielding richer clinical
information and establishing rapport. Closed-ended questions are used
later for clarification .
2. A patient provides a confusing or disorganized narrative during the
interview. What is the best approach?
A) Redirect the patient to the reason for the visit.
B) Ask the patient to stop and start over.
C) Use guiding questions, clarification, and summarization.
D) Move on to the physical exam and come back to the history later.
Answer: C) Use guiding questions, clarification, and summarization.
Rationale: This approach helps put together a coherent story without
making the patient feel rushed or dismissed .
3. Mr. W., a 51-year-old auto mechanic, comes to the emergency room
with chest pain. As he describes his symptom, you say "Go on," and
later, "Mm-hmmm." This is an example of which skilled interviewing
technique?
A) Echoing
B) Nonverbal communication
C) Facilitation
D) Empathic response
Answer: C) Facilitation
,
, 1. A 58-year-old male presents with chest pain. Which open-ended
question is most appropriate to begin the history of present illness
(HPI)?
A) "Does the pain radiate to your arm?"
B) "Is the pain sharp or dull?"
C) "Tell me about the pain you are experiencing."
D) "Have you ever had a heart attack before?"
Answer: C) "Tell me about the pain you are experiencing."
Rationale: Open-ended questions allow patients to describe symptoms in
their own words without biasing the response, yielding richer clinical
information and establishing rapport. Closed-ended questions are used
later for clarification .
2. A patient provides a confusing or disorganized narrative during the
interview. What is the best approach?
A) Redirect the patient to the reason for the visit.
B) Ask the patient to stop and start over.
C) Use guiding questions, clarification, and summarization.
D) Move on to the physical exam and come back to the history later.
Answer: C) Use guiding questions, clarification, and summarization.
Rationale: This approach helps put together a coherent story without
making the patient feel rushed or dismissed .
3. Mr. W., a 51-year-old auto mechanic, comes to the emergency room
with chest pain. As he describes his symptom, you say "Go on," and
later, "Mm-hmmm." This is an example of which skilled interviewing
technique?
A) Echoing
B) Nonverbal communication
C) Facilitation
D) Empathic response
Answer: C) Facilitation
