DIAGNOSIS 2026 FULL MOCK TEST WITH
SOLUTIONS AND SYSTEM-BASED DIAGNOSTIC
QUESTIONS
◉ What is the primary objective when developing a relationship
with the patient?
Answer: To discover the details about a patient's concern, explore
expectations, display interest, and partnership
◉ What does establishing a positive relationship with the patient
depend on?
Answer: Communication built on courtesy, comfort, connection, and
confirmation.
◉ What are effective communication strategies when obtaining a
health history?
Answer: Using open-ended questions, direct questions, rarely
leading questions. Facilitate by encouraging patient to say more.
Reflect by repeating what you heard. Clarify. Empathize by showing
understanding and acceptance. Confront by discussing disturbing
behavior. Interpret by repeating what you heard to confirm.
,◉ What are open-ended questions?
Answer: Those that give the patient discretion about the extent of
the answer. Such as "How have you been feeling?" or "What brings
you in today?"
◉ What are direct questions?
Answer: Those that seek specific information. Such as "How long ago
did that happen?" or "Where does it hurt?"
◉ What are leading questions?
Answer: Those that are prompting the patient toward the desired
answer and these are the most risky.
◉ What is a patient centered question?
Answer: One that respects and responds to a patient's wants, needs,
preferences so that they can make choices in their care that best fit
their individual circumstances. Such as "How would you like to be
addressed?", "What would you like us to do today?", "How are you
coping with your illness?".
◉ What are potential barriers of patient and provider
communication?
Answer: When the patient is curious about you, anxiety, silence,
depression, crying/compassionate moments, physical & emotional
,intimacy, seduction, anger, avoiding the full story, financial
considerations.
◉ What is the structure and components of the patient history?
Answer: Patient identifiers, chief complaint, history of present
illness, past medical history, family history, personal/social history,
review of systems
◉ What kind of patient information is obtained in the patient
identifier component of the patient history?
Answer: name, age, gender, race, occupation, date, time, and referral
source
◉ What kind of patient information is obtained in the chief
complaint component of the patient history?
Answer: a brief statement about why the patient is seeking care
while probing for underlying concerns.
◉ What kind of patient information is obtained in the HPI
component of the patient history?
Answer: a chronological order of events leading up to the presenting
problem, health status prior to the onset, a complete description of
first symptoms, symptom analysis (onset, location, description,
duration, intensity, character, aggravating factors, alleviating
, factors), impact on patients lifestyle, medications or treatments
tried
◉ What kind of information is obtained in the PMH component of
the patient history?
Answer: general health/strength
childhood illnesses
major adult illnesses and chronic diseases
immunization
surgeries (dates, hospital, diagnosis, complications)
serious injuries resulting in disability
limitation of ability to function d/t past events
medications
allergies (meds, environment, seasonal, food)
transfusions
recent screening tests
emotional status
◉ What kind of information is obtained in the family history
component of the patient history?
Answer: Any relevant medical problems for both immediate and
non-immediate family members