Bates’ IGuide Ito IPhysical IExamination Iand IHistory ITaking, I12th
EditionIChapter I1: IOverview: IPhysical IExamination Iand IHistory
I
Taking
I
Multiple IChoice
1. For Iwhich Iof Ithe Ifollowing Ipatients Iwould Ia Icomprehensive Ihealth Ihistory Ibe Iappropriate?
A) A Inew Ipatient Iwith Ithe Ichief Icomplaint Iof I“I Isprained Imy Iankle”
B) An Iestablished Ipatient Iwith Ithe Ichief Icomplaint Iof I“I Ihave Ian Iupper Irespiratory Iinfection”
C) A Inew Ipatient Iwith Ithe Ichief Icomplaint Iof I“I Iam Ihere Ito Iestablish Icare”
D) A Inew Ipatient Iwith Ithe Ichief Icomplaint Iof I“I Icut Imy Ihand”
Ans: IC
IChapter:
I 01
Page Iand IHeader: I 4, IPatient IAssessment: IComprehensive Ior IFocused
Feedback: I This Ipatient Iis Ihere Ito Iestablish Icare, Iand Ibecause Ishe Iis Inew Ito Iyou, Ia Icomprehensive
Ihealth Ihistory Iis Iappropriate.
2. The Icomponents Iof Ithe Ihealth Ihistory Iinclude Iall Iof Ithe Ifollowing Iexcept Iwhich Ione?
A) Review Iof Isystems
B) Thorax Iand Ilungs
C) Present Iillness
D) Personal Iand Isocial Iitems
Ans: IB
IChapter:
I 01
Page Iand IHeader: I 4, IPatient IAssessment: IComprehensive Ior IFocused
Feedback: I The Ithorax Iand Ilungs Iare Ipart Iof Ithe Iphysical Iexamination, Inot Ipart Iof Ithe Ihealth
Ihistory. I The Iothers Ianswers Iare Iall Ipart Iof Ia Icomplete Ihealth Ihistory.
3. Is Ithe Ifollowing Iinformation Isubjective Ior Iobjective?
Mr. IM. Ihas Ishortness Iof Ibreath Ithat Ihas Ipersisted Ifor Ithe Ipast I10 Idays; Iit Iis Iworse Iwith IactivityIand
Irelieved Iby Irest.
,A) Subjective
B) Objective
Ans: IA
IChapter:
I 01
Page Iand IHeader: I 6, IDifferences IBetween ISubjective Iand IObjective IData
Feedback: I This Iis Iinformation Igiven Iby Ithe Ipatient Iabout Ithe Icircumstances Iof Ihis Ichief
Icomplaint. I It Idoes Inot Irepresent Ian Iobjective Iobservation Iby Ithe Iexaminer.
4. Is Ithe Ifollowing Iinformation Isubjective Ior Iobjective?
IMr. IM. Ihas Ia Irespiratory Irate Iof I32 Iand Ia Ipulse Irate Iof I120.
A) Subjective
B) Objective
Ans: IB
IChapter:
I 01
Page Iand IHeader: I 6, IDifferences IBetween ISubjective Iand IObjective IData
Feedback: I This Iis Ia Imeasurement Iobtained Iby Ithe Iexaminer, Iso Iit Iis Iconsidered Iobjective Idata.
IThe Ipatient Iis Iunlikely Ito Ibe Iable Ito Igive Ithis Iinformation Ito Ithe Iexaminer.
5. The Ifollowing Iinformation Iis Irecorded Iin Ithe Ihealth Ihistory: I“The Ipatient Ihas Ihad Iabdominal
Ipain Ifor I1 Iweek. IThe Ipain Ilasts Ifor I30 Iminutes Iat Ia Itime; Iit Icomes Iand Igoes. IThe Iseverity Iis I7 Ito I9
Ion Ia Iscale Iof I1 Ito I10. IIt Iis Iaccompanied Iby Inausea Iand Ivomiting. IIt Iis Ilocated Iin Ithe Imid-
Iepigastric Iarea.”
Which Iof Ithese Icategories Idoes Iit Ibelong Ito?
A) Chief Icomplaint
B) Present Iillness
C) Personal Iand Isocial Ihistory
D) Review Iof Isystems
Ans: IB
IChapter:
I 01
Page Iand IHeader: I 6, IThe IComprehensive IAdult IHealth IHistory
Feedback: IThis Iinformation Idescribes Ithe Iproblem Iof Iabdominal Ipain, Iwhich Iis Ithe Ipresent
Iillness. IThe Iinterviewer Ihas Iobtained Ithe Ilocation, Itiming, Iseverity, Iand Iassociated Imanifestations
Iof Ithe Ipain. IThe Iinterviewer Iwill Istill Ineed Ito Iobtain Iinformation Iconcerning Ithe Iquality Iof Ithe
Ipain, Ithe Isetting Iin Iwhich Iit Ioccurred, Iand Ithe Ifactors Ithat Iaggravate Iand Ialleviate Ithe Ipain. IYou
Iwill Inotice Ithat Iit Idoes Iinclude Iportions Iof Ithe Ipertinent Ireview Iof Isystems, Ibut Ibecause Iit Irelates
Idirectly Ito Ithe Icomplaint, Iit Iis Iincluded Iin Ithe Ihistory Iof Ipresent Iillness.
,6. The Ifollowing Iinformation Iis Irecorded Iin Ithe Ihealth Ihistory: I“The Ipatient Icompleted I8th Igrade.
IHe Icurrently Ilives Iwith Ihis Iwife Iand Itwo Ichildren. IHe Iworks Ion Iold Icars Ion Ithe Iweekend. IHe
Iworks Iin Ia Iglass Ifactory Iduring Ithe Iweek.”
Which Icategory Idoes Iit Ibelong Ito?
A) Chief Icomplaint
B) Present Iillness
C) Personal Iand Isocial Ihistory
D) Review Iof Isystems
Ans: IC
IChapter:
I 01
Page Iand IHeader: I 6, IThe IComprehensive IAdult IHealth IHistory
Feedback: IPersonal Iand Isocial Ihistory Iinformation Iincludes Ieducational Ilevel, Ifamily Iof Iorigin,
Icurrent Ihousehold Istatus, Ipersonal Iinterests, Iemployment, Ireligious Ibeliefs, I military Ihistory, Iand
Ilifestyle I(including Idiet Iand Iexercise Ihabits; Iuse Iof Ialcohol, Itobacco, Iand/or Idrugs; Iand Isexual
Ipreferences Iand Ihistory). IAll Iof Ithis Iinformation Iis Idocumented Iin Ithis Iexample.
7. The Ifollowing Iinformation Iis Irecorded Iin Ithe Ihealth Ihistory: I“I Ifeel Ireally Itired.”
IWhich Icategory Idoes Iit Ibelong Ito?
A) Chief Icomplaint
B) Present Iillness
C) Personal Iand Isocial Ihistory
D) Review Iof Isystems
Ans: IA
IChapter:
I 01
Page Iand IHeader: I 6, IThe IComprehensive IAdult IHealth IHistory
Feedback: I The Ichief Icomplaint Iis Ian Iattempt Ito Iquote Ithe Ipatient's Iown Iwords, Ias Ilong Ias Ithey
Iare Isuitable Ito Iprint. IIt Iis Ibrief, Ilike Ia Iheadline, Iand Ifurther Idetails Ishould Ibe Isought Iin Ithe Ipresent
Iillness Isection. IThe Iabove Iinformation Iis Ia Ichief Icomplaint.
8. The Ifollowing Iinformation Iis Irecorded Iin Ithe Ihealth Ihistory: I“Patient Idenies Ichest Ipain,
Ipalpitations, Iorthopnea, Iand Iparoxysmal Inocturnal Idyspnea.”
Which Icategory Idoes Iit Ibelong Ito?
A) Chief Icomplaint
B) Present Iillness
C) Personal Iand Isocial Ihistory
, D) Review Iof Isystems
Ans: ID
IChapter:
I 01
Page Iand IHeader: I 6, IThe IComprehensive IAdult IHealth IHistory
Feedback: IReview Iof Isystems Idocuments Ithe Ipresence Ior Iabsence Iof Icommon Isymptoms Irelated
Ito Ieach Imajor Ibody Isystem. IThe Iabsence Iof Icardiac Isymptoms Iis Ilisted Iin Ithe Iabove Iexample.
9. The Ifollowing Iinformation Iis Ibest Iplaced Iin Iwhich Icategory?
I“The Ipatient Ihas Ihad Ithree Icesarean Isections.”
A) Adult Iillnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: IB
IChapter:
I 01
Page Iand IHeader: I 9, IPast IHistory
Feedback: IA Icesarean Isection Iis Ia Isurgical Iprocedure. IApproximate Idates Ior Ithe Iage Iof Ithe Ipatient
Iat Ithe Itime Iof Ithe Isurgery Ishould Ialso Ibe Irecorded.
10. The Ifollowing Iinformation Iis Ibest Iplaced Iin Iwhich Icategory?
“The Ipatient Ihad Ia Istent Iplaced Iin Ithe Ileft Ianterior Idescending Iartery I(LAD) Iin I1999.”
A) Adult Iillnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: IA
IChapter:
I 01
Page Iand IHeader: I 9, IPast IHistory
Feedback: IThe Iadult Iillnesses Icategory Iis Ireserved Ifor Ichronic Iillnesses, Isignificant
Ihospitalizations, Isignificant Iinjuries, Iand Isignificant Iprocedures. IA Istent Iis Ia Imajor Iprocedure Ibut
Idoes Inot Iinvolve Ia Isurgeon.
11. The Ifollowing Iinformation Iis Ibest Iplaced Iin Iwhich Icategory?
“The Ipatient Iwas Itreated Ifor Ian Iasthma Iexacerbation Iin Ithe Ihospital Ilast Iyear; Ithe Ipatient Ihas
EditionIChapter I1: IOverview: IPhysical IExamination Iand IHistory
I
Taking
I
Multiple IChoice
1. For Iwhich Iof Ithe Ifollowing Ipatients Iwould Ia Icomprehensive Ihealth Ihistory Ibe Iappropriate?
A) A Inew Ipatient Iwith Ithe Ichief Icomplaint Iof I“I Isprained Imy Iankle”
B) An Iestablished Ipatient Iwith Ithe Ichief Icomplaint Iof I“I Ihave Ian Iupper Irespiratory Iinfection”
C) A Inew Ipatient Iwith Ithe Ichief Icomplaint Iof I“I Iam Ihere Ito Iestablish Icare”
D) A Inew Ipatient Iwith Ithe Ichief Icomplaint Iof I“I Icut Imy Ihand”
Ans: IC
IChapter:
I 01
Page Iand IHeader: I 4, IPatient IAssessment: IComprehensive Ior IFocused
Feedback: I This Ipatient Iis Ihere Ito Iestablish Icare, Iand Ibecause Ishe Iis Inew Ito Iyou, Ia Icomprehensive
Ihealth Ihistory Iis Iappropriate.
2. The Icomponents Iof Ithe Ihealth Ihistory Iinclude Iall Iof Ithe Ifollowing Iexcept Iwhich Ione?
A) Review Iof Isystems
B) Thorax Iand Ilungs
C) Present Iillness
D) Personal Iand Isocial Iitems
Ans: IB
IChapter:
I 01
Page Iand IHeader: I 4, IPatient IAssessment: IComprehensive Ior IFocused
Feedback: I The Ithorax Iand Ilungs Iare Ipart Iof Ithe Iphysical Iexamination, Inot Ipart Iof Ithe Ihealth
Ihistory. I The Iothers Ianswers Iare Iall Ipart Iof Ia Icomplete Ihealth Ihistory.
3. Is Ithe Ifollowing Iinformation Isubjective Ior Iobjective?
Mr. IM. Ihas Ishortness Iof Ibreath Ithat Ihas Ipersisted Ifor Ithe Ipast I10 Idays; Iit Iis Iworse Iwith IactivityIand
Irelieved Iby Irest.
,A) Subjective
B) Objective
Ans: IA
IChapter:
I 01
Page Iand IHeader: I 6, IDifferences IBetween ISubjective Iand IObjective IData
Feedback: I This Iis Iinformation Igiven Iby Ithe Ipatient Iabout Ithe Icircumstances Iof Ihis Ichief
Icomplaint. I It Idoes Inot Irepresent Ian Iobjective Iobservation Iby Ithe Iexaminer.
4. Is Ithe Ifollowing Iinformation Isubjective Ior Iobjective?
IMr. IM. Ihas Ia Irespiratory Irate Iof I32 Iand Ia Ipulse Irate Iof I120.
A) Subjective
B) Objective
Ans: IB
IChapter:
I 01
Page Iand IHeader: I 6, IDifferences IBetween ISubjective Iand IObjective IData
Feedback: I This Iis Ia Imeasurement Iobtained Iby Ithe Iexaminer, Iso Iit Iis Iconsidered Iobjective Idata.
IThe Ipatient Iis Iunlikely Ito Ibe Iable Ito Igive Ithis Iinformation Ito Ithe Iexaminer.
5. The Ifollowing Iinformation Iis Irecorded Iin Ithe Ihealth Ihistory: I“The Ipatient Ihas Ihad Iabdominal
Ipain Ifor I1 Iweek. IThe Ipain Ilasts Ifor I30 Iminutes Iat Ia Itime; Iit Icomes Iand Igoes. IThe Iseverity Iis I7 Ito I9
Ion Ia Iscale Iof I1 Ito I10. IIt Iis Iaccompanied Iby Inausea Iand Ivomiting. IIt Iis Ilocated Iin Ithe Imid-
Iepigastric Iarea.”
Which Iof Ithese Icategories Idoes Iit Ibelong Ito?
A) Chief Icomplaint
B) Present Iillness
C) Personal Iand Isocial Ihistory
D) Review Iof Isystems
Ans: IB
IChapter:
I 01
Page Iand IHeader: I 6, IThe IComprehensive IAdult IHealth IHistory
Feedback: IThis Iinformation Idescribes Ithe Iproblem Iof Iabdominal Ipain, Iwhich Iis Ithe Ipresent
Iillness. IThe Iinterviewer Ihas Iobtained Ithe Ilocation, Itiming, Iseverity, Iand Iassociated Imanifestations
Iof Ithe Ipain. IThe Iinterviewer Iwill Istill Ineed Ito Iobtain Iinformation Iconcerning Ithe Iquality Iof Ithe
Ipain, Ithe Isetting Iin Iwhich Iit Ioccurred, Iand Ithe Ifactors Ithat Iaggravate Iand Ialleviate Ithe Ipain. IYou
Iwill Inotice Ithat Iit Idoes Iinclude Iportions Iof Ithe Ipertinent Ireview Iof Isystems, Ibut Ibecause Iit Irelates
Idirectly Ito Ithe Icomplaint, Iit Iis Iincluded Iin Ithe Ihistory Iof Ipresent Iillness.
,6. The Ifollowing Iinformation Iis Irecorded Iin Ithe Ihealth Ihistory: I“The Ipatient Icompleted I8th Igrade.
IHe Icurrently Ilives Iwith Ihis Iwife Iand Itwo Ichildren. IHe Iworks Ion Iold Icars Ion Ithe Iweekend. IHe
Iworks Iin Ia Iglass Ifactory Iduring Ithe Iweek.”
Which Icategory Idoes Iit Ibelong Ito?
A) Chief Icomplaint
B) Present Iillness
C) Personal Iand Isocial Ihistory
D) Review Iof Isystems
Ans: IC
IChapter:
I 01
Page Iand IHeader: I 6, IThe IComprehensive IAdult IHealth IHistory
Feedback: IPersonal Iand Isocial Ihistory Iinformation Iincludes Ieducational Ilevel, Ifamily Iof Iorigin,
Icurrent Ihousehold Istatus, Ipersonal Iinterests, Iemployment, Ireligious Ibeliefs, I military Ihistory, Iand
Ilifestyle I(including Idiet Iand Iexercise Ihabits; Iuse Iof Ialcohol, Itobacco, Iand/or Idrugs; Iand Isexual
Ipreferences Iand Ihistory). IAll Iof Ithis Iinformation Iis Idocumented Iin Ithis Iexample.
7. The Ifollowing Iinformation Iis Irecorded Iin Ithe Ihealth Ihistory: I“I Ifeel Ireally Itired.”
IWhich Icategory Idoes Iit Ibelong Ito?
A) Chief Icomplaint
B) Present Iillness
C) Personal Iand Isocial Ihistory
D) Review Iof Isystems
Ans: IA
IChapter:
I 01
Page Iand IHeader: I 6, IThe IComprehensive IAdult IHealth IHistory
Feedback: I The Ichief Icomplaint Iis Ian Iattempt Ito Iquote Ithe Ipatient's Iown Iwords, Ias Ilong Ias Ithey
Iare Isuitable Ito Iprint. IIt Iis Ibrief, Ilike Ia Iheadline, Iand Ifurther Idetails Ishould Ibe Isought Iin Ithe Ipresent
Iillness Isection. IThe Iabove Iinformation Iis Ia Ichief Icomplaint.
8. The Ifollowing Iinformation Iis Irecorded Iin Ithe Ihealth Ihistory: I“Patient Idenies Ichest Ipain,
Ipalpitations, Iorthopnea, Iand Iparoxysmal Inocturnal Idyspnea.”
Which Icategory Idoes Iit Ibelong Ito?
A) Chief Icomplaint
B) Present Iillness
C) Personal Iand Isocial Ihistory
, D) Review Iof Isystems
Ans: ID
IChapter:
I 01
Page Iand IHeader: I 6, IThe IComprehensive IAdult IHealth IHistory
Feedback: IReview Iof Isystems Idocuments Ithe Ipresence Ior Iabsence Iof Icommon Isymptoms Irelated
Ito Ieach Imajor Ibody Isystem. IThe Iabsence Iof Icardiac Isymptoms Iis Ilisted Iin Ithe Iabove Iexample.
9. The Ifollowing Iinformation Iis Ibest Iplaced Iin Iwhich Icategory?
I“The Ipatient Ihas Ihad Ithree Icesarean Isections.”
A) Adult Iillnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: IB
IChapter:
I 01
Page Iand IHeader: I 9, IPast IHistory
Feedback: IA Icesarean Isection Iis Ia Isurgical Iprocedure. IApproximate Idates Ior Ithe Iage Iof Ithe Ipatient
Iat Ithe Itime Iof Ithe Isurgery Ishould Ialso Ibe Irecorded.
10. The Ifollowing Iinformation Iis Ibest Iplaced Iin Iwhich Icategory?
“The Ipatient Ihad Ia Istent Iplaced Iin Ithe Ileft Ianterior Idescending Iartery I(LAD) Iin I1999.”
A) Adult Iillnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: IA
IChapter:
I 01
Page Iand IHeader: I 9, IPast IHistory
Feedback: IThe Iadult Iillnesses Icategory Iis Ireserved Ifor Ichronic Iillnesses, Isignificant
Ihospitalizations, Isignificant Iinjuries, Iand Isignificant Iprocedures. IA Istent Iis Ia Imajor Iprocedure Ibut
Idoes Inot Iinvolve Ia Isurgeon.
11. The Ifollowing Iinformation Iis Ibest Iplaced Iin Iwhich Icategory?
“The Ipatient Iwas Itreated Ifor Ian Iasthma Iexacerbation Iin Ithe Ihospital Ilast Iyear; Ithe Ipatient Ihas
