Bates’ Guide to Physical Examination and History

Bates’ Guide to Physical Examination and History Taking, 12th Edition Test bank Chapter 1-20 Bates’ Guide to Physical Examination and History Taking, 12 th Edition Chapter 1: Overview: Physical Examination and History Taking Multiple Choice 1. For which of the following patients would a comprehensive health history be appropriate? A) Anewpatientwiththechiefcomplaintof ―Isprainedmy ankle‖ B) Anestablishedpatientwiththechiefcomplaintof― Ihaveanupperrespiratoryinfection ‖ C) Anewpatientwiththechiefcomplaintof“ Iamheretoestablishcare” D) Anewpatientwiththechiefcomplaintof― Icutmy hand‖ Ans: CChap ter: 01 Pageand Header:4 ,Patient Assessment:Comprehensive or Focused Feedback:Thispatientisheretoestablishcare, andbecausesheisnewtoyou, acomprehe nsivehealthhistoryis appropriate. 2. Thecomponentsofthehealthhistoryincludeallofthefollowingexceptwhichone? A) Reviewofsystems B) Thoraxandlungs C) Presentillness D) Personalandsocialitems Ans: BChap ter: 01 Pageand Header:4 ,Patient Assessment:Comprehensive or Focused Feedback:Thethoraxandlungsarepartofthephysical examination, notpartofthehealthhistory. Theothersanswersareallpartofacompleteh ealth history. 3. Isthefollowinginformationsubjectiveorobjective? Mr.M.hasshortnessofbreaththathaspersistedforthepast10days;itisworsewithactiv ityandrelievedby rest. A) Subjective B) Objective Ans: AChap ter: 01 Pageand Header:6 ,Differences BetweenSubjectiveand ObjectiveData Feedback:Thisisinformationgivenbythepatient aboutthecircumstancesofhischiefc omplaint. Itdoesnotrepresentanobjectiveobservationbytheexaminer. 4. Is the following information subjective or objective? Mr.M.hasarespiratoryrateof32andapul serateof120 . A) Subjective B) Objective Ans: BChap ter: 01 Pageand Header:6 , Differences BetweenSubjectiveand ObjectiveData Feedback:Thisisameasurementobtainedbytheexaminer,soitisconsideredobjective data. Thepatient isunlikelytobeabletogivethisinformationtotheexaminer. 5. The following information is recorded in the health history: ―Th e patient has had abdominalpainfor1 week.Thepainlastsfor30minutesat atime;itcomesandgoes.Theseverity is7to9on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid - epigastricarea.‖ Whichofthesecategoriesdoesitbelongto? A) Chiefcomplaint B) Presentillness C) Personalandsocialhistory D) Reviewofsystems Ans: BChap ter: 01 Pageand Header: 6 ,TheComprehensiveAdultHealthHistory Feedback: This information describes the problem of abdominal pain, which is the presentillness. Theinterviewerhasobtainedthelocation,timing,severity, andassociat edmanifestationsof the pain. The interviewer will still need to obtain information concerning the quality of thepain, the setting in which it occurred, and the factors that aggravate and alleviate the pain. Yo uwill notice that it does include portions of the pertinent review of systems, but because i t relatesdirectlytothecomplaint,itisincluded in thehistory ofpresentillness.