1. For which of the following patients would a comprehensive health history be
appropriate?
A) A new patient with the chief complaint of “I sprained my ankle”
B) An established patient with the chief complaint of “I have an upper respiratory
infection”
C) A new patient with the chief complaint of “I am here to establish care”
D) A new patient with the chief complaint of “I cut my hand”
Ans: C
Feedback:
This patient is here to establish care, and because she is new to you, a comprehensive
health history is appropriate.
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B
Feedback:
The thorax and lungs are part of the physical examination, not part of the health history.
The other answers are all part of a complete health history.
3. 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.
A) Subjective
B) Objective
PERSONAL SOCIAL
REVEW OF SYSTEMS
Ans: A
Feedback:
This is information given by the patient about the circumstances of his chief complaint.
It does not represent an objective observation by the examiner.
9. The following information is best placed in which category?
“The patient has had three cesarean sections.”
A) Adult illnesses
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, B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: B
Feedback:
A cesarean section is a surgical procedure. Approximate dates or the age of the patient at
the time of the surgery should also be recorded.
2. A patient comes to the emergency room for evaluation of shortness of breath. To which
anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic
Ans: C
Feedback:
Cardiac disorders such as congestive heart failure are the most likely on this list to result
in shortness of breath. There are cases within the other categories which may also result
in shortness of breath, such as anemia in the hematologic category, pregnancy in the
reproductive category, or sepsis with UTI in the urinary category. This demonstrates the
“tension” in clinical reasoning between making sure all possibilities are covered, while
still being able to pick the most likely cause.
4. 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?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
Ans: B
This study source was downloaded by 100000868537585 from CourseHero.com on 07-18-2023 15:13:29 GMT -05:00
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appropriate?
A) A new patient with the chief complaint of “I sprained my ankle”
B) An established patient with the chief complaint of “I have an upper respiratory
infection”
C) A new patient with the chief complaint of “I am here to establish care”
D) A new patient with the chief complaint of “I cut my hand”
Ans: C
Feedback:
This patient is here to establish care, and because she is new to you, a comprehensive
health history is appropriate.
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B
Feedback:
The thorax and lungs are part of the physical examination, not part of the health history.
The other answers are all part of a complete health history.
3. 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.
A) Subjective
B) Objective
PERSONAL SOCIAL
REVEW OF SYSTEMS
Ans: A
Feedback:
This is information given by the patient about the circumstances of his chief complaint.
It does not represent an objective observation by the examiner.
9. The following information is best placed in which category?
“The patient has had three cesarean sections.”
A) Adult illnesses
This study source was downloaded by 100000868537585 from CourseHero.com on 07-18-2023 15:13:29 GMT -05:00
https://www.coursehero.com/file/75536029/week-2-lock-down-test-nsg-6020docx/
, B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: B
Feedback:
A cesarean section is a surgical procedure. Approximate dates or the age of the patient at
the time of the surgery should also be recorded.
2. A patient comes to the emergency room for evaluation of shortness of breath. To which
anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic
Ans: C
Feedback:
Cardiac disorders such as congestive heart failure are the most likely on this list to result
in shortness of breath. There are cases within the other categories which may also result
in shortness of breath, such as anemia in the hematologic category, pregnancy in the
reproductive category, or sepsis with UTI in the urinary category. This demonstrates the
“tension” in clinical reasoning between making sure all possibilities are covered, while
still being able to pick the most likely cause.
4. 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?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
Ans: B
This study source was downloaded by 100000868537585 from CourseHero.com on 07-18-2023 15:13:29 GMT -05:00
https://www.coursehero.com/file/75536029/week-2-lock-down-test-nsg-6020docx/
