Advanced Health Assessment and Diagnostic Reasoning
4th Edition Rhoads Test Bank
Subjective Data - ANSWER Things the pt tells you
Objective data - ANSWER What your seeing, observing, or examining
The chief compliant should use the ____ - ANSWER Patient's own words
History of present illness nomics - ANSWER -OLDCARTS (onset, location,
duration, characteristics, aggravating/alleviating, radiation, timing, severity)
-OPQRST (onset, provocation, quality, radiation, severity, timing)
Concerning health history findings - ANSWER -Changes in weight
-Fatigue or weakness
-Fever, chills, and night sweats
Concerning health history findings: changes in weight - ANSWER -Rapid or
gradual - rapid changes over a few days suggest changes in fluid, not tissue
-Weight gain: nutrition vs. medical causes
-Weight loss: medical vs. psychosocial causes
Concerning health history findings: fatigue and weakness - ANSWER Medical vs.
psychosocial
Fatigue - ANSWER A sense of weariness or loss of energy
Weakness - ANSWER A demonstrable loss of muscle muscle power
Concerning health history findings: fever, chills, and night sweats - ANSWER -Ask
about exposure to illness or any recent travel
-Some medications may cause elevated temperature
What are the types of pain? - ANSWER -Nociceptive (somatic)
-Neuropathic
-Idiopathic
-Psychogenic
-Chronic
Nociceptive (somatic) - ANSWER -Damage to tissue or viscera but sensory nerves
intact
-Described as dull, pressing, pulling, throbbing, boring, spasmodic, or colicky
,Neuropathic - ANSWER -Direct trauma to the peripheral or central nervous system
-Described as shock like, stabbing, burning, pins and needles
Idiopathic - ANSWER No identifiable etiology
Psychogenic - ANSWER Related to factors that influence the patient's report of
pain (psychiatric conditions, personality and coping style, cultural norms, social
support systems)
ChronicN - ANSWER -Not due to cancer or illness lasting > 3-6 months
-Lasting > 1 month beyond the course of an illness
-Recurring at intervals over months or years
All notes should start with the following documentation: - ANSWER -Date of
encounter
-Patient name (age is also important)
-Informant and reliability
SOAP format - ANSWER -Subjective
-Objective
-Assessment
-Plan
BMI - ANSWER -Weight (lbs) x 700/height (inches)
-Weight (kgs)/height (m^2)
BMI: underweight - ANSWER < 18.5
BMI: normal - ANSWER 18.5 - 24.9
BMI: overweight - ANSWER 25-29.9
BMI: obesity - ANSWER -I: 30 - 34.9
-II: 35 - 39.9
BMI: extreme obesity - ANSWER III: > (or equal to) 40
Orthostasis - ANSWER Systolic BP drops >20 mm Hg or diastolic BP drops >10
mm Hg
Heart rate and rhythm - ANSWER -Count 30 seconds (if rate is 50-90 and rhythm
regular)
-Count 60 seconds (if rate is <50 or >90 and/or rhythm is irregular)
Respiratory rate - ANSWER -Normal rate: 12-20 breaths/minute
-Count for a full 60 seconds
-Observe
Rhythm: regular, irregular
Depth: shallow, gasping
Effort: normal, labored
, A patient presents with a 6-day history of rapid weight gain. The most likely
explanation is:
-A. Dysphagia
-B. Excessive absorption of nutrients
-C. Diabetes mellitus
-D. Accumulation of body fluids - ANSWER D
A patient presents a routine check-up. You see that the patient's vital signs have
already been recorded as follows: T 98.4 F, HR 74, R 18, BP 180/98 What would be
the MOST appropriate action related to this patient's vital signs?
-A. The blood pressure should be repeated at the next visit
-B. Repeat the blood pressure and verify in contralateral arm
-C. Check the heart rate again to see if it is regular
-D. Listen to the patient's lungs for adventitious sounds - ANSWER B
Your patient presents with a chief complaint of chest pain. Which of the following
would be the most appropriate first question/statement?
-A. Tell me about your chest pain
-B. Does your pain radiate to any other area?
-C. How many steps can you climb before the pain begins?
-D. Do you have any nausea/vomiting/diarrhea?
-E. When did your pain start? - ANSWER A
In which of the following sections would you use the OLDCARTS mnemonic to attain
the required information?
-A. Chief complaint
-B. History of present illness
-C. Social history
-D. Personal history
-E. Review of systems - ANSWER B
Identify if the following are subjective or objective
-A. The patient presented with a chief complaint of fever for the last 6 days ----B.The
patient is well groomed and appears withdrawn
-C.You obtained vital signs at this visit
-D.The patient denies ever smoking, admits to 2-12oz beers daily, and denies any
illicit drug use
-E.The patient has ring shaped burns on the forearms resembling the coil of a stove
-F.The patient's chest pain radiates to the left arm - ANSWER -A: S
-B: O
-C:O
-D: S
-E: O
-F: S
A 32 year-old patient is undergoing a physical examination and you document a BMI
of 13.2 kg/m2. You recognize:
-A. This is a normal BMI
-B. This is considered underweight
4th Edition Rhoads Test Bank
Subjective Data - ANSWER Things the pt tells you
Objective data - ANSWER What your seeing, observing, or examining
The chief compliant should use the ____ - ANSWER Patient's own words
History of present illness nomics - ANSWER -OLDCARTS (onset, location,
duration, characteristics, aggravating/alleviating, radiation, timing, severity)
-OPQRST (onset, provocation, quality, radiation, severity, timing)
Concerning health history findings - ANSWER -Changes in weight
-Fatigue or weakness
-Fever, chills, and night sweats
Concerning health history findings: changes in weight - ANSWER -Rapid or
gradual - rapid changes over a few days suggest changes in fluid, not tissue
-Weight gain: nutrition vs. medical causes
-Weight loss: medical vs. psychosocial causes
Concerning health history findings: fatigue and weakness - ANSWER Medical vs.
psychosocial
Fatigue - ANSWER A sense of weariness or loss of energy
Weakness - ANSWER A demonstrable loss of muscle muscle power
Concerning health history findings: fever, chills, and night sweats - ANSWER -Ask
about exposure to illness or any recent travel
-Some medications may cause elevated temperature
What are the types of pain? - ANSWER -Nociceptive (somatic)
-Neuropathic
-Idiopathic
-Psychogenic
-Chronic
Nociceptive (somatic) - ANSWER -Damage to tissue or viscera but sensory nerves
intact
-Described as dull, pressing, pulling, throbbing, boring, spasmodic, or colicky
,Neuropathic - ANSWER -Direct trauma to the peripheral or central nervous system
-Described as shock like, stabbing, burning, pins and needles
Idiopathic - ANSWER No identifiable etiology
Psychogenic - ANSWER Related to factors that influence the patient's report of
pain (psychiatric conditions, personality and coping style, cultural norms, social
support systems)
ChronicN - ANSWER -Not due to cancer or illness lasting > 3-6 months
-Lasting > 1 month beyond the course of an illness
-Recurring at intervals over months or years
All notes should start with the following documentation: - ANSWER -Date of
encounter
-Patient name (age is also important)
-Informant and reliability
SOAP format - ANSWER -Subjective
-Objective
-Assessment
-Plan
BMI - ANSWER -Weight (lbs) x 700/height (inches)
-Weight (kgs)/height (m^2)
BMI: underweight - ANSWER < 18.5
BMI: normal - ANSWER 18.5 - 24.9
BMI: overweight - ANSWER 25-29.9
BMI: obesity - ANSWER -I: 30 - 34.9
-II: 35 - 39.9
BMI: extreme obesity - ANSWER III: > (or equal to) 40
Orthostasis - ANSWER Systolic BP drops >20 mm Hg or diastolic BP drops >10
mm Hg
Heart rate and rhythm - ANSWER -Count 30 seconds (if rate is 50-90 and rhythm
regular)
-Count 60 seconds (if rate is <50 or >90 and/or rhythm is irregular)
Respiratory rate - ANSWER -Normal rate: 12-20 breaths/minute
-Count for a full 60 seconds
-Observe
Rhythm: regular, irregular
Depth: shallow, gasping
Effort: normal, labored
, A patient presents with a 6-day history of rapid weight gain. The most likely
explanation is:
-A. Dysphagia
-B. Excessive absorption of nutrients
-C. Diabetes mellitus
-D. Accumulation of body fluids - ANSWER D
A patient presents a routine check-up. You see that the patient's vital signs have
already been recorded as follows: T 98.4 F, HR 74, R 18, BP 180/98 What would be
the MOST appropriate action related to this patient's vital signs?
-A. The blood pressure should be repeated at the next visit
-B. Repeat the blood pressure and verify in contralateral arm
-C. Check the heart rate again to see if it is regular
-D. Listen to the patient's lungs for adventitious sounds - ANSWER B
Your patient presents with a chief complaint of chest pain. Which of the following
would be the most appropriate first question/statement?
-A. Tell me about your chest pain
-B. Does your pain radiate to any other area?
-C. How many steps can you climb before the pain begins?
-D. Do you have any nausea/vomiting/diarrhea?
-E. When did your pain start? - ANSWER A
In which of the following sections would you use the OLDCARTS mnemonic to attain
the required information?
-A. Chief complaint
-B. History of present illness
-C. Social history
-D. Personal history
-E. Review of systems - ANSWER B
Identify if the following are subjective or objective
-A. The patient presented with a chief complaint of fever for the last 6 days ----B.The
patient is well groomed and appears withdrawn
-C.You obtained vital signs at this visit
-D.The patient denies ever smoking, admits to 2-12oz beers daily, and denies any
illicit drug use
-E.The patient has ring shaped burns on the forearms resembling the coil of a stove
-F.The patient's chest pain radiates to the left arm - ANSWER -A: S
-B: O
-C:O
-D: S
-E: O
-F: S
A 32 year-old patient is undergoing a physical examination and you document a BMI
of 13.2 kg/m2. You recognize:
-A. This is a normal BMI
-B. This is considered underweight
