History Taking 3rd Edition by Beth Hogan-Quigley , Mary Louis
Palm Chapter 1-24 | 9781975161095 | All Chapters with
Answers and Rationals
Weakness, especially if localized in a neuroanatomical pattern suggests _________. - ANSWER:
neuropathy or myopathy
Recurrent shaking chills suggest ________. - ANSWER: extreme swings in temperature and systemic
bacteremia
What does rapid change of weight in a few days suggest? - ANSWER: change in body fluids; NOT
tissues
Edema from extravascular fluid retention is visible in conditions like: - ANSWER: heart failure,
nephrotic syndrome and liver failure
Weight loss with a high food intake suggests what? - ANSWER: DM, hyperthyroidism, malabsorption
or bulimia
What should you consider when evaluating cardiac or respiratory distress? - ANSWER: clutching of the
chest, pallor, diaphoresis, labored breathing, wheezing, coughing
What would be visual indicators of pain? - ANSWER: wincing, sweating, protectiveness of painful area,
facial grimacing, unusual posture
What would be visual indicators of anxiety or depression? - ANSWER: anxious facial expressions,
fidgety, cold/moist palms, flat affect, poor eye contact, psychomotor slowing
What should the skin be evaluated for? - ANSWER: pallor, cyanosis, jaundice, rashes, bruises
What may excess clothing reflect? - ANSWER: cold intolerance (hypothyroidism), skin rashes, needle
marks, anorexia
Cut out holes in shoes or slippers may indicate what? - ANSWER: gout, bunions, edema or other
painful foot conditions
What are copper bracelets sometimes worn for? - ANSWER: arthritis
Chewed fingernails may reflect _______. - ANSWER: Stress
Unkempt appearance often seen in what? - ANSWER: depression and dementia; the patient's
appearance must be compared with their probable norm
Hyperthyroid facial expression: - ANSWER: stare
Parkinsonism facial expression: - ANSWER: immobile face
Depression facial expression: - ANSWER: flat/sad affect, decreased eye contact
Breath odors can indicate the presence of what? - ANSWER: alcohol, diabetes, pulmonary infections,
uremia or liver failure