EXAMINATION AND HISTORY TAKING 13TH EDITION
BICKLEY TEST BANK & RATIONALS ALL CHAPTERS( 1-
27)| A+ ULTIMATE GUIDE 2023
Comprehensive health history - ANSWER: A detailed account of a patient's health
status, appropriate for new patients establishing care.
Components of health history - ANSWER: Includes review of systems, present illness,
and personal and social items, but not thorax and lungs.
Subjective information - ANSWER: Information provided by the patient regarding
their symptoms, such as 'shortness of breath that has persisted for the past 10 days.'
Objective information - ANSWER: Data obtained through measurement by the
examiner, such as a respiratory rate of 32 and a pulse rate of 120.
Present illness - ANSWER: Describes the current problem, including details like
location, timing, severity, and associated symptoms.
Personal and social history - ANSWER: Information regarding a patient's educational
level, family status, employment, and lifestyle.
Chief complaint - ANSWER: A brief statement of the patient's primary issue, often
quoted in the patient's own words.
Review of systems - ANSWER: Documents the presence or absence of common
symptoms related to each major body system.
Surgeries - ANSWER: Records surgical procedures a patient has undergone, such as
cesarean sections.
Adult illnesses - ANSWER: Includes chronic illnesses, significant hospitalizations, and
major procedures like stent placements.
Asthma exacerbation - ANSWER: A significant condition that may require
hospitalization, relevant to the patient's current health status.
Musculoskeletal chest pain - ANSWER: Sharp, aching pain in the chest that increases
with breathing, often due to conditions like costochondritis.
Shortness of breath - ANSWER: A symptom that may indicate cardiac disorders such
as congestive heart failure.
, Thorax and lungs - ANSWER: Part of the physical examination, not included in the
components of health history.
Respiratory rate - ANSWER: A measurement of breaths per minute, used to assess a
patient's respiratory status.
Pulse rate - ANSWER: A measurement of heartbeats per minute, indicating
cardiovascular health.
Severity scale - ANSWER: A method to quantify pain, often on a scale of 1 to 10.
Nausea and vomiting - ANSWER: Symptoms that may accompany abdominal pain,
indicating a potential underlying issue.
Mid-epigastric area - ANSWER: The region of the abdomen where the patient reports
pain, relevant for diagnosis.
Patient assessment - ANSWER: The process of gathering comprehensive or focused
health information about a patient.
Clinical reasoning - ANSWER: The process of evaluating symptoms and determining
their anatomical and physiological implications.
Emergency room evaluation - ANSWER: Assessment of a patient presenting with
acute symptoms, such as shortness of breath.
Pleuritic chest pain - ANSWER: Sharp chest pain that worsens with deep breaths,
often associated with pleural inflammation.
Congestive heart failure - ANSWER: A cardiac condition that may lead to symptoms
like shortness of breath.
Patient's educational level - ANSWER: An aspect of personal and social history that
can impact health outcomes.
Household status - ANSWER: Information about the patient's living situation,
relevant for understanding social support.
Lifestyle habits - ANSWER: Includes diet, exercise, and substance use, important for
comprehensive health assessment.
Chief complaint documentation - ANSWER: An attempt to quote the patient's own
words regarding their primary health issue.
Shortness of Breath - ANSWER: Can result from anemia, pregnancy, or sepsis.
Cough Causes - ANSWER: Cardiac issues, foreign bodies, or infections.