1
(ATI VERIFIED)
ADVANCED HEALTH ASSESSMENT AND DIAGNOSTIC
REASONING SEYT OF QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+ GUARANTEED SUCCESS
History of present illness nomics
-OLDCARTS (onset, location, duration, characteristics, aggravating/alleviating, radiation,
timing, severity)
-OPQRST (onset, provocation, quality, radiation, severity, timing)
Concerning health history findings
-Changes in weight
-Fatigue or weakness
-Fever, chills, and night sweats
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
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
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?
, 2
(ATI VERIFIED)
-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?
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
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well groomed and appears withdrawn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
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
-C. This is considered obesity
-D. This is considered severe obesity
B
A 50 year-old patient reports smoking 1 pack of cigarettes per day since age 20. How would you
document this information?
-A. 1 PPD x 30 years smoking history
-B. 1 PPD smoking history since age 20
, 3
(ATI VERIFIED)
-C. 30 pack-years
-D. Current smoker with 1 PPD
C
A patient presents with a superficial burn to the forearm and is complaining of 4/10 pain. Which
type of pain is the patient experiencing?
-A. Nociceptive or somatic
-B. Neuropathic
-C. Idiopathic
-D. Psychogenic
A
Concerning health history findings: changes in weight
-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
Medical vs. psychosocial
Fatigue
A sense of weariness or loss of energy
Weakness
A demonstrable loss of muscle muscle power
Concerning health history findings: fever, chills, and night sweats
-Ask about exposure to illness or any recent travel
-Some medications may cause elevated temperature
What are the types of pain?
-Nociceptive (somatic)
-Neuropathic
-Idiopathic
-Psychogenic
, 4
(ATI VERIFIED)
-Chronic
Nociceptive (somatic)
-Damage to tissue or viscera but sensory nerves intact
-Described as dull, pressing, pulling, throbbing, boring, spasmodic, or colicky
Neuropathic
-Direct trauma to the peripheral or central nervous system
-Described as shock like, stabbing, burning, pins and needles
Idiopathic
No identifiable etiology
Psychogenic
Related to factors that influence the patient's report of pain (psychiatric conditions, personality
and coping style, cultural norms, social support systems)
ChronicN
-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:
-Date of encounter
-Patient name (age is also important)
-Informant and reliability
SOAP format
-Subjective
-Objective
-Assessment
-Plan
BMI
-Weight (lbs) x 700/height (inches)
-Weight (kgs)/height (m^2)
BMI: underweight
(ATI VERIFIED)
ADVANCED HEALTH ASSESSMENT AND DIAGNOSTIC
REASONING SEYT OF QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+ GUARANTEED SUCCESS
History of present illness nomics
-OLDCARTS (onset, location, duration, characteristics, aggravating/alleviating, radiation,
timing, severity)
-OPQRST (onset, provocation, quality, radiation, severity, timing)
Concerning health history findings
-Changes in weight
-Fatigue or weakness
-Fever, chills, and night sweats
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
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
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?
, 2
(ATI VERIFIED)
-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?
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
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
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
-C. This is considered obesity
-D. This is considered severe obesity
B
A 50 year-old patient reports smoking 1 pack of cigarettes per day since age 20. How would you
document this information?
-A. 1 PPD x 30 years smoking history
-B. 1 PPD smoking history since age 20
, 3
(ATI VERIFIED)
-C. 30 pack-years
-D. Current smoker with 1 PPD
C
A patient presents with a superficial burn to the forearm and is complaining of 4/10 pain. Which
type of pain is the patient experiencing?
-A. Nociceptive or somatic
-B. Neuropathic
-C. Idiopathic
-D. Psychogenic
A
Concerning health history findings: changes in weight
-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
Medical vs. psychosocial
Fatigue
A sense of weariness or loss of energy
Weakness
A demonstrable loss of muscle muscle power
Concerning health history findings: fever, chills, and night sweats
-Ask about exposure to illness or any recent travel
-Some medications may cause elevated temperature
What are the types of pain?
-Nociceptive (somatic)
-Neuropathic
-Idiopathic
-Psychogenic
, 4
(ATI VERIFIED)
-Chronic
Nociceptive (somatic)
-Damage to tissue or viscera but sensory nerves intact
-Described as dull, pressing, pulling, throbbing, boring, spasmodic, or colicky
Neuropathic
-Direct trauma to the peripheral or central nervous system
-Described as shock like, stabbing, burning, pins and needles
Idiopathic
No identifiable etiology
Psychogenic
Related to factors that influence the patient's report of pain (psychiatric conditions, personality
and coping style, cultural norms, social support systems)
ChronicN
-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:
-Date of encounter
-Patient name (age is also important)
-Informant and reliability
SOAP format
-Subjective
-Objective
-Assessment
-Plan
BMI
-Weight (lbs) x 700/height (inches)
-Weight (kgs)/height (m^2)
BMI: underweight
