H&P Exam 1 questions well answered
graded A+
4 key components of the medical interview - correct answer ✔✔1. History taking
2. Physical Exam
3. Lab
4. Imagining & Diagnostics
What are the two types of assessments? - correct answer ✔✔1. Comprehensive
2. Focused
Comprehensive assessment - correct answer ✔✔- Pertinent for new pts in the office/hospital
- Provides fundamental and personalized knowledge about the pt
- Builds a bond
- Helps to rule out or identify physical causes related to pt concerns
- Establishes baselines for future visits
- Provides platform for health promotion and counseling
- Helps to build skills
- 30-45 min to complete
Focused Assessment - correct answer ✔✔- Appropriate for established pt's, routine, or urgent
care visits
- Address focused concerns or symptoms
- Narrows exam to certain body systems
- Narrows exam methods to that body system
,- Significantly shorter in duration: 5-15 min
Symptoms - correct answer ✔✔abnormal sensation perceived by the patient
Physical sign - correct answer ✔✔Can be seen, felt, or heard by examiner
Components of the comprhensive assessment - correct answer ✔✔1. Identifying data (source
of data/reliability)
2. Chief complaint
3. HPI
4. Past History
5. Family History
6. Personal and social history
7. Review of systems
Identifying Data - correct answer ✔✔Patient name (initials only), DOB, age, gender, race,
occupation, marital status, place of residency, source of history, referral, reliability
Chief complaint - correct answer ✔✔One or more reasons why the pt thinks they are there;
Make every attempt to quote the pt's own words when writing this.
HPI - correct answer ✔✔- Clear, complete, and chronologic account of the problems prompting
the pt to seek care
- Include: Onset of problems, setting in which it developed, manifestations, treatments done so
far
OLDCARTSS - correct answer ✔✔Onset
Location
, Duration
Character
Aggravating factors
Relieving factors
Timing
Severity
Symptoms
Medications - correct answer ✔✔Name of medication, dose patient is taking, route, frequency,
herbal supplements, over the counter
Allergies - correct answer ✔✔Drugs, Foods, Environmental
Past Medical History - correct answer ✔✔Childhood illness, adult illness, medical history,
surgical history, OB/GYN
Family History - correct answer ✔✔History of cancers, genetics, identify if maternal or paternal
Personal and social history - correct answer ✔✔Occupation, level of schooling, military, factors
that promote health (exercise/diet, safety), risk factors (drug use, multiple sexual partners,
adventure sports)
Review of systems - correct answer ✔✔List of questions, arranged by organ system designed to
uncover dysfunction and disease
What are the classic techniques that the physical exam relies on? - correct answer ✔✔1.
Inspection
2. Palpation
graded A+
4 key components of the medical interview - correct answer ✔✔1. History taking
2. Physical Exam
3. Lab
4. Imagining & Diagnostics
What are the two types of assessments? - correct answer ✔✔1. Comprehensive
2. Focused
Comprehensive assessment - correct answer ✔✔- Pertinent for new pts in the office/hospital
- Provides fundamental and personalized knowledge about the pt
- Builds a bond
- Helps to rule out or identify physical causes related to pt concerns
- Establishes baselines for future visits
- Provides platform for health promotion and counseling
- Helps to build skills
- 30-45 min to complete
Focused Assessment - correct answer ✔✔- Appropriate for established pt's, routine, or urgent
care visits
- Address focused concerns or symptoms
- Narrows exam to certain body systems
- Narrows exam methods to that body system
,- Significantly shorter in duration: 5-15 min
Symptoms - correct answer ✔✔abnormal sensation perceived by the patient
Physical sign - correct answer ✔✔Can be seen, felt, or heard by examiner
Components of the comprhensive assessment - correct answer ✔✔1. Identifying data (source
of data/reliability)
2. Chief complaint
3. HPI
4. Past History
5. Family History
6. Personal and social history
7. Review of systems
Identifying Data - correct answer ✔✔Patient name (initials only), DOB, age, gender, race,
occupation, marital status, place of residency, source of history, referral, reliability
Chief complaint - correct answer ✔✔One or more reasons why the pt thinks they are there;
Make every attempt to quote the pt's own words when writing this.
HPI - correct answer ✔✔- Clear, complete, and chronologic account of the problems prompting
the pt to seek care
- Include: Onset of problems, setting in which it developed, manifestations, treatments done so
far
OLDCARTSS - correct answer ✔✔Onset
Location
, Duration
Character
Aggravating factors
Relieving factors
Timing
Severity
Symptoms
Medications - correct answer ✔✔Name of medication, dose patient is taking, route, frequency,
herbal supplements, over the counter
Allergies - correct answer ✔✔Drugs, Foods, Environmental
Past Medical History - correct answer ✔✔Childhood illness, adult illness, medical history,
surgical history, OB/GYN
Family History - correct answer ✔✔History of cancers, genetics, identify if maternal or paternal
Personal and social history - correct answer ✔✔Occupation, level of schooling, military, factors
that promote health (exercise/diet, safety), risk factors (drug use, multiple sexual partners,
adventure sports)
Review of systems - correct answer ✔✔List of questions, arranged by organ system designed to
uncover dysfunction and disease
What are the classic techniques that the physical exam relies on? - correct answer ✔✔1.
Inspection
2. Palpation
