the sectors where ethical and legal issues are particularly pronounced. Medical professionals regularly face situ
require them to make complex decisions that not only have life-altering consequences for patients but also rais
moral questions. These issues include:#### 2.1 **Patient Autonomy and Informed Consent**One of the funda
ethical principles in healthcare is respect for patient autonomy—the right of patients to make decisions about t
bodies and medical treatments. This principle is enshrined in the legal concept of informed consent. Informed
requires healthcare providers to disclose all relevant information about the risks,
BATES’ GUIDE TO PHYSICAL EXAMINATION AND
HISTORY TAKING, 12TH EDITIONUPDATED2023-2024|
COMPLETE GUIDE A+|ALL CHAPTERS AVAILABLE|
QUESTIONS AND 100% CORRECT ANSWERS
Chapter 1: Overview: Physical Examination and History Taking
Multiple Choice
1. For which of the following patients would a comprehensive health history be appropriate?
A) A new patient with the chief complaint of ―I sprained my ankle‖
B) An established patient with the chief complaint of ―I have an upper respiratory infection‖
C) A new patient with the chief complaint of “I am here to establish care”
D) A new patient with the chief complaint of ―I cut my hand‖
Ans: C Chapter: 01
Page and Header: 4, Patient Assessment: Comprehensive or Focused
Feedback: This patient is here to establish care, and because she is new to you, a comprehensive health
history is appropriate.
2. The components of the health history include all of the following except which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B Chapter: 01
Page and Header: 4, Patient Assessment: Comprehensive or Focused
Feedback: The thorax and lungs are part of the physical examination, not part of the health history. The
others answers are all part of a complete health history.
, 3. Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and relieved
by rest.
A) Subjective
B) Objective
Ans: A Chapter: 01
Page and Header: 6, Differences Between Subjective and Objective Data
Feedback: This is information given by the patient about the circumstances of his chief complaint. It does
not represent an objective observation by the examiner.
both ethical and legal considerations when making decisions.### 2. **Ethical Issues in Healthcare**Healthcare
the sectors where ethical and legal issues are particularly pronounced. Medical professionals regularly face situ
require them to make complex decisions that not only have life-altering consequences for patients but also raise
moral questions. These issues include:#### 2.1 **Patient Autonomy and Informed Consent**One of the funda
ethical principles in healthcare is respect for patient autonomy—the right of patients to make decisions about th
bodies and medical treatments. This principle is enshrined in the legal concept of informed consent. Informed c
requires healthcare providers to disclose all relevant information about the risks,
4. Is the following information subjective or objective? Mr. M.
has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective
Ans: B Chapter: 01
Page and Header: 6, Differences Between Subjective and Objective Data
Feedback: This is a measurement obtained by the examiner, so it is considered objective data. The patient
is unlikely to be able to give this information to the examiner.
5. The following information is recorded in the health history: ―The patient has had abdominal pain for 1
week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1 to
10. It is accompanied by nausea and vomiting. It is located in the mid- epigastric area.‖
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: B Chapter: 01
Page and Header: 6, The Comprehensive Adult Health History
Feedback: This information describes the problem of abdominal pain, which is the present illness. The
interviewer has obtained the location, timing, severity, and associated manifestations of the pain. The
interviewer will still need to obtain information concerning the quality of the pain, the setting in which it
occurred, and the factors that aggravate and alleviate the pain. You will notice that it does include portions
of the pertinent review of systems, but because it relates directly to the complaint, it is included in the
history of present illness.
,both ethical and legal considerations when making decisions.### 2. **Ethical Issues in
Healthcare**Healthcare is one of the sectors where ethical and legal issues are particularly pronounced.
Medical professionals regularly face situations that require them to make complex decisions that not only
have life-altering consequences for patients but also raise profound moral questions. These issues
include:#### 2.1 **Patient Autonomy and Informed Consent**One of the fundamental ethical principles in
healthcare is respect for patient autonomy—the right of patients to make decisions about their own bodies and
medical treatments. This principle is enshrined in the legal concept of informed consent. Informed consent
requires healthcare providers to disclose all relevant information about the risks,
6. The following information is recorded in the health history: ―The patient completed 8th grade. He
currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass
factory during the week.‖
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: C Chapter: 01
Page and Header: 6, The Comprehensive Adult Health History
Feedback: Personal and social history information includes educational level, family of origin, current
household status, personal interests, employment, religious beliefs, military history, and lifestyle (including
diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual preferences and history). All of
this information is documented in this example.
7. The following information is recorded in the health history: ―I feel really tired.‖ Which
category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: A Chapter: 01
Page and Header: 6, The Comprehensive Adult Health History
Feedback: The chief complaint is an attempt to quote the patient's own words, as long as they are suitable
to print. It is brief, like a headline, and further details should be sought in the present illness section. The
above information is a chief complaint.
8. The following information is recorded in the health history: ―Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖
Which category does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
, D) Review of systems
Ans: D
Chapter: 01
Page and Header: 6, The Comprehensive Adult Health History
Feedback: Review of systems documents the presence or absence of common symptoms related
to each major body system. The absence of cardiac symptoms is listed in the above example.
both ethical and legal considerations when making decisions.### 2. **Ethical Issues in
Healthcare**Healthcare is one of the sectors where ethical and legal issues are particularly pronounced.
Medical professionals regularly face situations that require them to make complex decisions that not only have
life-altering consequences for patients but also raise profound moral questions. These issues include:#### 2.1
**Patient Autonomy and Informed Consent**One of the fundamental ethical principles in healthcare is respect
for patient autonomy—the right of patients to make decisions about their own bodies and medical treatments.
This principle is enshrined in the legal concept of informed consent. Informed consent requires healthcare
providers to disclose all relevant information about the risks,
9. The following information is best placed in which
category? ―The patient has had three cesarean sections.‖
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: B
Chapter: 01
Page and Header: 9, Past History
Feedback: A cesarean section is a surgical procedure. Approximate dates or the age of the
patient at the time of the surgery should also be recorded.
10. The following information is best placed in which category?
―The patient had a stent placed in the left anterior descending artery (LAD) in 1999.‖
A) Adult illnesses
B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Chapter: 01
Page and Header: 9, Past History
Feedback: The adult illnesses category is reserved for chronic illnesses, significant
hospitalizations, significant injuries, and significant procedures. A stent is a major procedure but
does not involve a surgeon.
11. The following information is best placed in which category?
―The patient was treated for an asthma exacerbation in the hospital last year; the patient has