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Understanding the Past Medical History (PMH): A Comprehensive Guide for Healthcare Professionals

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This PDF guide explains the Past Medical History (PMH), a critical component of patient care. Learn how to document a thorough PMH, its key elements (like chronic illnesses, surgeries, and medications), and its importance for accurate diagnosis and treatment planning. Essential reading for medical students, nurses, and clinicians.

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1|Page



PMH-C EXAM LATEST WITH ACTUAL QUESTIONS
AND CORRECT VERIFIED ANSWERS/ALREADY
GRADED A+




Perinatal period - .....ANSWER ...✔✔ from conception
through the first year of birth


How many infants are born to mothers with depression
each year? - .....ANSWER ...✔✔ 400,000


What is the most underdiagnosed obstetric complication
in America? - .....ANSWER ...✔✔ perinatal depression


What is the prevalence of PMADS in women? -
.....ANSWER ...✔✔ 1 in 7


What is the prevalence of PMADS in men? - .....ANSWER
...✔✔ 1 in 10


What are the risks of untreated PMADs? - .....ANSWER
...✔✔ Relationship problems

,2|Page



Poor adherence to medication
Exacerbation of medical conditions
IPV/separation/divorce
Loss of interpersonal and financial resources
Disability/unemployment
Child neglect and abuse
Developmental delays/behavioral problems
Tobacco, alcohol, and drug use
Infanticide, homicide, and suicide


Theories of Biology Etiology of PMADS - .....ANSWER
...✔✔ Endocrine dysfunction
Hormonal changes
Lack of sleep


Theories of Etiology of Psychosocial Risk Factors -
.....ANSWER ...✔✔ Vulnerability (sleep, genetics)
Psychological (relationship with mother, ambivalence to
parenthood)
Social/Environmental (hx of trauma, poor social support,
racism)

,3|Page



Evidence based psychosocial risk factors include -
.....ANSWER ...✔✔ Family or personal hx of PMADS
Family or personal hx of depression, anxiety, OCD,
eating disorder, bipolar
Hx of childhood sexual abuse (1/3 women with sex
abuse)


Lasting effects of CSA - .....ANSWER ...✔✔ 4x more
likely to experience PTSD
3x more likely to experience major depression


What is the percentage of women who had PPD in the
first year of postpartum - .....ANSWER ...✔✔ 21.9%


What percent of PPD begins before pregnancy? -
.....ANSWER ...✔✔ 26.5%


What percentage of PPD started during pregnancy? -
.....ANSWER ...✔✔ 33.4%


What percent of PPD began postpartum? - .....ANSWER
...✔✔ 40.1%

, 4|Page



What percent of women with depression were
diagnosed with antenatal and postpartum depression in
a clinical setting? - .....ANSWER ...✔✔ antenatal-
49.9% postpartum 30.8%


What precent of patients with antenatal/postpartum
depression were adequately treated? - .....ANSWER
...✔✔ antenatal 8.6% postpartum 6.3%


What are the statistics for single mothers to have PMAD?
- .....ANSWER ...✔✔ Twice as likely


What are the statistics with single fathers for PMAD? -
.....ANSWER ...✔✔ 3x mortality rate, at risk for binge
drinking, HTN, and risky behaviors


What is the percentage of mothers who will experience
baby blues? - .....ANSWER ...✔✔ 60-80%


How long do baby blues last? - .....ANSWER ...✔✔ 2
days to 2 weeks


When do baby blues peak? - .....ANSWER ...✔✔ 3-
5days postpartum

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