COMPLETE TEST PAPER QUESTIONS AND FULL
SOLUTIONS
◉ What does O stand for in OLDCARTS? Answer: ONSET
-When did this problem start?
-How did it start?
-Has it changed over time? For an injury, exactly how did the injury
occur (the mechanism of injury)?
◉ What does L stand for in OLDCARTS? Answer: LOCATION
-Where exactly are the symptoms experienced?
-Can a specific location be identified, or is the problem more
generalized?
-Has the symptom moved?
◉ What does D stand for in OLDCARTS? Answer: DURATION
Are the symptoms constant, fluctuating, getting better or worse?
◉ What does C stand for in OLDCARTS? Answer: CHARACTERISTICS
-How are the symptoms experienced?
-Dull ache, sharp pain, heat, or electrical?
,◉ What does A stand for in OLDCARTS? Answer: AGGREVATING FX
-What makes the symptoms worse?
◉ What does R stand for in OLDCARTS? Answer: RELIEVING FX
-What makes the symptoms better?
◉ What does T stand for in OLDCARTS? Answer: TX
-What have you done so far to try to help the problem?
◉ If the patient here for a periodic health screening or to follow up
on an existing problem, how do we gather the HPI? Answer: Instead
of OLDCARTS, we ask "What do you want to accomplish today?" or
"What matters most to you today?"
◉ What is the purpose of the functional health patterns assessment?
Answer: The purpose of the functional health pattern is to
determine the extent to which illness is affecting the person's ability
to live a "normal" life
◉ Examples of functional health pattern topics? Answer: -health
perception
-health management
-sleep
,-nutrition/metabolic
-elimination
-cognitive/perceptual concept
-self perception/self concept
-Role relationship self-perception/self-concept
-activity/exercise
-sexuality/reproductive role relationship
-coping/stress
-values/beliefs
◉ What is the order of a differential diagnoses list? Answer: In
priority order
◉ How should we create a list of differential diagnoses? Answer: By
thinking about it as "Skin In"
-if the patient complains of chest pain, consider all possible causes of
chest pain, beginning at the skin, and visualize all structures in the
area that could possibly be affected.
◉ What is the sensitivity of a test? Answer: Sensitivity equals the
number of true positives for a test divided by the number of tested
individuals who truly have the disease.
-The sensitivity of a test is greater when it has few false negatives.
, ◉ What is the specificity of a test? Answer: The specificity of a test is
equal to the number of true negatives divided by the number of all
tested individuals who do not have the disease.
-The specificity of a test is greater when it has few false positives
◉ What is the purpose of EBP? Answer: to incorporate evidence into
health-care delivery via:
(1) a review and appraisal of the best research evidence
(2) the practitioner's clinical expertise; and
(3) the patient's or population's preferences, values, concerns, and
socioeconomic factors influencing care delivery
◉ Order of EBP resources from strongest to weakest? Answer: -
systematic reviews and meta analysis of RCTs
-experimental studies
-correlational studies
-epidemiological and outcomes studies
-mixed methods and qualitative meta synthesis
-descriptive quantitative and qualitative studies
-opinions of experts and authorities
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