Question 1

Past Medical History (PMH)

Accepted Answer

Information gathered regarding the patient's health problems in the past

Question 2

Open-ended questions

Accepted Answer

A question requiring more than just a "yes" or "no" answer

Question 3

Close Ended questions

Accepted Answer

A question requiring only a "yes" or "no" answer (can also be just a one way or the other answer, other than a yes or no)

Question 4

Chief Complaint

Accepted Answer

The patient's statement that describes the symptoms or concerns associated with the primary problem the patient is having

Question 5

HX of Present Illness/Injury (HPI)

Accepted Answer

The events and or mechanism leading up to the patient's current problem

Question 6

OPQRST

Accepted Answer

A memory aid in which the letters stand for questions asked to get a description of the present illness: onset, provocation, quality, region/radiation, severity, time

Question 7

You are beginning to start your patient. When you start the assessment process, you have decided to use the OPQRST. When you use the acronym, what does the "O" stand for?

Accepted Answer

Onset - What were you doing when the pain or problem began

Question 8

You then move to P

Accepted Answer

Provocation - Does anything seem to trigger the pain or problem? Does anything make it better?

Question 9

You move on to the Q

Accepted Answer

Quality - Can you describe the pain for me?

Question 10

You move to the R

Accepted Answer

Region/Radiation - Where is the pain, can you point to it? Does it seem to shoot or spread anywhere else than where you showed me?

Question 11

You move to the S

Accepted Answer

Severity - How bad is the pain or problem? If Zero (0) is NO PAIN, and (10) is the worst pain you have EVER felt, what is your level of pain?

Question 12

You have come to the last part of the assessment memory aid (OPQRST) what does the T mean?

Accepted Answer

Time - When did the pain start? Has it changed at all since it first started? Was the pain a sudden onset or did it come on gradually?

Question 13

SAMPLE

Accepted Answer

A memory aid in which the letters stand for elements of the past medical hx; sx of allergies, medications, , pertinent past hx, last oral intake, and events leading to the injury or illness

Question 14

You are still with your patient, and you have performed the OPQRST. You are now using the SAMPLE to determine the patients past hx You start with the S

Accepted Answer

Signs and Symptoms What's wrong (you have found out this information as part of your OPQRST)

Question 15

You are now moving to the A

Accepted Answer

Allergies - is your patient allergic to any medications or foods, does your patient have any food allergies?

Question 16

You are moving onto the M

Accepted Answer

Medications - What medications is your patient currently taking? What medications did the patient STOP taking recently. Does the patient take any over the counter (OTC) medications? Do they take any other drugs (legal or illegal), we are not law enforcement, however, we need to know the medications or drugs that the patient has taken to be able to convey that information to the receiving personnel as it can/will affect the treatment of the patient.

Question 17

You now move onto P

Accepted Answer

Pertinent past HX - Has your patient been experiencing any medical problems? Has the patient recently been to the doctor. Has there been any medication changes?

Question 18

You now move onto L

Accepted Answer

Last oral intake - When was the last time that your patient had anything to eat or drink? What WAS the last thing that your patient ate and drank?

Question 19

Your final thing to address is the E (this is something that you addressed in the OPQRST)

Accepted Answer

Events leading up to the injury (this is something that you addressed in the OPQRST) What sequence of events led to today's problem? (example: the patient passed out, then got into a car crash versus got into a car crash, then passed out, versus, passed out while driving and then got into a car crash)

Question 20

Jugular Vein Distension

Accepted Answer

Bulging of the neck veins

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CH 14 Principles of Assessment (May be combined with Assessment Cards) Flashcards

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