CHAPTER 1: FOUNDATIONS OF CLINICAL PROFICIENCY

Question 1

What are the 5 essential elements of clinical care

Answer 1

1. empathic listening
2. ability to interview px of all ages, mood and backgrounds
3. proper technique of examination
4. examining the level of illness
5. process of clinical setting

Question 2

what are the ways of assessing the patient

Answer 2

comprehensive and focused or problem based assessment

Question 3

assessment for new patients and provides personalized knowledge about the px and serves as a baseline for future assessments

Answer 3

comprehensive assessment

Question 4

assessment appropriate for established patients and addresses focused concerns and is restricted to the specific body system

Answer 4

focused assessment

Question 5

what do you call the data that is subjective and it is what the patient tells you and is a finding of chief complaint and review of systems

Answer 5

symptoms

Question 6

what do you call the objective data that is what you observe and is a finding of physical examination and laboratory

Answer 6

signs

Question 7

what are the components of comprehensive health history

Answer 7

identifying data and source of history and reliability
chief complaint
present illness
past history
family history
personal and social history
review of systems

Question 8

identifying data includes the:

Answer 8

age 
gender
occupation
marital status
the source of history and the source of referral

Question 9

reliability varies according to:

Answer 9

patient’s memory, trust and mood

Question 10

it is the concern of the px causing to seek care

Answer 10

chief complaint

Question 11

it amplifies the chief complaint and it describes how each symptom is developed

Answer 11

present illness

Question 12

what are the seven attributes of symptom

Answer 12

location
quantity
quality
timing 
setting
factors (relieved or aggravated)
associated manifestation

Question 13

medications should be noted in HPI with the following data:

Answer 13

name, dose, and route and the frequency of use

Question 14

what other things you should include in HPI

Answer 14

allergies
tobacco use
alcohol and drug use

Question 15

in allergies, what you should take note for?

Answer 15

specific reactions like rash or nausea

Question 16

what you should take note in tobacco use?

Answer 16

the type of tobacco
pack years
if someone quits, take note for how long

Question 17

what are included in the past history?

Answer 17

childhood illnesses
adult illnesses such as medical, surgical, obstetrics and psychiatric
and health maintenance

Question 18

it is the outline of the age and health or age and cause of death of each immediate relative

Answer 18

family history

Question 19

it captures the patients personality and interests. source of support, coping style, strengths and concerns

Answer 19

personal and social history

Question 20

it is the summary of all symptoms

Answer 20

review of systems

Question 21

what seven attribute of symptoms that could answer “where is it? does it radiate?”

Answer 21

location

Question 22

what seven attribute of symptoms that could answer “what is it like?”

Answer 22

quality

Question 23

what seven attribute of symptoms that could answer “how bad it is or use of pain scale?”

Answer 23

quantity or severity

Question 24

what seven attribute of symptoms that could answer “when did it start?”

Answer 24

timing

Question 25

what seven attribute of symptoms that could answer “setting in which the symptoms occurs?”

Answer 25

onset

Question 26

what seven attribute of symptoms that could answer “is there anything that makes It feel better or worse?”

Answer 26

remitting or exacerbating factor

Question 27

what seven attribute of symptoms that could answer “have you noticed anything else that accompanies it?”

Answer 27

associated manifestations