Chapter 1: Overview: Physical Examination and History Taking

Question 1

What are the 7 components of the comprehensive adult health history?
(subjective info only)

Answer 1

Identifying data and source of the history, reliability
Chief complaint(s)
Present illness 
Past history 
Family history 
Personal and social history 
Review of systems 

(p. 6)

Question 2

What does paroxysmal mean?

Answer 2

Of sudden onset; a sudden increase in severity

Question 3

What are the five segments of the nervous system exam?

Answer 3

mental status
cranial nerves
motor system
sensory system
reflexes

(p. 22)

Question 4

Formulating an assessment and plan is done through the process of…

Answer 4

…clinical reasoning.

p. 25

Question 5

A successful plan does more than just describe the approach to a problem. It must include the patient’s _________ to the problems identified and to the __________ and ___________ interventions that you recommend.

Answer 5

responses
diagnostic and therapeutic

(p. 26)

Question 6

Each problem in the assessment is listed in order of ________ with an explanation of __________ ________ and a ____________ _________, followed by a plan for addressing that problem.

Answer 6

priority
supporting findings
differential diagnosis

(p. 26)

Question 7

If assessing a patient with a chief complaint of a sore throat, you will need to decide who may have infectious mononucleosis and warrants careful palpation of the…

Answer 7

…liver and spleen.

p. 5