Clinician Centered Care

Question 1

What is the correct sequence of the components of the clinician centered interview?

Answer 1

HPI, PMH, SH, FH, ROS

Question 2

Describe the HPI

Answer 2

History of present illness is the most helpful component of health history. Describes both the symptoms of the possible disease and the personal/emotional context in which they occur

Question 3

Describe the PMH

Answer 3

Used to document patient’s past and current health. Includes adult illnesses, childhood illnesses, medications, allergies and health maintenance

Question 4

Describe the SH

Answer 4

Goal is to identify factors outside of past or current medical conditions that may influence the patient’s overall health

Question 5

Describe the FH

Answer 5

Inquire about 1st degree relatives. Inquire whether anyone in the family has similar physical problems to the patient’s or if anyone at home has been ill lately with similar concerns

Question 6

Describe the ROS

Answer 6

Lists and organizes most known symptoms per body system

Question 7

Describe, define and identify clinician centered interview skills

Answer 7

• Closed ended data gathering skills (questions with yes, no or brief answers)
• Integrating patient centered & clinician centered skills (coning down: starting with an open ended question followed with a closed ended question)
• Symptom defining skills

Question 8

Define and identify the differences between a sign and a symptom

Answer 8

A symptom is subjective and noticed by the patient (I.e. nausea, headache, pain).

A sign is objective and identified by the clinician (I.e. murmur, perforated TM, ascites).

Question 9

Describe and identify the seven symptom descriptors OPQQRST

Answer 9

Onset & Chronology
Position & Radiation
Quality
Quantification
Related Symptoms
Setting
Transforming Factors