Exam 1 - Review of Systems

Question 1

General ROS - 6

Answer 1

Usual weight, recent weight change, fatigue, fever, sleep patterns, or insomnia.

Question 2

Skin ROS - 7

Answer 2

Rashes, lumps, lesions, itching, dryness, color change, changes in hair or nails.

Question 3

Head ROS - 2

Answer 3

Headaches, head injury.

Question 4

Eyes ROS - 12

Answer 4

Vision, glasses or contact lenses, last eye exam, pain, redness, excessive tearing, double vision, spots, specks, flashing lights, glaucoma, cataracts.

Question 5

Ears ROS - 6

Answer 5

Hearing acuity, tinnitus, vertigo, earaches, infection, and discharge.

Question 6

Nose/Sinuses ROS - 7

Answer 6

Frequent colds, nasal stuffiness, discharge, itching, hay fever, nosebleeds, and sinus trouble.

Question 7

Mouth/Throat ROS - 6

Answer 7

Condition of teeth and gums, bleeding gums, last dental examination, sore tongue, frequent sore throats, hoarseness.

Question 8

Neck ROS - 6

Answer 8

Lumps in the neck, swollen glands, goiter, pain or stiffness in the neck.

Question 9

Breasts/Axilla ROS - 4

Answer 9

Lumps, pain or discomfort, nipple discharge, self-examination.

Question 10

Respiratory ROS - 11

Answer 10

Cough, sputum (color, quantity), dyspnea, hemoptysis, wheezing, asthma, bronchitis, emphysema, pneumonia, tuberculosis, pleurisy, and last chest Xray.

Question 11

Cardiac ROS - 12

Answer 11

Heart failure, high BP, rheumatic fever, heart murmurs, chest pain or discomfort, palpitations, dyspnea, orthopnea, paroxysmal nocturnal dyspnea, edema, past EKGs or other heart tests.

Question 12

Gastrointestinal ROS - 23

Answer 12

Trouble swallowing, heartburn, change in appetite, nausea, vomiting, regurgitation, vomiting of blood, indigestion, frequency of bowel movements, color and size of stools, change in bowel habits, rectal bleeding, black tarry stools, hemorrhoids, constipation, diarrhea, abdominal pain, food intolerance, excessive belching or passing of gas, jaundice, liver or galbladder problems, hepatitis.

Question 13

Genitourinary ROS - 11

Answer 13

Frequency of urination, polyuria, nocturia, burning or pain on urination, hematuria, urgency, reduced caliber r force of stream, hesitancy, incontinence, urinary retention, stones.

Question 14

Genitourinary ROS for males

Answer 14

Hernias, penile discharge or lesions, testicular pain or masses, STIs and their treatments, exposure to HIV, precautions against HIV and STIs.

Sexual interest, orientation, function, satisfaction and problems, method of contraception.

Question 15

Genitourinary ROS for females

Answer 15

Age at menarche, regularity, frequency and duration of menses, amount of bleeding, bleeding between periods or after intercourse, LMP, dysmenorrhea, premenstrual tension.

If applicable - Age at menopause, menopausal symptoms, postmenopausal bleeding, vaginal discharge, itching, lesions, lumps, STIs, and their treatments, exposure to HIV, precaution against HIV and STDs.

Sexual interest, orientation, function, satisfaction and problems, including dypareunia.

Question 16

Peripheral Vascular ROS - 5

Answer 16

intermittent claudication, leg cramps, varicose veins, clots in the veins, Raynaud’s disease

Question 17

Musculoskeletal ROS - 16

Answer 17

Muscle or joint pain, stiffness, arthritis, gout, backache (if any are present, tell teh location and associated symptoms, ex: swelling, redness, pain, tenderness, stiffness, weakness, limitation of motion or activity).

Question 18

Neurologic ROS - 9

Answer 18

Fainting, blackouts, seizures, weakness, paralysis, numbness, tingling, tremors or other involuntary movements, change in attention span.

Question 19

Psychiatric ROS - 5

Answer 19

Nervousness, tension, mood changes (including depression), any suicidal ideation or attempts, changes in memory.

Question 20

Hematologic ROS - 3

Answer 20

Anemia, easy bruising or bleeding, past transfusions, and transfusion reaction.

Question 21

Endocrine ROS - 6

Answer 21

Thyroid trouble, heat or cold intolerance, excessive sweating, diabetes, excessive thirst or hunger, polyuria.

Question 22

Glaucoma

Answer 22

Damage to the optic nerve usually due to excessively high intraocular pressure.

Question 23

Cataracts

Answer 23

Clouding of the normally clear lens of the eye.

Question 24

Hearing acuity

Answer 24

The clarity or clearness of hearing, a measure of how well a person hears.

Question 25

Tinnitus

Answer 25

ringing or buzzing in the ears.

Question 26

Vertigo

Answer 26

Vertigo is the feeling that you or your environment is moving or spinning.

Question 27

Hay Fever

Answer 27

an allergy caused by pollen or dust in which the mucous membranes of the eyes and nose are itchy and inflamed, causing a runny nose and watery eyes.

Question 28

Goiter

Answer 28

Abnormal enlargement of the thyroid.

Question 29

Rheumatic fever

Answer 29

Rheumatic fever is a complication of untreated strep throat caused by bacteria called group A streptococcus. The main symptoms -- fever, muscle aches, swollen and painful joints, and in some cases, a red, lattice-like rash.

Question 30

Dyspnea

Answer 30

difficult or labored breathing.

Question 31

Paroxysmal nocturnal dyspnea

Answer 31

refers to attacks of severe shortness of breath and coughing that generally occur at night. It usually awakens the person from sleep, and may be quite frightening.

Question 32

Edema

Answer 32

a condition characterized by an excess of watery fluid collecting in the cavities or tissues of the body.

Question 33

Regurgitation

Answer 33

Backflow

Question 34

Orthopnea

Answer 34

Orthopnea is shortness of breath (dyspnea) that occurs when lying flat, causing the person to have to sleep propped up in bed or sitting in a chair.

Question 35

Heart murmurs

Answer 35

A heart murmur is an extra or unusual sound heard during a heartbeat.

Question 36

Epistaxis

Answer 36

Nosebleed

Question 37

Hemoptysis

Answer 37

the coughing up of blood.

Question 38

Wheezing

Answer 38

high-pitched whistling sound made while breathing.

Question 39

Asthma

Answer 39

is a chronic (long-lasting) inflammatory disease of the airways.

Question 40

Bronchitis

Answer 40

Bronchitis is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs.

Question 41

Emphysema

Answer 41

a condition in which the air sacs of the lungs are damaged and enlarged, causing breathlessness.

Question 42

Pneumonia

Answer 42

lung inflammation caused by bacterial or viral infection, in which the air sacs fill with pus and may become solid.

Question 43

Tuberculosis

Answer 43

an infectious bacterial disease characterized by the growth of nodules (tubercles) in the tissues, especially the lungs.

Question 44

Pleurisy

Answer 44

involves inflammation of the tissue layers (pleura) lining the lungs and inner chest wall.

Question 45

Dysphagia

Answer 45

Difficulty swallowing

Question 46

Dyspepsia

Answer 46

Indigestion, which is sometimes called dyspepsia, is a general term covering a group of nonspecific symptoms in the digestive tract

Question 47

Hemorrhoids

Answer 47

Swollen and inflamed veins in the rectum and anus that cause discomfort and bleeding.

Question 48

Polyuria

Answer 48

production of abnormally large volumes of dilute urine.

Question 49

Nocturia

Answer 49

can be defined as the need to wake and pass urine at night (in contrast to enuresis, where urine is passed unintentionally during sleep).

Question 50

Dysuria

Answer 50

Painful urination

Question 51

Claudication

Answer 51

a condition in which cramping pain in the leg is induced by exercise, typically caused by obstruction of the arteries.

Question 52

Varicose Veins

Answer 52

Gnarled, enlarged veins, most commonly appearing in the legs and feet.

Question 53

Deep Vein Thrombosis

Answer 53

Blood clots in the legs

Question 54

Raynaud's disease

Answer 54

Raynaud's (ray-NOHZ) disease causes some areas of your body — such as your fingers and toes — to feel numb and cold in response to cold temperatures or stress. In Raynaud's disease, smaller arteries that supply blood to your skin narrow, limiting blood circulation to affected areas (vasospasm).

Question 55

Gout

Answer 55

Gouty arthritis is a kind of arthritis. It can cause an attack of sudden burning pain, stiffness, and swelling in a joint, usually a big toe.

Question 56

Syncope

Answer 56

fainting or sudden loss of consciousness

Question 57

Arthiritis

Answer 57

Inflammation of one or more joints, causing pain and stiffness that can worsen with age.

Question 58

Siezure

Answer 58

Seizure: Uncontrolled electrical activity in the brain, which may produce a physical convulsion, minor physical signs, thought disturbances, or a combination of symptoms.

Question 59

Paralysis

Answer 59

the loss of the ability to move (and sometimes to feel anything) in part or most of the body, typically as a result of illness, poison, or injury.

Question 60

Anemia

Answer 60

Disorder relating to having fewer red blood cells?