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Patient Interviewing > Final Study > Flashcards

Final Study Flashcards

1
Q

What does “L”, “M”, & “N” represent?

A

“L” = Location
“M” = Mode
“N” = Nature

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2
Q

What does “O”, “P”, and “Q” represent?

A

“O” = Onset
“P” = Progression
“Q” = Quantity

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3
Q

What does “R”, “S” & “T” represent?

A

“R” = radiation or Referral
“S” = Setting
“T” = Timing

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4
Q

PAA is represented twice in HPI, what are the 6 terms?

A

P = Past Hx of CC
A = Aggrevating Factors
A = Alleviating factors

P = Previous treatment? Other physicians
A = Associated signs of symptoms
A = ADL’s

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5
Q

Facial piercings are not considered clinic attire at NWHSU

A

False

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6
Q

Always try to stand and have the patient sit so that you can lead the conversation with a more dominate position

A

False

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7
Q

When a patient responds with a “no”, to a question or describes they do not have what you are asking, it should all be documented in the narrative of the history.

A

True

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8
Q

Which of the following is a good method to show the patient that you are listening?
A. Leaning toward them with an open posture
B. Type or write every word they say
C. Sit with a relaxed slouching posture
D. Summarize what they have told you back to them

A

A. Leaning toward them with an open posture,
D. Summarize what they have told you back to them

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9
Q

On a scale of 1 to 10 with 1 being very mild to almost unnoticeable and 10 being worst pain you can imagine, how would you rate your symptoms? (LMNOPQRST)

A

Q (Quantity)

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10
Q

Where exactly is your discomfort? LMNOPQRST

A

L (Location)

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11
Q

What daily activities have you noticed occur about the same time or interval as you symptoms, such as things you eat, activities that you enjoy, things you perform at work, etc. (LMNOPQRST)

A

S (Setting)

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12
Q

When did this first begin? LMNOPQRST

A

O (Onset)

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13
Q

How exactly did this discomfor or concern begin? LMNOPQRST

A

M (Mode)

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14
Q

How frequently does this occur? When it does occur about how long does it last? LMNOPQRST

A

T (Timing)

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15
Q

How have your symptoms changed since the initial onset? LMNOPQRST

A

P (Progression)

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16
Q

How would you describe the sensation that you are feeling? LMNOPQRST

A

N (Nature)

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17
Q

Can you please trace where, if any other location, the symptoms travel or extend to? LMNOPQRST

A

R (Radiate)

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18
Q

Which of the following is an important reason that we ask about the change in symptoms over time? (select all that apply)

Select one or more:

a.Sinister conditions usually progress over time

b.After multiple visits we can show patients that although they may see not feel 100% they are getting better

c.Important to necessitate care for 3rd party payers

d.Helps narrow the diagnosis

A

a.Sinister conditions usually progress over time,
b.After multiple visits we can show patients that although they may see not feel 100% they are getting better,
c.Important to necessitate care for 3rd party payers,
d.Helps narrow the diagnosis

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19
Q

Which of the following is an example of an mechanism of injury (MOI).

Select one:

a.Cervical hyperextension from being rear-ended

b.Tackled during a football game

c.Diving into a pool

d.Rear-ending vehicle

e.Hitting head on a pool

A

a.Cervical hyperextension from being rear-ended

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20
Q

When there are associated symptoms with the patient’s chief complaint you must also ask about the timing, severity, nature ect. of these symptoms. (T/F)

A

True

21
Q

When should a complex health history be performed?

Select one or more:

a.During a new patient visit

b.New chief complaint

c.Annually

d.Whenever they have an exacerbation of a condition they have visited you for in the past.

A

a.During a new patient visit,
c.Annually

22
Q

A comprehensive health history is comprised of: (pick all that apply)

Select one or more:

a.Physical exam

b.Review of systems

c.Vital signs

d.Neurolgic tests

e.Red flags

f.Informed consent

g.History of present illness

h.Current and past health history

A

b.Review of systems,
e.Red flags,
g.History of present illness,
h.Current and past health history

23
Q

You should ask the patient “do you have any radicular symptoms”.

A

False

24
Q

Which of the following is not a reason that we MUST do a history of present illness?

Select one:

a.Identify red flags/contraindications to care

b.All provided options are valid reasons to perform HPI

c.To determine the severity of the patient’s chief complaint

d.To avoid incorrect treatment/management

e.To get paid by insurance companies

A

b.All provided options are valid reasons to perform HPI

25
Q

When should a complex health history be performed?

Select one or more:

a.New chief complaint

b.Annually

c.Whenever they have an exacerbation of a condition they have visited you for in the past.

d.During a new patient visit

A

b.Annually,
d.During a new patient visit

26
Q

Thinning of the body due to illness is called cachexia (T/F)

A

True

27
Q

Polydipsia and polyuria are very common early findings that support the diagnosis of diabetes. (T/F)

A

True

28
Q

Papilledema (enlargment of the optic nerve at the retina) co-occuring with a headache is a red flag for possible:

Select one:

a.Dural venous sinus thrombus

b.Intracranial mass

c.Temporal arteritis

d.Preeclampsia

A

b.Intracranial mass

29
Q

Which of the following typically would not present with unexplained fatigue?

Select one:

a.Prescribed medications

b.Cancer

c.Degenerative joint diease

d.Anemia

e.Depression

A

c.Degenerative joint diease

30
Q

Although most people understand that weight loss without change in activity or diet can be a serious sign of illness, so can weight gain in the same circumstances. What condition would be an example of this?

Select one:

a.Cancer

b.Vasogenic claudication

c.Right Sided Heart Failure

d.Hyperthyroidism

e.Hyperparathyroidism

A

c.Right Sided Heart Failure

31
Q

Incontinence of both fecal material and urine is a red flag for:

Select one:

a.Cauda Equina Syndrome

b.Ankylosing spondylitis

c.Malignant tumors

d.Aortic aneurysm (not ruptured)

e.An infection

A

a.Cauda Equina Syndrome

32
Q

If the patient does not have any relief of their low back pain when they move in any direction, one should consider _____________.

Select one:

a.Lumbar central canal stenosis

b.Ligament injury

c.Tendon injury

d.A possible visceral condition

A

d.A possible visceral condition

33
Q

Night sweats can be a result of a malignancy such as Lymphoma or Leukemia. (T/F)

A

True

34
Q

Red flag questions should only be asked during a separate part of the interview from the HPI, review of systems and pst/current health history because it is very important and we don’t want the information to get lost. (T/F)

A

False

35
Q

Questions about black colored stools are covered in which Review of Systems (ROS) category?

a.Genitourinary

b.Endocrine

c.Gastrointestinal

d.Hematological

A

c.Gastrointestinal

36
Q

The ROS is used as a guide to help:

a.Identify red flags.

b.Protect the provider from a lawsuit.

c.Identify potential or underlying illnesses, or disease states.

d.A clinician ask a laundry list of questions so they don’t miss anything.

A

c.Identify potential or underlying illnesses, or disease states.

37
Q

Questions about heat intolerance, cold intolerance, weight loss, weight gain, and increased urination all fall into which history category?

a.Hematological system

b.Endocrine system

c.Gastrointestinal

d.History of Present Illness

A

b.Endocrine system

38
Q

Which of the following is a potential cause of ringing in the ears?

a.Depressed immune system

b.Medication side effect

c.Iron deficiency

d.Lack of eating

A

b.Medication side effect

39
Q

When asked about frequent fractures, your patient mentions that she has had 5 different fractures throughout this year. All of the following, EXCEPT what should be included in your differential diagnoses?

a.Osteoporosis

b.Metastatic cancer

c.Abuse

d.Thrombophlebitis

A

d.Thrombophlebitis

40
Q

Patient has been smoking for 10 years and smokes 1/2 of a pack per day. What is the calculated pack-years for this patient?

Select one:

a.5

b.20

c.1

d.10

e.30

A

a.5

41
Q

Which of the following are areas that should be discussed during the Current & Past Health History?

Select one:

a.Surgeries that they have had

b.None of the provided

c.Rating of pain on a verbal or visual scale

d.Type of symptoms (in their own words)

e.Mechanism of injury

A

a.Surgeries that they have had

42
Q

If a chiropractor in the state of Minnesota does not report suspected child abuse they can be prosecuted because they are considered mandatory reporters. (T/F)

A

True

43
Q

When questioning the patient about recreational drugs which of the following is usually not a necessary question.

Select one:

a.What type

b.Quantity & Frequency

c.How long

d.When did you last use it

e.Who did they use them with

A

e.Who did they use them with

44
Q

Family history part of the Current and Past Health History only screens for genetic/inherited conditions. (T/F)

A

False

45
Q

Exam Flow (HIPPIRONILS)

A

-Hx
-Inspection
-Percussion
-Palpation
-Instrumentation
-ROM
-Ortho Tests
-Neuro Tests
-Imaging
-Labs
-Special Tests

46
Q

Red Flags

A

-Signs of serious pathology
-Weight loss/gain, increased thirst, increased hunger, unexplained fatigue etc.

47
Q

Yellow Flags

A

-Psychological or behavioural factors
-Catastrophizing, finding painful experiences unbearable, fear of movement or reinjury, changes in behaviour etc.

48
Q

Blue Flags

A

-Workplace
-Concerns about job demands, low job satisfaction, little or poor support at work, work place stresses, poor comm.

49
Q

Black Flags

A

-Occupational Factors
-Misunderstandings among those involved, financial issues and/or claim procedures, social isolation/disconnection from workforce etc.

Patient Interviewing (5 decks)

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