Final Study Flashcards
(49 cards)
What does “L”, “M”, & “N” represent?
“L” = Location
“M” = Mode
“N” = Nature
What does “O”, “P”, and “Q” represent?
“O” = Onset
“P” = Progression
“Q” = Quantity
What does “R”, “S” & “T” represent?
“R” = radiation or Referral
“S” = Setting
“T” = Timing
PAA is represented twice in HPI, what are the 6 terms?
P = Past Hx of CC
A = Aggrevating Factors
A = Alleviating factors
P = Previous treatment? Other physicians
A = Associated signs of symptoms
A = ADL’s
Facial piercings are not considered clinic attire at NWHSU
False
Always try to stand and have the patient sit so that you can lead the conversation with a more dominate position
False
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.
True
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. Leaning toward them with an open posture,
D. Summarize what they have told you back to them
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)
Q (Quantity)
Where exactly is your discomfort? LMNOPQRST
L (Location)
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)
S (Setting)
When did this first begin? LMNOPQRST
O (Onset)
How exactly did this discomfor or concern begin? LMNOPQRST
M (Mode)
How frequently does this occur? When it does occur about how long does it last? LMNOPQRST
T (Timing)
How have your symptoms changed since the initial onset? LMNOPQRST
P (Progression)
How would you describe the sensation that you are feeling? LMNOPQRST
N (Nature)
Can you please trace where, if any other location, the symptoms travel or extend to? LMNOPQRST
R (Radiate)
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.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
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.Cervical hyperextension from being rear-ended
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)
True
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.During a new patient visit,
c.Annually
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
b.Review of systems,
e.Red flags,
g.History of present illness,
h.Current and past health history
You should ask the patient “do you have any radicular symptoms”.
False
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
b.All provided options are valid reasons to perform HPI
