History Taking/Communication

Question 1

What are the main components to taking a patient’s history? (in order)-6

Answer 1

• Patient identification
• Chief complaint
• HPI
• PMH
• FH
• Social history (SH)
• Review of systems

Question 2

What are the 7 characteristics of the HPI that you need to evaluate?

Answer 2

• Location
• quality
• quantity/severity
• timing (onset, duration, frequency, patterns)
• setting
• aggravating/alleviating factors
• associated symptoms

Question 3

(T/F): Social history can include things such as the level of education, end of life preferences, employment status, occupation, marital status and religious affiliation in addition to thing like diet and exercise habits

Answer 3

True

Question 4

Whats the purpose of doing a review of systems in the history?

Answer 4

• it’s a screening device to uncover potentially significant symptoms not otherwise elicited

Question 5

What are the 3 Cs of the basic tenants of communication?

Answer 5

• Conduct: how you act
• Content: what the patient says
• Cognitive: how you use what the patient says to develop a diagnosis