History Taking- Karaahmet

Question 1

What is the most imp step in diagnosis?

Answer 1

Anamnesis (history)

Question 2

What is required for good anamnesis?

Answer 2

1. Human relationship
2. Good understanding of the problem
3. Conversation
4. All his complaints
   • a) Its development
   • b) Date order

Question 3

What are features of good anamnesis?

Answer 3

History taken from patient and ALONE

Must have enough time

The aim should NOT be to get enough info, but to get accurate necessary info

Info must be taken in chronological order

Question 4

what is the OPQRST acronym?

Answer 4

It helps in receiving info about existing disease and injury status + helps in anamnesis

Question 5

What does OPQRST stand for?

Answer 5

O—> onset: when did complaint start
P—>Provacation (bad)/ Palliation(good): what alleviates or eliminates the pain
Q—>quality: how does patient describe the problem
R—>Region/Radiation: location of pain
S—>Severity: severity of pain
T—>time: how long did the pain start

Question 6

What is an imp symptom to look for when checking the circulatory system?

Answer 6

Paroxymal Nocturnal dyspnea;
it is a sensation of shortness of breath that awakens the patient, often after 1 or 2 hours of sleep, and is usually relieved in the upright position

Question 7

What is an imp Musculoskeletal system finding?

Answer 7

Raynaud’s phenomenon

Question 8

Anamnesis must be taken in ………?

Answer 8

Chronological order

Question 9

What are the physical examination/vital signs to check for?

Answer 9

Blood pressure(120/80)
Pulse (60-100)
Respiratory(12-16 breaths per minute)
Body temp
Body weight
Size

Question 10

While measuring blood pressure, the evacuated cuff is tightly wrapped around the arm, leaving …….cm above the ………..fossa???

Answer 10

2.5cm
Above the Antecubital fossa

Question 11

While measuring blood pressure, the width of the cuff should be …… of the humerus length?

Answer 11

2/3

Question 12

What are the steps of physical examination in order?

Answer 12

1.inspection
2.** Auscultation
3.*Palpation
4.Percussion(tapping body parts with fingers, hands, or small instruments as part of a physical examination. It is done to determine: The size, consistency, and borders of body organs. The presence or absence of fluid in body areas.)

Question 13

……….. is a Butterfly-style erythema that extends from both sides of the sulcus and nasal to the cheeks. It can be seen in SLE.

Answer 13

Malar rash

Question 14

What is a prominent characteristic in patients with crushing syndrome?

Answer 14

-Moon face
-buffalo hump?

Question 15

The formation of a whitish ring around the cornea after the age of forty is called ………?

Answer 15

Arcus Senilis;
It can be seen due to hyperlipidemia at young ages.

Question 16

What are the imp eye disorders to look for?

Answer 16

-Cataracts(white spot inside pupil)

-Conjuctivitis(if it’s central to peripheral area—>Uveitis(Rheumatism))

-Bulging eyes (exophthalmos): could be a sign of a problem with your thyroid gland.

Question 17

In gout, hard white nodules called tophi are seen with the accumulation of ……….. in the ear cartilage.

Answer 17

sodium urate crystals

Question 18

Epstein Barr infection causes: ………

Answer 18

Cryptic tonsillitis

Question 19

…………: is a neuro-muscular junction disease that causes skeletal muscle weakness in eyes, face , and swallowing.

Answer 19

Myasthenia Gravis

Question 20

**Auscultation is which step in abdominal physical examination?

Answer 20

2nd step

Question 21

When do you hear abdominal sounds during Auscultation?

Answer 21

When there’s intestinal luminal obstruction

Question 22

No abdominal movement—>In the …..?

Answer 22

Ileus(small instestine)

Question 23

Which is the most important part of abdominal examination?

Answer 23

Palpation

Question 24

The hand of the examiner should not be cold during ……….abdominal examination

Answer 24

Palpation

Question 25

During which step of abdominal examination should the face of the patient be constantly monitored?

Answer 25

Palpation

Question 26

Where do we check for Murphy’s sign?

Answer 26

Right upper abdominal quadrant pain

Question 27

What does pain in the right upper quadrant of the abdomen indicate?

Answer 27

Acute cholecystitis(inflammation in gallbladder)—>indicated by Murphy’s sign

Question 28

In which side of the abdomen is McBurney’s sign detected?

Answer 28

Left area

Question 29

McBurney’s sign involves tenderness with palpation and is an indication of which disease?

Answer 29

Acute appendicitis

Question 30

**What are the 2 imp signs to detect while doing inspection?

Answer 30

Cullen’s sign and Grey Turner’s sign
(Check pictures)

Question 31

While doing Percussion, feeling of dullness over Traube’s space is an indication of which disease?

Answer 31

Splenomegaly

Question 32

How is splenomegaly indicated?

Answer 32

Feeling of dullness(enlarged organ) in Traube’s space

Question 33

When is sounds from percussing dullness considered normal and when is it abnormal?

Answer 33

Dullness is the normal sound heard when percussing tissues that are dense in consistency, such as the liver. Dullness is typically considered an abnormal sound if elicited with percussion over the lungs or the intestines, stomach, or bladder.

Question 34

To whom should you not do digital rectal exam on?

Answer 34

On pregnant or Neutropenic(presence of low amount of neutrophils in blood) patients

Question 35

Club nails are an indication of which disease?

Answer 35

Heart failure

Question 36

What is the systematic order of the whole physical examination from start to finish?

Answer 36

•1.Identification of patient
•2. Complaint and story (OPQRST)
•3. Past medical history and family history (SAMPLE)
•4.Review of Systems/Symptom Checklist (TEMPLATE)
•5.Physical examination
Learn the detailed physical examination skills in the internships Do regularly and systematically from top to bottom.
•6.Initial diagnosis” or preliminary diagnosis/definitive diagnosis