History Taking, Vitals, Skin

Question 1

The skin return to place immediately when released

Answer 1

Skin Turgor

Question 2

skin should be resilient, moves easily when pinched

Answer 2

Mobility

Question 3

In elderly, skin turgor should be done on (3)

Answer 3

Inner aspect of thigh,
Sternum,
Glabellar area

Question 4

Lesion is flat, <1 cm

Answer 4

Macule

Question 5

lesion is flat, >1 cm

Answer 5

Patch

Question 6

lesion is raised, <1 cm

Answer 6

Papule

Question 7

lesion is raised, >1 cm

Answer 7

Plaque

Question 8

lesion is raised, <1 cm, fluid filled

Answer 8

Vesicle

Question 9

lesion is raised, >1 cm, fluid filled

Answer 9

Bulla

Question 10

a circumscribed collection of leukocytes and free fluid that varies in size

Answer 10

Pustule

Question 11

A solid, raised growth >5cm in diameter

Answer 11

Tumor

Question 12

A raised, erythematous, papule / plaque, usually representing short-lived vasodilation and vasopermiability

Answer 12

Wheal

Question 13

A large (0.5 - 5cm), firm raised above the surface of surrounding skin

Answer 13

Nodule

Question 14

Excess dead epidermal cells

Answer 14

Scales

Question 15

A collection of dried serum and cellular debris

Answer 15

Scab / Crust

Question 16

Area of skin denuded by complete or partial loss of epidermis

Answer 16

Erosion

Question 17

A linear loss of epidermis and dermis with sharply defined, nearly vertical walls

Answer 17

Fissure

Question 18

A focal loss of epidermis and dermis

Answer 18

Ulcer

Question 19

Heals with scarring

Answer 19

Ulcer

Question 20

A depression in the skin, resulting from thinning of the epidermis or dermis

Answer 20

Atrophy

Question 21

An abnormal formation of connective tissue, implying dermal damage

Answer 21

Scar

Question 22

Linear, angular erosions that may be covered by crust

Answer 22

Excoriation

Question 23

checking for clubbing

Answer 23

Schamroth Technique

Question 24

Clubbing

Answer 24

sign of chronic hypoxemia

Question 25

Subjective complaint of the patient

Answer 25

Symptom

Question 26

Encourage the patient to say more to continue with the story

Answer 26

Facilitation

Question 27

Gives the patient time to think to organize what he wants to say without being interrupted

Answer 27

Silence

Question 28

Focuses more attention or emphasis on specific phrase and helps the person continue in his own way to give you more details

Answer 28

Reflection

Question 29

the doctor responds by nodding, saying “uh-uh”, “yes”, “continue”, “good”, “ok”, “go on”

Answer 29

Facilitation

Question 30

recognizes a feeling expressed by the patient with or without words, which embarrassing or shameful, and responding to them in a way which shows understanding and acceptance

Answer 30

Empathy

Question 31

“Tell me what you mean by…”

Answer 31

Clarification

Question 32

Point out to patient a discrepancy or inconsistencies in his words or behavior

Answer 32

Confrontation

Question 33

Attempt of a physician to have the patient elaborate on certain vague statements

Answer 33

Explanation

Question 34

Repeat the information to confirm

Answer 34

Interpretation

Question 35

Use proper terminology and fluent understandable speech

Answer 35

Interpretation

Question 36

Information regarding the current medical concern that brought the patient to the hospital/clinic

Answer 36

Primary History
(Chief complaint)
(HPI)

Question 37

Includes all the accompanying symptoms that may be related or co-exist with the present medical problem

Answer 37

Secondary History

ROS

Question 38

type of history taken when problem is acute and possibly life-threatening requiring immediate attention as in the ER setting

Answer 38

Problem or Focused History

Question 39

Type of history which entails only the major points without going into details to have a feel of the situation

Answer 39

Inventory History