Intro to PSP

Question 1

4 C’s for every patient encounter

Answer 1

Capture, connect, consider, conclude

Question 2

What does capture mean in an encounter

Answer 2

SEE every feature of patient
LISTEN to the patient’s story
SMELL for clues about the patient
TOUCH to show empathy and to diagnose

Question 3

What does connect mean in an encounter

Answer 3

Acknowledge 
Eye Contact 
Proximity 
Tone of Voice  
Comment: compliment, affirmation, agreement, shared interest

Question 4

what does consider mean in an encounter

Answer 4

Refer to subjects learned
Past Experiences  
Class Attendance   
Faculty  
Textbooks 
Web
Extracurricular experiences

Question 5

what does conclude mean in an encounter

Answer 5

put it all together

diagnose

Question 6

symptom

Answer 6

subjective experience of the patient

Question 7

sign

Answer 7

objective evidence noted by the clinician

Question 8

can symptoms also be signs?

Answer 8

YES

Question 9

what is a SOAP note

Answer 9

method of documentation employed by health care

providers to write outnotesin a patient’s chart

Question 10

what does SOAP stand for?

Answer 10

S – Subjective
O – Objective
A – Assessment
P – Plan

Question 11

common concerning symptoms relating to skin

Answer 11

Growths
Rashes
Hair loss or nail changes

Question 12

what information regarding growths should you ask patients

Answer 12

New growths 
Changes in skin appearance or texture
Lumps 
Itching 
Sores 
Type and location 
Date, history, and treatment of skin cancer in self or family

Question 13

what information regarding rash should you ask patients

Answer 13

New rash
Changes in skin appearance or texture
Itching or burning
History of seasonal, other topical (localized), or systemic (generalized) allergies
Type and location
Date, history, and treatment of previous rashes

Question 14

what information regarding hair loss or nail changes should you ask patients

Answer 14

Hair thinning, shedding, breakage/excessive new growth
History of conditions and treatment
Habits of shampooing, dye use, heating
Nail pitting, discoloration, cracks, fragility, thickening Habits of biting, picking, polishing and other chemical
applications

Question 15

skin lesion

Answer 15

discoloration, elevation, depression, or any skin change which is usually localized

Question 16

primary

Answer 16

initially appearing as a result of a disease process

Question 17

secondary

Answer 17

evolve from a primary lesion or as a consequence of the patient’s activities

Question 18

HPI (breakdown of chief complaint)

Answer 18

O: onset
L: location
D: duration
C: character
A: associated symptom
R: radiation
T: timing/treatment
S: setting/severity

Question 19

F.I.F.E.

Answer 19

describing patient’s feelings, ideas, function, and expectations in 5 minute presentation

Question 20

ROS

Answer 20

summarizes in terms of patient’s body systems all the symptoms that may have been overlooked in the chief complaint or history of present illness.

Question 21

allergic reaction caused by ___

Answer 21

effects of released

mediators on target end organs

Question 22

allergic reaction signs and symptoms

Answer 22

vasodilation, permeability
changes, visceral smooth muscle contraction, mucous
secretory gland stimulation, and tissue inflammation

Question 23

allergic reaction etiology

Answer 23

IgE antibodies occupy receptor sites on mast cells.

After exposure, a multivalent antigen links adjacent IgE molecules, activating and degranulating mast cells.

Question 24

allergic reaction route of transmission

Answer 24

nontransmissable

Question 25

herpes zoster

Answer 25

shingles/chicken pox

Question 26

herpes zoster signs and symptoms

Answer 26

dewdrops on a rose petal, fever, malaise, pruritic, pain
maculopapular > vesicles >
pustules > crusted lesions

Question 27

herpes zoster etiology

Answer 27

varicella-zoster virus

Question 28

herpes zoster route of transmission

Answer 28

respiratory secretions or contact w/ fluid from vesicles; after initial infection, dormant
virus reactivation from cranial nerve sensory ganglia and
spinal dorsal root ganglia

Question 29

tinea corporis

Answer 29

fungal infection

Question 30

tinea corporis signs and symptoms

Answer 30

ring-shaped lesions w/
advancing scaly border and central clearing/scaly
patches with a distinct border, itching, burning, stinging, superficial cracks, macerated skin

Question 31

tinea corporis etiology

Answer 31

fungal organisms

Question 32

tinea corporis route of transmission

Answer 32

direct contact

Question 33

eczema signs and symptoms

Answer 33

pruritic, macular and/or
papular rash w/ a distinct presentation in different
ages/races, intermittent exacerbations w/ familial, environmental and emotional components

Question 34

eczema etiology

Answer 34

increased skin sensitivity and

characteristic manifestations

Question 35

eczema route of transmission

Answer 35

nontransmissable

Question 36

kaposi sarcoma signs and symptoms

Answer 36

occurs largely in gay men w/ HIV infection as an AIDS-defining illness, red or purple plaques or nodules on skin or mucous membranes

Question 37

kaposi sarcoma etiology

Answer 37

Herpes virus 8(HHV-8)

Question 38

kaposi sarcoma route of transmission

Answer 38

HHV-8 may be present in

saliva and other body fluids

Question 39

past history in patient encounter

Answer 39

includes pertinent negative associated symptoms, pertinent positive and negative non-symptom data,pertinent Past Medical History (PMHx),Past Social History (PSHx),Family History (FHx),Social History ( SocHx)