Introduction

Question 1

Medicine -

1. delivery of care involves?
2. Science is?
3. Art is?

Answer 1

1. science and art of med.
2. basic/ clinical sciences
3. Communication skills.
   verbal/non-verbal: body language.

Question 2

1. single most important skill in medicine is?
2. This begins with?
3. Humunistic care, explain?

Answer 2

1. interviewing skills(first step to building a good relationship)
2. Diagnose and treatment
3. You want to be able to care for the pt as a whole as youre in primary care setting not just refer them to a psycologist if theyre dealing w. mental health issues. you want to care for it all as much as you can.

Question 3

failing to follow good interview skills can lead to ?

Answer 3

taking inaccurate history leading to inaccurate diagnosis.

Question 4

w/ pt provider bond…pt would be ? leading to?

Answer 4

unable/unwilling to share info….unable to provide best care holistically.

Question 5

Medical interview from a pt perspective: what are the pt is expecting?

Answer 5

1. trust/ confidentiality
2. adherence (pt compliance)
3. Complete education(sci and art) they need to know what your talking about and need to be content with it.

Question 6

Majority of info needed to make a clinical dx comes from? why?

Answer 6

taking their HISTORY, why pt is there.

SOAP notes; subjective portion = what the pt feels, views, perspective on their own illness. = med hx

Question 7

Interview process/ex:

vs. content

Answer 7

Process: HOW youre doing/ saying something
ex: (old carts) 
onset, 
location, 
duration, 
character, 
alleviating factors, 
reliving factors, 
timing, 
severity.
 "when did it start, where is the pain, how long as it been going on, is it sharp/ dull, what makes it worse/ better, when does it go/come, scale 1-10". 

Content: WHAT you’re doing/saying
Repeating what they said. Giving them time, you care about whats going on.

Question 8

The SOAP Note:

1. Chief complaint =
2. HPI=
3. If you cant get hx from reason what you should do?
4. Parts you need to always have??

Answer 8

1.why is the pt here?
straight forward, “quotes”, one sentence.
2. Hx Present illness

3. Not able to obtain pt is in coma/bleeding out/ never been to a doc.
4. chief comp, hpi, physical exam

Question 9

Goals for interview:
1.
2.
3.
4.
5.

Answer 9

1. have your goals BEFORE you see pt.( what do you know about their hx, or info from MAs/nurse)
2. gather info
3. give pt info so they better understand their illness.
4. reduce their stress/ help them understand their treatment.
5. support/direct pt w. treatment

Question 10

Conditions of the interview:

List a few factors that are influence the interview

Answer 10

1. location(office/er aka privacy)
2. Length of time it could take
3. seating/standing arrangments
4. will note taking be possible?

Question 11

info BEFORE interview
1.
2.
3.
4.
5.
6.
7.
8.
"think of new pt packet"

Answer 11

1. name
2. sex
3. age
4. race
5. job/religion(how to reat and still allow them to work. religion can preclude them from certain treatments)
6. visit reason
7. hx on pt
8. previous pcp (doc hop/shop, idea of wht pt wants/expects)

Question 12

Major parts of interview:
1.
2.
3.
4.
Now provider will comes in

Answer 12

1. introduce yourself
   “ hello, ms.jones Im Raisa Mahmood a PA student @ university of La Verne.
2. purpose of interview
3. gather data
4. termination of interview
   “ ty ms.jones I got all the information from you (repeat it back) I am going to talk to my preceptor and we will be back with you shortly to complete your exam”
   Provider will then perform physical exam

Question 13

First step to prevent mal practice

Answer 13

Dont promise more than you can deliver

Question 14

Reliability may vary due to
1.
2.
3.

Answer 14

1. pts, memory, trust, mood
2. pts was vauge, details were confusing
3. reliable historian ( unable to provide reliable info)

Question 15

Present illiness (HPI)

Answer 15

What is happening today?

Amplifies Chief Complaints, includes pts thoughts and feelings about illness.

Question 16

Past Hx (PMHx)
1.
2.
3) 4 sections?

Answer 16

1. childhood/adult illnesses
2. immunizations, screening, home safety
   3)) 4 sections:
   (medical, surgical, ob, psych)

Question 17

social hx examples

Answer 17

dietary, sleep patterns, exercise, caffeine, recreational drugs, alcohol, smoking, sexual

Question 18

General question examples

Answer 18

Weight changes
weakness/ fatigue 
fever/ chills
appetite
sleeping habits

Question 19

Skin observations examples?
1.
2.
3.
4.

Answer 19

rashes
lumps
color changes
bleeding

Question 20

Neuro observation examples
1.
2.
3.

Answer 20

headaches
dizziness
Trauma

Question 21

Eye observation examples
1.
2.
3.
4.

Answer 21

1. burry vision
2. vision loss
3. Pain,redness,discharge
4. Diplopia

Question 22

Ear observation examples
1.
2.
3.
4.

Answer 22

1. hearing loss
2. earache
3. discharge
   4 tinnitus

Question 23

Nose/ sinuses
1.
2.

Answer 23

1. Rhinorrhea
2. Sneezing
3. prob w. smell

Question 24

Mouth/ throat
1.
2.
3.

Answer 24

1. dental hx
2. horseness
3. sore throat
4. bleeding
5. oral ulcers

Question 25

Neck/ throat observations
1.
2.

Answer 25

1. lypmh nodes

2. neck, stiffness

Question 26

Breast observations:
1.
2.
3.
4.

Answer 26

1. cysts
2. tumors
3. cancers
4. pain

Question 27

Lungs observations:
1.
2.
3.
4.

Answer 27

Dyspnea
cyanosis - blue lips
Bronchitis
wheezing.cough.chest pain

Question 28

Heart blood vessels observations:
1.
2.
3.

Answer 28

1. orthopnea - diff breathing
2. Varicosities - varisose veins
3. Palpations

Question 29

gastro observations;
1.
2.
3.

Answer 29

1. anorexia
2. Nausea
3. heartburn

Question 30

Genitourinary Tract observations:
1.
2.
3.

Answer 30

1. blood in urine
2. freq
3. kidney stones

Question 31

Gynecological:

GPAL

Answer 31

G Gravida # preg
P Para # of delivers
A Abortions
L Living Children

Question 32

Termination of Interview( 4th step)

Answer 32

summarize you understand the pt
summarize pts complaint
encourage pt to respond to what notes you have gathered
Tell them youre going to speeak to pt and how long it will be