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Year 1: 2019 PCM I Midterm > Lecture 4-5: Interview Basics > Flashcards

Lecture 4-5: Interview Basics Flashcards

1
Q

What are the laws of personal space?

A

Intimate: 1.5 feet away
Personal: 4 feet away
Social: 10 feet away

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2
Q

What are some active listening skills?

A 
Smile
Eye Contact
Posture
Mirroring
Minimize Distraction
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3
Q

At what grade level should patient education material be written at?

A

6th grade level

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4
Q

What is a Patient Centered Medical Home (PCMH)?

A

Model of care that allows patient and sometimes their families be a partner in the treatment plan

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5
Q

What does SOAP note stand for?

A

Subjective: what the patient says about the history
Objective: physical findings (physical exam, structural findings, laboratory, and radiology data)
Assessment: Potential Diagnosis
Plan: What a clinician decides, How to treat, and any OMT performed

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6
Q

What is included in Subjective part of SOAP Note?

A 
Chief Complain
History of Present Illness (HPI)
Review of System (ROS)
Past Medical History (PMH)
Past Surgical History (PSH)
Medications (Meds)
Allergies (All)
Family History (FH)
Social History (SH)
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7
Q

What is included in Objective part of SOAP Note?

A

Physical Findings (including Vital signs)
Laboratory Data
Radiology Data

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8
Q

What is included in Assessment part of SOAP Note?

A

Differential Diagnosis listed in most likely to least likely

-assessment not always diagnosis

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9
Q

What is included in Plan part of SOAP Note?

A

What clinician plants to do about problems identified in assessment

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10
Q

What does the mnemonic OLD CAAARTS stand for?

A 
Onset: when did it start
Location
Duration: constant or comes and goes 
Character
Alleviating Factors: Anything else about CC
Aggravating Factors
Associated Symptoms
Radiation
Timing: when is symptom more likely to happen
Severity: Scale of 0-10
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11
Q

What is included in PMH?

A

Hospital Stays
ER Visits
Chronic Conditions/Illnesses

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12
Q

What is included in PSH?

A 
Any operations (including Cesarean sections)
-Dental surgeries and sutures don't count
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13
Q

What is included in medication?

A

Prescription Drugs
OTC Drugs
Supplements

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14
Q

What is included in allergies?

A

Meds, Environmental, Food

-include reaction

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15
Q

What is included in family history?

A

Parents, siblings, kids

-chronic conditions, cancers, mental health issues, etc

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16
Q

What does the mnemonic FED TACOS cover in social history?

A 
Food 
Exercise
Drugs
Tobacco
Alcohol 
Caffeine
Occupation
Spirituality
Sexual Relationships
17
Q

Which components of social history must be covered in every encounter?

A

Drugs: Quantity, frequency, route of administration
Tobacco: Quantity, duratio, pack years,
Alcohol

18
Q

The CDC recommends how many minutes of moderate activity?

A

150 minutes

19
Q

What does the USPSTF recommend in men ages 65-75 who have ever smoked?

A

Screening for Abdominal Aortic Aneurysm with ultrasonography

20
Q

What does the USPSTF recommend for adults ages 55-80 who have a 30 pack year smoking history and has currently smoked or quit in the past 15 years?

A

Lung Cancer Screening

21
Q

What is a pack year?

A

Number of packs smoked per day x number of years smoked

Example: If a person smokes 1.5 packs a day for 40 years, pack year is 60.

22
Q

What are CAGE questions?

A

Screening for Alcohol Usage

  1. Has anyone suggested you CUT BACK?
  2. Are you ANNOYED when people talk to you about your drinking?
  3. Do you ever feel GUILTY about your drinking?
  4. EYE OPENER: Do you ever need a drink in the morning to steady your nerves?
23
Q

For women and adults over the age of 65, what is considered low-risk drinking?

A

No more than 3 drinks a day

No more than 7 drinks per week

24
Q

For men, what is considered low-risk drinking?

A

No more than 4 drinks a day

No more than 14 drinks per week

25
Q

What is considered a drink?

A

Beer: 12 oz
Wine: 5 oz
Liquor: 1 ounce

26
Q

What does the mnemonic FICA cover in spirituality and religion?

A

F: Faith and belief
I: Importance
C: Community
A: Address in care

27
Q

What are good questions to ask about safety?

A 
Seatbelt Use
Helmet Use
Car Seats
Fences 
Medication Storage
Immunizations
28
Q

What does the mnemonic SAFE cover in domestic violence?

A

S: Stress/Safety
A: Afraid/Abused
F: Friends/Family
E: Emergency Plan

Year 1: 2019 PCM I Midterm (16 decks)

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