M1 Ch 2-5 Flashcards
A 20yr Old patient presents to the office for a wellness exam. The clinician assesses the patient’s use of seat belts. Which component of the wellness exam is assessed?
a. HPI
b. PMH
c. assessment and plan
d. Anticipatory guidance
d. Anticipatory guidance
Which of the following is NOT an element of history taking?
a. CC
b. Fam hx
c. Physical examination
d. HPI
C. physical examination
Patient presents to the office with shoulder pain. Pain is constant, burning, and reported worse at night. During the patient interview, the Clinician asks the pt "Can you tell me what you have been doing for your shoulder pain" The clinician is asking info about? a. Modifying factors b. quality c associated signs and sx d. health promotion
a. modifying factors
What id the difference b/w an open-ended question and a closed-ended question?
a. OE question are answered with yes or no. CE are answered with more detail
b. OE questions have more details than simple yes or no answers
c. OE questions refer only to the physical exam section of CE questions refer only to the history collection
d. The only difference b/w the two is the timing of when the questions are asking
B. Open-ended questions have more details than simple yes or no
A set of EB recommendations for preventative services were developed by which agency?
a. U.S Agency of Health and Human services?
b. U.S Institute of Medicine Task Force
c. U.S Preventative Services Task Force
d. U.S Center for Health and Wellness
c. U.S Preventative Services Task Force
An established pt presents for a f/u visit for her stable HTN. During this visit, the clinician can update the ROS, PMI, Fam hx and social hx by simply stating the info was reviewed and updated from the previous encounter.
a. true
b. false
a. true
What vaccines would you recommend for a 70 year old pt to receive at a wellness exam?
a. varicella, TD, zoster, pneumococcal
b. TD. zoster pneumococcal
c. flu, zoster. Tdap, pneumococcal, zoster
d. Nasal flu mist, TD, varicella
c. flu, zoster, tdap, pneumococcal, Zoster
When considering hx collection during a wellness exam, which statement below is NOT correct?
a. Wellness exams do not require a cc
b. Wellness exams are age and gender appropriate
c. Wellness exams include counseling and anticipatory guidance
d. Wellness exams are based on a presenting problem.
d. Wellness exams are based on a presenting problem
Which is TRUE about the use of screening tools to assess depression?
a. screening tools like PHQ-2 and PHQ-9 are recommended and evidence based.
b. screening tools should be used only when the clinician is short on time for the visit
c. screening tools like PHQ-2 and PHQ-9 are not to be used during wellness exams
d. screening tools like PHQ-2 are too short to be effective assessment
a. screening tools like PHQ-2 and PHQ-9 are recommended and evidence based.
Wt obtained during a patient’s chronic management f/u visit for HTN finds the pt has increased 10;b over the past year and the her BMI is considered morbidly obese. During the visit, the clinician should place greater emphasis on?
a. physical exam findings
b. lifestyle modifications
c. updating social hx
d. management of HTN
b. lifestyle modifications
Which is true about the impact of family on an individual’s health?
a. Family has little impact on an individuals health
b. Family has a negative impact on an individual’s health.
c. Family systems can impact on individuals health and wellness needs
d. Family systems are unlikely to impact healthy individuals
c. Family systems can impact on individuals health and wellness needs
How does a clinician BEST assess the impact of an individual’s community on his or her health?
a. Assess the environment and location where the patient was born and raised.
b. assess whether the patient has any medical conditions affecting his or her health.
c. ask the patient if he or she has any community or cultural concerns.
d. ask about where the person resides, works, learns. plays. worships, and connects width others.
d. ask about where the person resides, works, learns. plays. worships, and connects width others.
What are health disparities?
a. differences attributed to an individual’s health behaviors
b. differences in illness, injury, disability, or mortality experienced.
c. greater burden of implicit bias experienced
d. greater burden of overt bias experienced
b. differences in illness, injury, disability, or mortality experienced.
Which is true about the assessment of population health?
a. Assessments of the health of a population can lead to positive impact within communities.
b. Assessments of the health of a population often lead to clinician burnout.
c. Initiatives to improve health are unlikely to be effective at a community or population level.
d. Initiative to assess population health are better if completed by organizations like the CDC, rather than clinicians
a. Assessments of the health of a population can lead to positive impact within communities.
Culture can be defined by
a. beliefs and behaviors only
b. physical characteristics
c. race or ethnicity only
d. race ethnicity, geography, language, values beliefs and behaviors.
d. race ethnicity, geography, language, values beliefs and behaviors.