Medical Hx

Question 1

what is a “directive” question?

Answer 1

Good question type
“when did it start?”
“where does it hurt?”

Question 2

what is a “leading” question?

Answer 2

Bad

“you’ve never had any surgeries, right?”

Question 3

what is a “laundry list” question?

Answer 3

Good

“how would you describe the pain- sharp, dull, cramp?”

Question 4

what is a “multiple” question?

Answer 4

Bad

“have you had any illness, injuries, hospitalizations?”

Question 5

what are the 3 benefits of summarization?

Answer 5

acknowledgement
verification
correction (if needed)

Question 6

what is the purpose of transitional statements?

Answer 6

orient pt
establish flow of interview
provide organizational framework

Question 7

what is the purpose of eliciting chief concern(s)?

Answer 7

understand reason(s) for visit, elicit other concerns, develop and then negotiate agenda

Question 8

3 reasons why pts seek care

Answer 8

unbearable sx
anxiety about sx
“ticket” into office for totally different reason

Question 9

what are the 6 goals of the HPI?

Answer 9

explore the problems
obtain correct info
generate ddx
recognize patterns 
provide structure to visit 
understand pts perspective

Question 10

what are the 7 attributes of the HPI?

Answer 10

chronology
location
qulaity
severity
context
provocation/palliation
assoc sx

Question 11

what is FIFE?

Answer 11

feelings
ideas
functioning, effect on
expectations

Question 12

8 elements of past medical hx

Answer 12

illness, injuries, hospitalizations, surgeries, meds, allergies, other providers, immunizations

Question 13

hereditary diseases

Answer 13

sickle cell, BRCA

Question 14

familial clustered diseases

Answer 14

atopy, DM, HLD

Question 15

familial traits

Answer 15

short stature

Question 16

concurrent illnesses with family

Answer 16

toxins, infections

Question 17

6 elements of social hx

Answer 17

demographics
tobacco, etoh, rec drugs
nutrition, diet 
exercise, daily activities 
relationships
spirituality/beliefs