Pertinent Negative Examples

Question 1

ABDOMINAL PAIN

Answer 1

Nausea, vomiting, diarrhea, constipation, blood in urine/stool, dysuria, and ulcer disease

Question 2

BACK PAIN/FLANK PAIN

Answer 2

Dysuria, blood in urine/stool, difficulty urinating, urinary frequency, nausea, vomiting, abdominal pain, fever, chills, numbness/tingling in the extremities, and neck pain

Question 3

CHEST PAIN

Answer 3

Jaw discomfort, neck pain, extremity discomfort, diaphoresis, SOA, abdominal pain, nausea, vomiting, and numbness/tingling in extremities

Question 4

HEADACHE

Answer 4

Visual changes, confusion, numbness/tingling in extremities, neck pain, fever, and chills

Question 5

PSYCHIATRIC

Answer 5

Suicidal ideations, homicidal ideations, visual/auditory hallucinations, difficulty sleeping , paranoia, and anxiety

Question 6

SOA

Answer 6

Generalized weakness, numbness/tingling in extremities, chest pain, syncope, cough, congestion, fever, and chills

Question 7

STROKE-LIKE

Answer 7

Headache, visual changes, confusion, peripheral/focal weakness, numbness/tingling in the extremities, facial droop, and slurred speech/changes in speech

Question 8

SYNCOPE/DIZZINESS/WEAKNESS

Answer 8

Chest pain, palpitations, SOA, abdominal pain, nausea, vomiting, confusion, loss of consciousness, headache, dysuria, blood in urine/stool, fever, chills, and earache (especially w/ dizziness)

Question 9

TRAUMA/FALLS

Answer 9

Headache, visual changes, loss of consciousness, neck pain, back pain, chest pain, SOA, abdominal pain, nausea, vomiting, saddle anesthesia, numbness/tingling, and bladder/bowel incontinence