Pocet Patient Consultation

Question 1

What is the standard structure of a history?

Answer 1

Presenting complaint
History of PC
Patient Perspective
PMH
Drug and allergy History
Immunisation History
Family History
Social History
Systematic Enquiry

Question 2

What are the 3 things you want to achieve from the history portion of a consultation?

Answer 2

Sequence of events
symptom analysis
relevant systems review

Question 3

What are the 3 things you want to achieve from the patients perspective in a consultation?

Answer 3

ICE
effects on QoL
Feelings

Question 4

what is ICE

Answer 4

Ideas
Concerns
Expectations

Question 5

What are the 3 things you want to achieve from the background information portion of a consultation?

Answer 5

Past medical history
Drug and allergy history
Family history
Social history
Review of systems

Question 6

What are the 7 steps for a general consulation?

Answer 6

History
Patient perspective
Background info
Physical examination (if required)
Differential diagnosis and/or problem list
Plan of management
Explanation and planning

Question 7

What are the 6 components of a history?

Answer 7

Presenting complain
History of presenting complaint
Previous medica/surgical history
Drugs and allergies
Family history
Social History

Question 8

what would you want to know by the end of presenting complaint?

Answer 8

Cause for presentation/most important symptom
Duration of that symptom

Question 9

What is an aid you can use for pain during the history of presenting complaint?

Answer 9

SOCRATES

Question 10

What does SOCRATES stand for

Answer 10

Site
Onset
Character
Radiation
Associated symptoms
Timing
Exacerbating/relieving factors
Severity
Functional consequences

Question 11

What would you want to find out during the previous medial/surgical history?

Answer 11

Notable illness/surgery/ GP managed long term condition
Notable adverse events/problems during management of illness

Question 12

What is an aid for PMH?

Answer 12

JAM THREADS

Question 13

What does JAM THREADS stand for?

Answer 13

Jaundice
Anaemia + other haematological conditions
Myocardial Infarction
TB
Hypertension and heart disease
Rheumatic Fever
Epilesy
Asthma + COPD
Diabetes
Stroke

Question 14

During a consultation what would you want to find out about drugs?

Answer 14

Name
Dose
Frequency
Route
Indication
Concordance
- Prescription medicines
- Over the counter medicines
- Complementary/alternative medicines
- Recreational drugs

Question 15

During a consultation what would you want to find out about allergies?

Answer 15

Allergens
Effect
Other sensitivities/significant adverse or sensitivities to medicines

Question 16

During a consultation what would you want to find out during the family history?

Answer 16

From 1st degree relatives
- age + current health/cause of death/age of death
- details of notable illness
Move onto extended family if strong FH and correlation

Question 17

What would you want to inquire about during a social history?

Answer 17

Social circumstances
Household members if relevant
Work circumstances
Driving status
Physical activity
Diet
Smoking
Alcohol
Substance abuse/recreational drugs
Hobbies
Pets
Overseas travel

Question 18

What are the symptoms you would inquire about during a general systematic enquiry?

Answer 18

Fatigue/malaise
Fever/rigors
Weight/appetite
Skin - rashes/bruising/bleeding
Sleep disturbance
Thirst
Pruritus
Night sweats
Neck swelling/lumps

Question 19

What are the symptoms you would inquire about during a respiratory systematic enquiry?

Answer 19

Cough
Sputum
Haemoptysis
Dyspnoea - SOB
Wheeze
Chest pain
symptoms of sinusitis - blocked nose, nasal discharge, facial pain, reduced smell
Earache
Sore Throat

Question 20

What are the symptoms you would inquire about during a Cardiovascular systematic enquiry?

Answer 20

Chest Pain
Dyspnoea - at rest/ on exercise/ orthopnoea/ paroxysmal nocturnal
Palpitations
Ankle oedema
Varicose veins
Claudication