Systems Review Questions

Question 1

Neurology questions? (6)

Answer 1

Fits, faints, funny turns, blackouts, dizziness or confusion
Headaches (Yes: Rash, fever, neck stiffness)
Muscle weakness, numbness or tingling
Vision changes
Hearing changes
Olfactory changes

Question 2

Cardiovascular questions? (5)

Answer 2

1. Chest pain (may just be odd sensation)
2. Palpitations
3. Breathlessness: rest, exertion, nocturnal, on standing (orthopnoea)
4. Cramp-like pains on walking or running (Claudications)
5. Ankle swelling

Question 3

Respiratory questions? (4)

Answer 3

SOB
Cough - what brings it on?
Sputum/colour
Haemoptysis

Question 4

Gastrointestinal questions? (10 - One is 3 mini questions, One is 6 mini questions)

Answer 4

Appetite 
Dysphagia
Nausea/Vomiting/Haematemesis
Weight change (up OR down)
Indigestion/reflux
Abdominal pain
Bowel habits: recent change, constipation, diarrhoea, colour, smell, consistency/shape
Rectal bleeding
Rectal mucus
Tenesmus (feeling of incomplete voiding)

Question 5

Genito-urinary questions? (11, Genito then Urinary)

Start with what functions should occur regardless of pt choice, then on to functions of choice

Answer 5

Last menstrual cycle: Date of first day
Menstruation: duration, flow heaviness, clots, pain
Extra bleeding: Post-coital or intermenstrual bleeding
Vaginal discharge
Dyspareunia (“difficult/painful intercourse”)

Storage:
Frequency
Volume
Urgency (incontinence)
Nocturia

Infection:
Dysuria
Haematuria

Prostatism:
Flow, hesitancy, terminal dribble

Question 6

Mental health questions? (8)

Think, what are the three essential things that dictate if we can feel up to going to work.

Answer 6

Mood
Sleep
Energy
Concentration levels
Enjoyment of life
How do they see the future 
Thoughts of harming themselves or others
Hallucinations (auditory or visual)

Question 7

Musculoskeletal questions? (6)

Answer 7

Pain
Swelling
Stiffness
Redness of joints
Warmth of joints
When do symptoms occur

Question 8

Dermatological questions? (4)

Answer 8

Itching
Rashes
Lumps
Bumps

Question 9

Ear, nose and throat symptoms?

We will ask them all together because they are all often involved in manifestation of a condition

Answer 9

Are you feeling this right now?

Ear:

1. Hearing loss
2. Tinnitus
3. Otalgia

Nose:

1. Rhinorrhoea
2. Epistaxis

Throat:

1. Sore throat
2. Odynophagia (painful swallowing)

Question 10

General questions to ask for every sign?

Answer 10

Time frame:
1. When it started

2. Acute or gradual onset
3. Duration - still have it?
4. Progression
5. Intermittent or continuous