Topic 1 - Examination of the Clothed Patient

Question 1

What things should you consider before starting an exam?

Answer 1

• Do any special precautions need to take place?
• Do I need any more information before undertaking treatment?
• If the patient had a acute flare of their condition while under my care, would I know what to do?

Question 2

How can you ask about medical history?

Answer 2

• Do you consider yourself fit and well?
• Do you see a GP regularly for any health problem?
• Are you seeing any specialists for treatment?
• Have you had any past or recent hospital admissions or operations? Or future ones planned?

Question 3

What is another name for Review of Systems?

Answer 3

Systems Inquiry. 2-3 questions you can ask about each bodily system to identify any underlying undiagnosed health problems

Cardiovascular system - chest pain, pain on laying down, any palpitations

Respiratory system - wheezing, persistent cough, productive cough

GI system - vomiting/diarrhoea/constipation?, do you choke on any liquid or solid food, any weight loss, any abdominal pain, any blood or mucus in stools?

MSK - do your joints swell, joint stiffness or locking

Neuro - any fits or faints, headache, visual disturbance, weakness or odd sensations

Question 4

Which medications should you ask about?

Answer 4

Any prescribed, any purchased OTC, any recreational or illicit, any recently stopped

Question 5

After asking about the meds a patient is on, what should you ask about?

Answer 5

If they’ve experienced allergies or adverse drug reactions. What happened and what action was taken.

Question 6

What is the medic alert bracelet?

Answer 6

A band a pt wears sometimes that gives info on health conditions that the patient has.

Question 7

Lymphadenopathy - pg 41 and 42