Week 4 Human Behavior

Question 1

Religion vs. Spirituality

Answer 1

Religion has collective strict approach WHILE Spirituality has individual broad aproach

Question 2

Challenges to doing conclusive research on the influence of spiritual beliefs and practices

Answer 2

Defining what to measure Asking a researchable question How to measure The control group All religions are not the same.

Question 3

3 types of stains

Answer 3

Differentiate Basic vs. Acidic

Specialized stains to distinguish fibrous cytoskeleton components

Metalic salts that precipitate

Question 4

Acidic vs. Basic stains

Answer 4

Question 5

Classic blood stain

Answer 5

Wright and Giemsa

Question 6

Most common stain used in histology

Answer 6

Hematoxylin and Eosin

Nucleus, rER - blue;

Cytoplasm - varying shades of red;

Collagen - very pale pink;

Cartilage and calcium deposits - dark blue;

Red blood cells - bright red

Question 7

HPI

Answer 7

History of Present Illness

OLDCARTS: Onset Location Duration Characteristics Aggravating Factors Relieving Factors Treatment

Question 8

PMH

Answer 8

Past medical history

MASHI: Medications, surgeries, allergies, hospitalizations, immunizations

Question 9

Fam Hx

Answer 9

Family history

CHADS: Cancer, Heart&Hypertension, Astma, Diabetes, Stroke

Question 10

Soc Hx

Answer 10

Social history:

SODAS: Smoking, occuptation, diet&drugs, alcohol, sexual history

Question 11

ROS

Answer 11

Review of systems: Head to toe

Question 12

The introduction

Answer 12

Introduce yourself

Explain who you are

Explain the purpose of the interview/exam

Ask for permission to proceed

My name is Pawel and I am a first year medical student working in the clinic today with Dr. X. I will be taking your initial history and doing a physical exam, if that is okay with you

Question 13

Taking history

Answer 13

Comfort for all involved

Remove physical barriers

Sit down

Good lightin

Privacy

Noise level

Clock

Introduce other in the room

Address patient properly

Courteous

Eye contact

Respect symptomps e.g. pain

Avoid assumptions / leading questions

Flexible

Simple language

Spare notes

Clarify responses with where, when, what, how, and why

Verify

Question 14

Sensitive issues

Answer 14

Be comfortable and direct

Ensure privacy

Explain why

No preaching

Respect if patient refuses

Question 15

H&P

Answer 15

Legal Document about history and exam

Communication method

Question 16

HPI (from class)

Answer 16

O – onset – “when did it start?”

P - provocation/palliation – “anything make it better or worse?”

Q – quality – “what do you mean by ‘tired’?”

R – radiation – (best for pain) “does the pain radiate anywhere?”

S – severity – “how bad is it on a scale of 1-10…” or “what can you do now vs what could you do before this started?”

T – timing – “when did this start?”

Question 17

HPI beggining

Answer 17

X is a X yo gentleman with PMH of X prior who presents with the chief complaint of X.