Physical Exam and Clinical Reasoning
Interviewing and Health HX
Physical exam, vitals, and pain
Behavior and mental status
Skin, hair and nails and HEENT
100
When is a comprehensive assessment done?
What is on a new patient
100
A skilled interviewer would have what type of demeanor?
What is calm
100
Components of the general survey include what?
What is general appearance and height and weight
100
a mental disorder of a type involving a breakdown in the relation between thought, emotion, and behavior, leading to faulty perception, inappropriate actions and feelings, withdrawal from reality and personal relationships into fantasy and delusion, and a sense of mental fragmentation would indicate what?
What is schizopherenia
100
The texture of skin in a patient with hypothyroidism would be what?
What is dry and rough
200
The patient rated their pain at a 10 is known as what type of data?
What is subjective
200
Briefly summarizing what you heard from a pt in the first 5 minutes and then trying to have the pt focus on one aspect of what he/she told you is a helpful technique to use with what types of patients?
What is talkative patients
200
What can create a false high blood pressure reading?
What is Blood pressure cuff is tightly fitted
200
A disorder characterized by failure to recover after experiencing or witnessing a terrifying event is known as what?
What is PTSD
200
A small, slow-growing, noncancerous bump beneath the skin is most likely a?
What is sebaceous cyst
300
Clear, complete, and chronological account of problems prompting a pt to seek care is known as?
What is Present illness
300
When a patient is describing a very person part of their medical hx to you how should you react
What is giving the pt your full attention and eye contact
300
When you palpate the pulse of your CHF patient, what would you expect to feel?
What is small amplitude and weak
300
sensations that appear to be real but are created within the mind. Examples include seeing things that are not there, hearing voices or other sounds, experiencing body sensations like crawling feelings on the skin, or smelling odors that are not there.
What is halluncinations
300
This is an inner ear disorder thought to be caused by a buildup of fluid and changing pressure in the ear. It can cause episodes of vertigo along with ringing in the ears (tinnitus)
What is Menieres Disease
400
Abdomen is soft and tender to palpation in the right upper quadrant with inspiration to the point of stopping inspiration and there is no rebound or guarding. This description would be consistent with what dx?
What is cholecystitis
400
A patient comes in and continues to have consistently high blood pressure readings in the office but tells you when he takes them at home they are normal. How would you respond?
What is Questioning the accuracy of his measurements
400
a rapid flow of thought, manifested by accelerated speech with abrupt changes from topic to topic: a symptom of some mental illnesses, especially manic disorder is known as what thought process?
What is flight of ideas
400
A noncancerous skin condition that appears as a waxy brown, black, or tan growth that is slightly elevated.
What is seborrheic keratosis
500
A history of significant rheumatoid arthritis is consistent with what pathologic process?
What is Inflammatory
500
What should your first sentence be after greeting a pt who has come in to the office for arm pain?
What is Could you please describe to me what happened
500
A body builder who is very lean says he has gained 2 pounds in 6 months and was told by his life insurance company he was obese. In his assessment you found no problems. What would you do next?
What is Measure his waist
500
if a patients states that if would be better if he/she was not here you would need to assess?
What is his/her suicide risk
500
is a bulging of the eye anteriorly out of the orbit.
What is exophthalmos
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