Chief Complaint
Response for: What brings you in?
What is: "I've lost some weight."
When asked any associated symptoms/any other problems,” the SP will say:
What is: "Like what?"
Response for: Any surgeries?
What is: "No."
Response for: Occupation
What is: "I work at the research desk in the library."
All PE items must be performed on ________________.
What is: "Skin."
Response for: ONSET
What is: “I’m not really sure. When I was at my doctor 3 months ago, I was a lot heavier.”
Which of these is not an AS checklist item?:
-Increased Thirst; Change in Appetite; Fatigue; Numbness/Tingling; Change in Urination
What is: "Fatigue (Yes, I'm tired all the time)"
Response for: Medications?
What is: “I take a multivitamin once per day when I remember.”
Response for: Exercise
What is: “I walk at the library but I don’t have an exercise regimen.”
When auscultating the heart (on skin), the 4 correct areas are: _________________________________________________
What is: "aortic, pulmonic, tricuspid and mitral areas."
Response for: TOTAL WEIGHT LOSS/QUANTITY OF WEIGHT LOSS
What is: "About 17 pounds."
Response for: Any increased thirst? (do you feel more thirsty than usual?)
What is: "Yes."
(if asked, how much water do you drink on a daily basis?: "I'm not sure ... maybe 2 or 3 liters of water a day.")
Response for: Any past medical history?
What is: "No - I've been pretty healthy."
Response for: Diet/Tell me about your diet.
What is: “I prefer protein over other stuff but I do have a sweet tooth - I eat dessert after dinner every day.”
Which of the following is NOT a PE checklist item:
Palpate Thyroid; Auscultate Heart; Auscultate Lungs; Inspect Feet; Palpate Lower Extremity Pulse; Osteopathic Structural Exam
What is: "Auscultate Lungs."
Response for: Describe the problem./Causation.
What is: "I don't really understand it. I haven't changed anything in my daily life and I am losing weight."
Response for: Any change in appetite?/Increased Hunger?
What is: "Yes, I feel more hungry than usual."
Response for: Last doctor visit?/Last physical?
What is: "“I had a routine physical 3 months ago. I was given a order for blood work but haven’t gotten it done yet.”
Response for: Sleep Problems/Habits
What is: “I can easily sleep 9 or 10 hours a night these days, and I’m still tired – like I haven’t got enough energy.”
In order for the learner to get credit for an OSE, they must _____________________________________________
What is: "announce/verbalize that they are performing an OSE."
Response for: Tell me more about that.
What is: "I'm losing weight and I wasn't even trying."
Response for: Any numbness/tingling?
What is: "Occasionally it feels like my feet are burning, but it's not always there."
Response for: Family Medical History
(For game purposes, give the entire family medical history.)
“Mother, living, has diabetes, high blood pressure and had a stroke a few years ago.
“Father died of a heart attack at 66 yo - had high blood pressure and diabetes.”
(If asked, Siblings?: “I have 3 siblings. My oldest brother has high blood pressure and diabetes. My younger brother and sister are both healthy as far as I know.”)
(If asked, Grandparents? – “I don’t know too much about them except that on both sides they had diabetes.)
Note: Mom, dad AND siblings must be elicited for credit for FMH checklist item
Response for: Typical day of eating/Tell me more about your diet.
What is:
"Breakfast is bacon, egg and cheese on a croissant or bagel;
Lunch is deli style sandwich with lots of cold cuts and cheese;
Dinner is usually chicken or steak, sometimes fried fish and rice and some vegetable.
Dessert is usually ice cream sundaes; occasionally eat a candy bar as a snack midday."
The two lower extremity pulses that are accepted for checklist #14 credit are:
What is: "Dorsalis Pedis Pulse (top of foot) & Posterior Tibialis Pulse (behind the ankle, medial side)."