Symptom Attributes
Difficult Conversations
Specificity vs Sensitivity
Us Old People
Definitions
100

"Throbbing" or "Burning

What is Quality

100

The 6-step protocol for disclosing serious news to patients (p. 56)

What is the SPIKES protocol

100

A highly _____ test means that there are few false positive results

What is specific?

100

Falls, Urinary Incontinence, Frailty, Cognitive Impairment

What are the four most important geriatric syndromes to screen for?

100

A decline in memory and cognitive ability that interfere with ADLs

What is dementia?

200

"Does anything make it better"

What is modifying factors

200

A set of well-documented techniques that improve health outcomes, esp for patients with substance abuse

What is motivational interviewing

200

A highly _______ test means there are few false negative results

What is sensitivity?

200

Women at age 75

What is the age that women of average risk can stop being screened using mammograms?

200

A set of unconscious beliefs or associates that lead to a negative evaluation of a person on the basis of their perceived group identity

What is implicit bias?

300

"When the pain comes I get nauseated"

What is associated manifestations

300

A technique for communicating with other team members and health professionals

What is SBAR?

300

The highly specific and sensitive single question you can ask to determine illicit drug use

How many times in the past year have you used an illegal drug or used a prescription medication for nonclinical reasons?

300

Women over age 65 may be able to stop screening for _________ cancer under certain conditions

What is cervical cancer?

300
Economic stability, Education, social context, health and healthcare, neighborhood and built environment

What are key social health determinants?

400

35 year old man with stabbing substernal chest pain that started while mowing the lawn, started 3 months ago while mowing the lawn and is alleviated by rest. states 7/10 while happening. what's missing?

What is associated manifestations

400

Term that includes the practical skills that patients need to navigate the healthcare environment

What is health literacy

400

If 100 patients known to have a disease were tested, and 43 test positive, then the test has 43%_______

What is sensitivity

400

Screening for this cancer in men is highly individualized with no cut and dry guidelines

What is prostate cancer?

400

How useful a test is in telling us whether the disease is present or absent

What is predictive value?

500

Identifying attributes of a symptom will be included in the HPI which is included in the  ____ section of SOAP notes

What is Subjective

500

List of current medications is in which section of SBAR

What is Background

500

If 100 with no disease are tested and 96 return a completely negative result, then the test has 96%_________.

What is specificity?

500

Adults age 55-80 with a 30 pack year smoking history

Who should get screened annually with low-dose CT for lung cancer?

500

A BP of greater than 140/90 in medical settings while mean awake BP are less than 135/85

What is white coat hypertension?