SYLLABUS
SUBJECTIVE vs. OBJECTIVE
DOCUMENTATION
PHYSICAL EXAM and GENERAL ASSESSMENT
OLDCARTA
100

Where is class located and what is the class time? 

SCA 303

9-12:30 PM 

100

BP 110/68

Objective

100

My tummy hurts :( 

CC 

100

What senses are used during the physical exam? 

Touch, see, listen 

Maybe smell lol 

100

My sore throat started 2 days ago 

onset 

200

What materials do  you need to bring to class? 

Reflex hammer

Tuning Fork 

Stethoscope 

Computer

200
Pt states 8/10 abdominal pain 

subjective

200

A patient is presenting the clinic to establish care. What type of history is appropriate? 

Comprehensive 

200

Used for a fundoscopic exam 

Ophthalmoscope 

200

pain is sharp, feels like a stabbing pain, radiates to my back 

characteristics 

300

What is the name of our textbook? 

Bates' Guide to Physical Examination and History Taking 

300

Pupils are equally round, reactive to light

objective

300

A mother is bringing her 6 month old child in for a well exam (established pt). What type of history is appropriate? 

Interval history 

300

Striking of the body surface area noting the sound it makes 

Percussion

300

Exercising makes my SOB worse

aggravating factors 

400

What grade is required to pass the OSCE? 

80%

400

Abdomen is soft, flat,  nondistended, no rebound tenderness, rigidity or guarding 

objective 

400

Pt was provided education on a low sodium diet 

Plan 

400

Murmurs are best heard using the ... 

bell of stethoscope

400

What is missing? 

Pt reports a sore throat that started 2 days ago, it has been constant, feels sharp, cough drops have improved sx, also had relief with motrin. Pt reports an associated headache 

aggravating factors

500

When is the complete health history write up due? 

9/16/24

500

Pt reports bruising on her lower back after sustaining an unwitnessed fall at home. 

subjective 

500

What portion of the SOAP note includes the diagnosis? 

Assessment 

500

A BMI of what or greater is considered obese? 

30 

500

What is missing: 

Pt reports abdominal pain that started 2 weeks ago. Pain is located in RUQ. Pain occurs after eating, can last 30-60 min. Pain is described as cramping. Aggravated by eating greasy foods. Pt has not tried any relieving factors/ tx. 

associated symptoms