2. Chapter 4, 5, 25 - Clinical Reasoning and Positioning

Question 1

Exam sequence of infant after general inspection is

Answer 1

heart/lungs, abdomen HEENT extremities and genitals

Question 2

What should be documented in HPI

Answer 2

OLDCARTS

Question 3

Greatest risk of potential health problems occurs in which age group?

Answer 3

Newborn/Infant

Question 4

OLDCARTS

Answer 4

Onset
Location
Duration
Character
Aggravating Factors
Relieving Factors
Temporal (Frequency)
Severity

Question 5

Autonomy

Answer 5

Patients need for self-determination (right to choose)

Question 6

Beneficence

Answer 6

To do good for the patients

Question 7

Non-Maleficence

Answer 7

To do no harm

Question 8

Utilitarianism

Answer 8

Consider appropriate use of resources

Question 9

Deontologic Imperatives

Answer 9

Duty to provide culturally sensitive care

Question 10

Subjective

Answer 10

Patient reports

Question 11

Objective

Answer 11

You can measure/see

Question 12

Red Herrings

Answer 12

Distracting bits of info

Question 13

Which patient position facilitates inspection of the chest and shoulders?

Answer 13

Sitting

Question 14

Which of the following are examined with the patient in a reclining 45-degree position?

Answer 14

Jugular venous pulsation and pressure

Question 15

Examination of the patient in the lithotomy, or knee-chest, position includes

Answer 15

palpation of anal sphincter tone

Question 16

The cranial nerves are usually assessed while the patient is in which position?

Answer 16

Sitting

Question 17

Romberg Test/proprioception which position

Answer 17

Standing

Question 18

Apex of heart position

Answer 18

left lateral

Question 19

Which of the following is true regarding the relationship between the examiner and the patient?

Answer 19

The patient is a full partner with the examiner

Question 20

An examiner might be able to help a patient who seems uncomfortable with close contact during an examination by

Answer 20

acknowledging the discomfort

Question 21

At your first meeting with a patient, it is usually best to say

Answer 21

“Tell me about yourself”

Question 22

Which one of the following patient characteristics is most likely to limit patient reliability during history taking?

Answer 22

The patient’s sensory deprivation

Question 23

Which of the following is most likely to enhance examiner reliability?

Answer 23

The examiner seeks confirmation from others when necessary

Question 24

The reliability of health-related findings and observations is the responsibility of the

Answer 24

professional and the patient