Module 1 Interviewing for Health History and Genetics

Question 1

partnership goals (5)

Answer 1

building rapport
determine patient concerns
discover information
determine diagnosis
negotiate and share in health care management

Question 2

autonomy

Answer 2

self determination

Question 3

beneficence

Answer 3

to do good for the patient

Question 4

nonmaleficence

Answer 4

to do no harm

Question 5

utilitarianism

Answer 5

appropriate use of resource for greater good

Question 6

fairness and justice

Answer 6

equitable treatment of all

Question 7

deontologic imperatives

Answer 7

care delivered according to traditions and cultural context

Question 8

enhancing partnership (5)

Answer 8

Courtesy 
comfort
connection 
confirmation
confidentiality

Question 9

Enhancing communication (5)

Answer 9

facilitate: open ended questions
reflect: repeat what you heard
clarify
empathize
interpret

Question 10

Complete Hx

Answer 10

used for new patient or consultation

Makes you as thoroughly familiar with the patient as possible

Question 11

interim hx

Answer 11

event since last seeing patient

designed to chronicle events that have occurred since last meeting with pt

Question 12

problem or focus hx

Answer 12

used in urgent care or with sick visit

taken when the problem is acute, possibly life threatening, requiring immediate attention

Question 13

CC

Answer 13

chief compaint/concern

Question 14

HPI

Answer 14

Hx of present illness

- chronological course of events

Question 15

PMH

Answer 15

Past medical hx

Question 16

FH

Answer 16

family hx

Question 17

SH

Answer 17

personal and social hx

- socio and economic factors

Question 18

ROS

Answer 18

review of systems

- current s/s

Question 19

OLDCARTS

Answer 19

Onset
Location
Duration
Characteristics
Aggravating/Associated
Relieving
Timing
Severity

Question 20

Family Hx

Answer 20

3 generations in pedigree

• self
• parents/aunts/uncles
• grandparents
• 1st cousins (3rd generation)

Question 21

ROS

Answer 21

General/constitutional 
Skin, Hair, Nails
Head and neck
Lymph Nodes
Eyes
Ears
Nose
Throat and Mouth
Chest and Lungs
Breasts
Heart and Blood vessels
Peripheral Vascular
Hematologic
Gastrointestinal 
Endocrine
Genitourinary 
Musculoskeletal 
Neurological 
Psychiatric 
Menses
Diet
Pregnancies

Question 22

Personal and Social Hx

Answer 22

nutrition 
exercise
sleep
substances
sexual hx
 ome conditions
occupation 
environment 
religion 
access to care

Question 23

Spirituality FICA

Answer 23

Faith, belief, meaning
Importance and influence
Community
Address/Action in care

Question 24

CRAFFT

Answer 24

screening tool for alcohol and substance abuse in adolescents
Car: ever ridden in car driven by individual using
Relax: use alcohol or drugs to relax?
Alone: use alcohol or drugs when alone?
Forget: Do you ever forget things you did while using?
Friends: friends ever tell you you should cut down?
Trouble: ever gotten into trouble while using?

Question 25

CAGE

Answer 25

``` Screen for alcoholism Cutting Down Annoyance by criticism Guilty feeling Eye-openers: need for drink in the am ```

Question 26

TACE

Answer 26

``` screening for alcoholism Take: how many drinks does it take to feel high Annoyed by criticism Cut down Eye opener ```

Question 27

HITS

Answer 27

``` screening for domestic violence Hurt: you physically Insult: or talk down to you Threaten: with physical harm Scream: or curse at you ```

Question 28

5 P's of sexuality

Answer 28

``` Partners Practices Protection from STI's Past hx of STI Prevention of pregnancy ```

Question 29

HEEADSSS

Answer 29

``` screening tool for Adolescent issues Home environment Education, employment Eating Activities (peer-related), affect, ambitions, anger Drugs Sexuality Suicide/Depression Safety from injury and violence ```

Question 30

PACES

Answer 30

``` Screening tool for adolescent issues Parents, peers Accident, alcohol/drugs Cigarettes Emotional issues School, sexuality ```

Question 31

inventory hx

Answer 31

related to but does not replace the complete hx touches on the major points without going into detail - useful when getting a feel for the situation