Summer 2013

Question 1

What are the four principal goals of the medical interview?

Answer 1

1. Gather information
2. Establish rapport
3. Educate
4. Support and motivate

Question 2

List the 7 components of the complete medical history.

Answer 2

1. History of present illness
2. Past medical history
3. Past surgical history
4. Medications/allergies
5. Family history
6. Social history
7. Review of systems

Question 3

List the 7 dimensions of a symptom.

Answer 3

I use POLD CARTS - you can use whatever you like!
Previous history
Onset
Location
Duration
Character
Alleviate/aggravate
Radiate
Timing
Severity

Question 4

Distinguish between subjective/objective

Answer 4

Subjective: what they tell you
Objective: what you observe/measure yourself

Question 5

What are the 5 required elements of a pediatric history?

Answer 5

1. Nutrition – breastfeeding or bottle, how often, how long/much, if bottle feeding – what kind
2. Elimination – how often, how much (for both poop and pee)
3. Sleep – how often, how long, quality of sleep
4. Immunization – what immunizations has the baby had
5. Development – what is the baby able to do, not do

Question 6

HEADDSS interview
Who is it used for?
What are the components?

Answer 6

Adolescents
–Home/Health 
–Education/Employment 
–Activity 
–Drugs 
–Depression 
–Safety 
–Sexuality

Question 7

The “founder” of the PA profession and other key leaders in the PA profession

Answer 7

1942- during WWII Dr. Eugene Stead Jr. made a 2-3 year medical school program.
Bill Stanhope-1st AAPA president.
Dr. Richard Smith- developed the MEDEX model.

Question 8

Establishment of the first physician assistant education training program.

Answer 8

The principle of the PA model came from Peter the Great in 1650, introducing Russian military feldshers to work in the community post military service. Much later Oct 6th 1965- 4 ex-navy corpsmen started at Duke for a 2year program- PA Program.

Question 9

List the attributes of professionalism

Answer 9

Duty
Accountability
Honor/Integrity
Altruism
Excellence
Respect

Question 10

Name the 4 main PA professional organizations

Answer 10

American Academy of Physician Assistants (AAPA)
Physician Assistant Education Association (PAEA)
National Commission on Certification of Physician Assistants (NCCPA)
Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)

Question 11

Function of AAPA

Answer 11

advocates and educates on behalf of the profession and the patients PAs serve

Question 12

Function of PAEA

Answer 12

national organization representing physician assistant educational programs; responsible for collecting, publishing, and disseminating information on the PA programs

Question 13

Function of NCCPA

Answer 13

the only certifying organization for physician assistants in the United States

Question 14

Function of ARC-PA

Answer 14

defines the standards for PA education and evaluates PA educational programs within the territorial United States to ensure their compliance with those standards

Question 15

Kleinman Model

Answer 15

• What do you call your problem?
• What name does it have?
• Why has it happened to you?
• Why now?
• What do you believe will help make the problem go away

Question 16

Primary Prevention

Answer 16

Measures used to prevent the onset of a targeted condition. (Think immunizations)

Question 17

Secondary Prevention

Answer 17

Identification and treatment of asymptomatic individuals who have already developed risk factors or preclinical disease but in whom the condition has not become clinically apparent. (Think screening tests)

Question 18

Tertiary Prevention

Answer 18

Measures that are part of the treatment and management of individuals with clinical illnesses

Question 19

Primary Goal of Health Promotion

Answer 19

To facilitate behavioral adaptations that will improve or protect health – it is the process of enabling people to exert control over the determinants of their own health!

Question 20

Primary Goal of Disease Prevention

Answer 20

Use health risk profiling and the appropriate use of screening and surveillance tests for early detection of disease

Question 21

CAGE questions for problem drinking

Answer 21

C : Have you ever felt you ought to CUT DOWN on your drinking?
A: Have people ANNOYED you by criticizing your drinking?
G: Have you ever felt bad or GUILTY about your drinking?
E: Have you ever had a drink first thing in the morning (EYE OPENER) to steady your nerves or get rid of a hangover?