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Flashcards in Week 1 Objectives Deck (20)
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1
Q

7 components of * Comprehensive Adult Health History *

A
Identifying Data and Source of History; Reliability
Chief Complaints
Present Illness
Past History
Family History
Personal and Social History
Review of Systems
2
Q

The Review of Systems includes:

A
General: Weight-related, weak, fatigued, fever.
Skin
HEENT (Head, Eyes, Ears, Nose, Throat)
Neck
Breasts
Respiratory
Cardiovascular
Gastrointestinal
Peripheral Vascular
Urinary
Genital
Musculoskeletal
Psychiatric
Neurologic
Hematologic
Endocrine
3
Q

Benefits of Tangential Lighting:

A

It amplifies contours, elevations, and depressions.

4
Q

Physical exam: Sitting

A
General
Vitals
Skin
Head and neck
Thorax and lungs
Breasts
Musculoskeletal: upper extremities
5
Q

Physical exam: Supine with 30degree incline

A

Cardiovascular

- JVP, Carotid upstrokes and bruits, PMI, S1, S2

6
Q

Physical exam: Supine, 30degree incline, left side

A

Cardiovascular

- S3 and murmur of mitral stenosis

7
Q

Physical exam: Sitting, leaning forward

A

Cardiovascular

- murmur of aortic insufficiency

8
Q

Physical exam: Supine

A

Breasts and axillae
Abdomen
Peripheral vascular
Nervous system

9
Q

Physical exam: Sitting or Standing

A

Musculoskeletal

10
Q

Physical exam: Lithotomy position

A

Women: pelvic and rectal examination

11
Q

Physical exam: Supine, left side

A

Men: Prostate and rectal exam

12
Q

Cardinal Techniques of Examination

A

Inspection
Palpation
Percussion
Auscultation

13
Q

6 Steps of Clinical Reasoning

A

ID abnormal findings.
Localize findings anatomically.
Interpret findings in terms of probable process.
Make hypotheses about the nature of the patient’s problem.
Test hypotheses and establish working diagnosis.
Develop plan agreeable to patient.

14
Q

The 10 Techniques of Skilled Interviewing:

A
Active listening.
Empathetic responses.
Guided questioning.
Nonverbal communication.
Validation.
Reassurance.
Partnering.
Summarization.
Transitions.
Empowering the patient.
15
Q

The Sequence of an Interview:

A
Greet and establish rapport.
Establish agenda.
Invite the patient's story.
Explore the patient's perspective.
ID and respond to emotional cues.
Expand and clarify patient's story.
Generate and test diagnostic hypotheses.
Share the treatment plan.
Close the interview and visit.
Self reflection.
16
Q

The 7 attributes of a symptom:

A
Location
Quality
Quantity or severity
Timing
Setting in which it occurs
Remitting or exacerbating factors
Associated manifestations
17
Q

CAGE Questioning

A
For Alcohol abuse:
C - Cutting down
A - Annoyance when criticized
G - Guilty feelings
E - Eye-openers
18
Q

4 Building Blocks of Ethics:

A
Nonmaleficence or "primum non nocere"
- First, do no harm.
Beneficence
- Do good.
Autonomy
- Patient has right to determine their own best interest.
Confidentiality
- Do not repeat what you learned about a patient.
19
Q

8 Components of Vitals

A
Heart rate.
Respiratory rate.
Temperature.
Weight.
Height.
Blood pressure.
Oxygen saturation.
Pain.
20
Q

FIFE

A
Mnemonic for exploring the patient's perspective of their "illness" (not disease):
F- Feelings
I - Ideas
F - effect on Function
E - Expectations