Week 2 Health History

Question 1

What are the topics covered in a comprehensive health history

Answer 1

• identifying data and source of the history
• chief complaint
• hpi
• past history
• family history
• review of systems
• health patterns

Question 2

What are components of the HPI

Answer 2

chronological account of problems 
onset of problems 
the setting in which it developed 
pertinent positives and negatives 
any treatments

Question 3

What are the key elements of HPI

Answer 3

7 attributes of a symptom (OLD CART)
self treatment by pt or family
past occurrences of symptom
pertinent positives and or negatives from ROS
risk factors or any other pertinent info related to symptom

Question 4

What are the key elements of past history

Answer 4

health maintenance such as immz, screening tests, safety measures (wear a helmet, sunscreen), risk factors

Question 5

What are the 4 main guidelines for sensitive topics

Answer 5

be nonjudgmental
explain
find opening questions
consciously acknowledge

Question 6

What does the screening tool CAGE stand for and what do we use it for

Answer 6

C - have you ever felt the need to CUT DOWN
A - ANNOYED by criticism of your drinking
G - feel GUILTY about drinking
E - taken a drink first thing in the morning (EYE OPENER)

We use it to screen for alcohol

Question 7

What specific questions should you ask when it comes to illicit drugs

Answer 7

patterns of use and modes of consumption

Question 8

What are some influences on temperature

Answer 8

• diurnal cycle
• menstrual cycle
• exercise
• age
• recent food/drink intake
• meds
• environment

Question 9

How do you document the strength of a pulse

Answer 9

0-3 scale

3+ = bounding 
2+ = brisk (normal)
1+ = thready 
0 = not palpable

Question 10

What is the normal rate of respirations for an adult

Answer 10

12 -20 bmp

Question 11

The absence of respirations is known as

Answer 11

apnea

Question 12

fewer than 12 bpm is known as

Answer 12

bradypnea

Question 13

greater than 20 bpm is known as

Answer 13

tachypnea

Question 14

What are factors that influence respirations

Answer 14

fever
emotion
meds
disease

Question 15

What is considered normal BP

Answer 15

119-90/79-60

Question 16

What are factors that result in false HIGH bp

Answer 16

• cuff too small (bladder less than 80% of arm)
• cuff too loose or uneven
• arm below heart level
• inflating or deflating too slow = high diastolic
• deflating cuff too quickly = low systolic, high diastolic

Question 17

What are factors that result in false LOW bp

Answer 17

• cuff too large (bladder >100%)
• repeating bp too quickly
• inaccurate level of inflation or released too quick
• pressing stethoscope too tightly