Stage 2 - Taking A History (Abdo Pain)

1. Jim's marital status is:

Single

Divorced

Married

Widowed

Jim's marital status is married because the question asks for his current marital status and the answer "married" indicates that he is currently in a marriage.

Explanation

Jim's marital status is married because the question asks for his current marital status and the answer "married" indicates that he is currently in a marriage.

2. Jim is a non-smoker

True

False

Yes, he stopped smoking about 15 years ago.

Explanation

Yes, he stopped smoking about 15 years ago.

3. Jim's father suffered with depression.

True

False

Jim's father died of prostate cancer. Jim's brother suffers with depression.

Explanation

Jim's father died of prostate cancer. Jim's brother suffers with depression.

4. Match the colloquial expressions on the left with the formal expressions on the right.

Removal of the appendix

High blood pressure

Inflammation of the joints

Inflammation of the appendix

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5. A patient's history of surgery (operations) is included in which of the following:

Drug History (DH)

Social History (SH)

Past Medical History (PMH)

Family History (FH)

History of the Presenting Complaint (HPC)

Presenting Complaint (PC)

A patient's history of surgery (operations) is included in the Past Medical History (PMH). This section of a patient's medical record includes information about any previous medical conditions, surgeries, and treatments that the patient has undergone. The PMH is important for healthcare providers to have a comprehensive understanding of the patient's medical background and to make informed decisions about their current and future healthcare needs.

Explanation

A patient's history of surgery (operations) is included in the Past Medical History (PMH). This section of a patient's medical record includes information about any previous medical conditions, surgeries, and treatments that the patient has undergone. The PMH is important for healthcare providers to have a comprehensive understanding of the patient's medical background and to make informed decisions about their current and future healthcare needs.

6. After taking a history the next stage of the clinical process is:

Investigations (X-rays, scans, blood tests etc)

Follow-up (review the patient after treatment)

Physical Examination (inspection, palpation, auscultation, percussion)

After taking a history, the next stage of the clinical process is physical examination. This involves inspecting the patient's body for any visible abnormalities or signs, palpating (feeling) different areas of the body to assess for tenderness, swelling, or masses, auscultating (listening) to the sounds produced by the body using a stethoscope, and using percussion (tapping) to assess the density of underlying structures. Physical examination helps the healthcare provider gather objective information about the patient's condition, which can aid in making a diagnosis or determining the appropriate course of action.

Explanation

After taking a history, the next stage of the clinical process is physical examination. This involves inspecting the patient's body for any visible abnormalities or signs, palpating (feeling) different areas of the body to assess for tenderness, swelling, or masses, auscultating (listening) to the sounds produced by the body using a stethoscope, and using percussion (tapping) to assess the density of underlying structures. Physical examination helps the healthcare provider gather objective information about the patient's condition, which can aid in making a diagnosis or determining the appropriate course of action.

7. Jim drinks too much alcohol.

True

False

Jim drinks a couple of glasses a wine, 3 times a week. This is written as 'in moderation', because it isn't too much. Pause the video at 1:39 to see it written on the history sheet.

Explanation

Jim drinks a couple of glasses a wine, 3 times a week. This is written as 'in moderation', because it isn't too much. Pause the video at 1:39 to see it written on the history sheet.

8. Jim's Past Medical History (PMH) includes heart disease, high blood pressure and diabetes.

True

False

The given statement is false. The explanation for this is that the question states that Jim's Past Medical History (PMH) includes heart disease, high blood pressure, and diabetes. Therefore, the correct answer would be false, indicating that the statement is not true.

Explanation

The given statement is false. The explanation for this is that the question states that Jim's Past Medical History (PMH) includes heart disease, high blood pressure, and diabetes. Therefore, the correct answer would be false, indicating that the statement is not true.

9. Jim takes 'Diclofenac' tablets, which are anti-inflammatory painkillers. How long has he been taking them?

For about 6 years

For about 5 months

For about 5 years

For about 6 months

Jim has been taking Diclofenac tablets, which are anti-inflammatory painkillers, for about 5 years.

Explanation

Jim has been taking Diclofenac tablets, which are anti-inflammatory painkillers, for about 5 years.

10. Which of the following are included in a patient's Social History (SH)?:

Marital Status

Alcohol intake

Smoking

Current medication

Occupation

Allergies

A social history can also include other lifestyle factors such as exercise, diet, drug abuse, sexual activity or home circumstances, when appropriate.

Explanation

A social history can also include other lifestyle factors such as exercise, diet, drug abuse, sexual activity or home circumstances, when appropriate.

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