1 . For which of the following patients would a comprehensive health history be appropriate? A) A new patient with the chief complaint of “I sprained my ankle” B) An established patient with the chief complaint of “I have an upper respiratory infection” C) A new patient with the chief complaint of “I am here to establish care” D) A new patient with the chief complaint of “I cut my hand” Ans: C Feedback: This patient is here to establish care, and because she is new to you, a comprehensive health history is appropriate. 2. The components of the health history include all of the following except which one? A) Review of systems B) Thorax and lungs C) Present illness D) Personal and social items Ans: B Feedback: The thorax and lungs are part of the physical examination, not part of the health history. The others answers are all part of a complete health history. 3. Is the following information subjective or objective? Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse withactivity and relieved by rest. A) Subjective B) Objective Ans: A Feedback: This is information given by the patient about the circumstances of his chief complaint. It does not represent an objective observation by the examiner. 4. Is the following information subjective or objective? Mr. M. has a respiratory rate of 32 and a pulse rate of 120. A) Subjective B) Objective Ans: B Feedback: This is a measurement obtained by the examiner, so it is considered objective data. The patient is unlikely to be able to give this information to the examiner. 5. The following information is recorded in the health history: “The patient has had abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea andvomiting. It is located in the mid-epigastric area.” Which of these categories does it belong to? A) Chief complaint B) Present illness C) Personal and social history D) Review of systems Ans: B Feedback: This information describes the problem of abdominal pain, which is the present illness. The interviewer has obtained the location, timing, severity, and associated manifestations of the pain. The interviewer will still need to obtain information concerning the quality of the pain, the setting in which it occurred, and the factors that aggravate and alleviate the pain. You will notice that it does include portions ofthe pertinent review of systems, but because it relates directly to the complaint, it is included in the history of present illness. 6. The following information is recorded in the health history: “The patient completed 8th grade. He currently lives with his wife and two children. He works on old cars onthe weekend. He works in a glass factory during the week.” Which category does it belong to? A) Chief complaint B) Present illness C) Personal and social history D) Review of systems Ans: C Feedback: Personal and social history information includes educational level, family of origin, current household status, personal interests, employment, religious beliefs, military history, and lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual preferences and history). All of this information is documented in this example. 7. The following information is recorded in the health history: “I feel really tired.” Which category does it belong to?