Course 3 Review Questions

In your own words, describe the significance of an HPI

The HPI is the story of he symptoms and events that led to the pts ED visit. It included the CC and the associated sx

Name the five "elements" of the HPI

onset, timing, location, quality, severity, modifying factors, associated symptoms, context

Name eight of the body systems included in the ROS

Constitutional, eyes, ent, cv, resp, gi, gu, ms, skin, neuro, psych, endocrine, heme/lymph, immunological

Can the symptoms in the ROS ever contradict the symptoms described in the HPI?

No. Symptoms that are documented in the HPI should also be documented in the ROS

What do you need to remember to document in the HPI and ROS for any patient that is unconscious or incapable of providing information?

HPI/ROS limited by...

Why is it important to remember to document if the patient has had similar symptoms in the past?

Because it is less likely that their current symptoms or life-threatening if they have survive similar symptoms in the past

Name one detail that is important to document the patient has been evaluated in the past for similar complaints

What symptoms prompted the prior evaluation? How long ago did the prior evaluation occur? Who did they see? (name and specialty) What treatment did they receive? Did it help? What diagnosis is given? Any prior test results?

What should you focus on writing and HPI

Documenting the answers to every question asked by the doctor

Which is the first item in the formula for writing HPI

Chief complaint and onset

What does MOI stand for in a trauma HPI

Mechanism of injury

In the our ROS, you should document "All other systems negative except as mark" For every patient

False

Based on your knowledge from day to, why should you always pay special attention to the complaints of chest pain and SOB

Direct concern for MI

Name three past surgical histories to indicate that the patient has a history of CAD

Angioplasty, CABG, stents

What is the difference between a cardiac stress test and a cardiac catheterization

Cardiac Catheterization- Insertion of a catheter with Ejection Of dye to the coronary artery, use the Dina CAD. Stress test-Measures the hearts ability to respond to physical stress to determine if there is adequate blood flow to your heart during increasing levels of activity. There are two different types of stress test:Exercise(treadmill), Nuclear stress test is for patients with a medical problem that prevents you from exercising.

What are the risk factors for an MI

CAD, HTN, DM, dyslipidemia, smoking, FHx of CAD <55y/o

What are the risk factors for a PE

Known DVT, PMHx of DVT or PE, FHx of DVT or PE, recent surgery, CA, Afib, immobility, pregnancy, BCP, smoking

What are the risk factors for a CVA

HTN, HLD, DM, hx TIA/CVA, Smoking, FHx CVA, Afib

The patients entire ED visit is based on their answers the questions asked during interview

True

Accurate chronology is not imported an HPI

False