HISTORY TAKING QUIZ 16

Which of the following patients is least likely to provide accurate information about his or her current illness? 1. A 16-year-old female patient experiencing shortness of breath at school 2. A 23-year-old male patient who is suspected of attempting suicide 3. A 14-year-old male patient with abdominal pain who is also vomiting 4. A 62-year-old female patient at a skilled nursing facility complaining of shortness of breath

2. A 23-year-old male patient who is suspected of attempting suicide

In the mnemonic memory device SAMPLE, the M stands for _____? 1. Manifestations 2. Medications 3. Medical history 4. Multiple symptoms

2. Medications

Which of the following is most likely to lead to an inaccurate differential diagnosis? 1. Learning about the patient's complete medical history 2. Poor communication and interviewing skills 3. Obtaining information about multiple systems and complaints 4. Asking open-ended questions and allowing the patient to speak freely

2. Poor communication and interviewing skills

After determining the chief complaint, the next step that a paramedic should take is to: 1. Determine the patient's current health status 2. Stabilize any life-threatening situations 3. Obtain any significant past medical history 4. Obtain the history of the present illness

2. Stabilize any life-threatening situations

Paramedics should ask about last menstrual period when interviewing female patients between the ages of: 1. 11 and 45 2. 14 and 65 3. 12 and 55 4. 10 and 40

3. 12 and 55

Asking a patient with abdominal pain about his or her last bowel movement helps the paramedic to determine the patient's: 1. Fitness level 2. Past medical history 3. Current health status 4. Chief complaint

3. Current health status

What does the letter Q represent in the mnemonic memory device OPQRST? 1. Quantity 2. Qualification 3. Quality 4. Question

3. Quality

Which of the following is not part of a complete medical history? 1. Prior surgeries 2. Prior hospital admissions 3. Conditions currently being managed by a physician 4. Ability to pay for prehospital medical care

4. Ability to pay for prehospital medical care

You can obtain the most accurate information from your patient by: 1. Asking short, direct questions 2. Speaking slowly and asking vague questions 3. Speaking in a commanding and controlling tone 4. Building a rapport with the patient

4. Building a rapport with the patient

The "main part" of the patient history is the: 1. Identifying data 2. Past medical history 3. Source of the history 4. Chief complaint

4. Chief complaint

You respond to a complaint of abdominal pain. Which mnemonic memory device can help you better understand the patient's chief complaint? 1. ABCDE 2. AEIOU 3. DCAP-BLS 4. OPQRST

4. OPQRST

A medical history literally means: 1. A summary of an individual's past state of health 2. A general overview of an individual's serious medical problems and hospitalizations 3. An exact and flawless account of one's medical problems 4. Any medical problems related to an individual's current complaints

1. A summary of an individual's past state of health

A reported diagnosis of psychiatric illness would most accurately be documented by the paramedic as part of the patient's: 1. Significant past medical history 2. Family history 3. Signs and symptoms 4. Chief complaint

1. Significant past medical history

The chief complaint is best derived from: 1. The patient, either verbally or nonverbally 2. The initial radio dispatch 3. The scene size-up 4. Medical records

1. The patient, either verbally or nonverbally

Information about the patient's allergies is important because: 1. This information may affect the drugs used in the care provided to the patient 2. Many unresponsive patients are suffering an allergic reaction 3. Food allergies often do not develop for hours after a person has eaten that food 4. Emergency medications often produce allergic reactions

1. This information may affect the drugs used in the care provided to the patient