Test
Clinical History Taking: Single Best of Five (MCQ) Self Assessment
Preguntas del test (10)
1A 20 year old woman has a family history of breast cancer with both her mother dying of the disease at 29 and her sister being diagnosed with the disease at 31. What is the implication of this for this patient?
- AThere is no significance of such a history
- BThere is a significantly increased risk of this person developing breast cancer
- CThe patient is at significantly increased risk of developing all types of cancer
- DThere is no benefit in enrolling such a patient into a screening programme
- EThere is no benefit in offering genetic counselling & screening
2In discussions surrounding smoking which one of the following best describes “pack years”?
- AThe total number of years that an individual has smoked for
- BThe number of packs that a person smokes per day
- CA calculation used to quantify exposure to tobacco smoke in a standardised manner
- DThe number of years that a person has smoked for before developing symptoms of a smoking related disorder
- EOne pack year equates to the smoking of ten cigarettes a day for one year
3In terms of history taking which one of the following best describes the role of the social history?
- ATo identify risk factors for specific disease processes which may need further investigation / management? It also provides an opportunity to offer health promotion advice
- BTo identify if the person takes part in any illegal practices
- CTo enable an assessment to be made as to the type of person that you are dealing with
- DTo provide an impression of how fit the person is overall
- ETo provide an assessment of a person’s mental state
4In the mnemonic PRQST used in history taking what does the ‘R’ represent?
- ARemittance
- BRelapse
- CRadiation & Related Symptoms
- DRefractory
- EResolution
5When considering a person’s past medical / surgical history which one of the following is an important consideration?
- AThe accuracy of the diagnosis already provided
- BIf the diagnosis has been made by a health professional
- CIf the individual has any ongoing problems that are yet to be diagnosed
- DHow the individual has been treated for the condition
- EAll of the above are important considerations in this context
6When recording a family history using a pedigree chart which one of the following best describes how you should illustrate how a female is affected by a specific condition of interest?
- AA circle which has been crossed through with details of the condition written at the side
- BAn un-shaded square with details of the condition written at the side
- CA un-shaded circle with details of the condition written at the side
- DA shared square with details of the condition written at the side
- EA shaded circle with details of the condition written at the side
7When recording a person’s sexual history which one of the following best describes the information that you should aim to collect?
- ADetails regarding the patients last sexual contact
- BDetails surrounding all of the patients sexual contacts including, the sex of the contact, the type of sex that occurred and if condoms were used, always, sometimes or not at all.
- COnly details of contacts that involved penetrative sex of any type
- DOnly details of contacts which involved higher risk activities
- ESexual history contributes little to the information required to successfully care for an individual and as such its importance is overstated
8When undertaking a systems enquiry which one of the following describes the activity that you will undertake?
- AReflect the persons history back to them to seek confirmation
- BAsk about symptoms of disease in each of the body systems
- CAsk the person if there is anything else that they would like to add to the story
- DAsk if anyone else they have been in close contact to is also sick
- EAsk questions to validate the previously given history
9Which one of the following best describes the role that history taking plays in patient assessment?
- AClinical history always need to be confirmed by clinical examination
- BClinical history is of secondary importance to clinical examination
- CClinical history is often misleading
- DClinical history provides a primary guiding foundation when making clinical decisions
- EThe best presenting clinical history is only available from the patients notes
10Which one of the following needs to be specifically asked about when enquiring about a person’s social history?
- AHealth of parents
- BHealth of siblings
- CAny factors which may indicate low mood
- DAlcohol intake
- EUse of prescription medicines
Información
- Descripción
- This self assessment test enables you to test your knowledge of the aspects that are contained within a Clinical History.
- Autor
- Chris Mulryan
- Idioma
- English
- Visitas
- 12.518
- Etiquetas
- Valoración
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