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Clinical History Taking: Single Best of Five (MCQ) Self Assessment

Description

This self assessment test enables you to test your knowledge of the aspects that are contained within a Clinical History.
Chris Mulryan
Quiz by Chris Mulryan, updated more than 1 year ago
Chris Mulryan
Created by Chris Mulryan almost 9 years ago
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Resource summary

Question 1

Question
A 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?
Answer
  • There is no significance of such a history
  • There is a significantly increased risk of this person developing breast cancer
  • The patient is at significantly increased risk of developing all types of cancer
  • There is no benefit in enrolling such a patient into a screening programme
  • There is no benefit in offering genetic counselling & screening

Question 2

Question
In discussions surrounding smoking which one of the following best describes “pack years”?
Answer
  • The total number of years that an individual has smoked for
  • The number of packs that a person smokes per day
  • A calculation used to quantify exposure to tobacco smoke in a standardised manner
  • The number of years that a person has smoked for before developing symptoms of a smoking related disorder
  • One pack year equates to the smoking of ten cigarettes a day for one year

Question 3

Question
In terms of history taking which one of the following best describes the role of the social history?
Answer
  • To identify risk factors for specific disease processes which may need further investigation / management? It also provides an opportunity to offer health promotion advice
  • To identify if the person takes part in any illegal practices
  • To enable an assessment to be made as to the type of person that you are dealing with
  • To provide an impression of how fit the person is overall
  • To provide an assessment of a person’s mental state

Question 4

Question
In the mnemonic PRQST used in history taking what does the ‘R’ represent?
Answer
  • Remittance
  • Relapse
  • Radiation & Related Symptoms
  • Refractory
  • Resolution

Question 5

Question
When considering a person’s past medical / surgical history which one of the following is an important consideration?
Answer
  • The accuracy of the diagnosis already provided
  • If the diagnosis has been made by a health professional
  • If the individual has any ongoing problems that are yet to be diagnosed
  • How the individual has been treated for the condition
  • All of the above are important considerations in this context

Question 6

Question
When 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?
Answer
  • A circle which has been crossed through with details of the condition written at the side
  • An un-shaded square with details of the condition written at the side
  • A un-shaded circle with details of the condition written at the side
  • A shared square with details of the condition written at the side
  • A shaded circle with details of the condition written at the side

Question 7

Question
When recording a person’s sexual history which one of the following best describes the information that you should aim to collect?
Answer
  • Details regarding the patients last sexual contact
  • Details 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.
  • Only details of contacts that involved penetrative sex of any type
  • Only details of contacts which involved higher risk activities
  • Sexual history contributes little to the information required to successfully care for an individual and as such its importance is overstated

Question 8

Question
When undertaking a systems enquiry which one of the following describes the activity that you will undertake?
Answer
  • Reflect the persons history back to them to seek confirmation
  • Ask about symptoms of disease in each of the body systems
  • Ask the person if there is anything else that they would like to add to the story
  • Ask if anyone else they have been in close contact to is also sick
  • Ask questions to validate the previously given history

Question 9

Question
Which one of the following best describes the role that history taking plays in patient assessment?
Answer
  • Clinical history always need to be confirmed by clinical examination
  • Clinical history is of secondary importance to clinical examination
  • Clinical history is often misleading
  • Clinical history provides a primary guiding foundation when making clinical decisions
  • The best presenting clinical history is only available from the patients notes

Question 10

Question
Which one of the following needs to be specifically asked about when enquiring about a person’s social history?
Answer
  • Health of parents
  • Health of siblings
  • Any factors which may indicate low mood
  • Alcohol intake
  • Use of prescription medicines
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