{"id":118260,"date":"2023-09-03T05:28:07","date_gmt":"2023-09-03T05:28:07","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118260"},"modified":"2023-09-03T05:28:09","modified_gmt":"2023-09-03T05:28:09","slug":"bates-guide-to-physical-examination-and-history-taking-12e-test-bank","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/03\/bates-guide-to-physical-examination-and-history-taking-12e-test-bank\/","title":{"rendered":"Bates\u2019 Guide to Physical Examination and History Taking 12e test bank"},"content":{"rendered":"\n<p>Bates\u2019 Guide to Physical Examination and History Taking, 12th Edition<br>Chapter 1: Foundations for Clinical Proficiency<br>Multiple Choice<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>For which of the following patients would a comprehensive health history be appropriate?<br>A) A new patient with the chief complaint of \u201cI sprained my ankle\u201d<br>B) An established patient with the chief complaint of \u201cI have an upper respiratory infection\u201d<br>C) A new patient with the chief complaint of \u201cI am here to establish care\u201d<br>D) A new patient with the chief complaint of \u201cI cut my hand\u201d<br>Ans: C<br>Chapter: 01<br>Page and Header: 4, Patient Assessment: Comprehensive or Focused<br>Feedback: This patient is here to establish care, and because she is new to you, a<br>comprehensive health is appropriate<\/li>\n\n\n\n<li>The components of the health history include all of the following except which one?<br>A) Review of systems<br>B) Thorax and lungs<br>C) Present illness<br>D) Personal and social items<br>Ans: B<br>Chapter: 01<br>Feedback: The thorax and lungs are part of the physical examination, not part of the health<br>history. The others answers are all part of a complete health history.<\/li>\n\n\n\n<li>Is the following information subjective or objective?<br>Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity<br>and relieved by rest.<br>1<br>This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.<br>Downloaded from StudyLast.com<br>A) Subjective<br>B) Objective<br>Ans: A<br>Chapter: 01<br>Feedback: This is information given by the patient about the circumstances of his chief<br>complaint. It does not represent an objective observation by the examiner.<\/li>\n\n\n\n<li>Is the following information subjective or objective?<br>Mr. M. has a respiratory rate of 32 and a pulse rate of 120.<br>A) Subjective<br>B) Objective<br>Ans: B<br>Chapter: 01<br>Feedback: This is a measurement obtained by the examiner, so it is considered objective data.<br>The patient is unlikely to be able to give this information to the examiner.<\/li>\n\n\n\n<li>The following information is recorded in the health history: \u201cThe patient has had abdominal<br>pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9<br>on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the<br>mid-epigastric area.\u201d<br>Which of these categories does it belong to?<br>A) Chief complaint<br>B) Present illness<br>C) Personal and social history<br>D) Review of systems<br>Ans: B<br>Chapter: 01<br>Feedback: This information describes the problem of abdominal pain, which is the present<br>illness. The interviewer has obtained the location, timing, severity, and associated manifestations<br>of the pain. The interviewer will still need to obtain information concerning the quality of the<br>pain, the setting in which it occurred, and the factors that aggravate and alleviate the pain. You<br>will notice that it does include portions of the pertinent review of systems, but because it relates<br>directly to the complaint, it is included in the history of present illness.<br>2<br>This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.<\/li>\n\n\n\n<li>The following information is recorded in the health history: \u201cThe patient completed 8th<br>grade. He currently lives with his wife and two children. He works on old cars on the weekend.<br>He works in a glass factory during the week.\u201d<br>Which category does it belong to?<br>A) Chief complaint<br>B) Present illness<br>C) Personal and social history<br>D) Review of systems<br>Ans: C<br>Chapter: 01<br>Feedback: Personal and social history information includes educational level, family of origin,<br>current household status, personal interests, employment, religious beliefs, military history, and<br>lifestyle (including diet and exercise habits; use of alcohol, tobacco, and\/or drugs; and sexual<br>preferences and history). All of this information is documented in this example.<\/li>\n\n\n\n<li>The following information is recorded in the health history: \u201cI feel really tired.\u201d<br>Which category does it belong to?<br>A) Chief complaint<br>B) Present illness<br>C) Personal and social history<br>D) Review of systems<br>Ans: A<br>Chapter: 01<br>Feedback: The chief complaint is an attempt to quote the patient&#8217;s own words, as long as they<br>are suitable to print. It is brief, like a headline, and further details should be sought in the present<br>illness section. The above information is a chief complaint.<\/li>\n\n\n\n<li>The following information is recorded in the health history: \u201cPatient denies chest pain,<br>palpitations, orthopnea, and paroxysmal nocturnal dyspnea.\u201d<br>Which category does it belong to?<br>A) Chief complaint<br>B) Present illness<br>C) Personal and social history<br>3<br>This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.<br>Downloaded from StudyLast.com<br>D) Review of systems<br>Ans: D<br>Chapter: 01<br>Feedback: Review of systems documents the presence or absence of common symptoms<br>related to each major body system. The absence of cardiac symptoms is listed in the above<br>example.<\/li>\n\n\n\n<li>The following information is best placed in which category?<br>\u201cThe patient has had three cesarean sections.\u201d<br>A) Adult illnesses<br>B) Surgeries<br>C) Obstetrics\/gynecology<br>D) Psychiatric<br>Ans: B<br>Chapter: 01<br>Feedback: A cesarean section is a surgical procedure. Approximate dates or the age of the<br>patient at the time of the surgery should also be recorded.<\/li>\n\n\n\n<li>The following information is best placed in which category?<br>\u201cThe patient had a stent placed in the left anterior descending artery (LAD) in 1999.\u201d<br>A) Adult illnesses<br>B) Surgeries<br>C) Obstetrics\/gynecology<br>D) Psychiatric<br>Ans: A<br>Chapter: 01<br>Feedback: The adult illnesses category is reserved for chronic illnesses, significant<br>hospitalizations, significant injuries, and significant procedures. A stent is a major procedure but<br>does not involve a surgeon.<\/li>\n\n\n\n<li>The following information is best placed in which category?<br>4<br>This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.<br>\u201cThe patient was treated for an asthma exacerbation in the hospital last year; the patient has<br>never been intubated.\u201d<br>A) Adult illnesses<br>B) Surgeries<br>C) Obstetrics\/gynecology<br>D) Psychiatric<br>Ans: A<br>Chapter: 01<br>Feedback: This is information about a significant hospitalization and should be placed in the<br>adult illnesses section. If the patient is being seen for an asthma exacerbation, you may<br>consider placing this information in the present illness section, because it relates to the chief<br>complaint at that visit.<br>5<br>This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.<br>Downloaded from StudyLast.com<br>Bates\u2019 Guide to Physical Examination and History Taking, 12th Edition<br>Chapter 2: Evaluating Clinical Evidence<br>Multiple Choice<\/li>\n\n\n\n<li>A patient presents for evaluation of a sharp, aching chest pain which increases with<br>breathing. Which anatomic area would you localize the symptom to?<br>A) Musculoskeletal<br>B) Reproductive<br>C) Urinary<br>D) Endocrine<br>Ans: A<br>Chapter: 02<br>Feedback: Chest pain may be due to a musculoskeletal condition, such as costochondritis or<br>intercostal muscle cramp. This would be worsened by motion of the chest wall. Pleuritic<br>chest pain is also a sharp chest pain which increases with a deep breath. This type of pain can<br>occur with inflammation of the pleura from pneumonia or other conditions and pulmonary<br>embolus.<\/li>\n\n\n\n<li>A patient comes to the emergency room for evaluation of shortness of breath. To which<br>anatomic region would you assign the symptom?<br>A) Reproductive<br>B) Urinary<br>C) Cardiac<br>D) Hematologic<br>Ans: C<br>Chapter: 02<br>Feedback: Cardiac disorders such as congestive heart failure are the most likely on this list to<br>result in shortness of breath. There are cases within the other categories which may also result<br>in shortness of breath, such as anemia in the hematologic category, pregnancy in the reproductive<br>category, or sepsis with UTI in the urinary category. This demonstrates the \u201ctension\u201d in clinical<br>6<br>This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.<br>reasoning between making sure all possibilities are covered, while still being able to pick the<br>most likely cause.<\/li>\n\n\n\n<li>A patient presents for evaluation of a cough. Which of the following anatomic regions can<br>be responsible for a cough?<br>A) Ophthalmologic<br>B) Auditory<br>C) Cardiac<br>D) Endocrine<br>Ans: C<br>Chapter: 02<br>Feedback: The cardiac system can cause a cough if the patient has congestive heart failure.<br>This results in fluid buildup in the lungs, which in turn can cause a cough that produces pink,<br>frothy sputum. A foreign body in the ear may also cause a cough by stimulating Arnold&#8217;s<br>branch of the vagus nerve, but this is less likely to be seen clinically than heart failure.<\/li>\n\n\n\n<li>A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new,<br>located in the wrists and fingers bilaterally, with some subjective fever. The patient denies a<br>rash; she also denies recent travel or camping activities. She has a family history significant for<br>rheumatoid arthritis. Based on this information, which of the following pathologic processes<br>would be the most correct?<br>A) Infectious<br>B) Inflammatory<br>C) Hematologic<br>D) Traumatic<br>Ans: B<br>Chapter: 02<br>Feedback: The description is most consistent with an inflammatory process, although all the<br>other etiologies should be considered. Lyme disease is an infection which commonly causes<br>arthritis, hemophilia is a hematologic condition which can cause bleeding in the joints, and<br>trauma can obviously cause joint pain. Your clinical reasoning skills are important for sorting<br>through all of the data to arrive at the most likely conclusion.<br>7<br>This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.<br>Downloaded from StudyLast.com<\/li>\n\n\n\n<li>A 47-year-old contractor presents for evaluation of neck pain, which has been intermittent<br>for several years. He normally takes over-the-counter medications to ease the pain, but this time<br>they haven&#8217;t worked as well and he still has discomfort. He recently wallpapered the entire<br>second floor in his house, which caused him great discomfort. The pain resolved with rest. He<br>denies fever, chills, rash, upper respiratory symptoms, trauma, or injury to the neck. Based on<br>this description, what is the most likely pathologic process?<br>A) Infectious<br>B) Neoplastic<br>C) Degenerative<br>D) Traumatic<br>Ans: C<br>Chapter: 02<br>Feedback: The description is most consistent with degenerative arthritis in the neck. The<br>patient has had intermittent symptoms and the questions asked to elicit pertinent negative and<br>positive findings are negative for infectious, traumatic, or neoplastic disease.<\/li>\n\n\n\n<li>A 15-year-old high school sophomore comes to the clinic for evaluation of a 3-week history<br>of sneezing; itchy, watery eyes; clear nasal discharge; ear pain; and nonproductive cough. Which<br>is the most likely pathologic process<br>A) Infection<br>B) Inflammation<br>C) Allergic<br>D) Vascular<br>Ans: C<br>Chapter: 02<br>Feedback: This description is most consistent with allergic rhinitis.<\/li>\n\n\n\n<li>A 19-year old-college student presents to the emergency room with fever, headache, and<br>neck pain\/stiffness. She is concerned about the possibility of meningococcal meningitis.<br>Several of her dorm mates have been vaccinated, but she hasn&#8217;t been. Which of the following<br>physical examination descriptions is most consistent with meningitis?<br>A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full range<br>of motion<br>B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous<br>muscle spasm and limited range of motion to the right<br>C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to<br>8<br>This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.<br>palpation, unable to perform range of motion<br>D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple with<br>full range of motion<br>Ans: C<br>Chapter: 02<br>Feedback: Blurred disc margins are consistent with papilledema, and neck tenderness and lack<br>of range of motion are consistent with neck stiffness, which in this scenario is likely to be caused<br>by meningeal inflammation. Later, you will learn about Kernig&#8217;s and Brudzinski&#8217;s signs, which<br>are helpful in testing for meningeal irritation on examination.<\/li>\n\n\n\n<li>A 37-year-old nurse comes for evaluation of colicky right upper quadrant abdominal pain.<br>The pain is associated with nausea and vomiting and occurs 1 to 2 hours after eating greasy<br>foods. Which one of the following physical examination descriptions would be most consistent<br>with the diagnosis of cholecystitis?<br>A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or masses.<br>B) Abdomen is soft and tender to palpation in the right lower quadrant, without rebound or<br>guarding.<br>C) Abdomen is soft and tender to palpation in the right upper quadrant with inspiration, to the<br>point of stopping inspiration, and t here is no rebound or guarding.<br>D) Abdomen is soft and tender to palpation in the mid-epigastric area, without rebound or<br>guarding.<br>Ans: C<br>Chapter: 02<br>Feedback: In cholecystitis, the pain, which originates from the gallbladder, is located in the<br>right upper quadrant. Severity of pain with inspiration that is sufficient to stop further inhalation<br>is also known as Murphy&#8217;s sign, which, if present, is further indicative of inflammation of the<br>gallbladder.<\/li>\n\n\n\n<li>A 55-year-old data entry operator comes to the clinic to establish care. She has the following<br>symptoms: headache, neck pain, sinus congestion, sore throat, ringing in ears, sharp brief chest<br>pains at rest, burning abdominal pain with spicy foods, constipation, urinary frequency that is<br>worse with coughing and sneezing, and swelling in legs. This cluster of symptoms is explained<br>by:<br>A) One disease process<br>B) More than one disease process<br>9<br>This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.<br>Downloaded from StudyLast.com<br>Ans: B<br>Chapter: 02<br>Feedback: The patient appears to have several possible conditions: allergic rhinitis, arthritis,<br>conductive hearing loss, pleuritic chest pains, heartburn, stress urinary incontinence, and venous<br>stasis, among other conditions. Although we always try, it is very difficult to assign all of these<br>symptoms to one cohesive diagnosis.<\/li>\n\n\n\n<li>A 62-year-old teacher presents to the clinic for evaluation of the following symptoms:<br>fever, headache, sinus congestion, sore throat, green nasal discharge, and cough. This cluster of<br>symptoms is best explained by:<br>A) One disease process<br>B) More than one disease process<br>Ans: A<br>Chapter: 02<br>Feedback: This cluster of symptoms is most consistent with sinusitis. The chance that all of<br>these symptoms are caused by multiple synchronous conditions in the same patient is much less<br>than the possibility of having one problem which accounts for all of them.<\/li>\n\n\n\n<li>Steve has just seen a 5-year-old girl who wheezes when exposed to cats. The patient&#8217;s<br>family history is positive for asthma. You think the child most likely has asthma. What have<br>you just accomplished?<br>A) You have tested your hypothesis.<br>B) You have developed a plan.<br>C) You have established a working diagnosis.<br>D) You have created a hypothesis.<br>Ans: D<br>Chapter: 02<br>Feedback: As you go through a history and examination, you will start to generate ideas to<br>explain the patient&#8217;s symptoms. It is best to keep an open mind and make as many hypotheses<br>as you can, to avoid missing a possibility. A common mistake is to latch onto one idea too<br>early. Once you have committed your mind to a diagnosis, it is difficult to change to another.<br>To think about looking for wheezes on examination would be an example of testing your new<br>hypothesis. Starting a patient on an inhaled medicine would be a plan. It is too early to<br>commit to a working diagnosis, given the amount of information you have gathered.<br>10 This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.<\/li>\n\n\n\n<li>Ms. Washington is a 67-year-old who had a heart attack last month. Now she complains<br>of shortness of breath and not being able to sleep in a flat position (orthopnea). On examination<br>you note increased jugular venous pressure, an S3 gallop, crackles low in the lung fields, and<br>swollen ankles (edema). This is an example of a:<br>A) Pathophysiologic problem<br>B) Psychopathologic problem<br>Ans: A<br>Chapter: 02<br>Feedback: This is an example of a pathophysiologic problem because Ms. Washington&#8217;s<br>symptoms are consistent with a pathophysiologic process. The heart attack reduced the ability<br>of her heart to handle her volume status and subsequently produced the many features of<br>congestive heart failure.<\/li>\n\n\n\n<li>On the way to see your next patient, you glance at the calendar and make a mental note to<br>buy a Mother&#8217;s Day card. Your patient is Ms. Hernandez, a 76-year-old widow who lost her<br>husband in May, two years ago. She comes in today with a headaches, abdominal pain, and<br>general malaise. This happened once before, about a year ago, according to your detailed office<br>notes. You have done a thorough evaluation but are unable to arrive at a consistent picture to tie<br>these symptoms together. This is an example of a:<br>A) Pathophysiologic problem<br>B) Psychopathologic problem<br>Ans: B<br>Chapter: 02<br>Feedback: It is not uncommon for patients to experience psychopathologic symptoms around<br>the anniversary of a traumatic event. The time of year and the lack of an obvious connection<br>between Ms. Hernandez&#8217;s symptoms would make you consider this as a possibility. You will<br>note that although this might have been an early consideration in your hypothesis generation, it is<br>key to convince yourself that there is not a physiologic explanation for these symptoms, by<br>performing a careful history and examination.<\/li>\n\n\n\n<li>Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He works in a<br>sales office to support his family. Recently he has injured his back and you are thinking he<br>would benefit from physical therapy, three times a week, for an hour per session. What would<br>11 This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.<br>Downloaded from StudyLast.com<br>be your next step?<br>A) Write the physical therapy prescription.<br>B) Have your office staff explain directions to the physical therapy center.<br>C) Discuss the plan with Mr. Larson.<br>D) Tell Mr. Larson that he will be going to physical therapy three times a week.<br>Ans: C<br>Chapter: 02<br>Feedback: You should discuss your proposed plan with the patient before implementing it. In<br>this case, you and Mr. Larson will need to weigh the benefit of physical therapy against the<br>ability to provide for his family. You may need to consider other ways of helping the patient,<br>perhaps through prescribed back exercises he can do at home. It is a common mistake to<br>implement a plan without coming to an agreement with the patient first.<\/li>\n\n\n\n<li>You are seeing an elderly man with multiple complaints. He has chronic arthritis, pain<br>from an old war injury, and headaches. Today he complains of these pains, as well as dull chest<br>pain under his sternum. What would the order of priority be for your problem list?<br>A) Arthritis, war injury pain, headaches, chest pain<br>B) War injury pain, arthritis, headaches, chest pain<br>C) Headaches, arthritis, war injury pain, chest pain<br>D) Chest pain, headaches, arthritis, war injury pain<br>Ans: D<br>Chapter: 02<br>Feedback: The problem list should have the most active and serious problem first. This new<br>complaint of chest pain is almost certainly a higher priority than his other, more chronic<br>problems.<\/li>\n\n\n\n<li>You are excited about a positive test finding you have just noticed on physical examination<br>of your patient. You go on to do more examination, laboratory work, and diagnostic tests, only<br>to find that there is no sign of the disease you thought would correlate with the finding. This<br>same experience happens several times. What should you conclude?<br>A) Consider not doing this test routinely.<br>B) Use this test when you have a higher suspicion for a certain correlating condition.<br>C) Continue using the test, perhaps doing less laboratory work and diagnostics.<br>D) Omit this test from future examinations.<br>Ans: C<br>12 This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.<br>Chapter: 02<br>Feedback: This is an example of a sensitive physical finding that lacks specificity. This does<br>not make this a useless test, because the purpose of a screening physical is to find disease. This<br>finding made you consider the associated condition as one of your hypotheses, and this in itself<br>has value. Other possibilities are that you may be doing the maneuver incorrectly or using it on<br>the wrong population. It is important to ask for hands-on help from your instructor when you<br>have a question about a maneuver. Make sure that your information about the maneuver<br>comes from a reliable source as well. All of this information also applies to history questions.<\/li>\n\n\n\n<li>You are growing fatigued of performing a maneuver on examination because you have<br>never found a positive and are usually pressed for time. How should you next approach this<br>maneuver?<br>A) Use this test when you have a higher suspicion for a certain correlating condition.<br>B) Omit this test from future examinations.<br>C) Continue doing the test, but rely more heavily on laboratory work and diagnostics.<br>D) Continue performing it on all future examinations.<br>Ans: A<br>Chapter: 02<br>Feedback: This is an example of a specific test that lacks sensitivity. With this scenario,<br>when you finally find a positive, you might be very certain that a given condition is present.<br>We generally develop our examinations to fit our clinical experiences. Sensitive tests are<br>performed routinely on the screening examination, while specific tests are usually saved for the<br>detailed or \u201cbranched\u201d examinations. Branched examinations are further maneuvers we can<br>perform to investigate positive findings on our screening examinations. Save this type of<br>maneuver to confirm your hypothesis. All of this information also applies to history questions.<\/li>\n\n\n\n<li>You have recently returned from a medical missions trip to sub-Saharan Africa, where you<br>learned a great deal about malaria. You decide to use some of the same questions and<br>maneuvers in your \u201croutine\u201d when examining patients in the midwestern United States. You<br>are disappointed to find that despite getting some positive answers and findings, on further<br>workup, none of your patients has malaria except one, who recently emigrated from Ghana.<br>How should you next approach these questions and maneuvers?<br>A) Continue asking these questions in a more selective way.<br>B) Stop asking these questions, because they are low yield.<br>C) Question the validity of the questions.<br>D) Ask these questions of all your patients.<br>13 This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.<br>Downloaded from StudyLast.com<br>Ans: A<br>Chapter: 02<br>Feedback: The predictive value of a positive finding depends upon the prevalence of a given<br>disease in a population. The prevalence of malaria in the Midwest is almost zero, except in<br>people immigrating from areas of high prevalence. You will waste time and resources applying<br>these questions and maneuvers to all patients. It would be wise to continue applying what you<br>learned to those who are from areas of high prevalence of a given disease. Likewise, physicians<br>from Ghana should not ask about signs or symptoms of multiple sclerosis, as it is found almost<br>exclusively in northern latitudes. You will learn to tailor your examination to the population you<br>are serving.<br>14 This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.<br>Bates\u2019 Guide to Physical Examination and History Taking, 12th Edition<br>Chapter 3: Interviewing and the Health History<br>Multiple Choice<\/li>\n\n\n\n<li>You are running late after your quarterly quality improvement meeting at the hospital and<br>have just gotten paged from the nurses&#8217; station because a family member of one of your patients<br>wants to talk with you about that patient&#8217;s care. You have clinic this afternoon and are<br>double-booked for the first appointment time; three other patients also have arrived and are<br>sitting in the waiting room. Which of the following demeanors is a behavior consistent with<br>skilled interviewing when you walk into the examination room to speak with your first clinic<br>patient?<br>A) Irritability<br>B) Impatience<br>C) Boredom<br>D) Calm<br>Ans: D<br>Chapter: 03<br>Feedback: The appearance of calmness and patience, even when time is limited, is the hallmark<br>of a skilled interviewer.<\/li>\n\n\n\n<li>Suzanne, a 25 year old, comes to your clinic to establish care. You are the student preparing<br>to go into the examination room to interview her. Which of the following is the most logical<br>sequence for the patient\u2013provider interview?<br>A) Establish the agenda, negotiate a plan, establish rapport, and invite the patient&#8217;s story.<br>B) Invite the patient&#8217;s story, negotiate a plan, establish the agenda, and establish rapport.<br>C) Greet the patient, establish rapport, invite the patient&#8217;s story, establish the agenda, expand<br>and clarify the patient&#8217;s story, and negotiate a plan.<br>D) Negotiate a plan, establish an agenda, invite the patient&#8217;s story, and establish rapport.<br>Ans: C<br>Chapter: 03<br>15<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Bates\u2019 Guide to Physical Examination and History Taking, 12th EditionChapter 1: Foundations for Clinical ProficiencyMultiple Choice<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118260","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118260","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118260"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118260\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118260"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118260"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118260"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}