Dr.FranK
Forum Junior
Topics: 10
Posts: 41
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Lets say i start out with LIQOR AAA with in my mind with a little modification for any problem other then pain (as its orignally designed for pain)I come to the Last 'A' of the pnemonic.Now where do i go from there. Do i move onto PAMHUGSFOSS. Or do i go to 'ROS' ie Review of systems. If i do ROS for an initial complaint of fever with chills (or any other Presenting complaint ) do i have i ask Closed ended questions such as
Do you have Cough?
Do you have Shortness of breath ?
Do you have N/V ?
Do you have headach?
Do you have edema ?/ Swelling in some part of the body?
Do you have thyroid problem ?/ Swelling in the neck?
Do you have problems with urination ?
Do you have problems with your bowel habits ? etc
From what i understand these Q's will give me positives & negatives relevant to the history reaching a Dx, but they are close ended questions and too many of them being asked will make me loose marks in communication & interpersonal skill parts ? confused may someone put some light !!! or may be my understanding of the questions is wrong
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| Justice
Forum Fanatic
Topics: 106
Posts: 2,083
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I have an impression that there is a missed point: you have to start with open-ended Q so the SP will reveal his complaints (will say what actually disturbs him), but afterwards it is absolutely OK and, even more, necessarry to ask targeted Q to make up the story... So, you are absolutely fine...
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| Dr.FranK
Forum Junior
Topics: 10
Posts: 41
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Thanks for the feedback.I know that point.But where to draw the line between necessary and way too many close ended Q's, i guess is the trick & dilemma of the exam. contrary to what my impression was ,it has changed from asking everything possible to asking just few Q's from the statistics i am getting on failings at interpersonal "& Comm & vital reason i find in close ended's.
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| Dr.FranK
Forum Junior
Topics: 10
Posts: 41
|
Thanks for the feedback.I know that point.But where to draw the line between necessary and way too many close ended Q's, i guess is the trick & dilemma of the exam. contrary to what my impression was ,it has changed from asking everything possible to asking just few Q's from the statistics i am getting on failings at interpersonal "& Comm & vital reason i find in close ended's.
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