IHuman Paediatrics Practice Exam With Answers (40 Solved Questions)
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HPI (history of present illness) Chief complaint: Well-child evaluation H PI: Brandon is a 3 year old male here for a well child evaluation. He has been doing well since his last visit with no problems. Allergies: at 2 months old at 2 years 6 months old ago DtaP given on these dates: at 2 months old at 4 months old at 6 months old at 15 months old Haemophilus Influenza Type B (Hid) given on these dates: at 2 months old at 4 months old at 6 months old at 15 months old Pneumococcal given on these dates: at 2 months old at 4 months old at 6 months old at 15 months old Polio (IPV) given on these dates: at 2 months old at 4 months old at 6 months old Measles Mumps Rubella (MMR) given on these dates: at 12 months old No known allergies Current Other active problems: None Visit Medical, surgical, obstetric, Same as previous Preventive Health: Has had regular well child evaluations Pt. Info Immunizations: Immunizations are as follows: Forms Hepatitis B given on these dates: at birth
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Varicella (VZV) given on these dates: at 12 months old Hepatitis A given on these dates: at 12 months old at 17 months old cc How can I help you today? (patient) To meet my new doctor! Are you my doctor? cc How can I help him today? (witness) Brandon and his other mom Layla and I recently moved to the area for my work and we'd like to establish care in your practice. We've heard a lot good things about you folks. And, Brandon here, is starting kindergarten in September, so we want to make sure that he's up to date for any additional immunizations. Assoc sx How are his grades in school? (witness) Boy, how's that for starting the pressure early? But, to answer your question: He was happily engaged in activities and friendships at his Montessori preschool and seems to be looking forward to kindergarten. Assoc sx Is he having any difficulty sleeping? (witness) No, he goes out easily as we read to him and sleeps through the night. Assoc sx How many bowel movements does he have a day? (witness) Once daily, which is soft. Etiology How is his appetite? Any recent change? (witness) He's got a really good appetite. Plays hard, eats well. OLD-CARTS for the HPI
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Reliving Tming/Treatments Has there been a change in his urination frequency? (witness) No. He urinates normally, a few times a day. Severity PMH, FH, SH as Needed Asked @ Not asked Graded Approach Question Response Information Obtained Clinic Notes PMH Is he taking any prescription medications? (witness) Not a one. PMH Has he ever been hospitalized? (witness) Nope. PMH When was his last physical? (witness) About two years ago. PMH Can you tell me about any current or past medical problems he has had? (witness) was two. Other than that, he's never had more than the usual seasonal colds and stomach bugs. No broken bones or significant injuries. PMH Any previous medical, surgical or dental procedures? (witness) Not a one. Well, normally he has his regular dental cleaning twice a year and fluoride treatments. We did miss his last dental cleaning when we were in the middle of our move. Brandon's a very good brusher and has never had any cavities. PMI-i Is he taking any over- thecounter or herbal medications? (witness) Nothing currently, other than gummy multivitamins.
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