8/13/2019 Tips & Tricks for a Standardized Patient Exam
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SP Exam Prep
Things to remember
Name, age CC:
HPI: Get all the problems before starting OPQRST for each
problem For the ddx : go by anatomy , worst case scenario, VITAMIN
C(below) for ideas
ROS: see below Past medical history : remember to get allergies,
home meds Social history : habits, lives with... Family history :
CAD, HTN, DM, cancer + relevants Physical exam:
Wash hands to collect your thoughts
Give vital signs & general appearance in physical exam
section VITAMIN C:
Vascular Infectious Trauma Autoimmune Metabolic / medications
Idiopathic Neoplastic Congenital
ROS:
Const: sick contacts, fever, chills, wt loss, malaise, weakness,
dizziness, appetite HEENT: blurry vision, photophobia, vision,
hearing, sore throat, tinnitus, drainage Resp : SOB, cough, sputum,
pleuritic chest pain, hemoptysis Cardio : orthop, PND, DOE, LE
edema, pain chest/ L arm/shoulder/neck/jaw/back, syncope, palp,
claudication GI: N, V, regurg, heartburn, odynophagia, dysphagia
for solids/liquids, abd pain, diarrhea, constipation, bloat,
hemetem,
melena, hematochezia, mucus GU: urgency/ frequency/
incontinence, dysuria, hematuria, hesitancy, post- void dribbling,
impotence, testicular
masses,vaginal dc, dyspareunia, bleeding Endo : thirst,
polyuria, heat/ cold intole, tremor, menstrual irreg, hair/ skin/
nails, libido, body hair Skin: rashes, itch Breast : masses, pain,
discharge, lactation Hematologic : bruising, h/o excessive
bleeding, LAD Msk : arthralgias, deformity, swelling, myalgias,
muscle weakness Neurologic : HA, focal wknss, sz, tremor, falls,
memory loss, paresthesias, sensory loss, vertigo Psych : Sleep,
interest, guilt, energy, concentration., appetite, psychomotor,
suicide
