CLASSIFICATION

Subjective

A patient explains their symptoms and shares details about their daily nutrition during a consult. In which component of the SOAP encounter flow is this information documented?

Lifestyle vital signs

A physician asks an adult patient about their sleep patterns and physical activity frequency. These are categorized as what specific type of "vital signs" in primary care?

Assessment

After the physical exam, a clinician lists the primary impression and clinical syndromic representation. Which section of the SOAP note does this belong to?

Comprehensive health history

A new patient arrives at a clinic for their first-ever Annual Physical Examination. What specific kind of health history is most appropriate for this encounter?

Focused or Problem-Oriented history

A regular patient visits the outpatient department specifically for a new chief complaint of acute ear pain. Which type of health history should be conducted?

Follow-up history

A patient returns to the clinic to discuss how they are responding to a new blood pressure medication. What classification of history is being used?

RESPECT

To build a therapeutic relationship, a clinician utilizes a mnemonic that includes Rapport, Empathy, Support, Partnership, Explanations, Cultural Competence, and Trust. What is this mnemonic?

Red Flags

Conditions such as profuse bleeding, slurred speech, or seizures that necessitate immediate medical intervention are categorized as what?

OLDCAARTS

A clinician systematically asks a patient about the onset, location, character, and aggravating factors of their chest pain. Which symptom description framework is being followed?

Radiation

A doctor asks a patient with abdominal pain if the sensation moves to the back or the shoulder. Which specific component of the OLDCAARTS framework is being addressed?

Severity

A patient reports that their headache is so intense they are unable to go to work. This functional impact is categorized under which component of OLDCAARTS?

Nahihilo na parang umiikot ang mundo

A clinician is interviewing a Filipino-speaking patient with vertigo. What is the most appropriate Tagalog translation to use for "vertigo"?

Balisawsaw

A patient describes experiencing a burning sensation and pain during urination in Tagalog. What specific term are they likely to use?

Kulani

A patient points to a swollen lymph node in their neck. What is the appropriate Tagalog term for this clinical finding?

Index patient

In a family genogram, what is the term for the specific family member who is the focus of the medical history, usually indicated by an arrow?

Three generations

What is the minimum number of generations that should ideally be included to complete a thorough family genogram?

Physical Activity Vital Sign (PAVS)

A clinician asks, "How many days per week do you engage in moderate exercise?" to screen a patient. What is the name of this validated lifestyle vital sign?

Sufficiently active

A 45-year-old patient reports engaging in 160 minutes of brisk walking per week. According to PAVS categories, how is this patient classified?

Inactive

A patient reports a median of 0 minutes of exercise per week. According to PAVS categories, how is this patient classified?

Moderately active

A patient reports a median of 60 minutes of exercise per week. According to PAVS categories, how is this patient classified?

Moderate intensity

During a brisk walk, a patient finds they can talk but are unable to sing. According to the "talk test," how is the intensity of this activity categorized?

Vigorous intensity

A runner is unable to both talk and sing while exercising. According to the "talk test," how is the intensity of this activity categorized?

Ultra-processed

A patient’s diet consists primarily of canned sausages, instant noodles, and bacon. According to food processing levels, how are these items classified?

Class 1 carcinogenic

A physician is educating a patient on the risks of eating processed meats like ham and hotdogs. How are these meats classified in terms of cancer risk?

PHQ-9

What is the name of the primary 9-item screening tool used to assess the severity of a patient’s depressive symptoms?

GAD-7

Which 7-item screening tool is used to assess the severity of generalized anxiety in a primary care setting?

Zone 1: Alcohol Education

A patient scores a 5 on the AUDIT alcohol screen. According to the intervention risk levels, what is the appropriate clinical action?

Zone 4: Referral to Specialist

A patient scores a 32 on the AUDIT alcohol screen. According to the intervention risk levels, what is the appropriate clinical action?

Biological Hazard

A laboratory worker is exposed to bacteria, viruses, and fungi. How is this specific workplace health hazard categorized?

Chemical Hazard

A factory worker is exposed to heavy metal fumes and organic solvents. How is this specific workplace health hazard categorized?

Physical Hazard

A construction worker is exposed to loud noise and segmental vibration from power tools. How is this specific workplace health hazard categorized?

Ergonomic Hazard

An office worker experiences back pain due to a poorly designed workstation and static posture. How is this workplace hazard categorized?

Safety Hazard

A worker identifies a slippery floor and an exposed electrical wire. How are these conditions that cause immediate injury categorized?

Tangential lighting

A clinician is inspecting a patient for subtle skin lesions and masses. Which lighting technique is specifically recommended for this assessment?

Inspection, Palpation, Percussion, Auscultation

What is the standard general sequence required for performing a physical examination?

Inspection, Auscultation, Percussion, Palpation

What is the specific sequence required for an abdominal physical examination?

Obesity

An adult Filipino male has a BMI of 26.5 kg/m². Using the WHO-APP Asian-Pacific cut-offs, what is his weight classification?

Normal

An adult Filipino female has a BMI of 21.0 kg/m². Using the WHO-APP Asian-Pacific cut-offs, what is her weight classification?

Overweight

An adult Filipino has a BMI of 24.5 kg/m². Using the WHO-APP Asian-Pacific cut-offs, what is their weight classification?

≥ 90 cm

According to the DOH Omnibus Guidelines, what is the waist circumference cut-off for obesity in Filipino males?

≥ 80 cm

According to the DOH Omnibus Guidelines, what is the waist circumference cut-off for obesity in Filipino females?

Development-centered

While adult medicine is often disease-centered, what is the primary clinical approach used for pediatric patients?

Family-dependent

In contrast to independent adults, children are characterized as being what in terms of their health management?

Ask the mother questions

A clinician enters a room where an 18-month-old is crying. To build rapport and trust, what is the first clinical action they should take?

Eye level

When interviewing a school-aged child, what physical position should the clinician take to appear less threatening?

9 to 18 months

What is the normal timeframe during which the anterior fontanelle is expected to close in an infant?

Neonatal period

In which specific pediatric age range (0–1 month) is the birth maternal history automatically incorporated into the History of Present Illness?

Gross motor delay

An 18-month-old toddler is not yet walking independently. In which pediatric developmental domain is the delay classified?

Pediatric Assessment Triangle (PAT)

A clinician performs a 30-to-60 second rapid visual assessment of a sick child from across the room. What is the name of this assessment tool?

Appearance, Work of Breathing, and Circulation

What are the three specific components evaluated in the Pediatric Assessment Triangle (PAT)?

Glabella and posterior occipital prominence

What specific anatomical landmarks must be used when measuring a child's head circumference?

Least invasive first

What is the fundamental principle regarding the order of a pediatric physical examination?

Parent’s lap

What is the best position for examining an infant or toddler to minimize anxiety and ensure security?

Growth

Which "vital sign" is unique to pediatrics and involves tracking weight, height, and head circumference over time?

Primary care physician

Regardless of special training, what role should an OB-GYN assume for their female patients according to clinical standards?

HPV and Tetanus

Which two vaccinations are specifically highlighted as priorities for adult women during a wellness visit?

CARE

A gynecologist uses communication skills based on Comfort, Acceptance, Responsiveness, and Empathy. What is this mnemonic?

21 to 35 days

What is the criterion for a normal interval length for a menstrual cycle?

4 to 7 days

What is the criterion for a normal duration of menstrual flow?

GTPAL

Which mnemonic represents the components of the obstetric score used in female history taking?

Gravida

In the obstetric score, what term represents the total number of pregnancies, regardless of outcome?

Parity

In the obstetric score, what term refers to pregnancies that reached a viable gestational age of greater than 20 weeks?

Abortion

In the obstetric score, a pregnancy that ends before 20 weeks gestation is classified as an?

Term

In the obstetric score, what classification is given to an infant delivered at 37 weeks or later?

Preterm

In the obstetric score, what classification is given to an infant delivered between 20 and 36 weeks?

Dorsal lithotomy

What is the standard clinical position for performing a pelvic examination?

Pederson speculum

Which narrower speculum is the preferred classification for use in nulligravid, postmenopausal, or virginal patients?

Graves speculum

Which wider speculum is the most common classification used for multigravid patients?

Round

Upon inspection, what is the characteristic shape of the cervical os in a nulliparous woman?

Fishmouth

Upon inspection, what is the characteristic shape of the cervical os in a parous woman (post-vaginal delivery)?

Stellate

What shape does the cervical os take following a history of cervical laceration?

Ferriman-Gallwey score

A score of 7 or higher in this system indicates hirsutism in Filipino women. What is the name of this score?

Asherman’s syndrome

What is the name of the condition where uterine adhesions develop after a dilation and curettage procedure?

Endometriosis

Lower abdominal pain that is regular, chronic, and cyclical with the menstrual cycle is most characteristic of what condition?

Anteverted

A bimanual exam reveals a uterus that is tipped forward toward the symphysis pubis. How is this uterine position classified?

Retroverted

A bimanual exam reveals a uterus that is tipped posteriorly. How is this uterine position classified?

RA 11223

Which Republic Act is formally known as the Universal Health Care Act in the Philippines?

28% to 32%

What percentage of the global burden of disease is estimated to be attributed to surgical conditions?

Urgent

A patient requires a surgical referral within a few hours for a condition that allows for brief medical stabilization. How is this urgency classified?

Emergent

A condition requiring immediate surgery to save a life or limb, such as a bowel obstruction, is classified as?

Elective

A surgery that can be scheduled weeks in advance and allows time for medical optimization is classified as?

Revised Cardiac Risk Index (RCRI)

What is the most widely recommended and used tool for stratifying perioperative cardiac risk in non-cardiac surgery?

Three or more predictors

A surgical patient is considered "very high risk" for cardiac complications if they possess how many RCRI predictors?

Metabolic equivalence (METs)

Functional capacity in a surgical patient is measured using which specific units?

4 METs

A patient who can climb two flights of stairs without difficulty is considered to have a functional capacity of at least how many units?

Duke Activity Status Index

What 12-item questionnaire is used to assess a surgical patient's peak METs?

4 to 8 weeks

To significantly reduce pulmonary risk, how long before an elective surgery should a patient cease smoking?

Creatinine ≥ 2.0 mg/dL

Which specific renal laboratory value is classified as an independent risk factor for perioperative cardiac complications?

Qualitative platelet dysfunction

A surgical patient with uremia has a normal platelet count but continued bleeding. How is this hematologic condition categorized?

Jaundice

A surgical patient with a serum bilirubin level greater than 3 mg/dL will clinically present with what sign?

Child-Pugh Class C

Which cirrhosis classification indicates a 76% mortality rate and usually contraindicates elective surgery?

140 to 180 mg/dL

What is the target preoperative glucose range that should be maintained for a diabetic patient?

Thyroid storm

An undiagnosed hyperthyroid patient is at risk for which life-threatening postoperative complication?

ACTH (cosyntropin) stimulation test

Which test is used to determine if the HPA axis is intact in a patient taking long-term exogenous steroids before surgery?

Hgb > 10 g/dL

In a stable surgical patient with no active bleeding, what is the hemoglobin cut-off above which transfusion is generally not indicated?

Stop 7 to 10 days before

What is the specific criteria for Aspirin cessation before an elective surgery with standard bleeding risk?

Stop 5 days before

What is the specific criteria for Warfarin cessation before an elective surgery?

INR ≤ 1.5

What is the target INR value required before proceeding with surgery after stopping Vitamin K antagonists?

Red Flag

A patient with unintentional weight loss of 15% in the last 6 months is categorized as having which surgical indicator?

Autonomy

A patient refuses a life-saving blood transfusion due to religious beliefs. Which ethical principle must the physician respect?