Clinical Assessment Methods Flashcards

Which component of a comprehensive pain assessment is best captured by the 'Q' in the OPQRSTU mnemonic?

Answer: Quality of pain (e.g., burning, stabbing)

'Q' in OPQRSTU stands for Quality, describing the character of pain such as burning, aching, or stabbing.

A pharmacist uses the Morisky Medication Adherence Scale (MMAS-8). A score of 6 out of 8 indicates:

Answer: Medium adherence

MMAS-8 scores of 6–7 indicate medium adherence; scores of 8 indicate high adherence, and below 6 indicate low adherence.

When assessing a patient for potential opioid misuse, which validated screening tool is most commonly recommended?

Answer: ORT (Opioid Risk Tool)

The Opioid Risk Tool (ORT) is specifically validated to stratify patients' risk of opioid misuse before initiating opioid therapy.

A patient's eGFR is reported as 28 mL/min/1.73m². According to KDIGO staging, this patient has:

Answer: CKD Stage 4

KDIGO Stage 4 CKD corresponds to an eGFR of 15–29 mL/min/1.73m², indicating severely decreased kidney function.

During auscultation training, a pharmacy student hears a high-pitched wheeze over the lung bases bilaterally. This finding is most consistent with:

Answer: Bronchospasm from asthma or COPD

Bilateral expiratory wheezes indicate airway narrowing from bronchospasm, characteristic of asthma or COPD exacerbation.

The HEADSSS assessment framework is primarily used when assessing which patient population?

Answer: Adolescents in a psychosocial context

HEADSSS (Home, Education, Activities, Drugs, Sexuality, Suicide/Safety) is a structured psychosocial assessment tool for adolescents.

A pharmacist calculates a patient's BMI as 32.5 kg/m². According to Health Canada classification, this is categorized as:

Answer: Obese Class I

A BMI of 30–34.9 kg/m² is classified as Obese Class I, associated with increased health risk.