There is no significance of such a history

There is a significantly increased risk of this person developing breast cancer

The patient is at significantly increased risk of developing all types of cancer

There is no benefit in enrolling such a patient into a screening programme

There is no benefit in offering genetic counselling & screening

The total number of years that an individual has smoked for

The number of packs that a person smokes per day

A calculation used to quantify exposure to tobacco smoke in a standardised manner

The number of years that a person has smoked for before developing symptoms of a smoking related disorder

One pack year equates to the smoking of ten cigarettes a day for one year

To identify risk factors for specific disease processes which may need further investigation / management? It also provides an opportunity to offer health promotion advice

To identify if the person takes part in any illegal practices

To enable an assessment to be made as to the type of person that you are dealing with

To provide an impression of how fit the person is overall

To provide an assessment of a person’s mental state

Remittance

Relapse

Radiation & Related Symptoms

Refractory

Resolution

The accuracy of the diagnosis already provided

If the diagnosis has been made by a health professional

If the individual has any ongoing problems that are yet to be diagnosed

How the individual has been treated for the condition

All of the above are important considerations in this context

A circle which has been crossed through with details of the condition written at the side

An un-shaded square with details of the condition written at the side

A un-shaded circle with details of the condition written at the side

A shared square with details of the condition written at the side

A shaded circle with details of the condition written at the side

Details regarding the patients last sexual contact

Details surrounding all of the patients sexual contacts including, the sex of the contact, the type of sex that occurred and if condoms were used, always, sometimes or not at all.

Only details of contacts that involved penetrative sex of any type

Only details of contacts which involved higher risk activities

Sexual history contributes little to the information required to successfully care for an individual and as such its importance is overstated

Reflect the persons history back to them to seek confirmation

Ask about symptoms of disease in each of the body systems

Ask the person if there is anything else that they would like to add to the story

Ask if anyone else they have been in close contact to is also sick

Ask questions to validate the previously given history

Clinical history always need to be confirmed by clinical examination

Clinical history is of secondary importance to clinical examination

Clinical history is often misleading

Clinical history provides a primary guiding foundation when making clinical decisions

The best presenting clinical history is only available from the patients notes

Health of parents

Health of siblings

Any factors which may indicate low mood

Alcohol intake

Use of prescription medicines