Quiz Day 5 - Comprehensive

20 Questions | Total Attempts: 42

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Quiz Day 5 - Comprehensive

This is a comprehensive quiz on all components of the medical chart.


Questions and Answers
  • 1. 
    "Along with my headache, I've noticed some blood in my urine," is an example of which HPI component listed below?
    • A. 

      Onset/Duration

    • B. 

      Modifying Factors

    • C. 

      Location/Radiation

    • D. 

      Associated Symptoms

  • 2. 
    "My temperature went down after I took some Tylenol," is an example of which HPI component listed below?
    • A. 

      Quality

    • B. 

      Modifying Factors

    • C. 

      Onset/Duration

    • D. 

      Associated Symptoms

  • 3. 
    In what part of the medical chart does abdominal pain belong, ROS or PE? Please write the answer below and include the associated system. (Example: PE, Musculoskeletal)
  • 4. 
    In what part of the medical chart does murmur belong, ROS or PE? Please write the answer below and include the associated system. (Example: PE, Musculoskeletal)
  • 5. 
    Which of the following medications is an antiemetic?
    • A. 

      Dilaudid

    • B. 

      Zofran

    • C. 

      Toradol

    • D. 

      Motrin

  • 6. 
    The physician dictates, "The patient had left-sided, horizontal nystagmus." This would be charted where?
    • A. 

      In the Eyes system of the PE

    • B. 

      In the Eyes system of the ROS

    • C. 

      In the Skin system of the PE

    • D. 

      None of the above

  • 7. 
    What is the perspective of physical exam and review of systems?
    • A. 

      Physical Exam is objective, Review of Systems is subjective

    • B. 

      Physical Exam is subjective, Review of Systems is objective

    • C. 

      Physical Exam and Review of Systems are both subjective

    • D. 

      Physical Exam and Review of Systems are both objective

  • 8. 
    True or False.  A medical chart is used for the following: legal document, patient medical history, billing purposes, public record. 
    • A. 

      True

    • B. 

      False

  • 9. 
    True or False. The best time to ask the physician for clarification on any part of the chart is while he/she is seeing the patient.
    • A. 

      True

    • B. 

      False

  • 10. 
    A physician's Plan on the medical chart includes which of the following? (You may check more than one answer.)
    • A. 

      Treatment instructions

    • B. 

      Differential diagnosis

    • C. 

      Physical exam

    • D. 

      Prescriptions and dosage

  • 11. 
    Patient takes Metformin 850 MG twice a day. What chronic condition does patient most likely have?
  • 12. 
    What phrase would you write if patient states he/she has no allergies?
  • 13. 
    Please answer the question following the HPI below.Patient is a 46 year-old male presenting to the clinic with complaints of back pain that began s/p falling from a ladder (1).  Pain starts in the lower back and radiates through the shoulder blades and into the neck (2).  Pain was further aggravated while playing tennis (3). Patient took Motrin with minor relief of pain (4). Pain is relieved slightly when patient lies on his side (5).  Patient reports that pain increases when he rises from laying down, sitting, and with ambulation (6).What element(s) is/are missing? Check all that apply.
    • A. 

      Onset/duration

    • B. 

      Associated symptoms

    • C. 

      Context

    • D. 

      Quality

    • E. 

      Chief complaint

    • F. 

      Modifying factors

  • 14. 
    Which of the following is NOT an example of official diagnostic results that should be found in a patient's chart?
    • A. 

      EKG findings

    • B. 

      Patient's vital signs for today

    • C. 

      MRI of pelvis

    • D. 

      Laboratory results

  • 15. 
    Is the following statement true or false?It is necessary for the physician to sign off on the chart notes of new patients, but not of existing patients.
    • A. 

      True

    • B. 

      False

  • 16. 
    Atenolol is a medication most often used to treat what medical condition?
  • 17. 
    What is the correct format for a typical patient's medical chart?
    • A. 

      Assessment/Plan, Diagnostic Studies/Ancillary Data, HPI, PMHx, PE, ROS

    • B. 

      HPI, PMHx, ROS, PE, Diagnostic Studies/Ancillary Data, Assessment/Plan

    • C. 

      PMHx, ROS, HPI, PE, Assessment/Plan, Diagnostic Studies/Ancillary Data

    • D. 

      HPI, ROS, PE, PMHx, Diagnostic Studies/Ancillary Data, Assessment/Plan

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