Exam 2: Introduction to Health Records

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Which is the correct opposite for the proximal part of the body?

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As part of a patient's treatment plan, she was admitted to the hospital for observation. This means :

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Which of the following is FALSE about the SOAP method?

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The following is an excerpt from a consult note. PMHx: CAD with PTCA in 20xx.Hypertension.Hypertriglyceridemia. Medications: Beta blocker, nitroglycerin prn, ASA, antilipidemic agent. Allergies: Penicillin. FHx: Brother deceased from an MI at 69 years of age. SHx: Patient does not smoke. He drinks 1-2 beers per week. Denies illicit drug use. He is married with two grown children and three grandchildren. This information is most accurately classified as:

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When a patient is examined by a medical professional, which of the following would NOT be part of the physical examination?

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A CC is usually included on which part of the health care record?

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A patient complains of itchy skin and has a very noticeable rash. What is an appropriate medical term to describe the rash?

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Which of the following is the correct definition for the term symptom?

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A medicine administered PR is given in the:

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A Dietician is someone that?

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In order for the medical professional to perform a physical examination, he asked the patient to lie down on his back. The patient is lying ________.

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If a patient's infection is classified as malignant, it is:

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NOS and NEC are:

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When a medical professional gives a prognosis, he is indicating:

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A review of systems is:

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A systemic infection by definition:

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Prophylaxis refers to:

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The term pathogen comes from combining the roots path/o and gen/o. Which are the correct root and term definitions?

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Which is a correct interpretation of the following portion of a physical exam? CV: RRR without murmur, gallops, or rubs. Resp: CTA bilaterally.

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Which of the following abbreviations and terms is NOT associated with the assessment in the SOAP method?

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