Question 1

The patient's medical record noted that the patient experienced sequelae after his heart attack. This means that the patient

Accepted Answer

A)  had an increased risk for sudden death. 
B)  developed a problem resulting from disease or injury. 
C)  had hidden problems. 
D)  had diseased tissue. 
E)  could develop another heart attack. 
A)  had an increased risk for sudden death. 
B)  developed a problem resulting from disease or injury. 
C)  had hidden problems. 
D)  had diseased tissue. 
E)  could develop another heart attack.

Question 2

Read this excerpt from a patient's health record. "Johnny's history is significant for tympanostomy tubes placed bilaterally when he was 2 years old. One tube left a persistent perforation in the tympanic membrane, so he had a tympanoplasty at 3 years of age. He has not had any episodes of otitis media in the past 2 years." This is the patient's

Accepted Answer

A)  chief complaint. 
B)  history of present illness. 
C)  past medical history. 
D)  personal social medical history. 
E)  review of systems. 
A)  chief complaint. 
B)  history of present illness. 
C)  past medical history. 
D)  personal social medical history. 
E)  review of systems.

Question 3

All of the following terms refer to the front EXCEPT

Accepted Answer

A)  antral. 
B)  anterior. 
C)  dorsal. 
D)  ventral. 
A)  antral. 
B)  anterior. 
C)  dorsal. 
D)  ventral.

Question 4

A patient suffered burns on the palms of both hands. This would be documented in the medical record as burns to the _______region.

Accepted Answer

A)  plantar 
B)  dorsal 
C)  palmar 
D)  medial 
E)  lateral 
A)  plantar 
B)  dorsal 
C)  palmar 
D)  medial 
E)  lateral

Question 5

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

Accepted Answer

A)  All of a sudden 
B)  Has been going on for a while 
C)  Runs in the family 
D)  Gets progressively worse 
E)  Something a patient feels 
A)  All of a sudden 
B)  Has been going on for a while 
C)  Runs in the family 
D)  Gets progressively worse 
E)  Something a patient feels

Question 6

When a medical professional gives the patient a prognosis, he/she is telling the patient

Accepted Answer

A)  the chances for things getting better or worse. 
B)  the organism that causes the problem. 
C)  the risk for being sick. 
D)  the risk for dying. 
E)  what he/she thinks the patient has. 
A)  the chances for things getting better or worse. 
B)  the organism that causes the problem. 
C)  the risk for being sick. 
D)  the risk for dying. 
E)  what he/she thinks the patient has.

Question 7

The risk for being sick is known as

Accepted Answer

A)  malignant. 
B)  morbidity. 
C)  mortality. 
D)  prognosis. 
E)  remission. 
A)  malignant. 
B)  morbidity. 
C)  mortality. 
D)  prognosis. 
E)  remission.

Question 8

A synonym for the word assessment is

Accepted Answer

A)  etiology. 
B)  prognosis. 
C)  remission. 
D)  impression. 
E)  differential diagnosis. 
A)  etiology. 
B)  prognosis. 
C)  remission. 
D)  impression. 
E)  differential diagnosis.

Question 9

During a patient examination, a medical professional may feel parts of the patient's body. This technique is called

Accepted Answer

A)  auscultation. 
B)  diagnosing. 
C)  palpation. 
D)  palpitation. 
E)  percussion. 
A)  auscultation. 
B)  diagnosing. 
C)  palpation. 
D)  palpitation. 
E)  percussion.

Question 10

The medical term that refers to the risk for dying is

Accepted Answer

A)  mortality. 
B)  morbidity. 
C)  prognosis. 
D)  sequelae. 
E)  idiopathic. 
A)  mortality. 
B)  morbidity. 
C)  prognosis. 
D)  sequelae. 
E)  idiopathic.

Question 11

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

Accepted Answer

A)  distal 
B)  dorsum 
C)  ipsilateral 
D)  prone 
E)  ventral 
A)  distal 
B)  dorsum 
C)  ipsilateral 
D)  prone 
E)  ventral

Question 12

The definition for the medical term sterile is

Accepted Answer

A)  preventative treatment. 
B)  extremely clean, germ-free environment. 
C)  treating the symptoms. 
D)  free of blood-borne pathogens. 
E)  contaminated. 
A)  preventative treatment. 
B)  extremely clean, germ-free environment. 
C)  treating the symptoms. 
D)  free of blood-borne pathogens. 
E)  contaminated.

Question 13

The plane that divides a body into a right and left side is the ___________ plane.

Accepted Answer

A)  coronal 
B)  sagittal 
C)  transverse 
D)  vertical 
E)  axial 
A)  coronal 
B)  sagittal 
C)  transverse 
D)  vertical 
E)  axial

Question 14

The term that means toward the top is

Accepted Answer

A)  caudal. 
B)  superior. 
C)  cranial. 
D)  anterior. 
E)  medial. 
A)  caudal. 
B)  superior. 
C)  cranial. 
D)  anterior. 
E)  medial.

Question 15

Under assessment, the physician has written that he wants to "rule out angina pectoris, myocardial infarction, gastroesophageal reflux disease, and pectoral muscle strain." Ruling out various diseases is called a (n)

Accepted Answer

A)  diagnosis. 
B)  prognosis. 
C)  etiology. 
D)  differential diagnosis. 
E)  pending diagnosis. 
A)  diagnosis. 
B)  prognosis. 
C)  etiology. 
D)  differential diagnosis. 
E)  pending diagnosis.

Question 16

A problem that worsens more and more each day is said to be

Accepted Answer

A)  progressive. 
B)  acute. 
C)  chronic. 
D)  abrupt. 
E)  exacerbation. 
A)  progressive. 
B)  acute. 
C)  chronic. 
D)  abrupt. 
E)  exacerbation.

Question 17

Significant past illnesses such as high blood pressure, diabetes, or asthma would be documented in which section of the health record?

Accepted Answer

A)  social history 
B)  chief complaint 
C)  review of systems 
D)  past surgical history 
E)  past medical history 
A)  social history 
B)  chief complaint 
C)  review of systems 
D)  past surgical history 
E)  past medical history

Question 18

Which of the following statements is the best definition for differential diagnosis?

Accepted Answer

A)  A list of conditions the patient may have based on symptoms and results of the exam 
B)  A problem that results from a disease or injury 
C)  Another way of saying assessment 
D)  The cause of a disease 
E)  What the health care professional thinks the patient has 
A)  A list of conditions the patient may have based on symptoms and results of the exam 
B)  A problem that results from a disease or injury 
C)  Another way of saying assessment 
D)  The cause of a disease 
E)  What the health care professional thinks the patient has

Question 19

In the patient's medical record, a note states that the patient has unremarkable symptoms. Unremarkable is a medical term used to mean that the symptoms

Accepted Answer

A)  stand out. 
B)  get progressively worse. 
C)  get progressively better. 
D)  do not bother the patient. 
E)  are normal. 
A)  stand out. 
B)  get progressively worse. 
C)  get progressively better. 
D)  do not bother the patient. 
E)  are normal.

Question 20

The patient had tympanostomy tubes placed bilaterally. Which is the correct breakdown and definition of the term bilateral?

Accepted Answer

A)  bi (one) + later (out to the side) + al (condition) = condition one side 
B)  bi (side) + later (toward the middle) + al (condition) = condition toward the middle of the side 
C)  bi (side) + later (toward the side) + al (pertaining to) = pertaining to toward the side 
D)  bi (two) + later (side) + al (pertaining to) = pertaining to two sides 
E)  bi (two) + lateral (toward the middle) = towards the middle of both ears 
A)  bi (one) + later (out to the side) + al (condition) = condition one side 
B)  bi (side) + later (toward the middle) + al (condition) = condition toward the middle of the side 
C)  bi (side) + later (toward the side) + al (pertaining to) = pertaining to toward the side 
D)  bi (two) + later (side) + al (pertaining to) = pertaining to two sides 
E)  bi (two) + lateral (toward the middle) = towards the middle of both ears

The patient's medical record noted that the patient experienced sequelae after his heart attack. This means that the patient

All of the following terms refer to the front EXCEPT

A patient suffered burns on the palms of both hands. This would be documented in the medical record as burns to the _______region.

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

When a medical professional gives the patient a prognosis, he/she is telling the patient

The risk for being sick is known as

A synonym for the word assessment is

During a patient examination, a medical professional may feel parts of the patient's body. This technique is called

The medical term that refers to the risk for dying is

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

The definition for the medical term sterile is

The plane that divides a body into a right and left side is the ___________ plane.

The term that means toward the top is

Under assessment, the physician has written that he wants to "rule out angina pectoris, myocardial infarction, gastroesophageal reflux disease, and pectoral muscle strain." Ruling out various diseases is called a (n)

A problem that worsens more and more each day is said to be

Significant past illnesses such as high blood pressure, diabetes, or asthma would be documented in which section of the health record?

Which of the following statements is the best definition for differential diagnosis?

In the patient's medical record, a note states that the patient has unremarkable symptoms. Unremarkable is a medical term used to mean that the symptoms

The patient had tympanostomy tubes placed bilaterally. Which is the correct breakdown and definition of the term bilateral?

Introduction to Medical Language

The Integumentary Systemdermatology

The Musculoskeletal Systemorthopedics

The Nervous Systemneurology and Psychiatry

The Sensory Systemophthalmology and Otolaryngology

The Endocrine Systemendocrinology

The Blood and Lymphatic Systemshematology and Immunology

The Cardiovascular Systemcardiology

The Respiratory Systempulmonology

The Gastrointestinal Systemgastroenterology

The Urinary and Male Reproductive Systemsurology

The Female Reproductive Systemgynecology, Obstetrics, and Neonatology

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Exam 2: Introduction to Health Records

The patient's medical record noted that the patient experienced sequelae after his heart attack. This means that the patient

All of the following terms refer to the front EXCEPT

A patient suffered burns on the palms of both hands. This would be documented in the medical record as burns to the _______region.

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

When a medical professional gives the patient a prognosis, he/she is telling the patient

The risk for being sick is known as

A synonym for the word assessment is

During a patient examination, a medical professional may feel parts of the patient's body. This technique is called

The medical term that refers to the risk for dying is

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

The definition for the medical term sterile is

The plane that divides a body into a right and left side is the ___________ plane.

The term that means toward the top is

Under assessment, the physician has written that he wants to "rule out angina pectoris, myocardial infarction, gastroesophageal reflux disease, and pectoral muscle strain." Ruling out various diseases is called a (n)

A problem that worsens more and more each day is said to be

Significant past illnesses such as high blood pressure, diabetes, or asthma would be documented in which section of the health record?

Which of the following statements is the best definition for differential diagnosis?

In the patient's medical record, a note states that the patient has unremarkable symptoms. Unremarkable is a medical term used to mean that the symptoms

The patient had tympanostomy tubes placed bilaterally. Which is the correct breakdown and definition of the term bilateral?

Introduction to Medical Language

The Integumentary Systemdermatology

The Musculoskeletal Systemorthopedics

The Nervous Systemneurology and Psychiatry

The Sensory Systemophthalmology and Otolaryngology

The Endocrine Systemendocrinology

The Blood and Lymphatic Systemshematology and Immunology

The Cardiovascular Systemcardiology

The Respiratory Systempulmonology

The Gastrointestinal Systemgastroenterology

The Urinary and Male Reproductive Systemsurology

The Female Reproductive Systemgynecology, Obstetrics, and Neonatology

Filters