Exam 2: Introduction to Health Records

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The medical term that means what the health care professional thinks the patient has is

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All of the following statements about the term discharge are true EXCEPT

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A patient with bilateral plantar warts has lesions on the

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In order to treat the symptoms and make the patient feel better, a medical professional may recommend that the patient

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All of the following statements about the medical term remission are true EXCEPT

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Which part of most medical notes contains information that could be a diagnosis, identification of the problem, or a differential diagnosis?

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The umbilicus (belly button) is located on the ________ ________ part of one's body.

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The plane that divides the body into slices, front to back, is the _______plane.

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Which of the following components of the health record is NOT included under the subjective section?

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The medical term that means toward the bottom and comes from the Latin meaning tail is

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The superior vena cava is a large-diameter short vein that carries deoxygenated blood from the body to the heart. It is located in the anterior right superior mediastinum. The correct definitions of anterior and superior are

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When a person uses her left hand to reach to the right, she is showing ________________ movement.

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What is the importance of health records?

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The body plane that divides the body from top to bottom is the ________plane.

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If a body part is located inferior to another body part, its position is

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Which part of most medical notes contains information such as the patient's physical exam, laboratory findings, and imaging studies performed at the visit?

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Which part of the SOAP method most accurately describes the following excerpt from a patient's clinic note? " T: 99.0; HR: 60; RR: 20; BP: 112/70. General: Pleasant, responsive. No acute distress. Respiratory: clear to auscultation. No wheezes, rales, rhonchi, or crackles. Good air exchange. No increased work of breathing."

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A patient has a rash on the top of both hands. Which of the following is the correct medical term for the location of the rash?

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A tumor is labeled as benign. This means that

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The physical examination technique that involves listening with a stethoscope is called

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