Exam 2: Medical Records

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The veterinary-client-patient relationship or VCPR must be maintained legally within 2 years.

Free
(True/False)
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Correct Answer:
Verified

False

The veterinary assistant must record an animal's history, but it is not necessary to note any communications with the client by phone or verbally within the medical record.

Free
(True/False)
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Correct Answer:
Verified

False

Match the following terms with the correct definition.
Premises:
neuter certificate
Responses:
identifies procedures to the owner and allows the owner to authorize them
measured facts based on an animal
form to allow an animal to travel
Correct Answer:
Verified
Premises:
Responses:
neuter certificate
identifies procedures to the owner and allows the owner to authorize them
Free
(Matching)
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Correct Answer:
Verified

Match the following terms with the correct definition.
Premises:
consent form
Responses:
the owner of an animal
treatment or procedure given to an animal
detailed information written about each animal
Correct Answer:
Verified
Premises:
Responses:
consent form
the owner of an animal
(Matching)
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The health certificate must include vaccine dates of an animal.

(True/False)
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In the SOAP format for progress notes, in which category would the chief complaint be written?

(Multiple Choice)
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Which of the following statements is TRUE about the confidentiality of medical records?

(Multiple Choice)
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Place one single line through any error made in the medical record and then correct and _________ the mistakes.

(Short Answer)
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Progress notes are recorded in __________ order in the medical record.

(Short Answer)
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Which of the following vaccines is legally required to be given to some animal species?

(Multiple Choice)
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Match the following terms with the correct definition.
Premises:
health certificate
Responses:
the animal seen by the facility
form to allow an animal to travel
relationship between vet and animal owner
Correct Answer:
Verified
Premises:
Responses:
health certificate
the animal seen by the facility
(Matching)
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Where is the SOAP recording method commonly used?

(Multiple Choice)
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Match the following terms with the correct definition.
Premises:
medical record
Responses:
vet's diagnosis of an animal's problem
opinion of animal's appearance and attitude
identifies procedures to the owner and allows the owner to authorize them
Correct Answer:
Verified
Premises:
Responses:
medical record
vet's diagnosis of an animal's problem
(Matching)
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Which of the following statements about filing medical records is NOT true?

(Multiple Choice)
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Match the following terms with the correct definition.
Premises:
patient
Responses:
opinion of animal's appearance and attitude
the owner of an animal
method of filing medical records
Correct Answer:
Verified
Premises:
Responses:
patient
opinion of animal's appearance and attitude
(Matching)
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Match the following terms with the correct definition.
Premises:
subjective information
Responses:
vet's diagnosis of an animal's problem
the animal seen by the facility
the owner of an animal
Correct Answer:
Verified
Premises:
Responses:
subjective information
vet's diagnosis of an animal's problem
(Matching)
4.8/5
(36)
Match the following terms with the correct definition.
Premises:
progress notes
Responses:
treatment or procedure given to an animal
the owner of an animal
vet's diagnosis of an animal's problem
Correct Answer:
Verified
Premises:
Responses:
progress notes
treatment or procedure given to an animal
(Matching)
4.9/5
(30)

When discharging a client and patient, which is NOT necessary for the veterinary assistant to check?

(Multiple Choice)
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The __________ is the reason the veterinarian is seeing the patient during an appointment.

(Short Answer)
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Which of the following is a DO when recording in a medical record?

(Multiple Choice)
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