Question 1

Which of the following abbreviations would most likely be found in the "plan" portion of a health record?

Accepted Answer

A) Dx 
B) PERRLA 
C) QHS 
D) ROS 
E) RRR 
A) Dx 
B) PERRLA 
C) QHS 
D) ROS 
E) RRR

Question 2

The prescriber uses which of the following abbreviations if a medication is to be taken before meals?

Accepted Answer

A) AC 
B) PC 
C) prn 
D) QHS 
E) TID 
A) AC 
B) PC 
C) prn 
D) QHS 
E) TID

Question 3

From which portion of a consult note is the following excerpt? Reason for Consult: urinary retention
HPI: Mr.Johnson is a 57-year-old male with a 2-month history of difficulty voiding.He reports urgency and frequency.He has had increasing problems with a weakurinary stream.The symptoms have progressed to include mild abdominal discomfortand erectile dysfunction.He denies any incontinence, hematuria, balanorrhea, orchiodynia, or trauma.He has not tried any medicines at this point.
PMHx: Hypercholesterolemia-currently controlled with diet.Positive history of gonococcalurethritis 3 years previously.No history of urolithiasis.

Accepted Answer

A) Subjective 
B) Objective 
C) Assessment 
D) Plan 
E) Prescription 
A) Subjective 
B) Objective 
C) Assessment 
D) Plan 
E) Prescription

Question 4

Which abbreviation does NOT describe the time of day in which a prescription should be taken?

Accepted Answer

A) AC 
B) PC 
C) am 
D) QHS 
E) TID 
A) AC 
B) PC 
C) am 
D) QHS 
E) TID

Question 5

The superior vena cava is a large-diameter, yet 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:

Accepted Answer

A) back, above. 
B) back, below. 
C) front, above. 
D) front, below. 
A) back, above. 
B) back, below. 
C) front, above. 
D) front, below.

Question 6

Which 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 7

Which of the following is NOT true about the medical term remission?

Accepted Answer

A) It is a term that a medical professional might use in the assessment part of the health record. 
B) It means the illness has been cured. 
C) It means "to get better or improve." 
D) It is most often used when discussing cancer. 
E) None of these. 
A) It is a term that a medical professional might use in the assessment part of the health record. 
B) It means the illness has been cured. 
C) It means "to get better or improve." 
D) It is most often used when discussing cancer. 
E) None of these.

Question 8

During a patient exam, a medical professional may feel parts of the patient's body.This 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 9

Which section of the health record is NOT included in the subjective section?

Accepted Answer

A) Chief complaint 
B) Family history 
C) Past medical history 
D) Review of systems 
E) Social history 
A) Chief complaint 
B) Family history 
C) Past medical history 
D) Review of systems 
E) Social history

Question 10

Which of the following is NOT an abbreviation that refers to a health care facility or department?

Accepted Answer

A) CTA 
B) ECU 
C) ER 
D) OR 
E) PACU 
A) CTA 
B) ECU 
C) ER 
D) OR 
E) PACU

Question 11

The following is a portion of a patient's consult note: Past Medical History: Noncontributory.
Past Surgical History: Balanoplastyfor hypospadias at age 1.
Social History: Doug lives with his parents and older sister.He is going into kindergarten in the fall.
Family History: Paternal grandfather with polycystic kidney disease.
According to the doctor who authored this note, which of the following is true?

Accepted Answer

A) The patient has never had any surgeries 
B) The patient has polycystic kidney disease. 
C) The patient is 10 y/o. 
D) The patient's PMHx is not related to this specific problem. 
E) There is not enough information to draw any conclusions. 
A) The patient has never had any surgeries 
B) The patient has polycystic kidney disease. 
C) The patient is 10 y/o. 
D) The patient's PMHx is not related to this specific problem. 
E) There is not enough information to draw any conclusions.

Question 12

The inferior vena cava is also known as the posterior vena cava.From the terms inferior and posterior, one can say that this vein is ________________ the heart on the ________________ side.

Accepted Answer

A) above, back 
B) above, front 
C) below, back 
D) below, front 
A) above, back 
B) above, front 
C) below, back 
D) below, front

Question 13

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

Accepted Answer

A) bilateral 
B) contralateral 
C) ipsilateral 
D) lateral 
E) unilateral 
A) bilateral 
B) contralateral 
C) ipsilateral 
D) lateral 
E) unilateral

Question 14

Which of the following does NOT refer to "the front"?

Accepted Answer

A) Antral 
B) Anterior 
C) Dorsal 
D) Ventral 
E) They all refer to "the front." 
A) Antral 
B) Anterior 
C) Dorsal 
D) Ventral 
E) They all refer to "the front."

Question 15

If a person's head were divided on the coronal plane, which of the following is NOT true?

Accepted Answer

A) The division would be from front to back, and therefore both eyes could be seen on the same plane. 
B) The division would be from front to back, and therefore only one eye would be seen at a time. 
C) The division would be from left to right,and therefore both eyes could be seen on the same plane. 
D) The division would be from left to right,and therefore only one eye would be seen at a time. 
A) The division would be from front to back, and therefore both eyes could be seen on the same plane. 
B) The division would be from front to back, and therefore only one eye would be seen at a time. 
C) The division would be from left to right,and therefore both eyes could be seen on the same plane. 
D) The division would be from left to right,and therefore only one eye would be seen at a time.

Question 16

In the following health record, the patient's disposition is noted. Emergency Department Course:
Miss Sweet arrived in the ED lethargic but responsive.Given her history and vomiting, we were concerned about diabetic ketoacidosis.The patient's finger stick blood sugar test result of 320 confirmed hyperglycemia, and a urinalysis revealed both glucosuria and ketonuria.An IV was started and labs were sent.Chemistry profile showed hypernatremia, hypokalemia, and acidemia.The pediatric intensive care team was contacted for transfer to the PICU.
Disposition: Transfer to PICU.
The correct definition for disposition in this context is:

Accepted Answer

A) how the patient is feeling. 
B) the main reason for the patient's visit. 
C) what happened to the patient at the end of the visit. 
D) when the patient will be sent home. 
E) none of these. 
A) how the patient is feeling. 
B) the main reason for the patient's visit. 
C) what happened to the patient at the end of the visit. 
D) when the patient will be sent home. 
E) none of these.

Question 17

The first part of most medical notes that includes such information as medical history, duration and quality of the problem, and any exacerbating or relieving factors for that problem is known as the:

Accepted Answer

A) subjective. 
B) objective. 
C) assessment. 
D) plan. 
E) none of these. 
A) subjective. 
B) objective. 
C) assessment. 
D) plan. 
E) none of these.

Question 18

What is the correct definition for the abbreviation RR?

Accepted Answer

A) Radiology report 
B) Rapid rate 
C) Recurrent reason 
D) Respiratory rate 
E) Responsive remission 
A) Radiology report 
B) Rapid rate 
C) Recurrent reason 
D) Respiratory rate 
E) Responsive remission

Question 19

Which is the correct abbreviation for a medicine administered "as desired"?

Accepted Answer

A) Ad lib 
B) IM 
C) NPO 
D) PICC 
E) PO 
A) Ad lib 
B) IM 
C) NPO 
D) PICC 
E) PO

Question 20

A patient has unremarkable symptoms.Unremarkable is a medical term used to mean:

Accepted Answer

A) it stands out. 
B) normal. 
C) responsive. 
D) unresponsive. 
E) none of these. 
A) it stands out. 
B) normal. 
C) responsive. 
D) unresponsive. 
E) none of these.

Which of the following abbreviations would most likely be found in the "plan" portion of a health record?

The prescriber uses which of the following abbreviations if a medication is to be taken before meals?

Which abbreviation does NOT describe the time of day in which a prescription should be taken?

The superior vena cava is a large-diameter, yet 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:

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

Which of the following is NOT true about the medical term remission?

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

Which section of the health record is NOT included in the subjective section?

Which of the following is NOT an abbreviation that refers to a health care facility or department?

The inferior vena cava is also known as the posterior vena cava.From the terms inferior and posterior, one can say that this vein is the heart on the side.

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

Which of the following does NOT refer to "the front"?

If a person's head were divided on the coronal plane, which of the following is NOT true?

The first part of most medical notes that includes such information as medical history, duration and quality of the problem, and any exacerbating or relieving factors for that problem is known as the:

What is the correct definition for the abbreviation RR?

Which is the correct abbreviation for a medicine administered "as desired"?

A patient has unremarkable symptoms.Unremarkable is a medical term used to mean:

Introduction to Medical Language

The Integumentary System-Dermatology

The Musculoskeletal System-Orthopedics

The Nervous System-Neurology and Psychiatry

The Sensory System-Ophthalmology and Otolaryngology

The Endocrine System-Endocrinology

The Blood and Lymphatic Systems-Hematology and Immunology

The Cardiovascular System-Cardiology

The Respiratory System-Pulmonology

The Gastrointestinal System-Gastroenterology

The Urinary and Male Reproductive Systems-Urology

The Female Reproductive System-Gynecology, Obstetrics, and Neonatology

Filters

Exam 2: Introduction to Health Records

Which of the following abbreviations would most likely be found in the "plan" portion of a health record?

The prescriber uses which of the following abbreviations if a medication is to be taken before meals?

Which abbreviation does NOT describe the time of day in which a prescription should be taken?

The superior vena cava is a large-diameter, yet 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:

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

Which of the following is NOT true about the medical term remission?

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

Which section of the health record is NOT included in the subjective section?

Which of the following is NOT an abbreviation that refers to a health care facility or department?

The inferior vena cava is also known as the posterior vena cava.From the terms inferior and posterior, one can say that this vein is ________________ the heart on the ________________ side.

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

Which of the following does NOT refer to "the front"?

If a person's head were divided on the coronal plane, which of the following is NOT true?

The first part of most medical notes that includes such information as medical history, duration and quality of the problem, and any exacerbating or relieving factors for that problem is known as the:

What is the correct definition for the abbreviation RR?

Which is the correct abbreviation for a medicine administered "as desired"?

A patient has unremarkable symptoms.Unremarkable is a medical term used to mean:

Introduction to Medical Language

The Integumentary System-Dermatology

The Musculoskeletal System-Orthopedics

The Nervous System-Neurology and Psychiatry

The Sensory System-Ophthalmology and Otolaryngology

The Endocrine System-Endocrinology

The Blood and Lymphatic Systems-Hematology and Immunology

The Cardiovascular System-Cardiology

The Respiratory System-Pulmonology

The Gastrointestinal System-Gastroenterology

The Urinary and Male Reproductive Systems-Urology

The Female Reproductive System-Gynecology, Obstetrics, and Neonatology

Filters

The inferior vena cava is also known as the posterior vena cava.From the terms inferior and posterior, one can say that this vein is the heart on the side.