healthassessquiz1
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each of the black spaces below before clicking
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| Subjective data, as well as symptomatic data, should be placed in the _________ section | history section
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| The quality of a symptom, such as pain is ____information that should be described in the _________ section | subjective data, history
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| Which is an effective adjunct to document location of findings during the recording of the physical exam | relationship to anatomic landmarks
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| The position on a clock, topographic notations and anatomic landmarks are methods for ______ | recording locations of findings
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| regardless of origin, discharge is described by noting | oolor and consistency
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| drawing of stick figures is most useful to | compare findings in extremities
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| findings of an unknown origin should be recorded on the patients _______ | problem list
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| a problem may be defined as anything that will require: | evaluation
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| differential diagnoses belong in the ______ | assessment
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| When recording assessments during the construction of the problem-oriented medical record, the examiner should: | create an assessment for each problem on the problem list.
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| Your patient returns for a blood pressure check 2 weeks after a visit during which you performed a complete history and physical. This visit would be documented by creating a(n): | PROGRESS NOTE
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| detailed description of the symptoms related to the chief complaint is presented in the: | history of present illness
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| The effect of the chief complaint on the patient’s lifestyle is recorded in which section of the medical record? | history of present ilness
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| The patient’s perceived disabilities and functional limitations are recorded in the: | past medical history
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| The review of systems is a component of the: | health history
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| Allergies to drugs and foods are generally listed in which section of the medical record? | past medical history
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| Information such as education and economic condition is part of | personal and social
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| Information recorded about an infant differs from that recorded about an adult, mainly because of the infant’s: | developmental status
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| In which section of the newborn history would you find details of gestational assessment and extrauterine adjustment data? | present problem
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| Data relevant to the social history of older adults include information on: | family support systems
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| A SOAP note is used in which type of recording system? | problem oriented
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| The examiner’s evaluation of a patient’s mental status belongs in the: | physical examination
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| follow-up visits for problems identified in the POMR are recorded in the_________ | progress notes
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| Documentation of the _________ should always be done by using the patient’s own words in quotation marks. | chief complaint
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| When using the mnemonic OLDCARTS, the A stands for ____________________. | aggravating an associated factors
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| The duties of care providers established by tradition, and within the context of culture, are known as: | deontological imperatives
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| When are open-ended questions generally most useful? | during the initial part of the interview
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| Behaviors that diffuse anxiety during the interview include: | providing forthright answers to questions
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| Periods of silence during the interview can serve important purposes, such as: | providing times for reflextion
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| a woman complains that she has had crushing chest pain for the past 2 days. She seems nervous as she speaks to you. An appropriate response is to: | continue to collect information regarding the chief complaint in an unhurried manner.
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| When interviewing older adults, the examiner should: | position himself facing the patient
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| The iatrotropic stimulus refers to the: | the patients stimulus to seek care
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| A pt complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the: | personal and social history.
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| A pt. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the: | CAGE questionnaire
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| A tool used to screen adolescents for alcoholism is the: | CRAFFT
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| Mr. Mills is a 55-year-old patient who presents to the office for an initial visit for health promotion. A survey of mobility and activities of daily living (ADLs) is part of a(an): | functional assessment
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| If the patient is well known or if you have been seeing the patient for the same problem over time, a __________ is appropriate | focused history
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| A fixed image of any group that rejects its potential for originality or individuality is known as a(n): | sterotype
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| Which group is traditionally considered to be past oriented? | eastern asians
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| Which group is characterized as emphasizing accomplishments that are measured by external standards? | dominant americans
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| Mr. Jones is a 45-year-old patient who presents to the office. A person’s definition of illness is likely to be most influenced by: | enculturation
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| As the health care provider, you are informing a patient that he or she has a terminal illness. This discussion is most likely to be discouraged in which cultural group? | Navajo Native Americans
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| Tuberculosis is an example of a "___" condition | cold
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| The duties of care providers established by tradition, and within the context of culture, are known as: | deontological imperatives
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| The iatrotropic stimulus refers to the: | patient’s stimulus to seek care.
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| ________ is used to screen adolescents for important issues in their life | PACES
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| the process by which an individual assumes the traits and behaviors of a given culture | enculturation
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| Penicillin is an example of a ____ medicine. | “hot”
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| The ____________ position places the left ventricle closer to the chest wall and is recommended for auscultating low-pitched sounds, such as the third and fourth heart sounds. | left lateral recumbent
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| Which part of the examiner's hand is best for palpating vibration | Ulnar surface
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| Which part of the examiners hand is best for assessing temperature? | dorsal surgace
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| which part would the examiner use to feel vibratory sensations such as thrills and fremitus? | Ulnar surface of the hand and bases of the fingers
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| which part of the hand is best for palpating pulses? | finger pads and fingertips
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| the _____ surface is best for assessing crepitus | palmer surface
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| the _____ surface is best for assessing texture | palmer
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| the _____ surfaces of the hand and fingers are best for assessing vibrations | ulnar surface
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| . Less dense tissue (such as that over normal lungs) produces a ____ tone | loud
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| More dense tissue such as a muscle produces a ____ tone | softer
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| The more dense the medium, the _____ is the percussion tone | softer
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| The more hollow the area, the _____ is the percussion tone | louder
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| Percussion tones over muscle are ___ and ___ | soft and flat
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| an expected normal percussion tone includes ______ over an empty stomach | tympany
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| A normal lung produces _________ percussion tones | resonance
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| _______ indicates atelectasis of the lung | dullness
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| ______ occurs over muscle | flatness
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| Place the palmar surface of the nondominant hand on the body surface with the fingers slightly spread apart when using ________ or ________ percussion | mediate, indirect
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| During percussion, the downward snap of the striking fingers should originate from the: | wrist
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| Fist percussion is a ______ percussion technique used to elicit tenderness over organs such as the liver, gallbladder, or kidneys. | direct
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| When sounds are not clear, and you are having difficulty distinguishing between respirations and heartbeats you can: | isolate each cycle segment
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| Underestimation of blood pressure will occur if the cuff’s width covers: | more than two thirds of the upper arm
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| A blood pressure cuff bladder should be long enough to: | cover 75% to 80% of the arm circumference
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| Rotating the lens selector compensates for______ or ______ in both the examiner and the patient | myopia or hyperopia
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| The _________ permits recognition of hemorrhages. | red-free filter
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| the _____ estimates the size of lesions | grid
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| The _______ examines the anterior eye and assesses the elevation of lesions | slit lamp
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| the _______ is used with small pupils. | small aperture
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| Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure: | hearing range of normal speech
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| To perform a deep tendon reflex measurement, you should: | briskly tap the tendon with the rubber end of the hammer.
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| A variant of a percussion hammer is a ____ hammer | neurologic
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| a neurologic hammer is equipped with a _____ and ______ | brush and needle
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| The most effective procedure to ensure correct serial measurements is to: | mark the borders of the tape at several intervals on the skin with a pen.
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| ___________ functions to differentiate between various media in a cavity. It can distinguish between air, fluid, and tissue. | Transillumination
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| if the patient is experiencing symptoms of autonomic hyperreflexia, then the first reaction should be for the examiner to: | remove the source of the stimulation.
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| Reactions to a cold, hard examination table or cold stirrups; insertion of a speculum; and pressure during pelvic examinations can cause ___________. | autonomic hyperreflexia
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| The stethoscope’s diaphragm is most useful in the assessment of __________ sounds. | high-pitched
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| When recording assessments during the construction of the problem-oriented medical record, the examiner should: | create an assessment for each problem on the problem list
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| A differential diagnosis is part of the __________ phase. | assessment
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| A second visit with the clinician is always recorded on a ________, noting any updates to the condition. | progress note
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| The effect of the chief complaint on the patient’s lifestyle is recorded in which section of the medical record? | History of present illness
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| The patient’s perceived disabilities and functional limitations are recorded in the: | past medical history.
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| The review of systems is a component of the: | health history
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| to drugs and foods are generally listed in which section of the medical record? | past medical history
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| A SOAP note is used in which type of recording system? | problem oriented
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| Mental status assessment, including cognitive and emotional stability and speech and language, is part of the __________. | physical examination
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| Follow-up visits for problems identified in the ____ are recorded in the progress notes. | POMR
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Created by:
TwiggyG85