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Ch 21 Physical Exam

physical examination

QuestionAnswer
Which of the following is considered a safeguard mandated by HIPAA? Passwords access to all electronic health records Computer monitor shields Turning monitors away from patient traffic areas All are correct All are correct
When writing in a paper record and an error is made, which of the following document guidelines is acceptable? Scribble out error. Use whiteout to cover up the error. Erase the error. Draw a line through the error. Draw a line through the error.
Which of the following is a good example of an open-ended question? What brings you to the doctor today? Do you have a headache? What is your date of birth? Have you ever broken a bone? What brings you to the doctor today?
Which of the following processes involved in active listening seeks to summarize or simplify the sender’s thoughts and feelings or to resolve any confusion in the message? Restatement Reflection Clarification Feedback Clarification
Which examination position is used in emergencies for patients with severe hypotension or who are in shock? Dorsal recumbent Knee-chest Lithotomy Trendelenburg Trendelenburg
The physician uses a(n) ______ to examine the eyes. ophthalmoscope otoscope flashlight ophthalmoscope ophthalmoscope
When preparing a patient for a physical examination, the medical assistant is responsible for all of the following except: providing the patient with a gown and instructions on how to wear it. providing refill prescriptions as needed. providing refill prescriptions as needed.
Which term is associated with the process of measuring? Auscultation Mensuration Manipulation Palpation Mensuration
Which of the following factors is likely to have the most influence on the accuracy and completeness of the information obtained from the patient during the medical history? The privacy of the area in which the interview takes place
Sally Tipoke, age 17, is scheduled for her first Pap test today. She appears anxious and scared. Choose the medical assistant’s most appropriate statement. “You look worried about the exam. Can I answer any questions?” “You look worried about the exam. Can I answer any questions?”
As a result of his CVA, Mr. Johnson suffers from motor aphasia. What does this mean? He knows what he wants to say but cannot pronounce the words clearly. He is unable to talk or write because of the damage to his brain. He knows what he wants to say but cannot pronounce the words clearly.
The sclera of the eye is described as the: tissue that lines the interior part of the eye. part of the eye that is responsible for eye color. white part of the eye that may show inflammation. area of the eye where tears form. white part of the eye that may show inflammation.
How does the physician typically begin the examination of body parts and systems? By assessing the body part causing the patient’s complaint By starting with the head and working methodically toward the feet By starting with the head and working methodically toward the feet
Which of the following includes the patient’s dietary habits, smoking history, and alcohol consumption? Family history Past history Social history Database ROS Social history
Which of the following positions is sometimes referred to as the “left lateral position” and used for rectal examinations? Sims’ position Lithotomy position Prone position Trendelenburg position Sims’ position
Which of the following involves repeating or paraphrasing the patient’s comments? Restatement Clarification Reflection Restatement
Which of the following involves asking a question or summarizing a patient’s thoughts? Restatement Clarification Reflection Clarification
Which statement best describes what it means to have good rapport with patients? You use language they understand. They respect you as a professional. You have smooth, pleasant relationships with them. You are polite and punctual. You have smooth, pleasant relationships with them.
Which of the following is the medical assistant’s responsibility when preparing the patient for a physical examination? Make sure all informed consent forms have been signed. Write prescriptions for patients in need of refills. Make sure all informed consent forms have been signed.
Which position requires the patient to lie flat on his or her back? Supine Prone Sims’ Fowler’s Supine
Which of the following is an open-ended question or statement? “How old are you?” “Do you smoke?” “What brings you to the office today?” “What brings you to the office today?”
Clubbing of the fingertips is associated with which of the following health problems? Skin conditions Heart or lung disease Congenital deformity Inherited defect heart or lung disease
Objective data include which of the following? Complaints of pain Social history Blood pressure recordings Past medical history Blood pressure recordings
During patient assessment, which of the following is an example of a subjective finding? Difficulty breathing Temperature Blood pressure and pulse Palpable mass Difficulty breathing
Which of the following is a closed question or statement? “Tell me about your headaches.” “Does your head hurt?” “How are you feeling?” “Does your head hurt?”
Which of the following positions is used for examination of the front of the body, including the heart, breasts, and abdominal organs? Fowler’s position Dorsal recumbent position Supine (horizontal recumbent) position Lithotomy position Supine (horizontal recumbent) position
Which of the following positions may be used when an anterior examination is to be done, but the patient has back pain? Lithotomy Semi-Fowler’s Dorsal recumbent Horizontal recumbent Dorsal recumbent
What is the normal color of the tympanic membrane? Pink Slightly yellow Off-white Pearly gray Pearly gray
Which of the following fingernail conditions may indicate local infection or systemic disease? Spooning of the main Beau’s lines Clubbing fingertips Brittle, grooved, or lined nails Brittle, grooved, or lined nails
While you are taking the medical history of a new patient, the patient mentions having occasional headaches that are quite painful. What is the best way for you to proceed with the interview? Ask the patient open-ended questions about the headaches. Ask the patient open-ended questions about the headaches.
Which of the following explains a sign of disease? Patient c/o pain Reports of dizziness for 3 days Abdominal cramping for 2 weeks Elevated blood pressure Elevated blood pressure
Plantar reflexes are tested with which of the following? The patient in an upright or a supine position With either the fingers or the reflex hammer Using tapotement None are correct The patient in an upright or a supine position
The medical assistant is responsible for documenting all of the following information except the: review of systems. family history. social history. allergies. review of systems.
Which of the following components of the medical history provides a guide to the patient’s general health? Chief complaint Family history Social history Systems review Systems review
Which of the following includes demographic information? Family history Past history Social history Database ROS Database
What is the best way to obtain specific information about a patient when taking the medical history? Ask direct questions that can be answered briefly. Restate what the patient has said to check the accuracy of what was heard. Ask direct questions that can be answered briefly.
One of the medical assistant’s responsibilities when preparing a room for a patient’s physical examination is to gather the instruments and supplies needed. Which of the following is not needed for a routine physical examination? Sterile gloves Sterile gloves
When lifting a heavy object, the medical assistant should: bend at the waist, keeping the back straight. pull the object in the direction needed. keep the weight as close as possible to the body. twist and reach for the object. keep the weight as close as possible to the body.
The physician asks the medical assistant to position a patient on the examination table so that the patient can breathe more easily. The most appropriate position is: dorsal recumbent. jackknife. lithotomy. semi-Fowler’s. Trendelenburg. semi-Fowler’s.
The section of the medical history that helps uncover existing or potential health problems is called the: database. past history. social history. systems review. systems review.
Created by: roxi00
 

 



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