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Module 3
Patient Intake And Vitals
| Term | Definition |
|---|---|
| Patient Identification | Ask patient to state their FULL name and date of birth |
| The medical assistant greets them and verifies the patient’s name, address, telephone number, insurance information, and emergency contact. | Demographics |
| Rooming Patients/ Patient screening process. | Find out chief complaint and medication history, allergies |
| A patient states they smoke two packs of cigarettes per day. This finding should be recorded in which of the following sections? | Social history |
| Which of the following is objective information? | BP, HR, Weight |
| Which of the following is an example of what the medical assistant may be responsible for documenting? | Medical history, Social History, Chief complaint, Family History |
| Common Anxiety Symptoms Avoiding white coat anxiety | Heightened ability to observe or make connections, Difficulty focusing on details, A sense of panic, Irritability, Feeling cold, sweaty, heart palpitations, shortness of breath. |
| sphygmomanometer | BP cuff |
| Systolic | upper number, first swish of blood through the artery after constriction |
| Diastolic | Last ticking sound, as blood flows freely |
| Korotkoff sounds | Korotkoff sounds are heard throughout the cardiac cycle |
| orthostatic vital signs | patient lie down for 5 minutes and then measure blood pressure and pulse rate. Repeat after standing for 1 and 3 minutes |
| Respiration rate | 12-20 |
| Pulse oximeter | Nail polish and artificial nails block the infared light of the oximeter and interfere with the results. An alternate site is an earlobe, which can be used if a finger is not an option. |
| (T) (AU) | tympanic or aural |
| (Ax) | axillary |
| (R) rectal | rectal |
| (TA) for temporal artery | temporal artery |
| Which of the following Korotkoff phases is indicative of the diastolic recording? | phase V |
| Which of the following can occur if the wrong size blood pressure cuff is used? | The systolic and diastolic can be impacted by up to 6.9 mm Hg. |
| Orthastatic BP test | greater than 10/min increase in heart rate and greater than 20 mm Hg drop in blood pressure, which indicates a positive test. |
| commonly used to check a pulse in children? | Brachial |
| Which of the following are assessed when taking a pulse? | Rate Rhythm Pulse |
| which of the following characteristics of the patient’s pain need to be documented? | Location, Duration, characteristics, onset |
| Which of the following indicates last menstrual period? | First day of the last menstrual period |
| The circumference of a child’s head should be measured at a well-child visit until which of the following ages? | 3 years |