Clinical Medical Assistant

The chronological system for recording each patient's medical care is?. Present illness. Medical Chart. Chief complaint. Occupational history.

An explication of the chief complaint to the determine the onset of the illness, associated symptoms; what the patient has done to treat the condition ,etc. is?. Present illness. Medical Chart. Chief complaint. Occupational history.

The process to assessment at patient as know as?. Chief complaint. Physical examination. Occupational history. Present illness.

Progress notes use SOAP approach where “P” describes: Data as determinate by the physician's examination and diagnostic tests. Data related to the patient’s symptoms and feeling. The physician impression of the problem. The action to solve the problem.

Progress notes use SOAP approach where “O” describes: Data as determinate by the physician's examination and diagnostic tests. Data related to the patient’s symptoms and feeling. The physician impression of the problem. The action to solve the problem.

Progress notes use SOAP approach where “A” describes: Data as determinate by the physician's examination and diagnostic tests. Data related to the patient’s symptoms and feeling. The physician impression of the problem. The action to solve the problem.

match the patient information with the part of the patient's history: present illness. Social history. Personal History. Family History.

The position in which the patient is lying flat on the back is known as: Prone. Sims’. Supine. Fowler’s.

Which of the following positions is used for physical examination?. Lithotomy. Semi Fowler’s. Trendelenburg. Supine.

Which of the following positions requires the examination table to be raised in the middle with Both ends pointing down?. Fowler’s. Proctological. Knee-chest. Jack nife.

In which of the following positions, used for the examination of the rectum, does the Patient lie on the left side with the left leg slightly flexed?. Dorsal Recumbent. Prone. Lithotomy. Sims’.

lnformation regarding to work is charting as. .Family history. Chief complaiment. Social history. Occupational history.

lnformation regarding to habits is charting as. .Family history. Chief complaiment. Social history. Occupational history.

Information regarding history of illness in family members. Family history. Chief complaiment. Social history. Occupational history.

lnformation regarding to name, address etc. is charting as: Family history. Demographics. Occupational history. Social history.

Visual analogyc Scale (EVA) is for: patient Evaluation. pain management. Visual Evaluation. Chief complaiment.

The concept: “consent that is given by patient after all potential treatment and outcomes have been discussed for a specific medical condition, including risks and possible negative outcomes” is?. Informed Consent. Implied consent. No consent. Triage.

Sorting and setting priorities for treatment for patients. Assessment. Triage. Protocol. Guides.

The term Stat means : As soon as a posible. American asociation agency. Auscultation and palpation . Immediately.

The term ASAP means : As soon as a posible. American asociation agency. Auscultation and palpation . Immediately.

The times of physical examination are except: Inspection. Observation. Palpation. Auscultation. Percution.

The IV time of physical examination are: Inspection. Observation. Palpation. Auscultation. Percution.

The four time of physical examination are: Inspection. Observation. Palpation. Auscultation. Percution.

The II time of physical examination are: Inspection. Observation. Palpation. Auscultation. Percution.

The time of physical examination that we usally touch the patient are: Inspection. Observation. Palpation. Auscultation. Percution.

True or false: The patients owns the record, and the physician owns the information contained in the chart. True. False.

True or false: ln the medical record error are never stricken. True. False.

True or false: Review of system (ROS).This is an orderly and systematic check of each organ and system of the body by questions. True. False.

True or false: ASAP means “the patient is in critical condition and need immediate attention”. True. False.

True or false: stat means “the patient is in critical condition and need immediate attention”. True. False.

True or false: PRN means “the patient needs take medicine just as needed. True. False.

True or false: qod means “every day". True. False.

In a healthcare facility, which of the following agencies or organizations work to set the standards for the safety of the employees?. OSHA. NLN. AMA. JCOH.

In order for the healthcare facility to comply with the Health Insurance Portability and Accountability Act (HIPAA), each patient is to be given which of the following?. A list of the employees and their credentials. The staffs work schedule. Office policies. Patient rights and privacy practices.

Which of the following is important for the medical assistant to do before and after contact with the patient?. Record their interaction. Ask the patient questions. Disinfect or wash your hands. File a claim with the insurance company.

Which of the following would EMR refer to?. Emergency magnetic resonance. Emergency medical records. European medical research. Electronic medical records.

A medical procedure cannot be performed on a patient until the doctor obtains _________________. confidentiality. informed consent. insurance authorization. vital statitics.

When checking the identity of a patient, most health care facilities require that the patient present __ forms of identification. 3. 1. 0. 2.

If medication of a patient or resident is indicated as PRN, it is given: Once a day. When necessary. By mouth only. To discontinue use.

Used to examine spine and back. Patient lies on abdomen with head turned to one side for comfort. Arms may be above head or alongside body. Cover with sheet or bath blanket. Trendelenburg Position. Prefix. Sims Position. Prone Position.

Consent that is given by patient after all potential treatment and outcomes have been discussed for a specific medical conditions, including risks and possible negative outcomes. AIntermittent. Remittent. Implied consent. Informed consent.

A perceptible change in the body related by the patient. Symptom. Remittent. Sign. Apnea.

Instruments that penetrate a patient’s skin should be: Sanitized. Disinfected. Sterilized. Treated with antiseptics.

pain that begins suddenly and usually lasts only three to six months. It may be caused by trauma or a condition, such as an appendicitis. Acute pain. chronic pain. phantom pain. Psychological pain.

The pain that is an unpleasant feeling (a suffering) of a psychological, non-physical origin as know?. Acute pain. chronic pain. phantom pain. Psychological pain.

the process of listening to sounds within the body. During auscultation, sounds made by the heart, lungs, stomach, and bowel are assessed for strength and rhythm. The physician differentiates abnormal body sounds from normal ones, as well as the presence of sounds. These sounds can be heard by either placing the ear directly over the body surface or, more commonly, using a stethoscope to help amplify body sounds. palpation. inspection. percussion. auscultation.

The pain that is long-term pain that may interfere with the functions of daily living and usually lasts longer than six months. The medical assistant's job will be to record how the patient describes the pain and its duration. It is the physician's job to decide if it should be considered acute or chronic. Acute. Chronic. phantom. psychological.

Determine the cause and nature of a disease or injury. chief complaint. diagnose. Past Hystori. ROS.

true or false: Signs are objective, meaning that they are observable by others and can be measured, such as weight gain, fever, or a rash. true. false.

The process of using the hands to feel the organs and other parts of the body to examine for any irregularities. auscultation. palpation. percussion. inspection.

Using fingertips to tap the body lightly but sharply to gain information about the position and size of underlying body parts. auscultation. palpation. percussion. inspection.

pain that is a sensation or pain that is felt in a body part that is no longer there, for example, after an amputation. Phantom pain. no pain. physical pain. psychological.

True or False: Signs are subjective, something the patient experiences but cannot be observed by anyone else, such as dizziness, pain, or feeling of anxiety. A physician has no way of knowing what the patients symptoms are unless the patient reports them. True. False.

Telephone Etiquette are, except: Professional greeting. Answer phone by third ring. Ask for permission to put caller on hold and check back in a timely manner. Never express hostility, negativity, or vulgarities. Ask for full social security number. Provide caller with a timeframe of when to expect a call back.

all of the following are types of pain, except: Physical pain. Phantom Pain. long term pain. Psychological pain.

Described as: terror or fear, despair or grief, rage or anger, helplessness or hopelessness -common diagnoses include: anxiety disorder, post-traumatic stress disorder, major depression. Physical pain. Phantom Pain. long term pain. Psychological pain.

when we use of physical or chemical agents to remove pathogens is knowing as?. asepsia. disinfection. sterilization. sanitization.

non-verbal consent given by patient just by presenting for routine exam. no consent. legal consent. Implied consent. informed consent.

That which can be seen, heard, measured or felt by the examiner. symptom. sign. auscultation. percussion.

Sorting and setting priorities for patient treatment. urgent care. emergency. triage. urgency.

MA duties for the exam room include: Cleaning room according to office protocol. Preparing and maintaining the examination room. Setting up the room, checking equipment, and cleaning up after the exam. Checking and stocking supplies. all above.

Problem-Oriented Medical Record are often called. medical records. classical notes. SOAP. chart.

ABOUT SOAP: Refers to the plan of action; includes any recommended treatment, additional testing, medications administered prescribed, consultations recommended, surgery or physical therapy suggested. SUBJETIVE. OBJETIVE. ASSMENT. PLAN.

DOA means: Date of atention. Date on arrival. Dead on arrival. Birthday date.