Question 1

Which of the following is NOT a common medical records format?

Accepted Answer

A) Source-oriented 
B) Problem-oriented 
C) Patient-oriented 
D) None of the above 
A) Source-oriented 
B) Problem-oriented 
C) Patient-oriented 
D) None of the above C

Question 2

Match the charting symbols/abbreviations with the correct meaning.

-within normal limits

Accepted Answer

A)  po 
B)  WNL 
C)  XR 
D)  Δ 
A)  po 
B)  WNL 
C)  XR 
D)  Δ B

Question 3

Match the charting symbols/abbreviations with the correct meaning.

-by mouth

Accepted Answer

A)  po 
B)  WNL 
C)  XR 
D)  Δ 
A)  po 
B)  WNL 
C)  XR 
D)  Δ A

Question 4

Which is considered the patient's chief concern?

Accepted Answer

A) Disease 
B) Illness 
C) Treatment 
D) Medication 
A) Disease 
B) Illness 
C) Treatment 
D) Medication

Question 5

Which of the following components of the review of systems would include shortness of breath?

Accepted Answer

A) Nervous 
B) Cardiovascular 
C) Musculoskeletal 
D) Gastrointestinal 
E) Respiratory 
A) Nervous 
B) Cardiovascular 
C) Musculoskeletal 
D) Gastrointestinal 
E) Respiratory

Question 6

Which of the following is NOT included on the patient's medical history form?

Accepted Answer

A) Present health history 
B) Body systems review 
C) Insurance history 
D) Social history 
A) Present health history 
B) Body systems review 
C) Insurance history 
D) Social history

Question 7

What should the medical assistant do if a patient refuses to answer a question regarding sexual history during the patient interview?

Accepted Answer

A) Skip the question completely. 
B) Wait until the patient is ready to answer. 
C) Force the issue and ask for answers. 
D) Attempt to return to the question later. 
A) Skip the question completely. 
B) Wait until the patient is ready to answer. 
C) Force the issue and ask for answers. 
D) Attempt to return to the question later.

Question 8

Which of the following is the most appropriate action of the medical assistant when asking a patient about sensitive topics such as alcohol or drug use?

Accepted Answer

A) Ask sensitive questions at the beginning to get uncomfortable moments over. 
B) Do not make eye contact. 
C) Be judgmental when necessary. 
D) Wait until a good rapport with the patient is established before asking sensitive questions. 
A) Ask sensitive questions at the beginning to get uncomfortable moments over. 
B) Do not make eye contact. 
C) Be judgmental when necessary. 
D) Wait until a good rapport with the patient is established before asking sensitive questions.

Question 9

Match the major contents of the medical history with the appropriate descriptions.

-medical problems of siblings and parents

Accepted Answer

A)  present illness 
B)  medical history 
C)  family history 
D)  social history 
A)  present illness 
B)  medical history 
C)  family history 
D)  social history

Question 10

Which of the following components of the review of systems includes joint stiffness, muscle pain, and limitation of movement?

Accepted Answer

A) Nervous 
B) Cardiovascular 
C) Musculoskeletal 
D) Gastrointestinal 
E) Respiratory 
A) Nervous 
B) Cardiovascular 
C) Musculoskeletal 
D) Gastrointestinal 
E) Respiratory

Question 11

Which of the following is the most appropriate action for the medical assistant with the uncommunicative patient?

Accepted Answer

A) Tell the patient that cooperation is mandatory. 
B) Give the patient a sample problem list to review. 
C) Let the physician interview the patient. 
D) Inform the patient of guidelines for expected behavior. 
A) Tell the patient that cooperation is mandatory. 
B) Give the patient a sample problem list to review. 
C) Let the physician interview the patient. 
D) Inform the patient of guidelines for expected behavior.

Question 12

Which of the following best describes the patient's idea of treatment success?

Accepted Answer

A) Curing the disease 
B) Understanding what caused the illness 
C) Being able to successfully manage the disease 
D) Understanding the physiology of the disease 
E) Getting medications 
A) Curing the disease 
B) Understanding what caused the illness 
C) Being able to successfully manage the disease 
D) Understanding the physiology of the disease 
E) Getting medications

Question 13

Match the content for each area of the SOAP chart notes with the appropriate description.

-objective.

Accepted Answer

A)  weigh subjective and objective findings 
B)  vital signs 
C)  symptoms and patient's complaint 
D)  further tests and treatment 
A)  weigh subjective and objective findings 
B)  vital signs 
C)  symptoms and patient's complaint 
D)  further tests and treatment

Question 14

Which of the following best describes the format of a source-oriented medical record?

Accepted Answer

A) Notes written in SOAP format 
B) Chronological set of notes for each visit 
C) Database, problem list, and examination 
D) All the objective materials gathered about the patient 
A) Notes written in SOAP format 
B) Chronological set of notes for each visit 
C) Database, problem list, and examination 
D) All the objective materials gathered about the patient

Question 15

Which of the following best describes the physician's overall assessment of major body functions?

Accepted Answer

A) Review of systems 
B) Disease examination 
C) Past medical history 
D) Family history 
E) Social history 
A) Review of systems 
B) Disease examination 
C) Past medical history 
D) Family history 
E) Social history

Question 16

Which of the following is the most appropriate action when the patient comes into the office for a singular problem and wants to discuss many problems with the physician?

Accepted Answer

A) List all the problems under chief complaint. 
B) Remind the patient that the physician's time is limited, but he will try and accommodate if possible. 
C) Tell the patient not to worry because the physician will meet all his needs. 
D) Tell the patient more time is needed and reschedule the appointment. 
A) List all the problems under chief complaint. 
B) Remind the patient that the physician's time is limited, but he will try and accommodate if possible. 
C) Tell the patient not to worry because the physician will meet all his needs. 
D) Tell the patient more time is needed and reschedule the appointment.

Question 17

Match the major contents of the medical history with the appropriate descriptions.

-all health problems, illnesses, and surgeries

Accepted Answer

A)  present illness 
B)  medical history 
C)  family history 
D)  social history 
A)  present illness 
B)  medical history 
C)  family history 
D)  social history

Question 18

Which part of the medical history includes notes about location, quality, and timing?

Accepted Answer

A) Social history 
B) History present illness 
C) Past medical history 
D) Family history 
E) Review of symptoms 
A) Social history 
B) History present illness 
C) Past medical history 
D) Family history 
E) Review of symptoms

Question 19

Which of the following is NOT a purpose for the patient's medical history?

Accepted Answer

A) Helps guide the patient's treatment 
B) Allows the provider to recall previous treatment 
C) Allows the patient to help with the diagnosis 
D) Gives a base for statistical analysis 
A) Helps guide the patient's treatment 
B) Allows the provider to recall previous treatment 
C) Allows the patient to help with the diagnosis 
D) Gives a base for statistical analysis

Question 20

Which is considered the physician's chief concern?

Accepted Answer

A) Disease 
B) Illness 
C) Treatment 
D) Medication 
A) Disease 
B) Illness 
C) Treatment 
D) Medication

Exam 22: The Patient History and Documentation

Which of the following is NOT a common medical records format?

Match the charting symbols/abbreviations with the correct meaning. -within normal limits

Match the charting symbols/abbreviations with the correct meaning. -by mouth

Which is considered the patient's chief concern?

Which of the following components of the review of systems would include shortness of breath?

Which of the following is NOT included on the patient's medical history form?

What should the medical assistant do if a patient refuses to answer a question regarding sexual history during the patient interview?

Which of the following is the most appropriate action of the medical assistant when asking a patient about sensitive topics such as alcohol or drug use?

Match the major contents of the medical history with the appropriate descriptions. -medical problems of siblings and parents

Which of the following components of the review of systems includes joint stiffness, muscle pain, and limitation of movement?

Which of the following is the most appropriate action for the medical assistant with the uncommunicative patient?

Which of the following best describes the patient's idea of treatment success?

Match the content for each area of the SOAP chart notes with the appropriate description. -objective.

Which of the following best describes the format of a source-oriented medical record?

Which of the following best describes the physician's overall assessment of major body functions?

Which of the following is the most appropriate action when the patient comes into the office for a singular problem and wants to discuss many problems with the physician?

Match the major contents of the medical history with the appropriate descriptions. -all health problems, illnesses, and surgeries

Which part of the medical history includes notes about location, quality, and timing?

Which of the following is NOT a purpose for the patient's medical history?

Which is considered the physician's chief concern?

The Medical Assisting Profession

Health Care Settings and the Health Care Team

Coping Skills for the Medical Assistant

Therapeutic Communication Skills

The Therapeutic Approach to the Patient With a Life-Threatening Illness

Legal Considerations

Ethical Considerations

Emergency Procedures and First Aid

Creating the Facility Environment

Computers in the Medical Clinic

Telecommunications

Patient Scheduling

Medical Records Management

Written Communications

Medical Documents

Medical Insurance

Medical Coding

Daily Financial Practices

Billing and Collections

Accounting Practices

Infection Control and Medical Asepsis

Vital Signs and Measurements

The Physical Examination

Obstetrics and Gynecology

Pediatrics

Male Reproductive System

Gerontology

Examinations and Procedures of Body Systems

Assisting With Minor Surgery

Diagnostic Imaging

Rehabilitation and Therapeutic Modalities

Nutrition in Health and Disease

Basic Pharmacology

Calculation of Medication Dosage and Medication Administration

Cardiac Procedures

Regulatory Guidelines for Safety and Quality in the Medical Laboratory

Introduction to the Medical Laboratory

Phlebotomy: Venipuncture and Capillary Puncture

Hematology

Urinalysis

Basic Microbiology

Speciality Laboratory Tests

The Medical Assistant As Clinic Manager

The Medical Assistant As Human Resources Manager

Preparing for Medical Assisting Credentials

Employment Strategies

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