Question 1

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 historyE) A) and B)
F) A) and C)

Question 2

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 medicationsF) C) and D)
G) A) and E)

Question 3

Match the charting symbols/abbreviations with the correct meaning.

-by mouth

Accepted Answer

A)   po
B)   WNL
C)   XR
D)   ΔE) A) and B)
F) A) and C) A

Question 4

Which is considered the physician's chief concern?

Accepted Answer

A)  Disease
B)  Illness  
C)  Treatment
D)  MedicationE) None of the above
F) A) and B)

Question 5

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.E) A) and B)
F) C) and D)

Question 6

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 historyE) A) and D)
F) None of the above

Question 7

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)  RespiratoryF) B) and C)
G) A) and E)

Question 8

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)  RespiratoryF) A) and B)
G) A) and C)

Question 9

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 analysisE) A) and B)
F) A) and C)

Question 10

Match the charting symbols/abbreviations with the correct meaning.

-within normal limits

Accepted Answer

A)   po
B)   WNL
C)   XR
D)   ΔE) A) and B)
F) C) and D) B

Question 11

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 patientE) All of the above
F) B) and D)

Question 12

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.E) A) and D)
F) C) and D)

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 treatmentE) B) and C)
F) B) and D)

Question 14

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 historyE) A) and B)
F) All of the above

Question 15

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.E) None of the above
F) A) and B)

Question 16

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.E) C) and D)
F) A) and B)

Question 17

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 symptomsF) B) and D)
G) B) and E)

Question 18

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 aboveE) A) and D)
F) B) and C) C

Question 19

Which is considered the patient's chief concern?

Accepted Answer

A)  Disease
B)  Illness  
C)  Treatment
D)  MedicationE) C) and D)
F) B) and C)

Question 20

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 historyF) B) and C)
G) A) and C)

Exam 22: The Patient History and Documentation

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedA

Which is considered the physician's chief concern?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedB

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

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedC

Which is considered the patient's chief concern?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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A

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B

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C

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