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Exam 2: Introduction to Health Records

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Question 41

Multiple Choice

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Which of the following does NOT refer to "the front"?

A) Antral
B) Anterior
C) Dorsal
D) Ventral
E) They all refer to "the front."

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Question 42

Multiple Choice

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When a person uses her left hand to reach to the right, she is showing ________________ movement.

A) bilateral
B) contralateral
C) ipsilateral
D) lateral
E) unilateral

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Question 43

Multiple Choice

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Which of the following is NOT an abbreviation that refers to a health care facility or department?

If a person's head were divided on the coronal plane, which of the following is NOT true?

The inferior vena cava is also known as the posterior vena cava.From the terms inferior and posterior, one can say that this vein is ________________ the heart on the ________________ side.

A patient has unremarkable symptoms.Unremarkable is a medical term used to mean:

The following is a portion of a patient's consult note: Past Medical History: Noncontributory. Past Surgical History: Balanoplastyfor hypospadias at age 1. Social History: Doug lives with his parents and older sister.He is going into kindergarten in the fall. Family History: Paternal grandfather with polycystic kidney disease. According to the doctor who authored this note, which of the following is true?

Which is the correct opposite for the proximal part of the body?

Which is the correct abbreviation for a medicine administered "as desired"?

What is the correct definition for the abbreviation RR?

The superior vena cava is a large-diameter, yet short, vein that carries deoxygenated blood from the body to the heart .It is located in the anterior right superior mediastinum.The correct definitions of anterior and superior are:

Which of the following abbreviations would most likely be found in the "plan" portion of a health record?

The prescriber uses which of the following abbreviations if a medication is to be taken before meals?

From which portion of a consult note is the following excerpt? Reason for Consult: urinary retention HPI: Mr.Johnson is a 57-year-old male with a 2-month history of difficulty voiding.He reports urgency and frequency.He has had increasing problems with a weakurinary stream.The symptoms have progressed to include mild abdominal discomfortand erectile dysfunction.He denies any incontinence, hematuria, balanorrhea, orchiodynia, or trauma.He has not tried any medicines at this point. PMHx: Hypercholesterolemia-currently controlled with diet.Positive history of gonococcalurethritis 3 years previously.No history of urolithiasis.

Which section of the health record is NOT included in the subjective section?

The first part of most medical notes that includes such information as medical history, duration and quality of the problem, and any exacerbating or relieving factors for that problem is known as the:

Which abbreviation does NOT describe the time of day in which a prescription should be taken?

During a patient exam, a medical professional may feel parts of the patient's body.This is called:

In the following health record, the patient's disposition is noted. Emergency Department Course: Miss Sweet arrived in the ED lethargic but responsive.Given her history and vomiting, we were concerned about diabetic ketoacidosis.The patient's finger stick blood sugar test result of 320 confirmed hyperglycemia, and a urinalysis revealed both glucosuria and ketonuria.An IV was started and labs were sent.Chemistry profile showed hypernatremia, hypokalemia, and acidemia.The pediatric intensive care team was contacted for transfer to the PICU. Disposition: Transfer to PICU. The correct definition for disposition in this context is:

Which of the following is NOT true about the medical term remission?