The section of the medical history that helps uncover existing or potential health problems is called the:
Systems review
While you are taking the medical history of a new patient, the patient mentions having occasional headaches that are quite painful.
What is the best way for you to proceed with the interview?
Assk open ended questions
During the physical examination, the patient reports a continual ache in the right elbow. This information is called a(n):
Symptom
What portion of the chart includes childhood diseases?
Past medical history
What portion of the chart includes the patient’s dietary habits, smoking history, and alcohol consumption?
Social history
Which term involves repeating or paraphrasing the patient’s comments?
restatement
The medical assistant is responsible for documenting what information?
Check name on record; confirm identity
Month, day, and year must precede entry
All unusual complaints, symptoms, or reactions must be noted in detail
Describe objective data
If patient reports pain, record quality and intensity of pain using a pain scale of 1-10
medication history
previous history
observant
What can elevated blood pressure tell us about a patient?
Future high bp/ hypertension
Risk for heart attack, stroke, kidney disease, eye damage
The usual sequence of the general physical examination moves in what direction:
Head to toe
Which examination position is used for gynecologic examinations?
Lithotomy position
Which examination position requires the medical assistant to raise the head of the bed to a 30- to 45-degree angle?
Semi fowlers position
Which examination position is most appropriate for a patient having a breast examination?
Supine
When preparing a patient for a physical examination, the medical assistant is responsible for(hint: multiple answers):
Prep exam room
Check area, clean and disinfect, drapes or gown ready, expiration dates, private room, prep instrument and equipment
Assist patient
assist with gowns or positions, Health record complete, introduce yourself, obtain specimens and vital signs
Assist provider
Instruments, lighting, position and drape patient, conduct tests, documenting, schedule postexamination
The examination technique by which the practitioner listens to internal body sign is: ASKKKKK ONLY 1
Auscultation or stethoscope??
A percussion hammer is used for which part of the physical examination?
Neurologic Reflexes
What is the normal color of the tympanic membrane?
Pearly gray
Which term is associated with the process of measuring?
Mensuration
Which fingernail conditions may indicate local infection or systemic disease?
clubbing, spooning, and Beau’s lines
What is used to examine the interior of the eye, including the retina and intraocular vessels?
Ophthalmoscope
