68W Limited Primary Care 2025|Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It 100% Accurate!!
DD Form 689 ✔️Individual sick call slip that initiates the sick call process
Used for patient who requests or receives medical/dental evaluation or treatment at an Army Medical Treatment Facility (MTF)
used as a means of communication between medical personnel and the patient's commander
SF 600 ✔️Chronological Record of Medical Care
form used to document the chronological record of the patient's treatment
Should include:
- Date and time of visit
- Medical Treatment Facility
- Signature of person making entry
Correction procedures for an entry error ✔️Draw a single line through the information, write "Error," and your initials
If you have finished the documentation and decide later information needs to be changed:
- add correct information
- reason for change
- date and initial
- Do not skip lines or leave any spaces above signature
HIPAA ✔️Health Insurance Portability and Accountability Act
a federal law protecting the privacy of patient-specific health care information
Access to patient's medical information may be given too... ✔️- the patient
- patient care personnel
- medical researcher
- medical educators
Exceptions for those that can access a patient's medical information are... ✔️- if access is court ordered by law
- if access if needed for hospital accreditation
- if access is authorized by the patient via a written document
Disclosure of medical information is handled by... ✔️the PA or the patient administrator (PAD)
,History Taking Techniques ✔️1) Observation - begins when patient walks through the door
2) Listening - will help you find out the problem
3) Open-ended questions - helps you get more complete and accurate information
4) Provider obstacles - keep a good attitude and assume every patient has a legitimate complaint
5) Patient obstacles - patient's w/o medical experience will very often request specific diagnostic studies, therefore, we must gain their trust
6) Obtain a thorough history
7) Maintain an index of suspicion
8) Consider the mechanism of injury
Triage ✔️Triage is about looking for signs and symptoms that could lead to serious illness or even death
You may decrease the likelihood of overlooking these conditions by maintaining an index of suspicion based on the presenting symptoms and
by obtaining accurate vital signs on each and every patient
Techniques for Identifying Critically Ill Patients ✔️- Obtain the chief complaint
- Identify patients with signs and symptoms that have increased potential for complications
- promptly obtain vital signs
- perform a physical exam and report findings to medical provider
Initiating the Sick Call Process ✔️1) Patient will obtain a DD Form 689., an individual sick slip, which will ensure accountability of the soldier is
maintained both at the MTF and with patient's unit
2) a combat medic will be assigned to sign in all patients in a daily disposition log
3) the combat medic will retrieve the patient's medical record and initiate an entry on a SF 600, or the Chronological Record of Medical Care
4) Combat medic will take the patient's vital signs and initiate an entry on SF 600 in a SOAP format by asking for the patient's HPI
5) Physical examination will be performed by the Medical Officer
Subjective Information ✔️Subjective information is information that the patient tells you. It is what the patient reports he feels or understands
as the problem. It is information that you cannot necessarily find in an examination.
, - age, sex, race and first day of last menstrual period (FDLMP)
- chief complaints
- HPI - contains all of the relevant information to the patient's chief complaint
- past medical/surgical/social history
- last oral intake
- events leading up to illness or injury
Objective Information ✔️factual information that can usually be measured or observed
- vital signs
- physical examination findings
Profiles ✔️- profiles should be written in nonmedical language and should be specific concerning physical limitations
- profiles should contain a specific expiration date
- profiles and duty limitations are only strong recommendations issued by medical authorities. Commanders may require a soldier to break
their profile. In such an instance, the commander takes responsibility for his/her action
Quarters ✔️means restriction and rest in the patient's place of domicile (ex: barracks), this includes freedom to move within their living space, to
and from the dining facility and/or medical facilities. They may not perform military duties and quarters normally will not exceed 72 hours
Bedrest ✔️means the patient is restricted to their bed, with allowances for necessary travel to the dining facility and latrine. They may not
perform military duties
Infection, Asepsis, and Sterile Technique ✔️
microorganisms ✔️microorganisms are microscopic living cells found almost everywhere in the environment. Some microorganisms are
beneficial, whereas, others are harmful
all human beings contain helpful microorganisms in and on their bodies
microorganisms that cause disease are called pathogens
Environmental factors that affect the growth of microorganisms are... ✔️- oxygen
- nutrients
- temperature
1) most grow at normal body temperature
DD Form 689 ✔️Individual sick call slip that initiates the sick call process
Used for patient who requests or receives medical/dental evaluation or treatment at an Army Medical Treatment Facility (MTF)
used as a means of communication between medical personnel and the patient's commander
SF 600 ✔️Chronological Record of Medical Care
form used to document the chronological record of the patient's treatment
Should include:
- Date and time of visit
- Medical Treatment Facility
- Signature of person making entry
Correction procedures for an entry error ✔️Draw a single line through the information, write "Error," and your initials
If you have finished the documentation and decide later information needs to be changed:
- add correct information
- reason for change
- date and initial
- Do not skip lines or leave any spaces above signature
HIPAA ✔️Health Insurance Portability and Accountability Act
a federal law protecting the privacy of patient-specific health care information
Access to patient's medical information may be given too... ✔️- the patient
- patient care personnel
- medical researcher
- medical educators
Exceptions for those that can access a patient's medical information are... ✔️- if access is court ordered by law
- if access if needed for hospital accreditation
- if access is authorized by the patient via a written document
Disclosure of medical information is handled by... ✔️the PA or the patient administrator (PAD)
,History Taking Techniques ✔️1) Observation - begins when patient walks through the door
2) Listening - will help you find out the problem
3) Open-ended questions - helps you get more complete and accurate information
4) Provider obstacles - keep a good attitude and assume every patient has a legitimate complaint
5) Patient obstacles - patient's w/o medical experience will very often request specific diagnostic studies, therefore, we must gain their trust
6) Obtain a thorough history
7) Maintain an index of suspicion
8) Consider the mechanism of injury
Triage ✔️Triage is about looking for signs and symptoms that could lead to serious illness or even death
You may decrease the likelihood of overlooking these conditions by maintaining an index of suspicion based on the presenting symptoms and
by obtaining accurate vital signs on each and every patient
Techniques for Identifying Critically Ill Patients ✔️- Obtain the chief complaint
- Identify patients with signs and symptoms that have increased potential for complications
- promptly obtain vital signs
- perform a physical exam and report findings to medical provider
Initiating the Sick Call Process ✔️1) Patient will obtain a DD Form 689., an individual sick slip, which will ensure accountability of the soldier is
maintained both at the MTF and with patient's unit
2) a combat medic will be assigned to sign in all patients in a daily disposition log
3) the combat medic will retrieve the patient's medical record and initiate an entry on a SF 600, or the Chronological Record of Medical Care
4) Combat medic will take the patient's vital signs and initiate an entry on SF 600 in a SOAP format by asking for the patient's HPI
5) Physical examination will be performed by the Medical Officer
Subjective Information ✔️Subjective information is information that the patient tells you. It is what the patient reports he feels or understands
as the problem. It is information that you cannot necessarily find in an examination.
, - age, sex, race and first day of last menstrual period (FDLMP)
- chief complaints
- HPI - contains all of the relevant information to the patient's chief complaint
- past medical/surgical/social history
- last oral intake
- events leading up to illness or injury
Objective Information ✔️factual information that can usually be measured or observed
- vital signs
- physical examination findings
Profiles ✔️- profiles should be written in nonmedical language and should be specific concerning physical limitations
- profiles should contain a specific expiration date
- profiles and duty limitations are only strong recommendations issued by medical authorities. Commanders may require a soldier to break
their profile. In such an instance, the commander takes responsibility for his/her action
Quarters ✔️means restriction and rest in the patient's place of domicile (ex: barracks), this includes freedom to move within their living space, to
and from the dining facility and/or medical facilities. They may not perform military duties and quarters normally will not exceed 72 hours
Bedrest ✔️means the patient is restricted to their bed, with allowances for necessary travel to the dining facility and latrine. They may not
perform military duties
Infection, Asepsis, and Sterile Technique ✔️
microorganisms ✔️microorganisms are microscopic living cells found almost everywhere in the environment. Some microorganisms are
beneficial, whereas, others are harmful
all human beings contain helpful microorganisms in and on their bodies
microorganisms that cause disease are called pathogens
Environmental factors that affect the growth of microorganisms are... ✔️- oxygen
- nutrients
- temperature
1) most grow at normal body temperature
