certification study guide for
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QUESTIONS AND ANSWERS
Chief Complaint Definition. ANSWER - The reason why the patient came to see the
physician.
Chief Complaint Abbreviation. ANSWER - CC
History of Present Illness Abbreviation. ANSWER - HPI
History of Present Illness Definition. ANSWER - This is an explanation of the CC to
determine the onset of the illness; associated symptoms; what the patient has done to treat
the condition, etc.
Past, Family and Social History Abbreviation. ANSWER - PFSH
Past Medical History Definition. ANSWER - Includes all health problems, major illnesses,
surgeries the patient has had, current medications complete with reasons for taking them,
and allergies.
Family History Definition. ANSWER - Summary of health problems of siblings, parents,
and other blood relatives that could alert the physician to hereditary and/or familial disease.
,Social History Definition. ANSWER - Includes marital status, occupation, educational
attainment, hobbies, use of alcohol, tobacco, drugs, and lifestyles.
Review of Systems Abbreviation. ANSWER - ROS
Review of Systems Definition. ANSWER - This is an orderly and systematic check of each
organ and system of the body by questions. Both positive and pertinent negative findings
are documented.
3 Body Processes Necessary for life are:. ANSWER - Body Temperature, Respiration,
Heart Function
4 Vital Signs of Body Function are:. ANSWER - Temperature, Pulse, Respiration, Blood
Pressure
Define Body Temperature. ANSWER - Is a balance between heart production and heart
loss in conjunction with each other, maintained and regulated by the hypothalamus.
Thermometers. ANSWER - Are used to measure temperature using the Fahrenheit and
Centigrade or Celsius scale.
Temperature Sites. ANSWER - Mouth, Rectum, Ear (Tympanic Membrane), and the axilla
(underarm).
Normal Temperature Range for Rectal. ANSWER - 98.6F to 100.6F
37.0C to 38.1C
Normal Temperature Range for Oral. ANSWER - 97.6F to 99.6F
36.5C to 37.5C
Normal Temperature Range for Axillary. ANSWER - 96.6F to 98.6F
35.9C to 37.0C
,Normal Temperature Range for Tympanic Membrane. ANSWER - 98.6 F
37 C
Define Febrile. ANSWER - Presence of Fever
Define Afebrile. ANSWER - Absence of Fever
Define Fever. ANSWER - Elevated body temperature beyond normal range.
Intermittent Fever. ANSWER - Fluctuating fever that returns to or below baseline then
rises again.
Remittent Fever. ANSWER - Fluctuating fever that remains elevated; it does not return to
baseline temperature.
Continuous Fever. ANSWER - A fever that remains constant above the baseline; it does
not fluctuate.
Oral Temperature. ANSWER - Is the most common method of measurement.
Oral Temperature is not taken from what patients:. ANSWER - -infants and children less
than six years old
-patients who has had surgery or facial, neck, nose, or mouth injury
-those receiving oxygen
-those with nasogastric tubes
-patients with convulsive seizure
-hemiplegic patients
-patients with altered mental status
How long after a patient eats, smokes or drinks do you wait to take an oral temperature?.
ANSWER - 30 minutes
, When taking an oral temperature how long do you leave the thermometer in the patient's
mouth?. ANSWER - 3-5 minutes
Rectal Temperature. ANSWER - Is taken when oral temperature is not feasible.
Rectal Temperature is not taken from what patients:. ANSWER - -patient's with heart
disease
-patients with rectal disease or disorder or has had rectal surgery
-patients with diarrhea
Axillary Temperature. ANSWER - Is the least accurate and is taken only when no other
temperature site can be used.
When taking an axillary temperature how long should the thermometer be held in place?.
ANSWER - 5-10 minutes
Tympanic Temperature. ANSWER - Is useful for children and confused patients because of
the speed of operation.
Tympanic Temperature is not taken from what patients:. ANSWER - -patients with an ear
disorder or ear drainage
When taking a Tympanic Temperature:. ANSWER - A covered probe is gently inserted
into the ear canal and temperature is measured with seconds (1-3 seconds).
What is the normal range for an adult pulse:. ANSWER - 60 to 100 beats per minute
The site most commonly used for taking a pulse is:. ANSWER - The radial artery (found in
the wrist on the same side as the thumb).
When taking a pulse at the radial artery it is felt with the:. ANSWER - First two or three
fingers (never with the thumb) and usually taken for 30 seconds multiplied by two to get
the rate per minute.