COMPLETE SOLUTIONS
Examples of medical office clinical documents Correct Answer: physical exam report,
medication record, health history
report that documents the assessments and treatments designed to restore a patients ability to
function Correct Answer: therapeutic service report
A collection of subjective data about the patient Correct Answer: health history
the symptom causing the pt the most trouble Correct Answer: chief complaint
social history includes: Correct Answer: dietary history, health habits, occupation
proper procedure for documenting in the medical record Correct Answer: check the name on the
record before making an entry, begin each phrase with a capitol letter, never document for
someone else
excessive perspiration Correct Answer: diaphoresis
dizziness Correct Answer: vertigo
microorganisms that do NOT produce diseases Correct Answer: non pathogen
microorganism that can exist only in the presence of oxygen Correct Answer: aerobe
the name given to a person who cannot fight off a pathogen that has entered the body Correct
Answer: susceptible host
help prevent the entrance of microorganisms into the body Correct Answer: coughing,sneezing,
acidity of urine, hydrochloric acid in the stomach and mucus in the nose and respiratory tract
practices that help to keep an object or area clean and free from infection Correct Answer:
medical asepsis
Examples of OPIM Correct Answer: any bodily fluid visibly contaminated with blood, vaginal
secretions and semen
safer medical device Correct Answer: A device that, based on reasonable judgment, would make
an exposure incident involving a contaminated sharp less likely
PPE Correct Answer: used to draw blood
Liver cancer Correct Answer: result of chronic Hep B
, Resterilized Correct Answer: a pack that has been dropped, a pack that has opened, a pack that
has been crushed, a pack that is torn
increases body temperature Correct Answer: crying, vigorous physical exercise, pregnancy
Why do we avoid excess pressure when measuring radial pulse Correct Answer: it could close
off the radial artery and the pulse may not be felt
fastest pulse rate Correct Answer: infants
individuals that exhibit bradycardia Correct Answer: trained athletes
dysrythmia Correct Answer: irregular heart beat or heart rythm
diastolic pressure Correct Answer: the point of lesser pressure on the arterial walls when
assessing blood pressure
risk factors for hypertension Correct Answer: obesity, smoking, alcohol consumption
differential diagnosis Correct Answer: the process of determining which of two diseases that
have similar symptoms is causing the patients illness
acute illness Correct Answer: symptoms have a rapid onset, are severe and intense and subside
after a short period
presbyopia Correct Answer: decrease in elasticity of the lens as a result of the aging process
optician Correct Answer: interprets and fills opthalmic prescriptions such as eyeglass
prescriptions
snellen eye chart Correct Answer: Assess visual acuity
snellen big E chart Correct Answer: used for preschoolers
ear instillation Correct Answer: treats ear infection
application of heat and cold Correct Answer: 15-30 mins
individuals sensitive to heat and cold Correct Answer: elderly, preschool children, pt with
diabetes and pt with open wound
local application of cold Correct Answer: prevents swelling
ambulation Correct Answer: the ability to walk