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SOAP Notes and Cultural Competency Exam Questions and answers with verified Answers (Latest Update 2026) UPDATE!!

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SOAP Notes and Cultural Competency Exam Questions and answers with verified Answers (Latest Update 2026) UPDATE!!

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SOAP Notes And Cultural Competency
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SOAP Notes and Cultural Competency

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5/1/26, 9:23 AM SOAP Notes and Cultural Competency Exam Questions and answers with verified Answers (Latest Update 2026) UPDATE!! Flashca…




SOAP Notes and Cultural Competency Exam
Questions and answers with verified Answers
(Latest Update 2026) UPDATE!!

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Terms in this set (82)



Focused Exam -Patient encounter where the "focus" is on the
patient's chief complaint
-are documented in a SOAP NOTE
-SOAP notes are not complete History & Physicals
-perform this
-problem oriented
-only ask questions related to chief complaint
-what brings patient to this visit




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,5/1/26, 9:23 AM SOAP Notes and Cultural Competency Exam Questions and answers with verified Answers (Latest Update 2026) UPDATE!! Flashca…



S Anything the patient or family tell you
Chief Complaint & Duration
HPI- include SLIDTA
History-PMH, PSH, Medications, Allergies
Chief complaint:
HPI:
Significant PMH/PSH:
Allergies:
Medications:
Social: who do you live with, do you have
significant other?
Smoking:
ETOH & Illicit drugs: (Ask If there is an area of
concern & Utilize CAGE) Do you drink alcohol?
How much?
Living environment: (Ask If there is an area of
concern) - do you feel safe, are you afraid in your
own home?
-ab pain we don't care about cataract surgery, not
relevant


CAGE Cutting down, annoyance when asked about
drinking, Guilt do you feel guilty about it, Eye
opener - to get you going in the morning
-if response is 2/4 needs further evaluation




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,5/1/26, 9:23 AM SOAP Notes and Cultural Competency Exam Questions and answers with verified Answers (Latest Update 2026) UPDATE!! Flashca…



Chief Complaint Limited to one complaint, most pressing
Brief- as few words as possible
Duration always included
Example: Sore throat for 2 days
-why they are here
ex: fevers , chills, nausea (associated sx) but PAIN is
the main thing, most important
-anyone who presents with painful urination always
question STD/STI, ask about discharge, sexual
activity, check back for CVA tenderness
ex: constipation, ear pain, otitis media, pharyngitis
-to determine the reason patient seeks care
-important to consider using the patient's
terminology
-provides "title" for the encounter
-what brings you to the office? why did the
symptom bring you to the office?
-describe it like you would to a relative or neighbor




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, 5/1/26, 9:23 AM SOAP Notes and Cultural Competency Exam Questions and answers with verified Answers (Latest Update 2026) UPDATE!! Flashca…



History of Present Illness -Follows the Chief Complaint
-Always starts with: "This is a (age/race/sex)
-Narrative statement
-You ask the appropriate questions and record the
patient's responses.
-You guide the patient to answer your questions.
-Include SLIDTA
-Difference between SOAP and H&P: associated
symptoms go in body of HPI
-This is a 52 year old African American male who
presents today with....
-If fever - always write temp max
-Patients' positive response to ROS is recorded as
reports..........
Patients' negative response to ROS is recorded as
denies.......
Omit: "he" "she" "patient" "patient states"
-Gather information in an orderly fashion to come
to a diagnosis
-90% of the time the diagnosis is made by the end
of the HPI (assuming that you have asked the
correct questions)
-Learning how to ask the right questions is key
-Don't write "here" or "with complaints"
-"Reports not sexually active." Easy way out for
course
-In the body of this in a soap note: may include
medications, past medical, past surgical and social
if relevant to chief complaint - or can write below
this
-Include reverent review of systems
-Must write year when meds were started - must
include, if they don't know write "unknown start
date"
-Drug, food, seasonal and environmental allergies
- latex
-Smoking - Do you smoke? Have you ever smoked
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