HM PQS STANDARD EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔Special Duty Medical Abstract (NAVMED 6150/2) - ✔✔1. Provide a record of
physical qualifications, special training, and periodic examinations of members
designated for special duty, such as aviation, submarine, and diving.
2. This form is opened or prepared initially upon a member's first special duty
examination or training. Once it has been activated, it remains an integral part of the
health record.
3. Upon a member's discharge and immediate reenlistment, NAVMED 6150.2 is
retained in the new health record.
4. Whenever additional space under any category is required, an additional NAVMED
6150/2 is prepared and numbered sequentially, with the most recent on top.
✔✔Reference Audiogram (DD Form 2215) - ✔✔1. Initial hearing thresholds are
established by comparing to normal hearing standards or range
2. This test becomes the reference or baseline audiogram
3. Future tests compared to reference thresholds to measure change in hearing
✔✔How does the SF 601 apply to the military medical treatment jacket - ✔✔-SF 601:
immunization record
✔✔How does the SF 603 apply to the military medical treatment jacket - ✔✔-Sf 603:
medical record-dental
✔✔How does the DD Form 2807-1 apply to the military medical treatment jacket - ✔✔-
DD form 2807-1: record of medical history
1. Primary collection of information from individuals seeking to join the Armed Forces
2. Used to assist DoD physicians in making determinations as to acceptability of
applicants for military service
,3. Used by the Medical Evaluation Board to determine the medical fitness of a current
member and if separation is warranted
✔✔How does the DD form 2808 apply to the military medical treatment jacket - ✔✔-DD
form 2808: report of medical examination
1. Used to obtain medical data for determination of medical fitness for enlistment,
induction, appointment and retention for applicants and members of the Armed Forces.
2. The information may also be used for medical boards and separation of Service
members from the Armed foces
✔✔Periodic Health Assessment (PHA) (NAVMED 6120/4) - ✔✔1. Conducted within 30
days of birth month
2. Review, verification, and correction of IMR deficiencies
3. Six elements of IMR:
3.1 Individual Medical Equipment
3.2 Immunizations
3.3 Readiness laboratory studies
3.4 Dental readiness
3.5 Deployment limiting conditions
3.6 Periodic health assessment
✔✔How does the NAVMED 6150/4 apply to the military medical treatment jacket - ✔✔-
NAVMED 6150/4 abstract of service and medical history.
✔✔How does the OPNAV 5211/9 apply to the military medical treatment jacket -
✔✔Disclosure accounting form
✔✔health record forms - ✔✔Purpose: divisions utilized in organizing forms
a. Part 1: Record of Preventive Medicine and Occupational Health
b. Part 2: Record of Medical Care and Treatment
c. Part 3: Record of Physical Qualifications, Administrative Forms
d. Part 4: Record of Ancillary Studies, Therapies, Etc.
✔✔How does HIPPA associate with pt privacy? - ✔✔provides data privacy and security
provisions for safegaurding medical information.
✔✔How does PII associate with pt privacy? - ✔✔PII refers to any data that could
potentially identify a specific individual.
✔✔How does the pricacy act of 1974 associate with pt privacy? - ✔✔establishes a code
of fair information practices that governs the collection, maintenance, use, and
dissemination of information about individuals that is maintained in systems of records
by federal agencies.
, ✔✔How does informed consent associate with pt privacy? - ✔✔it is permission granted
in the knowledge of possible consequences
✔✔How does lawful consent associate with pt privacy? - ✔✔1. pt must have the
capacity/ability to make the decision
2. the medical provider must disclose information on the treatment, test, or procedure in
question, including the expected benefits, risks, and the likelyhood that the benifits and
risks will occur.
3. pt must comprehend the relevant information
4. pt must voluntarily grant consent, w/o coercion or duress
✔✔what information is required to complete the Chronological record of medical care
(SF 600) - ✔✔it provides a current, and comprehensive record of a members military
medical history.
-entries will be typewritten when practical
-date
-name and address of the activity responsible for the entry.
-signature of the responsible medical officer
YOU NEED: pt name, grade or rank, SSN, sex, orrientation, DOB
✔✔what information is required to complete the Special duty medical abstract
(NAVMED 6150/2) - ✔✔provide a record of physical qualidications, special training, and
periodic qualifications.
✔✔what information is required to complete the Reference audiogram (DD form 2215) -
✔✔initial hearing thresholds are established by comparing to normal hearing standards
or range
✔✔what information is required to complete the report of medical examination (DD form
2808) - ✔✔-used to obtain medical data for determination of medical fitness for
enlistment, induction, appointment and retention.
✔✔what information is required to complete the report of medical history (DD form
2807-1) - ✔✔past medical hx.
✔✔what information is required to complete the Periodic Health assessment (PHA,)
(Navmed 6120/4) - ✔✔conducted within 30 days of birth month
-individual medical equipment
-immunizations
-readiness laboratory studies
-dental readiness
deployment limiting conditions
-PHA
QUESTIONS SET A+
✔✔Special Duty Medical Abstract (NAVMED 6150/2) - ✔✔1. Provide a record of
physical qualifications, special training, and periodic examinations of members
designated for special duty, such as aviation, submarine, and diving.
2. This form is opened or prepared initially upon a member's first special duty
examination or training. Once it has been activated, it remains an integral part of the
health record.
3. Upon a member's discharge and immediate reenlistment, NAVMED 6150.2 is
retained in the new health record.
4. Whenever additional space under any category is required, an additional NAVMED
6150/2 is prepared and numbered sequentially, with the most recent on top.
✔✔Reference Audiogram (DD Form 2215) - ✔✔1. Initial hearing thresholds are
established by comparing to normal hearing standards or range
2. This test becomes the reference or baseline audiogram
3. Future tests compared to reference thresholds to measure change in hearing
✔✔How does the SF 601 apply to the military medical treatment jacket - ✔✔-SF 601:
immunization record
✔✔How does the SF 603 apply to the military medical treatment jacket - ✔✔-Sf 603:
medical record-dental
✔✔How does the DD Form 2807-1 apply to the military medical treatment jacket - ✔✔-
DD form 2807-1: record of medical history
1. Primary collection of information from individuals seeking to join the Armed Forces
2. Used to assist DoD physicians in making determinations as to acceptability of
applicants for military service
,3. Used by the Medical Evaluation Board to determine the medical fitness of a current
member and if separation is warranted
✔✔How does the DD form 2808 apply to the military medical treatment jacket - ✔✔-DD
form 2808: report of medical examination
1. Used to obtain medical data for determination of medical fitness for enlistment,
induction, appointment and retention for applicants and members of the Armed Forces.
2. The information may also be used for medical boards and separation of Service
members from the Armed foces
✔✔Periodic Health Assessment (PHA) (NAVMED 6120/4) - ✔✔1. Conducted within 30
days of birth month
2. Review, verification, and correction of IMR deficiencies
3. Six elements of IMR:
3.1 Individual Medical Equipment
3.2 Immunizations
3.3 Readiness laboratory studies
3.4 Dental readiness
3.5 Deployment limiting conditions
3.6 Periodic health assessment
✔✔How does the NAVMED 6150/4 apply to the military medical treatment jacket - ✔✔-
NAVMED 6150/4 abstract of service and medical history.
✔✔How does the OPNAV 5211/9 apply to the military medical treatment jacket -
✔✔Disclosure accounting form
✔✔health record forms - ✔✔Purpose: divisions utilized in organizing forms
a. Part 1: Record of Preventive Medicine and Occupational Health
b. Part 2: Record of Medical Care and Treatment
c. Part 3: Record of Physical Qualifications, Administrative Forms
d. Part 4: Record of Ancillary Studies, Therapies, Etc.
✔✔How does HIPPA associate with pt privacy? - ✔✔provides data privacy and security
provisions for safegaurding medical information.
✔✔How does PII associate with pt privacy? - ✔✔PII refers to any data that could
potentially identify a specific individual.
✔✔How does the pricacy act of 1974 associate with pt privacy? - ✔✔establishes a code
of fair information practices that governs the collection, maintenance, use, and
dissemination of information about individuals that is maintained in systems of records
by federal agencies.
, ✔✔How does informed consent associate with pt privacy? - ✔✔it is permission granted
in the knowledge of possible consequences
✔✔How does lawful consent associate with pt privacy? - ✔✔1. pt must have the
capacity/ability to make the decision
2. the medical provider must disclose information on the treatment, test, or procedure in
question, including the expected benefits, risks, and the likelyhood that the benifits and
risks will occur.
3. pt must comprehend the relevant information
4. pt must voluntarily grant consent, w/o coercion or duress
✔✔what information is required to complete the Chronological record of medical care
(SF 600) - ✔✔it provides a current, and comprehensive record of a members military
medical history.
-entries will be typewritten when practical
-date
-name and address of the activity responsible for the entry.
-signature of the responsible medical officer
YOU NEED: pt name, grade or rank, SSN, sex, orrientation, DOB
✔✔what information is required to complete the Special duty medical abstract
(NAVMED 6150/2) - ✔✔provide a record of physical qualidications, special training, and
periodic qualifications.
✔✔what information is required to complete the Reference audiogram (DD form 2215) -
✔✔initial hearing thresholds are established by comparing to normal hearing standards
or range
✔✔what information is required to complete the report of medical examination (DD form
2808) - ✔✔-used to obtain medical data for determination of medical fitness for
enlistment, induction, appointment and retention.
✔✔what information is required to complete the report of medical history (DD form
2807-1) - ✔✔past medical hx.
✔✔what information is required to complete the Periodic Health assessment (PHA,)
(Navmed 6120/4) - ✔✔conducted within 30 days of birth month
-individual medical equipment
-immunizations
-readiness laboratory studies
-dental readiness
deployment limiting conditions
-PHA
