Subjective information (documentation) - Correct answer-relevant history of the pts
presenting symptoms or chief complaints; use direct quotes form the pt
PMH - Correct answer-past medical history
PSH - Correct answer-past surgical history
Soc Hx - Correct answer-social history
OPQRST - Correct answer-onset, provocation, quality, radiation, severity, time
Profile types - Correct answer-Quarters, Bedrest, Duty
Quarters (profile) - Correct answer-Restriction/rest in place of domicile (barracks,
home). Free to move in living space (may use the day room). May not perform military
duties. Normally will not exceed 72 hours.
Bedrest (profile) - Correct answer-Restricted to bed, may travel to dining facility and
latrine. May not perform any military duties
Duty - Correct answer-Pt is returned to unit for full duty without restrictions
Pathogen - Correct answer-disease causes microorganism
Most difficult infection to treat - Correct answer-Spore Forming Bacteria
chain of infection - Correct answer-infectious agent, reservoir, portal of exit, mode of
transmission, portal of entry, susceptible host
DD Form 689 - Correct answer-individual sick call slip; initiates sick call process;
communication between medical personnel and the pt's commander
SF 600 - Correct answer-Chronological Record of Medical Care; Must include 1) date
and time of visit 2) Medical treatment facility where care was given 3) signature of
person making the entry
Who is responsible for requesting a disclosure of patient care information? - Correct
answer-The patient administrator
SOAP acronym for documentation - Correct answer-S) Subjective
O) Objective
A) Assessment
, P) Plan
vehicle transimission - Correct answer-Direct contact, indirect contact, Airborne,
foodborne, bloodborne, waterborne, human carrier, vector
Medical asepsis - Correct answer-clean technique
surgical asepsis - Correct answer-sterile technique
Transmission based precautions - Correct answer-airborne, contact, droplet
reverse isolation - Correct answer-Precaution used for individuals who are immune-
compromised to protect them from harmful organisms; for immunocompromised (HIV,
Geriatric, transplant patients)
Hand washing - Correct answer-The most effective way to fight or prevent infection
nosocomial infection - Correct answer-hospital acquired infection
trade name - Correct answer-the common brand name of a drug
generic name - Correct answer-legal noncommercial name for a drug
side effects - Correct answer-reactions to medicine other than the one intended
Contraindications - Correct answer-reasons not to give a medication
indications - Correct answer-reasons to give a medication
therapeutic effect - Correct answer-expected positive effects of a drug
Psychological drug dependence - Correct answer-The patient believes they need they
drug
physiological drug dependence - Correct answer-a condition in which the patient has a
chemical need for a drug
drug tolerance - Correct answer-the tendency for larger doses of a drug to be required
over time to achieve the same effect
Drug interactions - Correct answer-the effects that may occur when the drug is given
along with another drug, food, or substance
Six Rights of Medication Administration - Correct answer-1. Right medication
2. Right dose