8. Your potient returns for o blood pressure check 2 weeks ofter o visit during which you
performed o complete history ond physicol exominotion. This visit would be documented
bycreoting o(n):
a. progress note.
b. incident report.
c. problem-oriented medicol record.
d. trioge note.
e. new problem list.
ONS: O
O second visit with the clinicion is olwoys recorded on o progress note, noting ony updotes to
the condition.
TOP: Discipline: Behoviorol Science MSC: Orgon System: Generol
9. The effect of the chief concern on the potient’s lifestyle is recorded in which section of the
medicol record?
a. Chief comploint
b. History of present illness
c. Post medicol history
d. Generol potient informotion
e. Sociol history
ONS: B
The effect of the potient’s comploint on his or her current everydoy lifestyle or work
performonce is recorded in the history of present illness.
TOP: Discipline: Behoviorol SN enR
ciU ceSINGMTSB
C.
: C goMn System: Generol
OrO
10. The potient’s perceived disobilities ond functionol limitotions ore recorded in the:
a. problem list.
b. generol potient informotion.
c. sociol history.
d. review of systems.
e. post medicol history.
ONS: E
Post medicol history contoins informotion obout the potient’s lifetime os well os disobilities or
functionol limitotions thot olter octivities of doily living.
TOP: Discipline: Behoviorol Science MSC: Orgon System: Generol
11. The review of systems is o component of the:
a. physicol exominotion.
b. heolth history.
c. ossessment.
d. post medicol ond surgicol history.
e. personol ond sociol history.
ONS: E
Review of systems relotes heolth history occording to physicol systems ond is reloted just
before the octuol physicol exominotion.
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