FIPP 5 Exam #1 Questions With Correct
Answers
PURPOSES |OF |DOCUMENTATION |- |CORRECT |ANSWER✔✔-• |Improving |patient |care |& |
outcomes.• |Providing |patients |with |information |about |their |care.• |Enhancing |continuity |of |
care.• |Ensuring |compliance |with |laws |& |regulations.• |Protecting |against |professional |liability.• |
Creating |a |record |of |services |provided |for |billing |& |reimbursement |purposes. |• |Establishing |
the |pharmacist's |credibility |as |a |health |care |provider.
SOAP |Note |stands |for: |- |CORRECT |ANSWER✔✔-subjective, |objective, |assessment, |plan
Subjective |- |CORRECT |ANSWER✔✔-• |Information |provided |by |the |patient, |family, |or |caregiver |
• |Thorough, |but |concise• |Descriptive |and |can |not |be |measured |directly
Chief |COmplaint |- |CORRECT |ANSWER✔✔-• |Patient's |complaint |in |their |own |words• |
Usuallyprovidedinquotes• |Thepatientmaynotalwaysprovideaspecific
complaint
History |of |Present |Illness |(HPI) |- |CORRECT |ANSWER✔✔-information |gathered |regarding |the |
symptoms |and |nature |of |the |patient's |current |concern
Past |medical |history |(PMH) |- |CORRECT |ANSWER✔✔-• |Complete |listing |of |childhood |and |adult |
illnesses |• |Includes |diagnosis• |Ideally |include |duration |(or |year |of |diagnosis)• |May |also |
include |surgical |history
Family |History |(FH) |- |CORRECT |ANSWER✔✔-● |Include |FH |of |first |degree-relatives |only
● |Mother, |father, |siblings, |and |children |should |all |be
,listed
● |If |FH |does |not |impact |therapy |decision, |can |write |as
non-contributory
● |If |it |is |unknown, |can |document |as |unknown
Social |History |(SH) |- |CORRECT |ANSWER✔✔-An |age-appropriate |review |of |past |and |current |
activities |(smoking, |alcohol, |etc.)
Medications |(SOAP |Notes) |- |CORRECT |ANSWER✔✔-• |List |ALL |prescription, |OTC, |Herbals, |& |
Supplements
• |Include:
○ |Drug |name |(brand |& |generic)
○ |Drug |strength
○ |Drug |route
○ |Drug |frequency
○ |Drug |duration |of |therapy |(if |appropriate)
Allergies |(SOAP |Notes) |- |CORRECT |ANSWER✔✔-What |is |the |allergy |and |reaction?
When |did |this |occur?
• |If |none, |write |NKDA
○ |No |Known |Drug |Allergies
NKDA |- |CORRECT |ANSWER✔✔-No |known |drug |allergies
Review |of |systems |(ROS) |- |CORRECT |ANSWER✔✔-Set |of |questions |asked |that |pertain |to |
symptoms |associated |with |each |body |system
, Will |indicate |the |body |system, |symptom |asked, |and |which |are |positive |vs. |those |that |patient |
denies
If |not |performed, |can |document |as |"deferred"or |"not |performed"
Objective |- |CORRECT |ANSWER✔✔-• |Data |obtained |by |the |clinician, |EMR, |lab |work, |and |
diagnostic |tests |• |Can |be |measured• |Should |only |include |the |pertinent |positive |and |negative |
findings
Vital |Signs |- |CORRECT |ANSWER✔✔-•
Should |include:
○ |BP
○ |HR
○ |RR
○ |Temperature
○ |Height
○ |Weight |(kg)
○ |Body |mass |index
Physical |Exam |- |CORRECT |ANSWER✔✔-• |Includes |pertinent |observations |& |results |of |any |
physical |exams, |broken |down |by |organ |system
Laboratory |Tests |- |CORRECT |ANSWER✔✔-Includes |pertinent |lab |values |for |the |patient |such |as:
○ |Basic |Metabolic |Panel |(BMP)
○ |Complete |Blood |Count |(CBC)
May |also |include |any |additional |pertinent |labs |such |as:
○ |Lipid |panel
○ |Blood |glucose
Answers
PURPOSES |OF |DOCUMENTATION |- |CORRECT |ANSWER✔✔-• |Improving |patient |care |& |
outcomes.• |Providing |patients |with |information |about |their |care.• |Enhancing |continuity |of |
care.• |Ensuring |compliance |with |laws |& |regulations.• |Protecting |against |professional |liability.• |
Creating |a |record |of |services |provided |for |billing |& |reimbursement |purposes. |• |Establishing |
the |pharmacist's |credibility |as |a |health |care |provider.
SOAP |Note |stands |for: |- |CORRECT |ANSWER✔✔-subjective, |objective, |assessment, |plan
Subjective |- |CORRECT |ANSWER✔✔-• |Information |provided |by |the |patient, |family, |or |caregiver |
• |Thorough, |but |concise• |Descriptive |and |can |not |be |measured |directly
Chief |COmplaint |- |CORRECT |ANSWER✔✔-• |Patient's |complaint |in |their |own |words• |
Usuallyprovidedinquotes• |Thepatientmaynotalwaysprovideaspecific
complaint
History |of |Present |Illness |(HPI) |- |CORRECT |ANSWER✔✔-information |gathered |regarding |the |
symptoms |and |nature |of |the |patient's |current |concern
Past |medical |history |(PMH) |- |CORRECT |ANSWER✔✔-• |Complete |listing |of |childhood |and |adult |
illnesses |• |Includes |diagnosis• |Ideally |include |duration |(or |year |of |diagnosis)• |May |also |
include |surgical |history
Family |History |(FH) |- |CORRECT |ANSWER✔✔-● |Include |FH |of |first |degree-relatives |only
● |Mother, |father, |siblings, |and |children |should |all |be
,listed
● |If |FH |does |not |impact |therapy |decision, |can |write |as
non-contributory
● |If |it |is |unknown, |can |document |as |unknown
Social |History |(SH) |- |CORRECT |ANSWER✔✔-An |age-appropriate |review |of |past |and |current |
activities |(smoking, |alcohol, |etc.)
Medications |(SOAP |Notes) |- |CORRECT |ANSWER✔✔-• |List |ALL |prescription, |OTC, |Herbals, |& |
Supplements
• |Include:
○ |Drug |name |(brand |& |generic)
○ |Drug |strength
○ |Drug |route
○ |Drug |frequency
○ |Drug |duration |of |therapy |(if |appropriate)
Allergies |(SOAP |Notes) |- |CORRECT |ANSWER✔✔-What |is |the |allergy |and |reaction?
When |did |this |occur?
• |If |none, |write |NKDA
○ |No |Known |Drug |Allergies
NKDA |- |CORRECT |ANSWER✔✔-No |known |drug |allergies
Review |of |systems |(ROS) |- |CORRECT |ANSWER✔✔-Set |of |questions |asked |that |pertain |to |
symptoms |associated |with |each |body |system
, Will |indicate |the |body |system, |symptom |asked, |and |which |are |positive |vs. |those |that |patient |
denies
If |not |performed, |can |document |as |"deferred"or |"not |performed"
Objective |- |CORRECT |ANSWER✔✔-• |Data |obtained |by |the |clinician, |EMR, |lab |work, |and |
diagnostic |tests |• |Can |be |measured• |Should |only |include |the |pertinent |positive |and |negative |
findings
Vital |Signs |- |CORRECT |ANSWER✔✔-•
Should |include:
○ |BP
○ |HR
○ |RR
○ |Temperature
○ |Height
○ |Weight |(kg)
○ |Body |mass |index
Physical |Exam |- |CORRECT |ANSWER✔✔-• |Includes |pertinent |observations |& |results |of |any |
physical |exams, |broken |down |by |organ |system
Laboratory |Tests |- |CORRECT |ANSWER✔✔-Includes |pertinent |lab |values |for |the |patient |such |as:
○ |Basic |Metabolic |Panel |(BMP)
○ |Complete |Blood |Count |(CBC)
May |also |include |any |additional |pertinent |labs |such |as:
○ |Lipid |panel
○ |Blood |glucose