A) Date of birth
B) Allergies
C) Employer
D) Patient's insurance company
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Multiple Choice
A) Creation of a medical record
B) Storage of a medical record
C) Editing of a medical record
D) Retrieval of a medical record
E) All of the above
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Multiple Choice
A) After the physician performs the physical examination
B) After laboratory test results are reviewed
C) Before the physician performs the physical examination
D) After the physician makes a diagnosis of the patient's condition
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Multiple Choice
A) Hold documents in place in the folder
B) Identify the contents of the folder
C) Prevent the folder from being misfiled
D) Keep the folder closed when not in use
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Multiple Choice
A) To provide information for making decisions regarding the patient's care
B) To document the patient's progress
C) To serve as a legal document
D) To share information between members of the patient's family
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Multiple Choice
A) A quiet, comfortable room
B) Showing interest in the patient
C) Showing concern for the patient
D) Calling the patient "honey"
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Multiple Choice
A) SOAP
B) TGIF
C) OSHA
D) PPR
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Multiple Choice
A) Edema
B) Acidosis
C) Epistaxis
D) Dehydration
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Multiple Choice
A) Avoid charting the procedure out of sequence
B) Avoid performing the wrong procedure on a patient
C) Avoid forgetting certain aspects of the procedure
D) Prevent another staff member from charting the procedure
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Multiple Choice
A) Emergency department report
B) Pathology report
C) History and physical report
D) Discharge summary report
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Multiple Choice
A) Subjective data
B) Objective data
C) Assessment
D) Plan
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Multiple Choice
A) Dehydration
B) Diaphoresis
C) Edema
D) Hyperemesis
Correct Answer
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Multiple Choice
A) Epistaxis
B) Vertigo
C) Urticaria
D) Pruritus
Correct Answer
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Essay
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Multiple Choice
A) When a patient transfers records to a new physician
B) To bill the patient's insurance company
C) To send the patient's records to a consulting physician
D) To determine the patient's eligibility for insurance benefits
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Multiple Choice
A) It makes it harder to read the chart.
B) The patient may not receive the proper care.
C) Credibility is reduced if the physician is involved in litigation.
D) It indicates the procedure was performed incorrectly.
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Multiple Choice
A) Laboratory tests
B) Physical examination
C) Health history
D) Diagnostic tests
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Multiple Choice
A) Where does it hurt?
B) Are you sick?
C) How long have you been ill?
D) What seems to be the problem?
E) All of the above
Correct Answer
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Multiple Choice
A) Health history
B) Results of the physical examination
C) Laboratory reports
D) Progress notes
E) All of the above
Correct Answer
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