Physical exam

Question 1

A statement in the patient’s own words that describes the reason for the visit is called:

Answer 1

chief complaint (CC)

Question 2

When documenting a patient’s allergies in a paper record, they are typically written in ___ ink.

Answer 2

red ink

Question 3

Which type of communication technique is utilized in order to encourage the patient to respond in more detail?

Answer 3

open-ended

Question 4

Which instrument is used to examine and view the ears?

Answer 4

otoscope

Question 5

What term defines a physician listening to the patient’s heart or digestive organs?

Answer 5

auscultation

Question 6

to measure

Answer 6

mensuration

Question 7

Which word is an electrical recording or graph of the heart?

Answer 7

electrocardiogram

Question 8

Which position will the patient be placed in for symptoms of shock?

Answer 8

Trendelenburg

Question 9

A patient comes in for an examination of external hemorrhoids. Which position should the patient be positioned in for this exam?

Answer 9

Sims

Question 10

A tuning fork is used to check the patient’s auditory acuity and bone vibration, as well as:

Answer 10

diabetic peripheral neuropathy.

Question 11

questions that provide a guide to the patient’s general health and help detect conditions

Answer 11

Systems review (SR) or review of systems (ROS)

Question 12

Record of a patient’s demographic information, along with the history, physical examination, and initial lab findings

Answer 12

Database

Question 13

Subjective findings

Answer 13

symptoms, they are what the patient feels and can be interpreted only by the patient.

Question 14

Objective findings

Answer 14

signs, They are the indicators of health or disease that a provider detects when examining a patient.

Question 15

closed questions

Answer 15

ask for specific information. This form of questioning limits the answer to one or two words—in many cases, yes or no.

Question 16

asks for general information or states the topic to be discussed, but only in general terms.

Answer 16

open ended question

Question 17

The patient completely rejects the information.

Answer 17

Denial

Question 18

Rewording or rephrasing a statement to check the meaning and interpretation.

Answer 18

Restatement

Question 19

Past history (PH) or past medical history (PMH)

Answer 19

A summary of the patient’s previous health.

Question 20

clarification

Answer 20

actively listening and responding to the pt

Question 21

Patient sits on the exam table with the head of the table elevated 90 degrees

Answer 21

Fowler position

Question 22

Supine position

Answer 22

on your back. The patient lies flat with face upward and the lower legs supported by the table extension

Question 23

The patient lies upward, with the weight distributed primarily to the surface of the back

Answer 23

Dorsal recumbent position

Question 24

Prone Position

Answer 24

on your belly. The patient lies face down on the table on the ventral surface of the body

Question 25

Patient is placed on the left side, with left arm and shoulder drawn back behind the body so that the body’s weight is predominantly on the chest

Answer 25

Sims Position

Question 26

Place the patient on his or her back with the knees sharply flexed and the arms at the sides or folded over the chest. usually used for ladies vaginal exams

Answer 26

Lithotomy Position

Question 27

This position can be achieved only if the examination table separates so that the legs can be elevated higher than the head

Answer 27

Trendelenburg Position

Question 28

How to interact with children

Answer 28

-allow to touch stethoscope -praise for good behavior -game to distract

Question 29

What to do for an anxious pt

Answer 29

be calm

Question 30

How do you correct an error on a paper chart ?

Answer 30

line through the error and initial

Question 31

How do you correct an error on a Electronic chart?

Answer 31

addendum

Question 32

Percussion hammer

Answer 32

also called reflex hammer , used to strike the tendons of the knee and elbow to test the neurologic reflexes.

Question 33

Main reason in the patient’s own words that describes the reason for the visit

Answer 33

Chief complaint

Question 34

Involves tapping or striking the body

Answer 34

Percussion

Question 35

Performed with one hand, both hands, or finger, fingertips, or palmar aspect of the hand

Answer 35

Palpation