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Multiple Choice Quiz
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1

A patient's illness and reason for this visit to the physician would be found in the
A)patient's medical history.
B)records from other healthcare providers.
C)patient registration form.
D)informed consent.
2

The medical abbreviation for twice a day is
A)BID.
B)TAD.
C)BD.
D)TID.
3

Objective or external factors that can be seen or felt by the doctor or measured by an instrument are called
A)symptoms.
B)outcomes.
C)signs.
D)behavior.
4

The A section of SOAP documentation is
A)the diagnosis or impression of a patient's problem.
B)data that comes from examination results and from the physician.
C)the plan of action.
D)data from the patient.
5

The correct abbreviation for “should be” is
A)s.
B)w.
C)s/b.
D)Sb.
6

Which of the following information is found on the patient registration form?
A)patient allergies
B)use of alcohol or drugs
C)laboratory results from another physician
D)name of the person to contact in an emergency
7

Documenting a patient's walk down a hall as “fine” violates which “C” of charting?
A)completeness
B)clarity
C)conciseness
D)chronological order
8

Subjective or internal conditions felt by the patient are
A)signs.
B)symptoms.
C)responses.
D)goals.
9

“The patient got out of bed and walked 20 feet without shortness of breath” is an example of
A)clarity.
B)completeness.
C)conciseness.
D)chronological order.
10

Patient records are used in medical research
A)for data regarding patient responses, behavior, side effects, and outcome.
B)only occasionally, because it is usually considered illegal.
C)for experimentation with treatment not approved.
D)as a means to get research money.





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