Which element identified by a bullet is documented in the words inguinal hernia incision site is well healed with no redness, pain, or other s/s of infection or dehiscence?
a. Skinunshadedinspection and/or palpation of skin and subcutaneous tissue
b. Gastrointestinalshadedexamina
tion of abdomen with notation of presence of tenderness or masses
c. Respiratoryshadedassessment of respiratory effort
d. Eyesunshadedinspection of conjunctivae and lids
(
Q. 2) Which element identified by a bullet is documented in the words Patient does have a dark, category 3 contusion along entire URQ, and patient expresses significant pain upon any palpation.
Lower abdomen tense with no rebound, patient holding breath against pain.' Patient expressed nausea upon palpation and vomited immediately after abdominal exam? a. Skinunshadedinspection and/or palpation of skin and subcutaneous tissue
b. Constitutionalshadedgeneral appearance of patient
c. Gastrointestinalshadedexamina
tion of abdomen with notation of presence of tenderness or masses
d. Cardiovascularshadedexaminati
on of abdominal aorta
(
Q. 3) Which element identified by a bullet is documented in the words face flushed with temperature of 101.2, pulse rapid, respiration shallow . . . fever remained stable at 101.1?
a. Cardiovascularshadedexaminati
on of carotid arteries
b. ENTunshadedinspection of oral mucosa with notation of presence of pallor of cyanosis
c. Respiratoryshadedassessment of respiratory effort
d. Constitutionalshadedmeasureme
nt of any 3 of seven listed vital signs
(
Q. 4) Which element identified by a bullet is documented in the words palpation and percussion reveals no cervical spine tenderness . . . no thoracic spine tenderness and no lumbar spine tenderness?
a. Constitutionalshadedgeneral appearance of patient
b. Respiratoryshadedassessment of respiratory effort
c. Gastrointestinalshadedexamina
tion of abdomen with notation of presence of tenderness or masses
d. Musculoskeletalunshadedexamin
ation of back with notation of kyphosis or scoliosis
(
Q. 5) Which element identified by a bullet is documented in the words Neck soft without masses . . . no thyromegaly?
a. Cardiovascularshadedexaminati
on of carotid artery
b. Neckunshadedexamination of thyroid
c. Skinunshadedinspection and/or palpation of skin and subcutaneous tissue
d. Respiratoryshadedassessment of respiratory effort
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Q. 6) Which element identified by a bullet is documented in the phrase light head contusion along lateral hairline with no pain upon examination?
a. Constitutionalshadedgeneral appearance of patient
b. Skinunshadedinspection of skin and/or palpation of skin and/or subcutaneous tissue
c. Musculoskeletalunshadedexamin
ation of back with notation of kyphosis or scoliosis
d. Cardiovascularshadedextremiti
es for peripheral edema and/or varicosities
(
Q. 7) How many different systems/body areas are listed in the general multi-system physical examination guidelines?
a. Four
b. Ten
c. Fourteen
d. Fifty-nine
(
Q. 8) Which of the following choices represents a comprehensive type of physical examination?
a. The documentation of at least six elements identified by a bullet
b. The documentation of at least two elements identified by a bullet in each of six systems/body areas OR at least 12 elements identified by a bullet in two or more systems/body areas
c. The documentation of between one and five elements identified by a bullet
d. The performance of all elements identified by a bullet in at least nine areas/systems AND documentation of at least two elements identified by a bullet in each of the nine areas/systems
(
Q. 9) Which of the following choices represents a detailed type of physical examination?
a. The documentation of at least two elements identified by a bullet in each of six systems/body areas OR at least 12 elements identified by a bullet in two or more systems/body areas
b. The performance of all elements identified by a bullet in at least nine areas/systems AND documentation of at least two elements identified by a bullet in each of the nine areas/systems
c. The documentation of at least six elements identified by a bullet
d. The documentation of between one and five elements identified by a bullet
(
Q. 10) Which of the following choices represents an expanded problem-focused type of physical examination?
a. The performance of all elements identified by a bullet in at least nine areas/systems AND documentation of at least two elements identified by a bullet in each of the nine areas/systems
b. The documentation of at least six elements identified by a bullet
c. The documentation of between one and five elements identified by a bullet
d. The documentation of at least two elements identified by a bullet in each of six systems/body areas OR at least 12 elements identified by a bullet in two or more systems/body areas