Which body area or organ system is documented in the phrase face flushed with temperature of 101.2?
a. Head
b. Constitutional
c. Abdomen
d. Genitalia, groin, buttocks
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Q. 2) Which body area or organ system is documented in the words palpation of lower abdomen reveals a full bladder?
a. Genitourinary
b. Respiratory
c. Cardiovascular
d. Constitutional
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Q. 3) Which organ system or body area is documented in the words neck soft without masses?
a. Head
b. ENT/M
c. Neck
d. Musculoskeletal
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Q. 4) Marianne Munroe presents to her primary care physician because she has experienced some dizziness in the past month.
Her physician, who is very familiar with Marilyn because she visits her physician annually, documents an extended HPI, a pertinent PFSH, but does not document any PFSH. What should the level of history be for this visit? a. Detailed
b. Problem-focused
c. Comprehensive
d. Expanded problem-focused
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Q. 5) In selecting the level of history
a. the highest level of the three history elementsHPI, ROS, PFSHdetermines the level of history.
b. the lowest level of the three history elementsHPI, ROS, PFSHdetermines the level of history.
c. the highest level of the three history elementsHPI, ROS, PFSHmust be dropped to determine the level of history.
d. the lowest level of the three history elementsHPI, ROS, PFSHcan be dropped to determine the level of history.
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Q. 6) In referring to the comprehensive level of overall history, which of the following is most descriptive?
a. HPI: extended; ROS: extended; PFSH: pertinent
b. HPI: brief; ROS: none; PFSH: N/A
c. HPI: brief; ROS: pertinent; PFSH: none
d. HPI: extended; ROS: complete; PFSH: complete
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Q. 7) In referring to the detailed level of history, which of the following is most descriptive?
a. HPI, brief; ROS, pertinent; PFSH, None
b. HPI, extended; ROS, extended; PFSH, pertinent
c. HPI, brief; ROS, N/A; PFSH, none
d. HPI, extended; ROS, complete; PFSH, complete
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Q. 8) In referring to the expanded problem-focused level of history, which of the following is most descriptive?
a. HPI, brief; ROS: pertinent; PFSH: N/A
b. HPI, extended; ROS: complete; PFSH: complete
c. HPI, brief; ROS: N/A; PFSH: N/A
d. HPI: extended; ROS: extended; PFSH: pertinent
(
Q. 9) In referring to the problem-focused level of overall history, which of the following is most descriptive?
a. HPI, brief; ROS, pertinent; PFSH, none
b. HPI, brief; ROS, none; PFSH, none
c. HPI, extended; ROS: complete; PFSH: complete
d. HPI, extended; ROS: extended; PFSH: pertinent
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Q. 10) How is the chief complaint related to the overall history?
a. The chief complaint is completely different from the history
b. The chief complaint is the same as the nature of the presenting problem
c. The chief complaint is considered to be private information that cannot be documented or shared
d. The chief complaint is included in the overall history
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