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Documentation Assessment

Beschreibung

Quiz am Documentation Assessment , erstellt von April Bice am 19/12/2017.
April Bice
Quiz von April Bice , aktualisiert more than 1 year ago
April Bice
Erstellt von April Bice vor mehr als 6 Jahre
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Zusammenfassung der Ressource

Frage 1

Frage
Infant well flexed, crying intermittently, easily consoled when held is an example of [blank_start]Physical Exam[blank_end]
Image:
Nb Jaundice (binary/octet-stream)
Antworten
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Frage 2

Frage
Reproducible pain noted on palpation of right sternal-intercostal margin is an example of [blank_start]Physical Exam[blank_end]
Image:
16 Y O Chest Pain (binary/octet-stream)
Antworten
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Frage 3

Frage
Right typmanic membrane pale-yellow in appearance, bulging with loss of landmarks and light reflex is an example of [blank_start]Physical Exam[blank_end]
Image:
2 Y O Ear Pain (binary/octet-stream)
Antworten
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Frage 4

Frage
No point tenderness noted over left medial or lateral malleolus is an example of [blank_start]Physical Exam[blank_end]
Image:
10 Y O Foot Pain (binary/octet-stream)
Antworten
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Frage 5

Frage
Upper respiratory infection is an example of [blank_start]Assessment[blank_end]
Image:
8 Y O Cough And Cong (binary/octet-stream)
Antworten
  • Assessment
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Plan

Frage 6

Frage
Jaundice is an example of [blank_start]Assessment[blank_end]
Image:
Nb Jaundice (binary/octet-stream)
Antworten
  • Assessment
  • Chief Complaint
  • ROS
  • HPI
  • Physical Exam
  • Plan

Frage 7

Frage
Costochondritis is an example of [blank_start]Assessment[blank_end]
Image:
16 Y O Chest Pain (binary/octet-stream)
Antworten
  • Assessment
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Plan

Frage 8

Frage
Right Otitis media is an example of [blank_start]Assessment[blank_end]
Image:
2 Y O Ear Pain (binary/octet-stream)
Antworten
  • Assessment
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Plan

Frage 9

Frage
Sprain of Ankle is an example of [blank_start]Assessment[blank_end]
Image:
10 Y O Foot Pain (binary/octet-stream)
Antworten
  • Assessment
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Plan

Frage 10

Frage
Use indirect sunlight exposure (through a window on infant) to help facilitate excretion of bilirubin through stools is an example of [blank_start]Plan[blank_end]
Image:
Nb Jaundice (binary/octet-stream)
Antworten
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Frage 11

Frage
Use ibuprofen 400 mg every 6 hours PRN for discomfort is an example of [blank_start]plan[blank_end]
Image:
10 Y O Foot Pain (binary/octet-stream)
Antworten
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Frage 12

Frage
Avoid full-weight bearing for the next 5 days by utilizing crutches. May ambulate and advance to full weight bearing as tolerated is an example of [blank_start]Plan[blank_end]
Image:
10 Y O Foot Pain (binary/octet-stream)
Antworten
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Physical Exam

Frage 13

Frage
Amoxicillin (400 mg/5ml), give 5 ml PO BID x 10 days. Dispense Quantity Sufficient (QS) with no refills is an example of [blank_start]Plan[blank_end]
Image:
2 Y O Ear Pain (binary/octet-stream)
Antworten
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Frage 14

Frage
Cool mist humidifier at the bedside with sleep is an example of [blank_start]Plan[blank_end]
Image:
8 Y O Cough And Cong (binary/octet-stream)
Antworten
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Frage 15

Frage
"8 y/o with cough and congestion" is an example of [blank_start]Chief Complaint[blank_end].
Image:
8 Y O Cough And Cong (binary/octet-stream)
Antworten
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Frage 16

Frage
"Cough Started 3 days ago" is an example of [blank_start]HPI[blank_end].
Image:
8 Y O Cough And Cong (binary/octet-stream)
Antworten
  • HPI
  • Chief Complaint (CC)
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Frage 17

Frage
"Newborn with yellow skin” is an example of [blank_start]Chief Complaint (CC)[blank_end]
Antworten
  • Chief Complaint (CC)
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Frage 18

Frage
"16 y/o with chest pain" is an example of [blank_start]Chief Complaint (CC)[blank_end].
Image:
16 Y O Chest Pain (binary/octet-stream)
Antworten
  • Chief Complaint (CC)
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Frage 19

Frage
"2 y/o pulling his ears" is an example of [blank_start]Chief Complaint (CC)[blank_end].
Image:
2 Y O Ear Pain (binary/octet-stream)
Antworten
  • Chief Complaint (CC)
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Frage 20

Frage
"10 y/o with foot pain" is an example of [blank_start]Chief Complaint (CC)[blank_end].
Image:
10 Y O Foot Pain (binary/octet-stream)
Antworten
  • Chief Complaint (CC)
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Frage 21

Frage
"Yellowness of skin seemed to gradually get worse, not sudden" is an example of [blank_start]HPI[blank_end].
Image:
Nb Jaundice (binary/octet-stream)
Antworten
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Frage 22

Frage
"Pain in chest has been worse when moving and better when still" is an example of [blank_start]HPI[blank_end].
Image:
16 Y O Chest Pain (binary/octet-stream)
Antworten
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Frage 23

Frage
"Mom says Tylenol has helped the pain in his ears" is an example of [blank_start]HPI[blank_end].
Image:
2 Y O Ear Pain (binary/octet-stream)
Antworten
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Frage 24

Frage
"Pain located is in left ankle" is an example of [blank_start]HPI[blank_end].
Image:
10 Y O Foot Pain (binary/octet-stream)
Antworten
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Frage 25

Frage
“Was riding his bike and got his left foot 'caught in the wheel spokes'” is an example of [blank_start]HPI[blank_end].
Image:
10 Y O Foot Pain (binary/octet-stream)
Antworten
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Frage 26

Frage
"Reports a bark-like cough, denies shortness of breath" is an example of [blank_start]ROS[blank_end].
Image:
8 Y O Cough And Cong (binary/octet-stream)
Antworten
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Frage 27

Frage
"Denies Nauseas and Vomiting" is an example of [blank_start]ROS[blank_end].
Image:
8 Y O Cough And Cong (binary/octet-stream)
Antworten
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Frage 28

Frage
"Denies chest palpitations" is an example of [blank_start]ROS[blank_end].
Image:
16 Y O Chest Pain (binary/octet-stream)
Antworten
  • ROS
  • Chief Complaint
  • Physical Exam
  • Assessment
  • Plan
  • HPI

Frage 29

Frage
"Reports limitation of movement in left foot/ankle" is an example of [blank_start]ROS[blank_end].
Image:
10 Y O Foot Pain (binary/octet-stream)
Antworten
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Frage 30

Frage
"Denies nosebleeds, nasal discharge, and frequency of colds" is an example of [blank_start]ROS[blank_end].
Image:
8 Y O Cough And Cong (binary/octet-stream)
Antworten
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Frage 31

Frage
"Reports change in skin color to yellow, denies rashes" is an example of [blank_start]ROS[blank_end].
Image:
Nb Jaundice (binary/octet-stream)
Antworten
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Frage 32

Frage
Nasal turbinates erythematous and swollen, clear rhinorrhea present to both nares is an example of [blank_start]Physical Exam[blank_end].
Image:
2 Y O Ear Pain (binary/octet-stream)
Antworten
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Frage 33

Frage
Not ill-appearing, alert, and smiling is an example of [blank_start]Physical Exam[blank_end].
Image:
8 Y O Cough And Cong (binary/octet-stream)
Antworten
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Frage 34

Frage
Use the RICE method: Rest, Ice, Compression, and Elevation, for additional comfort and to promote healing is an example of [blank_start]Plan[blank_end]
Image:
10 Y O Foot Pain (binary/octet-stream)
Antworten
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment
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