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Documentation Assessment

Descrição

Quiz sobre Documentation Assessment , criado por April Bice em 19-12-2017.
April Bice
Quiz por April Bice , atualizado more than 1 year ago
April Bice
Criado por April Bice mais de 6 anos atrás
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Resumo de Recurso

Questão 1

Questão
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)
Responda
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Questão 2

Questão
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)
Responda
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Questão 3

Questão
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)
Responda
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Questão 4

Questão
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)
Responda
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Questão 5

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

Questão 6

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

Questão 7

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

Questão 8

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

Questão 9

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

Questão 10

Questão
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)
Responda
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Questão 11

Questão
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)
Responda
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Questão 12

Questão
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)
Responda
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Physical Exam

Questão 13

Questão
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)
Responda
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Questão 14

Questão
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)
Responda
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Questão 15

Questão
"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)
Responda
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Questão 16

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

Questão 17

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

Questão 18

Questão
"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)
Responda
  • Chief Complaint (CC)
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Questão 19

Questão
"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)
Responda
  • Chief Complaint (CC)
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Questão 20

Questão
"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)
Responda
  • Chief Complaint (CC)
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Questão 21

Questão
"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)
Responda
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Questão 22

Questão
"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)
Responda
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Questão 23

Questão
"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)
Responda
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Questão 24

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

Questão 25

Questão
“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)
Responda
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Questão 26

Questão
"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)
Responda
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Questão 27

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

Questão 28

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

Questão 29

Questão
"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)
Responda
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Questão 30

Questão
"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)
Responda
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Questão 31

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

Questão 32

Questão
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)
Responda
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Questão 33

Questão
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)
Responda
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Questão 34

Questão
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)
Responda
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

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