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Section 2.2 Exercises

front 1

Select the correct answer.

The review of systems section on a patient’s health record

Multiple Choice

  • describes the individual body systems in order to discover any symptoms not directly related to the main problem.
  • gives the story of the patient’s problem.
  • includes any of the patient’s past surgeries.
  • relates a record of habits that can impact health.

back 1

describes the individual body systems in order to discover any symptoms not directly related to the main problem.

front 2

Match the term with its definition below.

  1. the main reason for a visit
  • a list of possibilities for the diagnosis
  • any significant illnesses that run in the patient's family
  • the story of the patient's problem
  • other significant past illnesses
  • a record of habits like smoking, drinking, drug abuse, and sexual practices that can impact health

back 2

front 3

Select the correct answer.

Which of the following is NOT true about the acronym SOAP?

Multiple Choice

  • It reflects a basic thought pattern that health providers employ in solving patient problems.
  • It stands for Subjective, Objective, Assessment, and Procedure.
  • SOAP is a baseline of thought in all disciplines of medicine.
  • SOAP is an acronym that stands for the four general parts of a medical note.

back 3

It stands for Subjective, Objective, Assessment, and Procedure.

front 4

Select the correct answer.

Which health record note is written by a medical professional from an inpatient health care facility and documents daily hospital visits?

Multiple Choice

  • admission summary
  • clinic note
  • daily hospital note/progress note
  • discharge summary

back 4

daily hospital note/progress note

front 5

Which health record note ONLY includes the “Plan”?

Multiple Choice

  • consult note
  • operative report
  • pathology report
  • prescription

back 5

prescription