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Documentation Assessment

Descripción

Test sobre Documentation Assessment , creado por April Bice el 19/12/2017.
April Bice
Test por April Bice , actualizado hace más de 1 año
April Bice
Creado por April Bice hace más de 6 años
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Resumen del Recurso

Pregunta 1

Pregunta
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)
Respuesta
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Pregunta 2

Pregunta
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)
Respuesta
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Pregunta 3

Pregunta
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)
Respuesta
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Pregunta 4

Pregunta
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)
Respuesta
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Pregunta 5

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

Pregunta 6

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

Pregunta 7

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

Pregunta 8

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

Pregunta 9

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

Pregunta 10

Pregunta
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)
Respuesta
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Pregunta 11

Pregunta
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)
Respuesta
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Pregunta 12

Pregunta
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)
Respuesta
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Physical Exam

Pregunta 13

Pregunta
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)
Respuesta
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Pregunta 14

Pregunta
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)
Respuesta
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment

Pregunta 15

Pregunta
"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)
Respuesta
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Pregunta 16

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

Pregunta 17

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

Pregunta 18

Pregunta
"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)
Respuesta
  • Chief Complaint (CC)
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Pregunta 19

Pregunta
"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)
Respuesta
  • Chief Complaint (CC)
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Pregunta 20

Pregunta
"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)
Respuesta
  • Chief Complaint (CC)
  • HPI
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Pregunta 21

Pregunta
"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)
Respuesta
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Pregunta 22

Pregunta
"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)
Respuesta
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Pregunta 23

Pregunta
"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)
Respuesta
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Pregunta 24

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

Pregunta 25

Pregunta
“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)
Respuesta
  • HPI
  • Chief Complaint
  • ROS
  • Physical Exam
  • Assessment
  • Plan

Pregunta 26

Pregunta
"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)
Respuesta
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Pregunta 27

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

Pregunta 28

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

Pregunta 29

Pregunta
"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)
Respuesta
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Pregunta 30

Pregunta
"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)
Respuesta
  • ROS
  • Chief Complaint
  • HPI
  • Physical Exam
  • Assessment
  • Plan

Pregunta 31

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

Pregunta 32

Pregunta
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)
Respuesta
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Pregunta 33

Pregunta
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)
Respuesta
  • Physical Exam
  • Chief Complaint
  • HPI
  • ROS
  • Assessment
  • Plan

Pregunta 34

Pregunta
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)
Respuesta
  • Plan
  • Chief Complaint
  • HPI
  • ROS
  • Physical Exam
  • Assessment
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