1.3 Medical Record Reports

Which of the following would be found in the personal information section of a report?

• weight

• blood test results

• ethnicity

• medication taken

Choose two vital signs measured in a physical examination.

• pulse rate

• weight

• body temperature

• blood type

Which of the following would be found in the medical history section of a report?

• weight

• blood test results

• ethnicity

• medication taken

Which part of the report describes how the patient can get better or improve their medical problem?

• Treatment plan and progress

• Physical examination

• Test results and diagnosis

• Medical complaint

Weight, height and blood pressure are all taken in which part of a medical report?

• personal information

• medical complaint

• medical history

• physical examination

X-ray and covid-19 results are recorded in which part of a medical report?

• treatment and progress

• test results and diagnosis

• medical history

• physical examination

Alya Sultan went to the doctor. She described her symptoms of sore throat, cough and fever.

Where would this information about her signs and symptoms be recorded?

• medical history

• test results

• personal information

• medical complaint

Shaikha mansoor went to the doctor and gave her personal information.

Her birthday is on 8th July 2005. Her phone number is 971 50 123456. She is from the UAE and muslim.

Which heading is correct for the information: 8th July 2005 ?

• Name:

• DOB:

• Ethnicity:

• Gender:

Shaikha mansoor went to the doctor and gave her personal information.

Her birthday is on 8th July 2005. Her phone number is 971 50 123456. She is from the UAE and muslim.

Which heading is correct for the information: UAE and Muslim ?

• Name:

• DOB:

• Ethnicity:

• Gender:

Which of the following is a sign of a disease?

• fever

• tiredness

• vomiting

• headache