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WorksheetsChief Complaint
Total questions: 15
Worksheet time: 8mins
The medical record serves as a legal document.
True
False
This type of medical record format is the most common in the medical office.
(a)
When writing a chief complaint, it is always best to use the patient's own words.
True
False
When writing a chief complaint, it is always best to use use diagnostic terms, such as names of diseases.
True
False
How many patient symptoms can a CC have?
1
2
3
4
When documenting, what color pen should be used?
Black
Blue
Red
Green
Orange
If you make a mistake while documenting, it is best to use white-out and write over it?
True
False
What information is missing in the CC?
Ear pain and fever.
Duration of symptoms
Exact location
Temperature
Everything is correct
What day do you list under LMP?
First day of LMP
Middle day of LMP
Last day of LMP
Miss Guevara is allergic to ibuprofen, which option would you choose when writing her CC?
List it
Write NKDA
Write NKA
Nothing, that's for the doctor to complete
What credentials should you be using after your name?
CMA
RMA
MA
SMA
To save time, while documentations, you should include?
MT
MA
SYMBOLS
All of the above
How many things are wrong with the CC?
6
7
8
9
10
Every Tuesday morning Ana, comes in at 10am complaining of a stomachache. You should document ahead of time to save time.
True
False
While helping a patient, you receive a phone call from your mom. What should you do?
You quickly answer but tell someone to document the procedure for you.
Finish helping your patient and document the procedure
Answer your mom and speak to her in front on your patient
Nothing
