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WorksheetsModule 7 Abbreviation Review
Total questions: 20
Worksheet time: 24mins
Evelyn is reviewing a patient's chart and needs to document their ability to perform basic self-care tasks such as bathing, dressing, and eating. Which abbreviation should Evelyn use to represent Activities of Daily Living?
ADL
Amb
PCN
FH
During morning rounds, Dr. Oliver reviews a patient’s chart and notices the abbreviation used to indicate the patient’s ability to walk. Which abbreviation is most likely to represent this?
SH
Amb
y/o
DC
A provider writes to avoid NSAIDs for a patient with arthritis. Which choice best describes what NSAIDs refers to?
Nonsteroidal anti-inflammatory drugs
Antibiotics
Penicillin
Tylenol
Which abbreviation is often used in orders related to stopping or releasing care?
FH
ADL
d/c, DC
PCN
What does the medical abbreviation ADL stand for?
Ambulatory Daily Logistics
Activities of Daily Living
Advanced Diagnostic Levels
Assisted Dependence Level
Activities of daily living can also include more complex tasks needed to live independently. Which option best matches these complex tasks?
Playing sports and attending concerts
Managing money, cooking, and doing laundry
Traveling abroad and learning languages
Posting on social media
In healthcare documentation, what does the abbreviation "amb" most directly refer to?
Ambience of the room
Ambulate or ambulatory—related to walking
Ambidextrous hand use
Ambition level of the patient
A nurse notes that a patient is ambulatory. What does this indicate?
The patient requires overnight hospitalization
The patient can walk, possibly independently or with assistance
The patient is unconscious
The patient is under isolation precautions
Which statement best distinguishes ambulatory care from inpatient hospitalization?
Ambulatory care requires bed rest for at least one night
Ambulatory care is provided to patients who do not require overnight hospitalization (outpatient)
Ambulatory care is only for patients unable to walk
Ambulatory care is limited to emergency services
What does the abbreviation PCN stand for in medicine?
Penicillin
Acetaminophen
Naproxen
Ibuprofen
Which condition is most appropriately treated with penicillin according to the material?
Viral influenza
Strep throat
Migraine headache
Seasonal allergies
NSAIDs primarily provide which combined effects?
Antibiotic and antidiarrheal
Anti-inflammatory, analgesic, and antipyretic
Antiviral and antihypertensive
Sedative and anesthetic
Which over-the-counter medication is classified as an NSAID?
Amoxicillin
Ibuprofen
Penicillin V
Azithromycin
In medical charting, what does the abbreviation d/c mean?
Discontinue
Decrease dosage
Document consent
Diagnostic confirmation
Which entry best translates the instruction "d/c metformin"?
Start metformin today
Reduce metformin dose
Discontinue the medication metformin
Switch metformin to another drug
Hold metformin for 24 hours
FH in a patient's record most accurately refers to which of the following?
Functional health status
Family history of biological relatives and their health information
Fasting habits including diet and exercise
Financial history related to care costs
Focused history of present illness
SH in medical charting primarily documents which type of information?
Past surgeries only
Current prescription list
Lifestyle, habits, and personal circumstances that impact health
Immunization dates
Genetic mutations identified
Which detail would most appropriately be included under Social History (SH)?
Patient’s blood type
Grandparents’ history of diabetes
Tobacco and alcohol use, occupation, exercise, diet, living situation, and education
MRI findings of the brain
Allergies to penicillin
In charting, y/o is used to quickly document which piece of patient information?
Weight
Age
Height
Blood pressure
Temperature
PT NAME: Khalil Larkins
ID NO: 86523497
DATE: 03/20/20XX
PCP: Dr. Evan Schumacher
Subjective Data: Pt. is an 18 y/o male c/o pain, swelling, and tenderness to hamstring area.
Past Medical Hx: No prior surgeries.
SH: No alcohol or drug use.
Current Limitations: Unable to amb and bear wt on L leg.
Limitation before Injury: N/A
Medications: NSAIDs 800 mg Q8H PRN for pain.
Allergies: PCN
Using the medical note, define the abbreviations in bold in the Subjective Data sentence.
In the Current Limitations section, define the abbreviations in bold.
Define the abbreviations in bold in the Medications and Allergies sections.
Which section lists "No alcohol or drug use" (SH)?
