Which of the following phrases is MOST accurate?
A. Because the patient is describing the history at the time of the visit, the language should always be present tense, and the language used for physical examination should be in the future tense
B. The language used for history is indistinguishable from the language used for physical examination
C. History generally utilizes past tense language, while the physical examination is occurring at the time of the visit, which is most commonly represented by present tense language
D. It is the responsibility of the patient to ensure the documentation is correct, not the physician's responsibility, since the physician only documents what the patient said.
C
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An 83-year-old male fell down five stairs to the floor below. He hit his head and now complains of a headache. When getting a history from this patient, which question should be asked before all others?
A) "What caused you to fall?" B) "Which medications are you taking?" C) "Do you have a history of medical problems?" D) "What is the name of your primary care physician
A patient with a protein C deficiency is at risk for developing which of the following?
a. Thrombosis b. Hemorrhage c. Lupus anticoagulant inhibitor d. Factor deficiency
If a user selects a template for a letter to a patient, which of the following are added automatically by SpringCharts?
A. The patient's name. B. The patient's address. C. The greeting. D. All of these.
Which of the following is part of HIPAA?
Insurance reform The prohibition of prescription drug plans requiring mail order prescription drug coverage without providing non-mail order coverage The allowing of the "Rx symbol" to appear on each prescription The allowing of patients to select any pharmacy they choose