What is another name for a health record?
A. medical record
B. hospital chart
C. clinical record
D. all of the above
Answer: D
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Which of the following features is necessary for storing files?
A. A site that is kept cold B. Cardboard storage containers C. A site that is below ground D. A site that is kept locked E. A site that offers easy patient access
Why should you never download or transfer public domain software, files from electronic bulletin boards, or other communication systems in the medical office?
The U.S. Centers for Disease Control and Prevention receives at least ____ reported outbreaks per year in the U.S., although this is usually only the "tip of the iceberg."
A. 150 B. 400 C. 1,000 D. 40,000
Clinic note
SUBJECTIVE: A 39-year-old female who complains of 1 week of left shoulder (1)__________. She was riding her motorcycle and doing a lot of work prior to the onset of this. She has tenderness in the muscles of her shoulder and has intermittent (2)__________ with discomfort into the hand. She has not dropped any objects. She does have (3)___________ and thought that she may be having a (4)__________, but was not sure. Patient is otherwise in the usual state of health. OBJECTIVE: Musculoskeletal: Upper extremities have full range of motion, 5/5 muscle strength. (5)__________ is intact. (6)__________ reflex 2/4. There is tenderness over the left supraspinatus in the scapular area, with muscle spasm of the supraspinatus noted. The (7)__________ musculature is unremarkable. There are no skin changes noted. There is no tenderness of the (8)__________ bursa. ASSESSMENT/PLAN: Left shoulder musculoskeletal pain with (9)__________. Skelaxin 20 mg 2 t.i.d. to q.i.d., #40. Continue with current Celebrex (10)__________. Warm moist heat. No lifting more than 10 pounds. If no improvement over the next 1 week, return for reevaluation.