Vital Signs
What is the normal adult pulse range?
60-100 BPM
What is a chief complain?
The main reason way the patient is seeking medical care
What is the medical term for high blood pressure?
Hypertension
Why is identifying “events leading up” important in patient history?
It helps identify possible causes or triggers, provides context for how and why symptoms started, and guides clinical decision making and appropriate treatment
What is a percussion hammer?
An instrument used to check reflexes
What is the normal respiratory rate for adults?
12-20
What is the first thing medical assistants do before taking the patient’s chief complaint?
Take vital signs
What is the medical term for difficulty breathing ?
Dyspnea
What medications should medical assistants always ask about ?
Prescription medications, over the counter medications, Herbal remedies
What does a spirometer test ?
The capacity of the lungs
What is the formula that is used to obtain the BMI
Weight x 703 divided by the height (in inches),twice
Where is the chied complaint documented in the section of a SOAP note?
The subjective section
What is the medical term for a heart rate over 100 BPM?
Tachycardia
What does SOAP stand for?
Subjective, Objective, Assessment, Plan
What chart is used during a vision screening . The patient stands 20 feet away and reads letters that get smaller on each line to test visual acuity.
Snellen chart
A blood pressure reading higher than this is considered hypertension level 2 , what is the range…?
140-150/90
Why is quoting the patient’s exact words important ?
Quoting the patient’s exact words helps keep their symptoms clear/ accurate, prevents misunderstandings, helps guide better care decisions, and creates a reliable record for communication and legal purposes.
What does bradycardia mean?
Irregular heart rate that is too slow (less than 60 BPM)
What does (NKDA) stand for ?
No known drug allergies
What is Cerumen
Ear wax
What are the five common body sites that are used to measure a patient’s temperature in a clinical setting (use the medical terms of each site)
Oral, axillary, rectal, tympanic, and temporal
A patient states “ it feels like an elephant is sitting on my chest and the pain is moving to my left arm“ . When documenting the chief complain what would you write down?
What is the Dorsal Recumbent Position and what does it help with ?
Patient is laying on their back with knees bent and it helps with relaxation of abdominal muscles
What does the Social/ Occupational History section include ?
Use of illegal drugs , Alcohol usage, Smoking status (tobacco usage)
When using the pulse oximeter, what does the SpO2 measure?
It measures the percentage of oxygen being distributed throughout the body