The Patient Interview
Medical Documentation
The Physical Examination
ENT
Ophtalmology
200

7 seconds to 2 minutes

What is the time it takes to form a first impression

200

The portion of the “SOAP” note that includes the patient’s complaint

What is Subjective

200

Performing an examination on one or two specific body symptoms based on the nature of patient’s visit

What is the focused examination

200

Ossicles, cochlea, eustachian tube and Tympanic membrane

What are anatomical components of the inner ear

200

The white part of the eye

What is the Sclera

400

The technique of sharing information with the patient after their visit

What is "ART"

400

The pneumonic used to assist in documentation of the HPI

What is OLDCARTS

400

Physical appearance, mental status, mobility and patient behavior

What is portions of the general survery

400

Shiny, pearly gray with “cone of light”

What is description of normal TM

400

The “H” pattern is used to check this

What is Extra ocular muscles

600

The ability to share another persons feelings and concerns

What is empathy

600

Symptoms that are used to assist in diagnosis

What is pertinent positive

600

Radial, carotid, brachial and popliteal

What are sites at which pulses can be taken

600

Rinne and Weber’s

What is  testing techniques for hearing loss

600

The Snellen eye chart is used to check this

What is visual acuity

800

Employment, education and social support are incorporated into what factor affecting patient’s healthcare

What is Socio Economic Status

800

An inventory of body systems to identify signs and symptoms that may be pertinent to patients complaint

What is the Review of systems

800

Temperature, Blood Pressure , Pulse Rate and Respirations

What are components of the vital signs

800

Lymph nodes located under the chin and jaw

What are submandibular

800

This test is used as a screen to detect color blindness

What is Ishiara test

1000

The middle stage of the interview is also referred to as

What is clinician centered

1000

The vital signs are documented in this portion of the SOAP note

What is Objective

1000

Measurement of the heart when it is contracting

What is systolic BP measurement

1000
Coating on the tongue that can not be scrapped off

What is oral candidiasis

1000

This type of vision is checked by bringing objects into view from all areas of the head into the field of vision

Peripheral