PATIENT INTERVIEW
SOAP & S/S
LEGAL ASPECTS
TERMINOLOGY
HISTORY TAKING
100
This process is very possibly the most complex and important skill that you will learn
Conducting the Patient Interview thoroughly and correctly.
100
those "things" that we can see.
What is signs
100
Expressed, Implied and Involuntary
What is consent
100
touching another person without their consent.  
What is battery
100
The R in PQRST stands for _________
Region/Radiating
200
Define the term "objective" in a medical sense.
Things we can see or measure.
200
Pain would be a
What is symptom. In subjective.
200
Verbal consent from the patient to examine the patient after they are informed. Introduce yourself, who you are with, why you are there and what your going to do.
What is informed or expressed consent
200
failure to provide care for the patient once it has been initiated
What is abandonment
200
NKDA means
What is No Known Drug Allergies
300
The number of the first sound is the _____________ (top number) pressure
What is systolic
300
those "things" that the patient tells us. 
What is symptom. In Subjective.
300
Unconscious patients are assumed to desire life-saving treatment. Children without a responsible adult are treated by implied consent
What is implied consent
300
  The section of the chart where smoking and caffiene use are located.
Social/Occupational History
300
In the anachronism PQRST the S stands for _____
What is Severity
400
The second number is the ___________ (bottom number) pressure.(this is the noise of the blood refilling the chambers of the heart before it pumps again.)
What is diastolic
400
The MA is responsible for which components of SOAP?
S and part of O (vitals)
400
Law which protects emergency responder from lawsuit.
Good Samaritan Law
400
The section of the chart where a father's heart attack would be listed
What is family medical history
400
What should be done in the first few seconds of the patient interaction?
Introduction and relationship building (icebreaker)
500
Give all of the components of the patient interview.
CC HPI MEDS/ALLER PMH FMH SOC Hx
500
What is the ROS and who performs?
Review of Systems and it is a detailed history of diseases of each organ system. The medical providers preforms.
500
Improper, unskilled, or lack of treatment of a patient by a physician, dentist, nurse, pharmacist, or other health care professional
Negligence
500
The section of the chart where a detailed description of the Chief Complaint is located
History of Present Illness
500
Type of question which illicits the most detail during the patient interview.
Open-ended.