Question 1

PERRLA means :
A) pathogen is emerging, responsive, and responsive to adversity.
B) patient is equalized, recovering, responsive, and adjusting.
C) physical exam has been reported, responded to, and accepted by insurance.
D) pupils are equal, round, and reactive to light and accommodation.

Accepted Answer

PERRLA means "pupils are equal, round, and reactive to light and accommodation."

Question 2

When a patient is examined by a medical professional, which of the following would NOT be part of the physical examination?
A) BP
B) Hx
C) T
D) VS
E) Wt

Accepted Answer

Hx is the abbreviation meaning "history" and is not usually included in the physical examination.

Question 3

After a car accident, the medical professional asks the patient questions about her name, location, and the date. The patient is able to accurately answer all of the questions. The patient can be classified as:
A) A&O.
B) PERRLA.
C) NAD.
D) ROS.
E) WDWN.

Accepted Answer

The patient is alert (able to answer questions, responsive, interactive) and oriented (aware of who she is, where she is, and the current time). The correct abbreviation for this is A&O.

Question 4

NOS and NEC are:
A) abbreviations used for symptoms and exam findings.
B) catchalls for diagnoses that do not quite fit any specific cause.
C) mean "not otherwise specified" or "not elsewhere classified."
D) all of these.
E) none of these.

Accepted Answer

NOS and NEC are abbreviations used for symptoms and exam findings, mean "not otherwise specified" or "not elsewhere classified," and are catchalls for diagnoses that do not quite fit any specific cause.

Question 5

The normal blood pressure range is 90/60 to 140/90. A patient's blood pressure has been documented at 120/80. Which of the following abbreviations describes the patient's blood pressure?
A) BP NAD
B) BP NEC
C) BP RRR
D) BP WDWN
E) BP WNL

Accepted Answer

BP (blood pressure) is WNL (within normal limits).

Question 6

Which of the following is an accurate breakdown of the abbreviation SC?
A) signa care = signa (label) + care = carefully labeled
B) subcutaneous = sub (above) + cutane/o (skin) = above the skin
C) subcutaneous = sub (beneath) + cutane/o (skin) = beneath the skin
D) subcutaneous = sub (through) + cutane/o (muscle) = through the muscle
E) supportive care (abbreviation comes from regularly used English words)

Accepted Answer

SC means subcutaneous = sub (beneath) + cutane/o (skin) = beneath the skin.

Question 7

A medicine administered PR is given in the:
A) lungs (respirated).
B) mouth.
C) rectum.
D) skin.
E) vein.

Accepted Answer

PR means "per rectum."

Question 8

The amount of fluids a patient has taken in and produced is abbreviated:
A) BMI.
B) H&P.
C) HPI.
D) I/O.
E) PERRLA.

Accepted Answer

I/O stands for input/output and refers to the amount of fluids a patient has taken in and produced.

Question 9

Which of the following would NOT describe a patient with a normal physical exam?
A) CTA, RRR
B) CTA, SOB
C) NAD, WDWN
D) PERRLA, A&O
E) WNL

Accepted Answer

CTA stands for clear to auscultation and SOB stands for shortness of breath.

Question 10

Interpret the following abbreviations: "The Pt is 5y/o."
A) The patient is 5 years old.
B) The patient is 5 years under observation.
C) The prescription is 5 years old.
D) The prescription is 5 years under observation.
E) None of these.

Accepted Answer

Pt is the abbreviation for "patient"; y/o is the abbreviation for "years old." The patient is 5 years old.

Question 11

Which of the following is true about the abbreviation CTA?
A) Means "clear to auscultation"
B) Describes normal-sounding lungs
C) Is an abbreviation used by medical professionals after listening (auscultation = "listen")
D) All of these
E) None of these

Accepted Answer

CTA means "clear to auscultation," describes normal-sounding lungs, and is an abbreviation used by medical professionals after listening.

Question 12

Which of the following abbreviations is NOT part of a patient's history (either medical history or history of the illness)?
A) H&P
B) HPI
C) h/o
D) PMHx
E) CTA

Accepted Answer

CTA means "clear to auscultation" or description of normal-sounding lungs and is part of the objective portion of a patient's health record.

Question 13

The prescriber uses which of the following abbreviations if a medication is to be taken before meals?
A) AC
B) PC
C) prn
D) QHS
E) TID

Accepted Answer

AC is from the Latin phrase ante cibum, which means "before food."

Question 14

What is the correct definition for the abbreviation RR?
A) Radiology report
B) Rapid rate
C) Recurrent reason
D) Respiratory rate
E) Responsive remission

Accepted Answer

RR means "respiratory rate."

Question 15

Which is the correct abbreviation for a medicine administered "as desired"?
A) Ad lib
B) IM
C) NPO
D) PICC
E) PO

Accepted Answer

Ad lib means "as desired."

Question 16

A discharge summary will often have information regarding the recommended f/u, or ________ for the patient.
A) future ultrasounds
B) future ultrasonographies
C) future uses
D) following ultrasounds
E) follow up

Accepted Answer

The abbreviation for follow-up is f/u.

Question 17

A medication prescribed BID is taken:
A) once a day.
B) twice a day.
C) three times a day.
D) before meals.
E) after meals.

Accepted Answer

BID means twice daily or "two in a day."

Question 18

PCP refers to the:
A) past care provider.
B) primary care provider.
C) past complaint or problem.
D) present complaint or problem.
E) primary complaint or problem.

Accepted Answer

PCP refers to the primary care provider.

Question 19

Which abbreviation does NOT describe the time of day in which a prescription should be taken?
A) AC
B) PC
C) AM
D) QHS
E) TID

Accepted Answer

TID means three times daily or "three times a day."

Question 20

Which of the following pairs of abbreviations are opposites?
A) IM, IV
B) IV, CVL
C) NPO, PR
D) PO, NPO
E) SC, IM

Accepted Answer

PO means per os or "by mouth"; NPO means nil per os or "nothing by mouth."

Quiz 2: Introduction to Health Records

PERRLA means :

When a patient is examined by a medical professional, which of the following would NOT be part of the physical examination?

After a car accident, the medical professional asks the patient questions about her name, location, and the date. The patient is able to accurately answer all of the questions. The patient can be classified as:

NOS and NEC are:

The normal blood pressure range is 90/60 to 140/90. A patient's blood pressure has been documented at 120/80. Which of the following abbreviations describes the patient's blood pressure?

Which of the following is an accurate breakdown of the abbreviation SC?

A medicine administered PR is given in the:

The amount of fluids a patient has taken in and produced is abbreviated:

Which of the following would NOT describe a patient with a normal physical exam?

Interpret the following abbreviations: "The Pt is 5y/o."

Which of the following is true about the abbreviation CTA?

Which of the following abbreviations is NOT part of a patient's history (either medical history or history of the illness) ?

The prescriber uses which of the following abbreviations if a medication is to be taken before meals?

What is the correct definition for the abbreviation RR?

Which is the correct abbreviation for a medicine administered "as desired"?

A discharge summary will often have information regarding the recommended f/u, or ________ for the patient.

A medication prescribed BID is taken:

PCP refers to the:

Which abbreviation does NOT describe the time of day in which a prescription should be taken?

Which of the following pairs of abbreviations are opposites?