Which of the following procedures should a medical assistant identify as a surgical reconstruction?
A Thoracentesis
Rhinoplasty
Appendectomy
Colotomy
The Correct Answer is B
A. Thoracentesis: Thoracentesis is a procedure to remove fluid from the space between the lungs and the chest wall; it is not a reconstruction.
B. Rhinoplasty: Rhinoplasty is a surgical reconstruction of the nose, often performed for cosmetic or functional reasons.
C. Appendectomy: Appendectomy is the surgical removal of the appendix, not a reconstructive surgery.
D. Colotomy: Colotomy is the surgical incision into the colon, not a reconstructive procedure.
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Correct Answer is D
Explanation
A. Begin audiometer testing on the highest frequency and lower gradually: Audiometer testing should begin at lower frequencies and gradually increase to ensure a thorough evaluation of hearing.
B. Begin audiometer testing using both ears: Audiometer testing is usually done one ear at a time to accurately assess hearing in each ear.
C. Use the Ishihara test to measure the patient's field of vision: The Ishihara test is used for color vision testing, not for measuring the field of vision.
D. Document any squinting during the Snellen test: Squinting during the Snellen test can indicate vision problems and should be documented as it may affect the accuracy of the vision assessment.
Correct Answer is A
Explanation
A. Subjective: The chief complaint is a patient-reported symptom or concern and is documented in the subjective section of the progress note. This section includes the patient’s personal perspective and descriptions of their symptoms.
B. Objective: The objective section includes measurable or observable data, such as vital signs and physical examination findings, not the patient’s chief complaint.
C. Review of systems: The review of systems is a systematic approach to obtaining information about the functioning of various body systems but is not specifically where the chief complaint is documented.
D. Assessment: The assessment section contains the provider’s diagnostic impressions and conclusions about the patient’s condition, rather than the chief complaint.