Nina Trevez is a 32-year-old patient who is new to your medical office. During the initial patient interview, Ms. Trevez says her appendix was removed when she was 10 years old, she had a complete mastectomy of the left breast 5 years ago, and she has a severe allergy to penicillin. Which of the following actions would you be careful to take while taking Ms. Trevez's vital signs?
A. Avoid using an oral thermometer
B. Check her blood pressure using the right arm
C. Wear a mask to prevent transmission of bacterial diseases
D. Include a pain assessment of her abdominal and chest areas
E. Perform orthostatic vital signs
Answer: B
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Your patient is a 30-year-old male complaining of pain radiating from the left flank into the groin. He states that it began as a vague pain in his flank, then became very sharp and radiating. Based on his description of his pain, you would also expect him to complain of:
A) inability to urinate. B) purulent urethral discharge. C) fever. D) painful urination.
How many HPI elements must be documented to support an extended level HPI?
A. Documentation of at least seven elements of history of present illness B. Documentation of four or more elements of history of present illness C. Documentation of one to three elements of history of present illness D. No HPI elements are required to be documented to support an extended level HPI