When must the attending physician accomplish the medical history and physical examination?

• A. Within 24 hours after admission
• B. Prior to admission to the inpatient unit
• C. Within 7 days of admission
• D. Prior to discharge

Answer: (A)

The important point is that the initial medical history and physical by the attending physician should be completed promptly after the patient is admitted. Specifically, documenting the medical history and performing the physical examination within 24 hours of admission establishes a current baseline for the patient’s health, which guides the immediate care plan, identifies allergies and medications, and provides a clear clinical record for decision-making and legal purposes. Waiting longer—such as before discharge or extending to several days—can delay recognition of evolving problems and appropriate management. While some elective admissions may involve a preadmission H&P, the standard rule for inpatient care is to complete it within 24 hours of admission.