Scribe America Final Outpatient Exam Bundle

What does "PHI" stand for? Expand the abbreviation - Answer protected health information What medical term describes the surgical removal of the gallbladder? - Answer cholecystectomy T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician ...

subjective vs objective - Answer feeling vs fact pain vs tenderness - Answer patients feeling vs physicians assessment benign - Answer normal, nothing of concern acute vs chronic - Answer new onset vs long standing baseline - Answer an individuals normal state of being ausculation - A...

What will the scribe document for the outpatient visit? - Answer Important notes for past medical records History and Physical Laboratory and radiology results Physician Interpretation of XRs and EKGs Assessment and Plan Who is the first person to speak with the patient after he/she is place...

Abrasion - Answer Scrape of the skin due to something abrasive Abscess - Answer Collection of pus underneath the skin Antipyretic - Answer Medication used to reduce fever Acute - Answer New, usually of rapid onset and of concern, opposite of chronic Afebrile - Answer Without a fever (T&l...

Subjective - Answer Feeling, pain, CC, HPI, ROS Objective - Answer Fact, tenderness, PE, results pain - Answer pt's feeling tenderness - Answer physician assessment benign - Answer normal, nothing of concern acute - Answer new onset chronic - Answer long-standing; more than 3 mont...

Subjective vs. objective: - Answer Feeling vs. fact Pain vs. tenderness - Answer Patient's feeling vs. physician's assessment Benign - Answer Normal, nothing of concern Acute - Answer New onset, likely concerning Chronic - Answer Long-standing, not of direct concern Baseline - Answe...

1.1 What is the role of each person in the clinic and the scope of scribe? Mid-Level? Nurse/MA? Receptionist? Scribe? - Answer MID-LEVEL: (PA/NP) works under the supervision of the physician to diagnose and treat patients NURSE/MA: records medical histories and sx; monitors the patient; completes m...

Subjective vs objective: - Answer Feeling (patient) vs fact (provider) Pain vs Tenderness: - Answer patient's feeling (subjective) vs physician's observation (objective) Benign: - Answer Normal, nothing of concern Acute vs chronic: - Answer new onset vs long standing [does not indicate se...

* What medical term describes the surgical removal of the gallbladder? - Answer cholecystectomy What does "PHI" stand for? Expand the abbreviation. - Answer Protected Health Information T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physici...

CBC - Answer Complete Bood Count (WBC, H&H, RBC, Plt) BMP - Answer Basic Metabolic Panel (several electrolights, gluc, and creatinine) CMP - Answer Complete Metabolic Panel (BMP plus LFT's) LFT - Answer Liver Function Test Micro UA - Answer quantitative urinalysis (not bedside) CEP -...

CAD - Answer Coronary Artery Disease HTN - Answer Hypertension DVT - Answer Deep Vein Thrombosis DM - Answer Diabetes Mellitus (Type I or Type II) CHF - Answer Congestive Heart Failure GERD - Answer Gastroesophogeal Reflux Disease COPD - Answer Chronic Obstructive Pulmonary Disease...

Follow-up - Answer (an) establishment of consistent contact with healthcare providers to address an ongoing health concern Subq - Answer medication injected under the skin Prognosis - Answer (a) (the) forecast of the likely course of a disease (or ailment) The assessment provides __________...

Auscultation - Answer listening with a stethoscope palpation - Answer the act of pressing on an area of the body Cachectic - Answer emaciated, malnourished Anterior - Answer located towards the front of the body posterior - Answer towards the back of the body Medial - Answer closer to...

A patient is seen in the emergency department complaining of dysuria and tells you that she is 23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the best diagnosis? - Answer acute urinary tract infection in pregnancy, 2nd trimester A patient cut his left foo...