medical scribe exam Questions With Correct Answers!!
53 views 0 purchase
Course
Medical Scribe
Institution
Medical Scribe
What is the chief complaint? - the reason the patient is coming in to be seen by the provider; ED
and outpatient
What is the history of present illness? - this section is used to expand and describe the chief
complaint; subjective from patient and family
what is an example of HPI? - mary wallac...
What is the chief complaint? - ✔✔ the reason the patient is coming in to be seen by the provider; ED and outpatient What is the history of present illness? - ✔✔ this s ection is used to expand and describe the chief complaint; subjective from patient and family what is an example of HPI? - ✔✔ mary wallace is a 45 year old who comes to the ED with chest pain. her pain in sharp and radiates down her left arm. What is the Review of Systems (ROS)? - ✔✔ ROS is a systems review to reveal subjective symptoms for each body system what is constitutional ROS? - ✔✔ fever or chills what is eyes ROS? - ✔✔ blurred vision or double vision what is ent ROS? - ✔✔ sore throat, ear pain, or rhinorhhea what is respiratory ROS? - ✔✔ shortness of breath or coughing what is cardiovascular ROS? - ✔✔ chest pain and palpitations what is gastrointestinal ROS? - ✔✔ nausea, vomiting, diarrhea, or abdominal pain what is genitourinary ROS? - ✔✔ dysuria and hematuria what is musculoskeletal ROS? - ✔✔ back pain, joint pain or swelling what is integumentary ROS? - ✔✔ rash or open wounds what is neurologic ROS? - ✔✔ headache, dizziness, weakness, numbness, and ti ngling what is psychiatric ROS? - ✔✔ suicidal ideations or hallucinations what is past medical, social, and family history? - ✔✔ section to find patients medical, surgical, family, and social history physical findings: - ✔✔ section where we document what t he medical provider finds when examining the patient; objective labs: - ✔✔ often ordered to measure different substances in blood and urine, copy and past lab results into the note imaging: - ✔✔ imaging studies are order and sent to a radiologist to review the films and produce a written report, this report is pasted into the note final diagnosis or assessment: - ✔✔ section where we record the diagnoses, the diagnosis is the actual cause of patients symptoms; cough might end up with a diagnosis of pneumonia disposition ED ONLY: - ✔✔ the section of the note that will show what happens to the patient when they leave the ED chief complaint SCRATCH -MD: - ✔✔ Severity, context, region/radiation, associated symptoms, timing, character, modifying factors, duration/onset cerumen impaction removal: - ✔✔ ear wax removal by micro suction, mechanical, removal, and irrigation
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller PatrickKaylian. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
