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Medical Scribe (Scribe101) Examination with 100% Correct Answers | Verified | Updated 2024
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Medical Scribe (Scribe101) Examination with 100% Correct Answers | Verified | Updated 2024
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Medical Scribe (Scribe101) Examinationwith 100% Correct Answers | Verified |
Updated 2024
subjective - ✔✔what the patient tells us, ex. pain
objective - ✔✔what the provider and results tell us, ex. tenderness
medical history - ✔✔any prior medical problems that include chronic medical problems, past
surgeries, allergies to medications
family history - ✔✔direct family members with a medical problem and includes all of the same
medical histories; always note age of family history to determine if genetic
social history - ✔✔any history that occurs in daily life including alcohol use, smoking
or tobacco/nicotine, occupation, and living status
high blood pressure - ✔✔Hypertension (HTN)
high cholesterol - ✔✔Hyperlipidemia (HLD)
diabetes - ✔✔Diabetes Mellitus (DM)
only pills for diabetes - ✔✔Non-Insulin dependent diabetes Mellitus (NIDDM) (type II)
insulin shots for diabetes - ✔✔Insulin Dependent Diabetes Mellitus (IDDM) (type I or type II)
cancer - ✔✔cancer or carcinoma (CA)
,heart disease - ✔✔Coronary Artery Disease (CAD)
heart attack - ✔✔Myocardial Infarction (MI) and CAD
heart failure - ✔✔Congestive Heart Failure (CHF)
abnormal rhythm - ✔✔Arrhythmias, ex. atrial fibrillation
asthma - ✔✔asthma
Emphysema/Chronic Bronchitis - ✔✔Chronic Obstructive Pulmonary Disease (COPD)
blood clot in lung - ✔✔Pulmonary Embolism (PE)
pneumonia - ✔✔Pneumonia (PNA)
reflux - ✔✔Gastroesophageal Reflux Disease (GERD)
pancreatitis - ✔✔pancreatitis
hepatitis - ✔✔hepatitis
Diverticulitis - ✔✔Diverticulitis
Crohn's/UC - ✔✔Crohn's Disease or Ulcerative Colitis
, irritable bowel - ✔✔Irritable Bowel Syndrome (IBS)
bladder infection - ✔✔Urinary Tract Infection (UTI)
kidney infection - ✔✔Pyelonephritis (Pyelo) can happen when unresolved UTI goes to kidney
kidney stones - ✔✔renal calculi
i'm on dialysis - ✔✔chronic kidney disease (CKD)
end stage renal disease (ESRD) on dialysis
enlarged prostate - ✔✔Benign Prostate Hypertrophy (BPH)
GPA - ✔✔G (gravida)- total number of times patient has been pregnant
P (para)- number of pregnancies resulting in live birth
A (abortus)- number of miscarriages or abortions
stroke - ✔✔Cerebrovascular Accident (CVA)
brain bleed - ✔✔Hemorrhagic Cerebrovascular Accident (CVA)
brain blockage or clot - ✔✔Ischemic Cerebrovascular Accident (CVA)
mini-stroke - ✔✔Transient Ischemic Attack (TIA)
blood clot in leg - ✔✔Lower Extremity Deep Vein Thrombosis (DVT)
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