SCRIBEAMERICA Outpatient Pre-Clinical Training COURSE 1 Exam Questions with Correct Answers
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Course
Scribe America outpatient
Institution
Scribe America Outpatient
subjective vs. objective - Answer-feeling vs. fact
pain vs. tenderness - Answer-patients feelings vs. physician's assessment
benign - Answer-normal, nothing of concern
acute vs. chronic - Answer-new onset vs. long standing (3 mos. or longer)
baseline - Answer-an individual's normal stat...
SCRIBEAMERICA Outpatient Pre-Clinical
Training COURSE 1 Exam Questions
with Correct Answers
subjective vs. objective - Answer-feeling vs. fact
pain vs. tenderness - Answer-patients feelings vs. physician's assessment
benign - Answer-normal, nothing of concern
acute vs. chronic - Answer-new onset vs. long standing (3 mos. or longer)
baseline - Answer-an individual's normal state of being
auscultation - Answer-listening with a stethoscope
palpation - Answer-the act of pressing on an area (by the physician)
inpatient - Answer-admitted to the hospital overnight
outpatient - Answer-seen and sent home same day
chief complaint - Answer-the main reason for the patients visit
meaningful use - Answer-a set of government mandated criteria that must be obtained
for every patient
medical decision making - Answer-the physician's thought process
mid- level providers - Answer-NPs and PAs are considered:
Nurses or MA - Answer-Records medical histories and symptoms, monitors patient,
completes meaningful use requirements, administers medications , assists with
procedures
Receptionist - Answer-answers phone calls, schedules appts, answers patient
questions, provides patient with summary of visit and written instructions from provider
at check-out, and organizes the patients paperwork
Scribe - Answer-documents patient's visit on behalf of physician
new patient - Answer-No previous records, longer visit, detailed chart
, established patient - Answer-Previous records available, shorter visit, concise chart
diagnostic visit - Answer-new problem, CC: new symptom, goal is to determine the
cause of the problem and appropriate treatment
Health maintenance visit - Answer-Check up, CC: management of (chronic prob), goal
is to assess progress of ongoing/ chronic medical prob.
HPI, ROS, PE - Answer-History and Physical (H&P) includes: (3)
CC, vital signs, smoking status - Answer-What are the meaningful use requirements the
nurse/MA will obtain (3)
true allergy - Answer-any medication that causes a rash, itching, swelling, or difficulty
breathing is a _____________________ otherwise it is a adverse reaction.
hypertension (HTN) - Answer-High blood pressure
hyperlipidemia (HLD) - Answer-high cholesterol
Hypothyroidism (Hyperthyroidism) - Answer-Thyroid problem
Diabetes Mellitus (DM) - Answer-Diabetes
Non-insulin dependent diabetes mellitus (NIDDM) - Answer-"I only take pills for my
diabetes"
Insulin dependent diabetes mellitus (IDDM) - Answer-"I take shots ((insulin) for my
diabetes"
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