Scribe america outpatient Study guides, Class notes & Summaries

Subjective - Answer-from patient, HPI, ROS Objective - Answer-from physician, PE, Lab, imaging Pain - Answer-subjective from patient Tenderness - Answer-objective from physician Benign - Answer-Normal, nothing of concern Acute - Answer-New onset, <3 months Chronic - Answer-Long standing, >3 months Baseline - Answer-An individual's normal state of being Auscultation - Answer-Listening with a stethoscope (heart, lungs, abdomen) Palpation - Answer-The act of pressi...

Scribe America Outpatient Course 5, ScribeAmerica Outpatient Course 4, ScribeAmerica OP Course 3, ScribeAmerica OP Course 2, ScribeAmerica OP Course 1 Questions and Answers 2023 diagnosis What the physician has determined to be the most likely cause of the patient's symptoms assessment A list of the patient's current diagnoses plan The currently laid out course of action to address the patient's condition. prognosis A forecast of the likely course of a disease or a...

Scribe America Outpatient Final Practice Questions and answers latest update

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 the midline of the body Lateral - Answer further from the midline of the body Diffuse - Answer widespread (opposite of localized) objective information comes directly from (2) - Answer 1. He...

HTN CC -correct answer asymptomatic HLD CC -correct answer asymptomatic DM CC -correct answer polyuria, polydipsia CAD CC -correct answers or pressure Asthma CC -correct answer SOB, wheezing How do you diagnose HTN? -correct answer Check BP How do you diagnose HLD? -correct answer Check bloodwork How do you diagnose DM? -correct answer Fasting blood glucose, HA1C

Scribe America Outpatient Final Exam Study Guide with 200+ Terms Quality Revision Material Updated 2023/ 2024 subjective vs objective ------- Correct Answer -------- feeling vs fact pain vs tenderness ------- Correct Answer -------- patients feeling vs physicians assessment benign ------- Correct Answer -------- normal, nothing of concern acute vs chronic ------- Correct Answer -------- new onset vs long standing baseline ------- Correct Answer -------- an individuals normal state of bei...

What will the scribe document for the outpatient visit? Correct 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 placed in the room? Correct Answer Nurse or MA What are the meaningful use requirements the nurse or MA will obtain? Correct Answer Vital Signs (BP, RR, HR, T), Chief Complaint, Height, Weight, BM...

SOAP - Answer-subjective, objective, assessment, plan subjective - Answer-based on the patient's feeling (HPI and ROS) Objective - Answer-Factual information from provider (PE) History of Present Illness (1 simple def) - Answer-The story of the patient's chief complaint Review of Systems - Answer-Head to toe checklist of patient's symptoms intermittent - Answer-comes and goes waxing and waning - Answer-always present but changing in intensity modifying factor - Answer-...

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 - 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...

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 assigned to the case - Answer False A patient's PCP is on vacation. The patient is scheduling to see the NP who is covering for the PCP during this time. The patient has never been seen by the NP ...