SCRIBE U UPDATED CORE EXAM MANUAL QUESTIONS
AND SOLUTIONS GUARANTEE A+
✔✔Layman's Terms - ✔✔Terms patients use and understand
✔✔Medical Term - ✔✔Terms scribe/provider will use and document
✔✔High Blood Pressure - ✔✔Hypertension (HTN)
✔✔High Cholesterol - ✔✔Hyperlipidemia (HLD)
✔✔Diabetes - ✔✔Diabetes Mellitus (DM)
✔✔"Only take pills for diabetes" - ✔✔Non-Insulin Dependent Diabetes Mellitus (NIDDM)
✔✔"Only take shots (insulin) for my diabetes" - ✔✔Insulin Dependent Diabetes Mellitus
(IDDM)
✔✔Heart Disease - ✔✔Coronary Artery Disease (CAD)
✔✔Heart Attack - ✔✔Myocardial Infarction (MI)
✔✔Heart Failure - ✔✔Congestive Heart Failure (CHF)
✔✔Irregular Heartbeat - ✔✔Arrhythmia
✔✔Emphysema or Chronic Bronchitis - ✔✔Chronic Obstructive Pulmonary Disease
(COPD)
✔✔Blood clot in lung - ✔✔Pulmonary Embolism (PE)
✔✔Pneumonia or lung infection - ✔✔Pneumonia (PNA)
✔✔Stroke - ✔✔Cerebrovascular Accident (CVA)
✔✔"blood clot in brain" - ✔✔Ischemic CVA
✔✔Brain bleed - ✔✔Hemorrhagic CVA
✔✔"Mini Stroke" - ✔✔Transient Ischemic Attack (TIA)
✔✔Blood clot in leg - ✔✔Deep Vein Thrombosis (DVT)
,✔✔"Bulge in my aorta" - ✔✔Aortic Aneurysm
✔✔"Bad blood flow in my legs" - ✔✔Peripheral Vascular Disease (PVD)
✔✔Cancer - ✔✔Carcinoma (CA)
✔✔Spread to my... (cancer) - ✔✔With metastases to the...
✔✔Chemo - ✔✔Chemotherapy
✔✔Radiation (cancer) - ✔✔Radiation therapy
✔✔"They cut it out" (cancer) - ✔✔Status-post surgical resection
✔✔"It's gone" (cancer) - ✔✔In remission
✔✔Allergy Symptoms - ✔✔Rash
Itching
Swelling
Difficulty Breathing
✔✔Adverse Reaction - ✔✔undesirable drug effect (not allergy)
✔✔PSHx - ✔✔Past Surgical History
✔✔Tonsils removed - ✔✔Tonsillectomy
✔✔Adenoids removed - ✔✔Adenoidectomy
✔✔"Neck arteries cleaned out" - ✔✔Carotid endarterectomy
✔✔Leg amputation - ✔✔Above Knee Amputation (AKA)
Below Knee Amputation (BKA)
✔✔Joint Repair - ✔✔Arthroplasty
✔✔"Balloon in my heart" - ✔✔Angioplasty -> PMHx CAD
✔✔"Stents in my heart" - ✔✔Coronary Stents -> PMHx CAD
✔✔Heart Bypass - ✔✔Coronary Artery Bypass Graft (CABG) -> PMHx CAD
, ✔✔Breast Removal - ✔✔Mastectomy
✔✔Part of my lung removed - ✔✔Partial lobectomy
✔✔Appendix removed - ✔✔Appendectomy
✔✔Gallbladder removed - ✔✔cholecystectomy
✔✔Part of my colon removed - ✔✔Partial colectomy
✔✔Spleen removed - ✔✔splenectomy
✔✔Kidney removed - ✔✔Nephrectomy
✔✔Uterus removed - ✔✔Hysterectomy
✔✔Ovary removed - ✔✔Oophorectomy
✔✔Higher Genetic Risk - ✔✔Onset under age of 55
✔✔SHx - ✔✔Social History:
Alcohol Use
Tobacco Use
Drug Use
Occupation
Living Circumstances
✔✔FHx - ✔✔Family History:
Medical conditions present in blood relatives
✔✔PSHx - ✔✔Past Surgical History
✔✔PMHx - ✔✔Past Medical History
✔✔PHx - ✔✔Past History
✔✔-itis - ✔✔Inflammation
✔✔-osis - ✔✔Disease
✔✔-ectomy - ✔✔Surgical Removal
✔✔Nephr- - ✔✔Kidney/Renal
AND SOLUTIONS GUARANTEE A+
✔✔Layman's Terms - ✔✔Terms patients use and understand
✔✔Medical Term - ✔✔Terms scribe/provider will use and document
✔✔High Blood Pressure - ✔✔Hypertension (HTN)
✔✔High Cholesterol - ✔✔Hyperlipidemia (HLD)
✔✔Diabetes - ✔✔Diabetes Mellitus (DM)
✔✔"Only take pills for diabetes" - ✔✔Non-Insulin Dependent Diabetes Mellitus (NIDDM)
✔✔"Only take shots (insulin) for my diabetes" - ✔✔Insulin Dependent Diabetes Mellitus
(IDDM)
✔✔Heart Disease - ✔✔Coronary Artery Disease (CAD)
✔✔Heart Attack - ✔✔Myocardial Infarction (MI)
✔✔Heart Failure - ✔✔Congestive Heart Failure (CHF)
✔✔Irregular Heartbeat - ✔✔Arrhythmia
✔✔Emphysema or Chronic Bronchitis - ✔✔Chronic Obstructive Pulmonary Disease
(COPD)
✔✔Blood clot in lung - ✔✔Pulmonary Embolism (PE)
✔✔Pneumonia or lung infection - ✔✔Pneumonia (PNA)
✔✔Stroke - ✔✔Cerebrovascular Accident (CVA)
✔✔"blood clot in brain" - ✔✔Ischemic CVA
✔✔Brain bleed - ✔✔Hemorrhagic CVA
✔✔"Mini Stroke" - ✔✔Transient Ischemic Attack (TIA)
✔✔Blood clot in leg - ✔✔Deep Vein Thrombosis (DVT)
,✔✔"Bulge in my aorta" - ✔✔Aortic Aneurysm
✔✔"Bad blood flow in my legs" - ✔✔Peripheral Vascular Disease (PVD)
✔✔Cancer - ✔✔Carcinoma (CA)
✔✔Spread to my... (cancer) - ✔✔With metastases to the...
✔✔Chemo - ✔✔Chemotherapy
✔✔Radiation (cancer) - ✔✔Radiation therapy
✔✔"They cut it out" (cancer) - ✔✔Status-post surgical resection
✔✔"It's gone" (cancer) - ✔✔In remission
✔✔Allergy Symptoms - ✔✔Rash
Itching
Swelling
Difficulty Breathing
✔✔Adverse Reaction - ✔✔undesirable drug effect (not allergy)
✔✔PSHx - ✔✔Past Surgical History
✔✔Tonsils removed - ✔✔Tonsillectomy
✔✔Adenoids removed - ✔✔Adenoidectomy
✔✔"Neck arteries cleaned out" - ✔✔Carotid endarterectomy
✔✔Leg amputation - ✔✔Above Knee Amputation (AKA)
Below Knee Amputation (BKA)
✔✔Joint Repair - ✔✔Arthroplasty
✔✔"Balloon in my heart" - ✔✔Angioplasty -> PMHx CAD
✔✔"Stents in my heart" - ✔✔Coronary Stents -> PMHx CAD
✔✔Heart Bypass - ✔✔Coronary Artery Bypass Graft (CABG) -> PMHx CAD
, ✔✔Breast Removal - ✔✔Mastectomy
✔✔Part of my lung removed - ✔✔Partial lobectomy
✔✔Appendix removed - ✔✔Appendectomy
✔✔Gallbladder removed - ✔✔cholecystectomy
✔✔Part of my colon removed - ✔✔Partial colectomy
✔✔Spleen removed - ✔✔splenectomy
✔✔Kidney removed - ✔✔Nephrectomy
✔✔Uterus removed - ✔✔Hysterectomy
✔✔Ovary removed - ✔✔Oophorectomy
✔✔Higher Genetic Risk - ✔✔Onset under age of 55
✔✔SHx - ✔✔Social History:
Alcohol Use
Tobacco Use
Drug Use
Occupation
Living Circumstances
✔✔FHx - ✔✔Family History:
Medical conditions present in blood relatives
✔✔PSHx - ✔✔Past Surgical History
✔✔PMHx - ✔✔Past Medical History
✔✔PHx - ✔✔Past History
✔✔-itis - ✔✔Inflammation
✔✔-osis - ✔✔Disease
✔✔-ectomy - ✔✔Surgical Removal
✔✔Nephr- - ✔✔Kidney/Renal
