Ophthalmic Scribe Certification OSC study guide
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questions with correct answers
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what //is //the //primary //function //of //a //medical //scribe? //- //CORRECT //ANSWERS(S)✔✔create //the
//medical //note
what //is //the //preferred //format //for //the //creation //of //the //medical //note? //- //CORRECT
ANSWERS(S)✔✔subjective, //objective, //assessment, //plan //(soap)
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"present //time" //pt //details //are //summarized //by //using //what //format //- //CORRECT
ANSWERS(S)✔✔OPQRST
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all //current //procedural //terminology //(CPT) //codes //must //be //justified //by //what //appropiate
//coding //mechanisms //- //CORRECT //ANSWERS(S)✔✔international //classification //of //disease
//(ICD)
what //patient //history //is //outlined //in //the //PMHx //- //CORRECT //ANSWERS(S)✔✔medical //history
what //scribing //include: //blood //pressure, //heart //rate, //and //respiratory //rate //- //CORRECT
ANSWERS(S)✔✔vital //signs
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the //chief //complaint //(CC) //history //of //present //illness //(HPI) //adn //review //of //systems //(ROS)
are //listed //in //what //category //of //the //medical //note? //- //CORRECT //ANSWERS(S)✔✔subjective
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the //physical //examination //(PE) //imaging //and //Laboratory //results //are //listed //in //what
category //of //the //medical //note? //- //CORRECT //ANSWERS(S)✔✔objective
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, pt //allergies //and //medications //are //listed //under //what //category //in //the //medical //note? //-
CORRECT //ANSWERS(S)✔✔subjective
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where //does //a //scribe //record //the //pt's //comments //regarding //vision //problems? //- //CORRECT
ANSWERS(S)✔✔chief //complaint //(CC)
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which //of //the //following //statements //is //true //regarding //taking //ocular //history? //- //CORRECT
ANSWERS(S)✔✔the //pt's //systematic //drug //therapy //may //produce //ocular //systems
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name //three //important //things //to //document //in //the //history //of //an //ocular //injury //- //CORRECT
ANSWERS(S)✔✔1. //how //the //injury //occurred
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2. //the //time //the //injury //occurred
3. //the //treatment //received //since //the //injury //occurred.
in //obtaining //the //past //medical //history //for //a //pt //about //to //have //eye //sx, //what //is //MOST
important? //- //CORRECT //ANSWERS(S)✔✔allergies //to //medications
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when //taking //the //pt's //history, //it //is //important //to //inquire //about //hypertension //and //anti-
hypertensive //medications //because //they //may //be //a //factor //in //determining //whether //to... //-
CORRECT //ANSWERS(S)✔✔administer //dilating //drops
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what //is //the //most //important //entry //a //scribe //can //make //in //the //pt //chart? //- //CORRECT
ANSWERS(S)✔✔what //the //physician //finds //in //the //course //of //the //exam
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abbreviation //for //antibiotics? //- //CORRECT //ANSWERS(S)✔✔ABX
abbreviation //for //discharge? //- //CORRECT //ANSWERS(S)✔✔D/C
// // // // //
questions with correct answers
// // // // //
what //is //the //primary //function //of //a //medical //scribe? //- //CORRECT //ANSWERS(S)✔✔create //the
//medical //note
what //is //the //preferred //format //for //the //creation //of //the //medical //note? //- //CORRECT
ANSWERS(S)✔✔subjective, //objective, //assessment, //plan //(soap)
//
"present //time" //pt //details //are //summarized //by //using //what //format //- //CORRECT
ANSWERS(S)✔✔OPQRST
//
all //current //procedural //terminology //(CPT) //codes //must //be //justified //by //what //appropiate
//coding //mechanisms //- //CORRECT //ANSWERS(S)✔✔international //classification //of //disease
//(ICD)
what //patient //history //is //outlined //in //the //PMHx //- //CORRECT //ANSWERS(S)✔✔medical //history
what //scribing //include: //blood //pressure, //heart //rate, //and //respiratory //rate //- //CORRECT
ANSWERS(S)✔✔vital //signs
//
the //chief //complaint //(CC) //history //of //present //illness //(HPI) //adn //review //of //systems //(ROS)
are //listed //in //what //category //of //the //medical //note? //- //CORRECT //ANSWERS(S)✔✔subjective
//
the //physical //examination //(PE) //imaging //and //Laboratory //results //are //listed //in //what
category //of //the //medical //note? //- //CORRECT //ANSWERS(S)✔✔objective
//
, pt //allergies //and //medications //are //listed //under //what //category //in //the //medical //note? //-
CORRECT //ANSWERS(S)✔✔subjective
//
where //does //a //scribe //record //the //pt's //comments //regarding //vision //problems? //- //CORRECT
ANSWERS(S)✔✔chief //complaint //(CC)
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which //of //the //following //statements //is //true //regarding //taking //ocular //history? //- //CORRECT
ANSWERS(S)✔✔the //pt's //systematic //drug //therapy //may //produce //ocular //systems
//
name //three //important //things //to //document //in //the //history //of //an //ocular //injury //- //CORRECT
ANSWERS(S)✔✔1. //how //the //injury //occurred
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2. //the //time //the //injury //occurred
3. //the //treatment //received //since //the //injury //occurred.
in //obtaining //the //past //medical //history //for //a //pt //about //to //have //eye //sx, //what //is //MOST
important? //- //CORRECT //ANSWERS(S)✔✔allergies //to //medications
//
when //taking //the //pt's //history, //it //is //important //to //inquire //about //hypertension //and //anti-
hypertensive //medications //because //they //may //be //a //factor //in //determining //whether //to... //-
CORRECT //ANSWERS(S)✔✔administer //dilating //drops
//
what //is //the //most //important //entry //a //scribe //can //make //in //the //pt //chart? //- //CORRECT
ANSWERS(S)✔✔what //the //physician //finds //in //the //course //of //the //exam
//
abbreviation //for //antibiotics? //- //CORRECT //ANSWERS(S)✔✔ABX
abbreviation //for //discharge? //- //CORRECT //ANSWERS(S)✔✔D/C
