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FINAL EXAM SCRIBE AMERICA LATEST
2023-2024 EXAM 150+ REAL EXAM
QUESTIONS AND CORRECT ANSWERS |
VERIFIED ANSWERS (ALREADY
GRADED A)
What is the role of each person in the clinic? - ANSWER- Mid-level:
works under the supervision of the physician to diagnose and treat
patients
Nurse/MA: records medical histories and sx; monitors the patients,
completes meaningful use requirements, administers medication, assists
with procedures.
Receptionist: answers phone, schedules patient appointments, answers
patients questions, provides patient with summary of visit with
instructions from provider at checkout; organizes the patients
paperwork's
Scribe: documents the patients visit on behalf of the physician.
What is the scope of a scribe? - ANSWER- An unlicensed person
performing documentation and other non-clinical tasks under the
direction of a healthcare provider.
Are physician assistants and nurse practitioners considered medical
providers? - ANSWER- No, they are mid-level provider.
T/F: The scribe can listen to a patient's heart and lungs as long as it is for
learning purposes and under supervision of the physician. - ANSWER-
FALSE
1
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What will the scribe document for the outpatient visit? - ANSWER-
Document the history, physical exam, results, procedures, assessment,
and plan.
Lucy has been seen by Dr. Heart for the past 2 years. She is here today
for a routine appointment with Dr. Heart. Is Lucy a new or established
patient? - ANSWER- Established
A patient made an appointment because she developed a rash a few days
ago. What type of visit would this be? - ANSWER- Diagnostic
A patient has an appointment for management of her diabetes. What
type of visit would this be? - ANSWER- Health Management
Who is the first person to speak with the patient after is he/she is placed
in a room? - ANSWER- Physician
What are the meaningful use requirements the nurse/MA will obtain? -
ANSWER- Chief complaint, vital signs (HR, BP, T, RR), height,
weight, BMI, smoking status
What does H&P abbreviate and who perform this evaluation? -
ANSWER- History and physical, physician evaluation
Is a differential diagnosis necessary for a health management visit? -
ANSWER- No, only for diagnostic visit. (Possible Dx that may be
causing the symptoms)
What information will be included in the patient's plan? Give three
examples. - ANSWER- Follow-up with specialist if necessary,
2
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instructions for lifestyle and preventative care, and follow-up for next
routine appointment.
At what age would a family member's cardiac disease indicate an
increased risk for similar heart disease in the patient? - ANSWER-
MI/CAD less than 55 y/o
What are three common general family histories your physician may ask
about? - ANSWER- HTN, DM, CA
Would PMHx of chronic alcoholism belong in the SHx section as well
as the PMHx section? - ANSWER- Social History (SHx)
Why must smoking status be documented on every patient 13 years and
older? - ANSWER- Meaningful use requirement.
Name the three most common routes of administration of illicit drugs. -
ANSWER- oral, inhaled, injection
The patient's mother states, "The daycare called me to pick up Angela
and her brother because Angela had a fever." What are three items you
can document under social history for Angela? - ANSWER- Mother
(brought in and caretaker), goes to Daycare, has a brother.
If a patient has had respiratory symptoms for the past 5 weeks, are the
symptoms considered chronic? - ANSWER- No. An illness is typically
classified as chronic when it lasts longer than 3months.
What is a comorbidity? - ANSWER- Patients with comorbidities are
complex in a number of ways: The treatment of one disease may affect or
contradict the treatment of the second; adverse drug interactions;
compounding symptoms may lead to poor compliance with treatment
3
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FINAL EXAM SCRIBE AMERICA LATEST
2023-2024 EXAM 150+ REAL EXAM
QUESTIONS AND CORRECT ANSWERS |
VERIFIED ANSWERS (ALREADY
GRADED A)
What is the role of each person in the clinic? - ANSWER- Mid-level:
works under the supervision of the physician to diagnose and treat
patients
Nurse/MA: records medical histories and sx; monitors the patients,
completes meaningful use requirements, administers medication, assists
with procedures.
Receptionist: answers phone, schedules patient appointments, answers
patients questions, provides patient with summary of visit with
instructions from provider at checkout; organizes the patients
paperwork's
Scribe: documents the patients visit on behalf of the physician.
What is the scope of a scribe? - ANSWER- An unlicensed person
performing documentation and other non-clinical tasks under the
direction of a healthcare provider.
Are physician assistants and nurse practitioners considered medical
providers? - ANSWER- No, they are mid-level provider.
T/F: The scribe can listen to a patient's heart and lungs as long as it is for
learning purposes and under supervision of the physician. - ANSWER-
FALSE
1
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What will the scribe document for the outpatient visit? - ANSWER-
Document the history, physical exam, results, procedures, assessment,
and plan.
Lucy has been seen by Dr. Heart for the past 2 years. She is here today
for a routine appointment with Dr. Heart. Is Lucy a new or established
patient? - ANSWER- Established
A patient made an appointment because she developed a rash a few days
ago. What type of visit would this be? - ANSWER- Diagnostic
A patient has an appointment for management of her diabetes. What
type of visit would this be? - ANSWER- Health Management
Who is the first person to speak with the patient after is he/she is placed
in a room? - ANSWER- Physician
What are the meaningful use requirements the nurse/MA will obtain? -
ANSWER- Chief complaint, vital signs (HR, BP, T, RR), height,
weight, BMI, smoking status
What does H&P abbreviate and who perform this evaluation? -
ANSWER- History and physical, physician evaluation
Is a differential diagnosis necessary for a health management visit? -
ANSWER- No, only for diagnostic visit. (Possible Dx that may be
causing the symptoms)
What information will be included in the patient's plan? Give three
examples. - ANSWER- Follow-up with specialist if necessary,
2
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instructions for lifestyle and preventative care, and follow-up for next
routine appointment.
At what age would a family member's cardiac disease indicate an
increased risk for similar heart disease in the patient? - ANSWER-
MI/CAD less than 55 y/o
What are three common general family histories your physician may ask
about? - ANSWER- HTN, DM, CA
Would PMHx of chronic alcoholism belong in the SHx section as well
as the PMHx section? - ANSWER- Social History (SHx)
Why must smoking status be documented on every patient 13 years and
older? - ANSWER- Meaningful use requirement.
Name the three most common routes of administration of illicit drugs. -
ANSWER- oral, inhaled, injection
The patient's mother states, "The daycare called me to pick up Angela
and her brother because Angela had a fever." What are three items you
can document under social history for Angela? - ANSWER- Mother
(brought in and caretaker), goes to Daycare, has a brother.
If a patient has had respiratory symptoms for the past 5 weeks, are the
symptoms considered chronic? - ANSWER- No. An illness is typically
classified as chronic when it lasts longer than 3months.
What is a comorbidity? - ANSWER- Patients with comorbidities are
complex in a number of ways: The treatment of one disease may affect or
contradict the treatment of the second; adverse drug interactions;
compounding symptoms may lead to poor compliance with treatment
3
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