Scribe America Final Outpatient Exam Questions With Correct Answers

HTN CC - Answer asymptomatic HLD CC - Answer asymptomatic DM CC - Answer polyuria, polydipsia CAD CC - Answer CP or pressure Asthma CC - Answer SOB, wheezing How do you diagnose HTN? - Answer Check BP How do you diagnose HLD? - Answer Check bloodwork How do you diagnose DM? - Answer Fasting blood glucose, HA1C How do you diagnose HLD? - Answer Check blood work for LDL levels How do you diagnose CAD? - Answer Cardiac Catheterization by cardiologist How do you diagnose asthma? - Answer Peak Flow Testing How is Peak Flow measured? - Answer Liters/Minute In what quadrant is the appendix located? - Answer RLQ In what quadrant is the gallbladder located? - Answer RUQ In what quadrant is the diverticuli located? - Answer LLQ What do you test to find out if person has pancreatitis? - Answer Lipase Weakness - Answer Peristesia Co morbidity - Answer The presence of two or more chronic conditions Etiology - Answer The cause of a disease The relaxed phase of the heartbeat? - Answer Diastolic Excessive Thirst? - Answer Polydipsia Anticoagulant - Answer A drug that prevents blood clotting How long must a patient have a disease for it to be considered chronic? - Answer 3 months Explain why patients with comorbidities are complex and give an example? - Answer The treatment of one disease may contradict the treatment of the second, such as one medicine making their other illness worse. Complex patients often bill to a HIGHER or LOWER level? - Answer Higher 100/70 BP reading. What is this? - Answer Normal 150/95 BP reading. What is this? - Answer Hypertensive 130/85 BP reading. What is this? - Answer Pre-Hypertensive Patients with HTN often become symptomatic when the HTN is chronic and worsening. Name two symptoms a patient with severe HTN may experience? - Answer Vision Loss, Epistaxis Give three examples of non-pharmacological HTN management - Answer low sodium diet, decreased EtOH intake and exercise What is the abbreviation for hydrochlorothiazide - Answer HCTZ The majority of diabetes patients have Type I or II diabetes? - Answer Type II What are three common symptoms of diabetes? - Answer Polyuria, Polydipsia, Fatigue Name one disease that can be caused by diabetes and explain how chronic hyperglycemia contributes to it's etiology? - Answer Diabetic Retinopathy, damage to the small vessels of the eyes can cause them to hemorrhage, leading to blurred vision. Both Type I and Type II diabetes can be treated with insulin. Which type can also be treated with oral medication? - Answer Type II Which mediation is preferred for someone with mild, new onset, type II DM: Metformin or Humalog? Why? - Answer Metformin. Sometimes Type II diabetes can be treated with just oral medication Name 3 risk factors of HLD - Answer Obesity, physical inactivity, FHx Why is HDL considered good cholesterol? - Answer It's able to remove cholesterol from artery plaques and recycle it back to the liver. CAD and MI can be caused the HLD due to atherosclerosis of the _________ arteries - Answer coronary TIA and CVA can be caused by HLD due to atherosclerosis of the __________ arteries - Answer carotid What is the name of the drug group used to treat HLD? What is one brand name? - Answer Statin, Lipitor What are five risk factors of CAD? - Answer HTN, HLD, DM, FHx, Smoking The study that diagnoses CAD is? - Answer Cardiac Catheterization What are 2 non pharmacological treatments for CAD? - Answer Weight Loss, Exercise Order the following surgeries based on invasiveness: Angioplasty CABG Cardiac Catheterization Stent - Answer Cardiac Catheterization, Angioplasty, Stent, CABG If a patient says, "I've had open heart surgery," what would you write in the past medical history section? - Answer CABG, coronary artery bypass graft HCTZ - Answer Hydrochlorothiazide Asthma is diagnosed with a device called? - Answer Peak Flow Meter What is a physician likely to ask any new patient with asthma? - Answer Do you have a nebulizer? Have you been prescribed steroids recently? Have you been previously hospitalized? Have you been previously intubated? Name two asthma medications that can be inhaled? - Answer Albuterol, Flovent What is the difference between a nebulizer and an inhaler? - Answer A nebulizer delivers a continuous aerosol mist, while an inhaler releases a puff of medication for one time use. SOAP - Answer subjective objective assessment and plan subjective - Answer patient's feelings Outpatient - Answer A patient who is seen and sent home on the same day Baseline - Answer normal Listening with a stethoscope - Answer auscultation Chief Complaint (CC) - Answer reason why the patient came to the clinic What are two examples of mid level providers? - Answer NP and PA In a diagnostic visit, the patient has a NEW or EXISTING complaint - Answer New Who typically obtains meaningful use requirements during patient check in? - Answer MA H&P - Answer History and Physical Who evaluates the H&P (history and physical) - Answer Provider Name two items you will include in the patient's plan? - Answer Follow up with specialist, instructions for lifestyle care History of Present Illness - subjective or objective? - Answer subjective Review of Systems - subjective or objective? - Answer subjective Physical Exam - subjective or objective? - Answer objective "I have high blood pressure" - Answer HTN "I take shots for my diabetes" - Answer IDDM, insulin dependent DM "My doctor says my heart is failing" - Answer CHF "I have acid reflux" - Answer GERD "I'm not pregnant. I have two children, but I miscarried my first pregnancy." G:__/P:__/A:__ - Answer 3, 2, 1 Name and correctly spell the following surgery: heart bypass - Answer coronary artery bypass graft Name and correctly spell the following surgery: breast removal - Answer mastectomy Name and correctly spell the following surgery: gallbladder removal - Answer cholecystecomy Name and correctly spell the following surgery: uterus removed - Answer hysterectomy