SCRIBE AMERICA FINAL EXAM REVIEW QUESTIONS AND ANSWERS, RATED A+/[LATEST EXAM UPDATES]

SCRIBE AMERICA FINAL EXAM REVIEW QUESTIONS AND ANSWERS, RATED A+/ What does PHI stand for (abbreviation) protected health information What medical term describes the surgical remval of the gallblader cholecystectomy T/F Sharing information about a case with family is allowed as long as you are scribing with the physician asssigned to the case False A patient's PCP is on vacation. The patient is scheduled to see the NP who is covering for the PCP during this time. The patient has never been seen by the NP before. Is this considered a new patient or an established patient. Established What is the medical abbreviation for the condition commonly described as "reflux" GERD What medical term would best describe "the likely course or outcome of a disease?" prognosis Which section of the chart should you document when you hear the following cue "what medical problems do you have" PHx You are writing an HPI for a patient who presneted hyperlipidemia management. In the middle of the visti, you patient reports having recently experienced urinary symptoms. Which HPI structure would be the best to use in this scenario. Multiple complaints structure You are writing an HPI for a very complex patient who has had multiple recent hospital admissions for lung cancer. Which HPI structure woulb be the best to use in this scenario? Chronological structure Which of the following would be valid complications for CAD? MI (myocardial infarction) What are the possible consequences of a HIPAA violation? -termination -monetary fines to you and the hospital -Lawsuit against you and the hospital violator is blacklisted from medical programs like Medical, PA, or NP school scribe program cancellation What does HIPPA stand for Health Insurance Portability and Accountability Act What chronic condition would require diagnosis through fasting blood glucose level or HbA1c Diabetes Mellitus A patient states she has had a productive cough for 4 days, and yesterday she developed a fever. Would her fever be considered an associated symptom for her productive cough? Yes, because the fever started after the cough Which of the following would be recommended in the Objective section of the SOAP note? -orders -Interpretation/results -Physical Exam HIPPA is a set of laws designed to ____ maintain patient privacy and confidentiality What is the medical abbreviation for the condition described as "blood clot in the lungs?" PE What chronic condition would require diagnosis through a lipid panel? (abbreviation) HLD Which of the following are considered non-reimbursable chief complaint? -Follow up -Check up -Medication refill -Lab results T/F. A family friend was recently evaluated for IDDM and lost his paperwork and does not know what medications he should be taking at home. He asks you to look up his medical record when you go to your shift today, giving you verbal permission to access his information. In this scenario, it is justifiable for you to use your EMR login to look up the important patient information. False A patient states that he has been having abdominal pain for the last three days, and it varies between mild and severe. Which of the following would best describe the Timing? Waxing and waning The patient reports a tenderness in their righ upper abdomen that began 2 weeks ago. Based on that information, do you document RUQ tenderness under the physical exam? No A patient is s/p angioplasty with stent and quadruple cardiac bypass. What chronic condition should be included in their diagnosis today