5/8/25, 8:21 AM Essential Scribe Entrance (2025) COMPREHENSIVE QUESTIONS AND VERIFIED DETAILED SOLUTIONS |COMPLETE SOL…
Essential Scribe Entrance (2025)
COMPREHENSIVE QUESTIONS AND VERIFIED
DETAILED SOLUTIONS |COMPLETE SOLUTIONS
|A+ GRADED |100% CORRECT!!
Save
Terms in this set (268)
HIPAA Health Insurance Portability and Accountability Act
PHI Protected Health Information
OSHA Occupational Safety and Health Administration
a not-for-profit organization that evaluates and
Joint Commission
accredits different types of healthcare facilities
LUQ Left upper quadrant - stomach, spleen
RUQ right upper quadrant - liver, gallbladder
RLQ right lower quadrant - appendix
LLQ left lower quadrant - sigmoid colon
Epigastric Region superior to the umbilical region
Periumbilical Region around the belly button
Suprapubic region The abdominal area just above the pubic arch
CVA cerebrovascular accident (stroke)
EHR electronic health record
Reason for Visit chief complaint
HPI history of present illness
ROS review of systems
https://quizlet.com/1041396743/essential-scribe-entrance-2025-comprehensive-questions-and-verified-detailed-solutions-complete-solutions-a-g… 1/16
,5/8/25, 8:21 AM Essential Scribe Entrance (2025) COMPREHENSIVE QUESTIONS AND VERIFIED DETAILED SOLUTIONS |COMPLETE SOL…
MDM Medical Decision Making
Differential Diagnosis a list of conditions the patient may have based on
(DDx) the symptoms exhibited and the results of the exam
Disposition what happened to the patient at the end of the visit
Severity
Context
Region/Radiation
Associated Symptoms
SCRATCH-MD
Timing
Character
Modifying Factors
Duration/Onset
Syncope "Passing out", loss of consciousness or fainting
fever
chills
sweating
nausea
vomiting
diarrhea
Constitutional symptoms
weakness
pallor
dizziness
fatigue
malaise
weight loss/gain
https://quizlet.com/1041396743/essential-scribe-entrance-2025-comprehensive-questions-and-verified-detailed-solutions-complete-solutions-a-g… 2/16
, 5/8/25, 8:21 AM Essential Scribe Entrance (2025) COMPREHENSIVE QUESTIONS AND VERIFIED DETAILED SOLUTIONS |COMPLETE SOL…
Lacerations
Abrasion
Abscess
Rash
Pallor
Itching
Ecchymosis
Skin Symptoms
Urticaria
Burn
Dryness
Lesion
Jaundice
Cyanosis
Bites
Ecchymosis bruising
Diplopia double vision
Mucus, oil, skin cells, and other debris that
Mattering accumulates in the eye(s) that can be wet/sticky or
dry/crusty
Rhinorrhea discharge from the nose
Epistaxis hemorrhage from the nose; nosebleed
Dyspnea difficulty breathing
Orthopnea difficulty breathing when lying down
Hemotypsis coughing up blood
Diaphoresis heavy sweating
Swelling in the limbs, particularly the feet and
Peripheral Edema ankles, due to an accumulation of interstitial fluid
(blood).
Hematemesis vomiting blood
Hematochezia bright red blood in stool
Dysphagia difficulty swallowing
Genitourinary pertaining to the genitalia, bladder, kidneys
https://quizlet.com/1041396743/essential-scribe-entrance-2025-comprehensive-questions-and-verified-detailed-solutions-complete-solutions-a-g… 3/16
Essential Scribe Entrance (2025)
COMPREHENSIVE QUESTIONS AND VERIFIED
DETAILED SOLUTIONS |COMPLETE SOLUTIONS
|A+ GRADED |100% CORRECT!!
Save
Terms in this set (268)
HIPAA Health Insurance Portability and Accountability Act
PHI Protected Health Information
OSHA Occupational Safety and Health Administration
a not-for-profit organization that evaluates and
Joint Commission
accredits different types of healthcare facilities
LUQ Left upper quadrant - stomach, spleen
RUQ right upper quadrant - liver, gallbladder
RLQ right lower quadrant - appendix
LLQ left lower quadrant - sigmoid colon
Epigastric Region superior to the umbilical region
Periumbilical Region around the belly button
Suprapubic region The abdominal area just above the pubic arch
CVA cerebrovascular accident (stroke)
EHR electronic health record
Reason for Visit chief complaint
HPI history of present illness
ROS review of systems
https://quizlet.com/1041396743/essential-scribe-entrance-2025-comprehensive-questions-and-verified-detailed-solutions-complete-solutions-a-g… 1/16
,5/8/25, 8:21 AM Essential Scribe Entrance (2025) COMPREHENSIVE QUESTIONS AND VERIFIED DETAILED SOLUTIONS |COMPLETE SOL…
MDM Medical Decision Making
Differential Diagnosis a list of conditions the patient may have based on
(DDx) the symptoms exhibited and the results of the exam
Disposition what happened to the patient at the end of the visit
Severity
Context
Region/Radiation
Associated Symptoms
SCRATCH-MD
Timing
Character
Modifying Factors
Duration/Onset
Syncope "Passing out", loss of consciousness or fainting
fever
chills
sweating
nausea
vomiting
diarrhea
Constitutional symptoms
weakness
pallor
dizziness
fatigue
malaise
weight loss/gain
https://quizlet.com/1041396743/essential-scribe-entrance-2025-comprehensive-questions-and-verified-detailed-solutions-complete-solutions-a-g… 2/16
, 5/8/25, 8:21 AM Essential Scribe Entrance (2025) COMPREHENSIVE QUESTIONS AND VERIFIED DETAILED SOLUTIONS |COMPLETE SOL…
Lacerations
Abrasion
Abscess
Rash
Pallor
Itching
Ecchymosis
Skin Symptoms
Urticaria
Burn
Dryness
Lesion
Jaundice
Cyanosis
Bites
Ecchymosis bruising
Diplopia double vision
Mucus, oil, skin cells, and other debris that
Mattering accumulates in the eye(s) that can be wet/sticky or
dry/crusty
Rhinorrhea discharge from the nose
Epistaxis hemorrhage from the nose; nosebleed
Dyspnea difficulty breathing
Orthopnea difficulty breathing when lying down
Hemotypsis coughing up blood
Diaphoresis heavy sweating
Swelling in the limbs, particularly the feet and
Peripheral Edema ankles, due to an accumulation of interstitial fluid
(blood).
Hematemesis vomiting blood
Hematochezia bright red blood in stool
Dysphagia difficulty swallowing
Genitourinary pertaining to the genitalia, bladder, kidneys
https://quizlet.com/1041396743/essential-scribe-entrance-2025-comprehensive-questions-and-verified-detailed-solutions-complete-solutions-a-g… 3/16
