ScribeAmerica OP Final Exam 2025 UPDATE Verified Questions And
ScribeAmerica OP Final Exam
Answers | With 100% Correct Answers graded A+ Guaranteed
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1. New Patient No previous records, longer visit, detailed
chart
2. established patient Previous records available from last 3 years,
shorter visit, concise chart
3. Diagnostic visit New problem, chief complaint: new symp-
tom, goal is to determine the cause of the
problem and appropriate treatment
4. health management check up, CC: routine physical or manage-
ment of chronic problems, goal is preventa-
tive care and/or assessing progress of ongo-
ing medical problems
5. Clinic Flow 1. Check-in
2. Physician Evaluation
3. Orders & Results
4. Assessment & Plan
5. Check-out
6. Quality Measures chief complaint
vital signs
height, weight, BMI
Smoking Status
7. What goes in the History and Physical HPI, ROS, PE
(H&P)
8. DDx differential diagnosis
9. Patient says high blood pressure Hypertension (HTN)
10. Patient says high cholesterol Hyperlipidemia (HLD)
, ScribeAmerica OP Final Exam
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11. Patient says thyroid problem Usually Hypothyroidism, sometimes Hyper-
thyroidism
12. Patient says diabetes Diabetes Mellitus (DM)
13. Patient says "I only take pills for my dia- Non-Insulin Dependent Diabetes Mellitus
betes" (NIDDM)
14. Patient says "I take shots for my diabetes" Insulin Dependent Diabetes Mellitus (IDDM)
15. Patient says heart disease Coronary Artery Disease (CAD)
16. Patient says heart attack Myocardial Infarction (MI) and CAD
17. Patient says heart failure Congestive Heart Failure (CHF)
18. Patient says Irregular heartbeat arrhythmia
19. Patient says murmur heart murmur
20. Patient says episodes of abnormally supraventricular tachycardia (SVT)
fast/racing heartbeat
21. Patient says asthma asthma
22. Patient says Emphysema/Chronic Bron- Chronic Obstructive Pulmonary Disease
chitis (COPD)
23. Patient says blood clot in lung Pulmonary Embolism (PE)
24. Patient says pneumonia Pneumonia (PNA)
25. Patient says reflux Gastroesophageal Reflux Disease (GERD)
26. Patient says ulcer Gastric Ulcer or Peptic Ulcer Disease (PUD)
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27. Patient says pancreatitis pancreatitis
28. Patient says hepatitis Hepatitis A, B, or C
29. Patient says diverticulitis Diverticulitis
30. Patient says Crohn's/UC Crohn's Disease or Ulcerative Colitis
31. Patient says irritable bowel Irritable Bowel Syndrome (IBS)
32. Patient says bladder infection Urinary Tract Infection (UTI)
33. Patient says kidney infection Pyelonephritis (Pyelo)
34. Patient says kidney stones renal calculi
35. Patient says I'm on dialysis Chronic Renal Failure (CRF) or End Stage Re-
nal Disease (ESRD) on dialysis
36. Patient says enlarged prostate Benign Prostate Hypertrophy (BPH)
37. Gravida Total number of time the patient has been
pregnant
38. Para number of pregnancies reaching viable ges-
tational age (23 weeks) that the patient has
had
39. Abortus total number of miscarriages or elective
abortions
40. patient says brain bleed (stroke) Hemorrhagic CVA
41. Patient says stroke Cerebrovascular Accident (CVA)
ScribeAmerica OP Final Exam
Answers | With 100% Correct Answers graded A+ Guaranteed
Study online at https://quizlet.com/_6uh4xg
Success!!
1. New Patient No previous records, longer visit, detailed
chart
2. established patient Previous records available from last 3 years,
shorter visit, concise chart
3. Diagnostic visit New problem, chief complaint: new symp-
tom, goal is to determine the cause of the
problem and appropriate treatment
4. health management check up, CC: routine physical or manage-
ment of chronic problems, goal is preventa-
tive care and/or assessing progress of ongo-
ing medical problems
5. Clinic Flow 1. Check-in
2. Physician Evaluation
3. Orders & Results
4. Assessment & Plan
5. Check-out
6. Quality Measures chief complaint
vital signs
height, weight, BMI
Smoking Status
7. What goes in the History and Physical HPI, ROS, PE
(H&P)
8. DDx differential diagnosis
9. Patient says high blood pressure Hypertension (HTN)
10. Patient says high cholesterol Hyperlipidemia (HLD)
, ScribeAmerica OP Final Exam
Study online at https://quizlet.com/_6uh4xg
11. Patient says thyroid problem Usually Hypothyroidism, sometimes Hyper-
thyroidism
12. Patient says diabetes Diabetes Mellitus (DM)
13. Patient says "I only take pills for my dia- Non-Insulin Dependent Diabetes Mellitus
betes" (NIDDM)
14. Patient says "I take shots for my diabetes" Insulin Dependent Diabetes Mellitus (IDDM)
15. Patient says heart disease Coronary Artery Disease (CAD)
16. Patient says heart attack Myocardial Infarction (MI) and CAD
17. Patient says heart failure Congestive Heart Failure (CHF)
18. Patient says Irregular heartbeat arrhythmia
19. Patient says murmur heart murmur
20. Patient says episodes of abnormally supraventricular tachycardia (SVT)
fast/racing heartbeat
21. Patient says asthma asthma
22. Patient says Emphysema/Chronic Bron- Chronic Obstructive Pulmonary Disease
chitis (COPD)
23. Patient says blood clot in lung Pulmonary Embolism (PE)
24. Patient says pneumonia Pneumonia (PNA)
25. Patient says reflux Gastroesophageal Reflux Disease (GERD)
26. Patient says ulcer Gastric Ulcer or Peptic Ulcer Disease (PUD)
, ScribeAmerica OP Final Exam
Study online at https://quizlet.com/_6uh4xg
27. Patient says pancreatitis pancreatitis
28. Patient says hepatitis Hepatitis A, B, or C
29. Patient says diverticulitis Diverticulitis
30. Patient says Crohn's/UC Crohn's Disease or Ulcerative Colitis
31. Patient says irritable bowel Irritable Bowel Syndrome (IBS)
32. Patient says bladder infection Urinary Tract Infection (UTI)
33. Patient says kidney infection Pyelonephritis (Pyelo)
34. Patient says kidney stones renal calculi
35. Patient says I'm on dialysis Chronic Renal Failure (CRF) or End Stage Re-
nal Disease (ESRD) on dialysis
36. Patient says enlarged prostate Benign Prostate Hypertrophy (BPH)
37. Gravida Total number of time the patient has been
pregnant
38. Para number of pregnancies reaching viable ges-
tational age (23 weeks) that the patient has
had
39. Abortus total number of miscarriages or elective
abortions
40. patient says brain bleed (stroke) Hemorrhagic CVA
41. Patient says stroke Cerebrovascular Accident (CVA)
