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Scribe America OP Final Exam Questions And Verified Solutions.

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Scribe America OP Final Exam Questions And Verified Solutions.




last day of the month - get paid on what day for hours worked 10th-24th?



16th - get paid on what day for hours worked 25th-9th?



Sunday - the work week starts on what day of the week?



subjective - feeling (from patient)



objective - fact (from provider)



pain - patient's feeling, subjective



tenderness - physician's observation, objective



benign - normal, nothing of conern



acute - of new onset, less than 3 months



chronic - long standing, more than 3 months



baseline - an individual's normal state of being



auscultation - listening with a stethoscope



palpation - the act of pressing on an area by the physician



inpatient - admitted to the hospital overnight


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, outpatient - seen and sent home the same day



chief complaint - the main reason for the patient's visit



mid-level provider - NP or PA; works under the supervision of a physician to diagnose and treat
patients



medical assistant - MA or nurse who records medical histories and symptoms, monitors patient,
administers medications, assists with procedures



scribe - documents the patient's visit on behalf of the physician



new patient - individual who has not been seen in the clinic in the past 3 years, regardless of being
seen prior to 3 year absence; no previous records, longer visit, detailed chart



established patient - individual who has been seen in the clinic within the past 3 years; previous
records available, shorter visit, concise chart



diagnostic - a clinic visit is __ if there is a new problem, CC is a new symptom, and goal is to
determine the cause of the problem and appropriate treatment



health management - a clinic visit is __ if it is a check-up, CC is routine physical or management of
chronic problems, goal is preventative care or assessing progress of ongoing medical problems



subjective - HPI, ROS, PMSHx, SHx, FHx



objective - PE, orders and results



assessment - current diagnoses



plan - treatment and follow up




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