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SCRIBE U FINAL EXAM QUESTIONS
WITH ANSWERS.
A patient has the following history: breast CA s/p chemoradiation
therapy and mastectomy. Based on this, does the patient meet
Level 5 billing criteria for this section of the chart? - correct
answer -No, the PHx does not meet Level 5 billing criteria.
Fill in the blank: Critical care must be at least a minimum of
__________. - correct answer -30 minutes
Certain words or phrases act as "red flags" to grab your provider's
attention to let let them know that a patient may require timely and
comprehensive medical action. Which of the following words or
phrases are NOT considered a "red flag?" - correct answer -
"nocturia" in a 65 y/o male
What does "GCS" stand for? - correct answer -Glasgow coma
scale
What does "NTG" stand for? - correct answer -Nitroglycerin
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Which section of the chart would you find AKA? (Select all that
apply.) - correct answer --PSHx
-PE
What is the medical term for "bright red blood in stools"? - correct
answer -hematochezia
How would you diagnose an AAA? - correct answer -CT A/P with
IV contrast
T/F. All symptoms documented in the ROS are also documented
in the HPI. - correct answer -False
Read through the PE and decide if this meets Level 5 billing
criteria.
Genera/Constitutional: NC, AT
Eyes: PERRL, EOMI
ENT: moist oral mucosa
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Cardiac: irregularly irregular rhythm, tachycardic, no murmurs, no
rubs, no gallops
Respiratory: Lungs clear, no respiratory distress, no wheezing, no
rales, no rhonchi
Neurological: A&O x 4
Psychiatric: normal affect - correct answer -No, the PE does not
meet Level 5 billing criteria.
Which of the following are considered to be cardiac risk factors for
CP patients? (select all that apply.) - correct answer --tobacco use
-Family hx of CAD <55 y/o
-HLD
-PSHx CABG, angioplasty, and stent
-DM
-HTN
-CAD
What does "EOMI" stand for? - correct answer -Extraocular
movements intact
What does "GERD" stand for? - correct answer -
Gastroesophageal reflux disease
SCRIBE U FINAL EXAM QUESTIONS
WITH ANSWERS.
A patient has the following history: breast CA s/p chemoradiation
therapy and mastectomy. Based on this, does the patient meet
Level 5 billing criteria for this section of the chart? - correct
answer -No, the PHx does not meet Level 5 billing criteria.
Fill in the blank: Critical care must be at least a minimum of
__________. - correct answer -30 minutes
Certain words or phrases act as "red flags" to grab your provider's
attention to let let them know that a patient may require timely and
comprehensive medical action. Which of the following words or
phrases are NOT considered a "red flag?" - correct answer -
"nocturia" in a 65 y/o male
What does "GCS" stand for? - correct answer -Glasgow coma
scale
What does "NTG" stand for? - correct answer -Nitroglycerin
, Page | 2
Which section of the chart would you find AKA? (Select all that
apply.) - correct answer --PSHx
-PE
What is the medical term for "bright red blood in stools"? - correct
answer -hematochezia
How would you diagnose an AAA? - correct answer -CT A/P with
IV contrast
T/F. All symptoms documented in the ROS are also documented
in the HPI. - correct answer -False
Read through the PE and decide if this meets Level 5 billing
criteria.
Genera/Constitutional: NC, AT
Eyes: PERRL, EOMI
ENT: moist oral mucosa
, Page | 3
Cardiac: irregularly irregular rhythm, tachycardic, no murmurs, no
rubs, no gallops
Respiratory: Lungs clear, no respiratory distress, no wheezing, no
rales, no rhonchi
Neurological: A&O x 4
Psychiatric: normal affect - correct answer -No, the PE does not
meet Level 5 billing criteria.
Which of the following are considered to be cardiac risk factors for
CP patients? (select all that apply.) - correct answer --tobacco use
-Family hx of CAD <55 y/o
-HLD
-PSHx CABG, angioplasty, and stent
-DM
-HTN
-CAD
What does "EOMI" stand for? - correct answer -Extraocular
movements intact
What does "GERD" stand for? - correct answer -
Gastroesophageal reflux disease
