OSC TEST EXAM QUESTIONS WITH CORRECT ANSWERS
what is the primary function of a medical scribe? - CORRECT ANSWER✅✅create the medical note
what is the preferred format for the creation of the medical note? - CORRECT ANSWER✅✅subjective,
pbjective, assessment, plan (soap)
"present time" pt details are summarized by using what format - CORRECT ANSWER✅✅OPQRST
all current procedural terminology (CPT) codes must be justified by what appropiate coding mechanisms
- CORRECT ANSWER✅✅international classification of disease (ICD)
what patient history is outlined in the PMHx - CORRECT ANSWER✅✅medical history
what scribing include: blood pressure, heart rate, and respiratory rate - CORRECT ANSWER✅✅vital
signs
the chief complaint (CC) history of present illness (HPI) adn review of systems (ROS) are listed in what
category of the medical note? - CORRECT ANSWER✅✅subjective
the physical examination (PE) imaging and Laboratory results are listed in what category of the medical
note? - CORRECT ANSWER✅✅objective
pt allergies and medications are listed under what category in the medical note? - CORRECT
ANSWER✅✅subjective
where does a scribe record the pt's comments regarding vision problems? - CORRECT ANSWER✅✅chief
complaint (CC)
which of the following statements is true regarding taking ocular history? - CORRECT ANSWER✅✅the
pt's systematic drug therapy may produce ocular systems
, name three important things to document in the history of an ocular injury - CORRECT ANSWER✅✅1.
how the injury occurred
2. the time the injury occurred
3. the treatment received since the injury occurred.
in obtaining the past medical history for a pt about to have eye sx, what is MOST important? - CORRECT
ANSWER✅✅allergies to medications
when taking the pt's history, it is important to inquire about hypertension and anti-hypertensive
medications because they may be a factor in determining whether to... - CORRECT
ANSWER✅✅administer dilating drops
what is the most important entry a scribe can make in the pt chart? - CORRECT ANSWER✅✅what the
physician finds in the course of the exam
abbreviation for antibiotics? - CORRECT ANSWER✅✅ABX
abbreviation for discharge? - CORRECT ANSWER✅✅D/C
giant papillary conjuctivitis is noted on the pt's chart as - CORRECT ANSWER✅✅GPC
how is a fine needle aspiration noted in the pts chart/? - CORRECT ANSWER✅✅FNA
acronym for axial length? - CORRECT ANSWER✅✅AL
acronym for BC - CORRECT ANSWER✅✅base curve
what does BI indicate on a spectacle prescription? - CORRECT ANSWER✅✅base-in prism
what deos BUT stand for on a pt's chart regarding tear film? - CORRECT ANSWER✅✅break up time
what is the primary function of a medical scribe? - CORRECT ANSWER✅✅create the medical note
what is the preferred format for the creation of the medical note? - CORRECT ANSWER✅✅subjective,
pbjective, assessment, plan (soap)
"present time" pt details are summarized by using what format - CORRECT ANSWER✅✅OPQRST
all current procedural terminology (CPT) codes must be justified by what appropiate coding mechanisms
- CORRECT ANSWER✅✅international classification of disease (ICD)
what patient history is outlined in the PMHx - CORRECT ANSWER✅✅medical history
what scribing include: blood pressure, heart rate, and respiratory rate - CORRECT ANSWER✅✅vital
signs
the chief complaint (CC) history of present illness (HPI) adn review of systems (ROS) are listed in what
category of the medical note? - CORRECT ANSWER✅✅subjective
the physical examination (PE) imaging and Laboratory results are listed in what category of the medical
note? - CORRECT ANSWER✅✅objective
pt allergies and medications are listed under what category in the medical note? - CORRECT
ANSWER✅✅subjective
where does a scribe record the pt's comments regarding vision problems? - CORRECT ANSWER✅✅chief
complaint (CC)
which of the following statements is true regarding taking ocular history? - CORRECT ANSWER✅✅the
pt's systematic drug therapy may produce ocular systems
, name three important things to document in the history of an ocular injury - CORRECT ANSWER✅✅1.
how the injury occurred
2. the time the injury occurred
3. the treatment received since the injury occurred.
in obtaining the past medical history for a pt about to have eye sx, what is MOST important? - CORRECT
ANSWER✅✅allergies to medications
when taking the pt's history, it is important to inquire about hypertension and anti-hypertensive
medications because they may be a factor in determining whether to... - CORRECT
ANSWER✅✅administer dilating drops
what is the most important entry a scribe can make in the pt chart? - CORRECT ANSWER✅✅what the
physician finds in the course of the exam
abbreviation for antibiotics? - CORRECT ANSWER✅✅ABX
abbreviation for discharge? - CORRECT ANSWER✅✅D/C
giant papillary conjuctivitis is noted on the pt's chart as - CORRECT ANSWER✅✅GPC
how is a fine needle aspiration noted in the pts chart/? - CORRECT ANSWER✅✅FNA
acronym for axial length? - CORRECT ANSWER✅✅AL
acronym for BC - CORRECT ANSWER✅✅base curve
what does BI indicate on a spectacle prescription? - CORRECT ANSWER✅✅base-in prism
what deos BUT stand for on a pt's chart regarding tear film? - CORRECT ANSWER✅✅break up time
