Vituity Scribe Training Pre -Classroom Training Exam Latest 2022 ALOC>.>>> Altered Level of Consciousness BM>.>>> bowel movement DOE>.>>> Dyspnea on exertion EOMI>.>>> Extraocular Movement Intact (Appropriate function of the extra ocular muscles, tested with "follow my finger") HA>.>>> headache MI>.>>> Myocardial infarction NAD>.>>> no acute distress NSR>.>>> Normal Sinus Rhythm PNA>.>>> pneumonia UTI>.>>> Urinary Tract Infection ASA>.>>> Aspirin CA>.>>> Cancer PCN>.>>> Penicillin DM>.>>> Diabetes Mellitus PTX>.>>> Pneumothorax SOB>.>>> Shortness of breath FB>.>>> Foreign Body CVA>.>>> Cerebral Vascular Accident (Stroke) - Can be ischemic or hemorrhagic) TIA>.>>> transient ischemic attack (mini stroke) TX>.>>> treatment earwax>.>>> cerumen runny nose>.>>>rhinorrhea Vomiting blood>.>>>hematemesis fainting>.>>> syncope Sweating>.>>> diaphoresis bruising>.>>> ecchymosis itchiness>.>>> pruritus cardiac bypass> .>>>CABG (coronary artery bypass graft) Hernia repair >.>>> herniorrhaphy Removal of gallbladder>.>>> cholecystectomy Removal of uterus>.>>> hysterectomy Rales>.>>> wet, crackling sound with respirations (aka crackles) Four main components of the medical c hart you are responsible for?>.>>>1 . HPI 2. ROS 3. PMhxFhxShx 4. PE Name the 8 elements of the HPI>.>>> 1. Location 2. Quality 3. Severity 4. Context 5. Timing 6. Duration 7. associated signs and symptoms 8. modifying factors True or False: The HPI and ROS are subjective>.>>> True: these are from the patient's perspective True or False: Patient's past surgeries should be documented in the Physical Exam (PE)?>.>>> False: Should be in past medical history True or False : Whether a patient smokes or not should be documented in the PMFSH?>.>>> True: This is social history True or False: The physical exam is objective>.>>> True: From the doctor's point of view Fever>.>>> febrile vomiting>.>>> emesis pain with urination>.>>> dysuria RRR>.>>> Regular Rate and Rhythm (cardio finding) CVAT>.>>> Costal Vertebral Angle Tenderness (Back finding sometimes GU) BS present>.>>> bowel sounds present SNF>.>>> Skilled Nursing Facility BIBA>.>>> brough t in by ambulance CP>.>>> chest pain, cerebral pa lsy ATX>.>>> atelectasis Pregnancy >.>>>Gravid oophorectomy >.>>>surgical removal of one of both ovaries Tubal pregnancy >.>>>Ectopic Tying of tubes>.>>> tubal ligation clipping of vas deferens>.>>> vasectomy tonsil removal>.>>>t onsillectomy CAD>.>>> Coronary Artery Disease DVT>.>>> Deep Vein Thrombosis PE>.>>> Pulmonary Embolism PUD>.>>> Peptic Ulcer Disease PTA>.>>> Prior to Arrival NTG >.>>> Nitroglycerin FS>.>>> Fingerstick (blood sugar )