Scribe America OP Final Exam practice with well answered questions

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? 00:05 01:33 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 00:02 01:33 palpation the act of pressing on an area by the physician inpatient admitted to the hospital overnight 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 coronary artery disease if patient says heart disease, write myocardial infarction and CAD if patient says heart attack, write congestive heart failure if patient says heart failure, write arrhythmia if patient says irregular heartbeat, write heart murmur if patient says murmur, write SVT if patient says episodes of fast heartbeat, write __ (supraventricular tachycardia) asthma if patient says asthma, write COPD if patient says emphysema/chronic bronchitis, write pulmonary embolism if patient says blood clot in lung, write pneumonia if patient says pneumonia, write __ (PNA) gastroesophageal reflux disease if patient says reflux, write __ (GERD) gastric ulcer or peptic ulcer disease if patient says ulcer, write pancreatitis if patient says pancreatitis, write hepatitis A/B/C if patient says hepatitis, write diverticulitis if patient says diverticulitis, write Chron's disease or ulcerative colitis if patient says Chron's/UC, write IBS if patient says irritable bowel, write urinary tract infection if patient says bladder infection, write pyelonephritis if patient says kidney infection, write renal calculi if patient says kidney stones, write chronic renal failure on dialysis or ESRD if patient says "I'm on dialysis," write benign prostatic hypertrophy if patient says enlarged prostate, write (BPH) gravida total number of pregnancies para number of live births abortus number of miscarriages and induced abortions hemorrhagic CVA if patient says brain bleed (stroke), write CVA if patient says stroke, write TIA if patient says mini-stroke, write history of seizures if patient says seizures, write bipolar disorder if patient says bipolar, write schizophrenia if patient says schizophrenia, write ETOH abuse or alcoholism if patient says "I drink a lot," write substance abuse if patient says "I do drugs," write lower extremity DVT if patient says "Blood clot in my leg" aortic aneurysm if patient says "bulge in my aorta" peripheral vascular disease if patient says "bad blood flow to my legs"