SCRIBE AMERICA OP FINAL EXAM | WITH QUESTIONS & ANSWERS | GRADED A+ | UPDATE

SCRIBE AMERICA OP FINAL EXAM | WITH QUESTIONS & ANSWERS | GRADED A+ | UPDATE New Patient - ANSWER-No previous records, longer visit, detailed chart established patient - ANSWER-Previous records available from last 3 years, shorter visit, concise chart Diagnostic visit - ANSWER-New problem, chief complaint: new symptom, goal is to determine the cause of the problem and appropriate treatment health management - ANSWER-check up, CC: routine physical or management of chronic problems, goal is preventative care and/or assessing progress of ongoing medical problems Clinic Flow - ANSWER-1. Check-in 2. Physician Evaluation 3. Orders & Results 4. Assessment & Plan 5. Check-out Quality Measures - ANSWER-chief complaint vital signs height, weight, BMI Smoking Status What goes in the History and Physical (H&P) - ANSWER-HPI, ROS, PE DDx - ANSWER-differential diagnosis Patient says high blood pressure - ANSWER-Hypertension (HTN) Patient says high cholesterol - ANSWER-Hyperlipidemia (HLD