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ScribeAmerica ED Final Exam Solved 100% Correct

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ScribeAmerica ED Final Exam Solved 100% Correct What are the 3 types of dispositions? - ANSDischarge, Admit, Transfer What does HPI stand for? - ANShistory of present illness What does ROS stand for? - ANSreview of systems The HPI and ROS are considered what type of information? - ANSsubjective The physical exam is what type of information? - ANSobjective If a physician told you a patient's abdomen was non tender, where would you document this? - ANSPE What section focuses directly on the chief complaint? - ANSHPI If someone has a hx of CABG or MI, what is something you can also always document in the PMHx section of the chart? - ANSCAD Name an example of something you may write in the Social Hx portion of the chart. - ANSsmokes 1 pack/day Name an example of something you may write in the Family Hx portion of the chart. - ANSMother had Hx of CAD at age 46 What are the abbreviations for the following past medical history terms? Hypertension Stroke Diabetes Heart Attack High Cholesterol - ANSHTN CVA (cerebrovascular accident) DM MI HLD What are the medical terms for the following past surgical terms? Removal of the appendix Removal of the gallbladder Removal of the uterus Removal of a fallopian tube Removal of the tonsils Removal of the breast - ANSappende

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