ScribeAmerica Outpatient Course 5:
Assessment and Plan Exam 100%
Accurate!!
Follow-up - ANSWERS(an) establishment of consistent contact with healthcare
providers to address an ongoing health concern
Subq - ANSWERSmedication injected under the skin
Prognosis - ANSWERS(a) (the) forecast of the likely course of a disease (or ailment)
The assessment provides ______________ and includes the patient's
______________ - ANSWERSa brief review of the visit, diagnoses
Before seeing a patient, the doctor typically reviews _________________ -
ANSWERSthe assessment from the previous visit
The assessment always includes the - ANSWERSdiagnosis (Dx) (and/or differential)
The assessment may also include: (4) - ANSWERS1. Brief summary of the HPI
2. Brief summary of physical exam (only pertinent)
3. Summary of orders/results
4. Prognosis and justification for further testing
Assessment structure (3 types) - ANSWERS1. Simple statement
2. Brief summary
3. Comprehensive summary
Assessment Structure
form a simple statement with this information:
-age: 56
-sex: female
-Dx: well-controlled HTN and DM - ANSWERSThe pt is a 56 y/o female with HTN and
DM that is well-controlled today.
Assessment Structure
The brief summary includes (6) - ANSWERS1. age and sex
2. PMHx if relevant
3. PE findings, if relevant
Assessment and Plan Exam 100%
Accurate!!
Follow-up - ANSWERS(an) establishment of consistent contact with healthcare
providers to address an ongoing health concern
Subq - ANSWERSmedication injected under the skin
Prognosis - ANSWERS(a) (the) forecast of the likely course of a disease (or ailment)
The assessment provides ______________ and includes the patient's
______________ - ANSWERSa brief review of the visit, diagnoses
Before seeing a patient, the doctor typically reviews _________________ -
ANSWERSthe assessment from the previous visit
The assessment always includes the - ANSWERSdiagnosis (Dx) (and/or differential)
The assessment may also include: (4) - ANSWERS1. Brief summary of the HPI
2. Brief summary of physical exam (only pertinent)
3. Summary of orders/results
4. Prognosis and justification for further testing
Assessment structure (3 types) - ANSWERS1. Simple statement
2. Brief summary
3. Comprehensive summary
Assessment Structure
form a simple statement with this information:
-age: 56
-sex: female
-Dx: well-controlled HTN and DM - ANSWERSThe pt is a 56 y/o female with HTN and
DM that is well-controlled today.
Assessment Structure
The brief summary includes (6) - ANSWERS1. age and sex
2. PMHx if relevant
3. PE findings, if relevant
