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Scribe 101 Lecture Exam| Questions & Answers Latest 2025 Update (Complete Solutions 100% Correct)

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Scribe 101 Lecture Exam| Questions & Answers Latest 2025 Update (Complete Solutions 100% Correct)

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Scribe 101 Lecture Exam| Questions & Answers
Latest 2025 Update (Complete Solutions 100%
Correct)
Subjective
Objective
Assessment

Plan - ✔✔S.O.A.P


How to assess the information from patient and what was found in physical exam -
✔✔Assessment



Detail diagnosis and plan for treatment and follow-up - ✔✔Plan



Patient states they have a fever - ✔✔Subjective



Patient had abdominal tenderness on exam - ✔✔Objective



We will order a CT abdominal scan to investigate - ✔✔Assessment



Patient will be discharged home - ✔✔Plan



CC - ✔✔Chief Complaint



HPI - ✔✔History of Present Illness

, ROS - ✔✔Review Of Systems



PHx - ✔✔Past history



MAIN reason for the visit - ✔✔Chief of Complaint


The story of the chief of complaint
1. Should flow like a story: beginning, middle, end
2. Uses "elements" or clues to describe CC

3. When did it start, where is it, how bad is it, etc.. - ✔✔HPI



Description - ✔✔Element



When did the complaint begin? - ✔✔Onset



Has it been constant, intermittent, or waxing and waning? - ✔✔Timing



Where is the discomfort? - ✔✔Location



Does it feel sharp, dull, aching, cramping...? - ✔✔Quality



How bad is it? Mild, moderate, severe or 0-10 - ✔✔Severity



What makes it better? What makes it worse? - ✔✔Modifying factors

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