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
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