Scribe Exam Questions And Correct
Answers 100% Verified
Are physicians assistants and nurse practitioners considered medical providers? - Answer✔Yes
Lucy has been seen by Dr. Heart for the past 2 years. She is here today for a routine appointment
with Dr. Heart. Is Lucy new or an established patient? - Answer✔Established
A patient made an appointment because she developed a rash a few days ago. What type of visit
would this be? - Answer✔Diagnostic
A patient has an appointment for management of her diabetes. What type of visit would this be? -
Answer✔Health Maintenance
What are the two types of clinical visits? - Answer✔Diagnostic and Health Maintenance
H&P - Answer✔History and Physical
What does the H&P include? - Answer✔HPI, ROS, PE
Who is the first person to speak with the patient after he/she is placed in a room? -
Answer✔Nurse/MA
What are the meaningful use requirements the nurse/MA will obtain? - Answer✔Chief
complaint, vital signs, height, weight, BMI, smoking status
Who performs the H&P? - Answer✔The Medical Provider
Is a differential diagnosis necessary for a health maintenance visit? - Answer✔No. Only for
diagnostic visit
What information will be included in the patient's plan? give three examples. - Answer✔Follow-
up with specialist, instructions for lifestyle, and follow-up for next routine appointment.
The complete blood count shows anemia: - Answer✔Results
The EKG shows normal sinus rhythm: - Answer✔Results
The patient came to the clinic for chest pain: - Answer✔History of Present Illness (HPI)
The patient also stubbed his toe last week: - Answer✔Review of Systems
The patient is in no acute distress: - Answer✔...
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The patient has suffered from HTN for many years: - Answer✔Past History
There is tenderness of the RUQ: - Answer✔Physical Exam
The patient's mother has heart disease: - Answer✔Past History
The diagnosis is upper respiratory infection: - Answer✔...
The patient will be prescribed penicillin today: - Answer✔Assessment and Plan
What should you write if the patient says he has high blood pressure? - Answer✔Hypertension
(HTN)
What should you write if the patient says he has Diabetes "takes pills"? - Answer✔Non-insulin
dependent diabetes mellitus (NIDDM)
What should you write if the patient says he has heart attack? - Answer✔Coronary Artery
Disease (CAD) and Myocardial Infarction (MI)
What should you write if the patient says he has reflux? - Answer✔Gastroesophageal Reflux
Disease (GERD)
What should you write if the patient says he has stroke? - Answer✔Cerebrovascular Accident
(CVA)
What should you write if the patient says she has breast cancer and they found a mass in my
brain? - Answer✔Breast CA with metastasis to the brain
What should you write if the patient says he has had stents? - Answer✔Coronary Stents
What should you write if the patient says he has had gallbladder removed? -
Answer✔Cholecystectomy
What should you write if the patient says he has had tubes tied? - Answer✔Tubal ligation
(female) or vasectomy (male)
What should you write if the patient says he has had stomach stapled? - Answer✔Gastric Bypass
Brain Surgery - Answer✔Craniotomy
At what age would a family member's cardiac disease indicate an increased risk for similar heart
disease in the patient? - Answer✔Less than 55 y/o
What are three common general family histories your physician may ask about? - Answer✔...
Would PMHx of chronic alcoholism belong in the SHx section as well as the PMHx section? -
Answer✔Yes
Why must smoking status be documented on every patient 13 years and older? - Answer✔...
Name the three most common routes of administration of illicit drugs. - Answer✔Intravenous,
inhaled, oral
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