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Exam (elaborations)

Scribe America OP Final Exam 2025

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last day of the month - get paid on what day for hours worked 10th-24th? 16th - get paid on what day for hours worked 25th-9th? Sunday - the work week starts on what day of the week? subjective - feeling (from patient) objective - fact (from provider) pain - patient's feeling, subjective tenderness - physician's observation, objective benign - normal, nothing of conern acute - of new onset, less than 3 months chronic - long standing, more than 3 months baseline - an individual's normal state of being auscultation - listening with a stethoscope palpation - the act of pressing on an area by the physician inpatient - admitted to the hospital overnight outpatient - seen and sent home the same day chief complaint - the main reason for the patient's visit mid-level provider - NP or PA; works under the supervision of a physician to diagnose and treat patients medical assistant - MA or nurse who records medical histories and symptoms, monitors patient, administers medications, assists with procedures scribe - documents the patient's visit on behalf of the physician new patient - individual who has not been seen in the clinic in the past 3 years, regardless of being seen prior to 3 year absence; no previous records, longer visit, detailed chart established patient - individual who has been seen in the clinic within the past 3 years; previous records available, shorter visit, concise chart diagnostic - a clinic visit is __ if there is a new problem, CC is a new symptom, and goal is to determine the cause of the problem and appropriate treatment health management - a clinic visit is __ if it is a check-up, CC is routine physical or management of chronic problems, goal is preventative care or assessing progress of ongoing medical problems subjective - HPI, ROS, PMSHx, SHx, FHx

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Uploaded on
May 22, 2025
Number of pages
13
Written in
2024/2025
Type
Exam (elaborations)
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Scribe America OP



Scribe America OP Final Exam 2025
last day of the month - get paid on what day for hours worked 10th-24th?



16th - get paid on what day for hours worked 25th-9th?



Sunday - the work week starts on what day of the week?


subjective - feeling (from patient)



objective - fact (from provider)



pain - patient's feeling, subjective


tenderness - physician's observation, objective



benign - normal, nothing of conern


acute - of new onset, less than 3 months



chronic - long standing, more than 3 months


baseline - an individual's normal state of being



auscultation - listening with a stethoscope




Scribe America OP

, Scribe America OP


palpation - the act of pressing on an area by the physician



inpatient - admitted to the hospital overnight



outpatient - seen and sent home the same day


chief complaint - the main reason for the patient's visit



mid-level provider - NP or PA; works under the supervision of a physician to diagnose and treat
patients



medical assistant - MA or nurse who records medical histories and symptoms, monitors patient,
administers medications, assists with procedures



scribe - documents the patient's visit on behalf of the physician



new patient - individual who has not been seen in the clinic in the past 3 years, regardless of
being seen prior to 3 year absence; no previous records, longer visit, detailed chart



established patient - individual who has been seen in the clinic within the past 3 years; previous
records available, shorter visit, concise chart



diagnostic - a clinic visit is __ if there is a new problem, CC is a new symptom, and goal is to
determine the cause of the problem and appropriate treatment


health management - a clinic visit is __ if it is a check-up, CC is routine physical or management
of chronic problems, goal is preventative care or assessing progress of ongoing medical problems


subjective - HPI, ROS, PMSHx, SHx, FHx
Scribe America OP

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