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Scribeamerica Outpatient Final exam | 100 Questions And Answers Verified 100% Correct |Latest Updates.

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Scribeamerica Outpatient Final exam | 100 Questions And Answers Verified 100% Correct |Latest Updates. HIPAA is a set of laws designed to__________. (select the best option) - answer- maintain patient privacy and confidentiality What is the medical abbreviation for the condition described as "blood clot in the lungs"? (Use the abbreviation form of the condition) - answer-PE What chronic condition would require diagnosis through a lipid panel? Use the abbreviation form. - answer-HLD Which of the following are considered non-reimbursable chief complaints? (Select all that apply) - answer-*follow-up *check-up *medication refill *lab results T/F. A family friend was recently evaluated for IDDM and lost his paperwork and does not know what medications he should be taking at home. He asks you to look up his medical record when you go to your shift today, giving you verbal permission to access his information. In this scenario, it is justifiable for you to use your EMR login to look up the important patient information. - answer-False A patient is s/p angioplasty with stent and quadruple cardiac bypass. What chronic condition should be included in their diagnosis today? Expand the abbreviation? - answer-coronary artery disease A patient states that he has been having abdominal pain for the last three days, and it varies between mild and severe. Which of the following would best describe the Timing? - answer-Waxing and waning The patient reports a tenderness in their right upper abdomen that began 2 weeks ago. Based on that information, do you document RUQ tenderness under the physical exam? - answer-No What condition correctly describes "heart attack"? Use the abbreviated form of the condition. - answer-MI A patient reportedly had their tonsils removed as a child. What PSHx would you record into the chart? - answer-tonsillectomy What is the medical term for an elevated heart rate (over 100 beats per minute)? - answer-tachycardia 27. Identify what details are included in the following Assessment. (Select all that apply.) "Patient is a 56 y/o male with CRF first diagnosed 3 years ago in acute exacerbation today. He reports decreased urinary output that has progressively worsened since onset 5 days ago. Creatinine and BUN elevated and worsening compared to last visit 3 weeks ago. Patient recommended emergency dialysis today and warned that he may be at risk for death and other complications if he does not seek further urgent medical attention. Patient understands and agrees to be transferred to the ED." - answer-*Age and sex *PHx, if relevant *Diagnosis *Results *HPI *Prognosis/Plan T/F. All symptoms documented in the ROS are also documented in the HPI. - answer- False What is the medical term for "open heart surgery"? Expand the abbreviation - answer- coronary artery bypass graft 30. Identify which of these PE systems contains contradictory findings: - answer- Respiratory: No respiratory distress, tachypnea, lungs clear to auscultation bilaterally If a patient signs a waiver giving you permission to capture photo of their unique rash, would you be committing a HIPAA violation by using your cellphone to capture the photo? Select best - answer-Yes because the phone is not an approved hospital device and it is not encrypted What condition correctly describes "narrowing of the coronary arteries limits blood supply to the heart muscle causing ischemia"? Use the abbreviated form of the condition - answer-CAD What medical term is used to describe the physician examining the patient by touch? - answer-palpation Organize the parts of the chart from top (1) to bottom (5). - answer - 1) HP I 2) R O S 3) P E 4) Ass essmen t 5) Plan What ROS system would include dysphagia, the medical term for difficult or painful swallowing? - answer-*ENT T/F. The ROS does not contain the CC and its associated symptoms because they are already listed in the HPI. - answer-False 37. Match the body system with the corresponding PE finding: - answer-HEENT Throat -- pharyngeal erythema HEENT Ears -- TM erythema Cardiovascular -- tachycardia Pulmonary -- rhonchi Abdomen -- Murphy's sign Neurological -- Alert and oriented x 4 Skin -- Abscess with fluctuance A patient requires a heart bypass to treat a heart attack. What PSHx would you record into the chart? Expand the abbreviation - answer-coronary artery bypass graft What body system would the exam finding PERRL be documented in? - answer-Eyes T/F. It is acceptable to look up your own medical information while working in the clinic. - answer-False What condition correctly describes "mini-stroke"? Use the abbreviation - answer-TIA A patient requires a "balloon" to treat a heart attack. What PSHx would you record into

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Scribeamerica Outpatient Final exam | 100 Questions And
Answers Verified 100% Correct |Latest Updates.

HIPAA is a set of laws designed to__________. (select the best option) - answer-
maintain patient privacy and confidentiality

What is the medical abbreviation for the condition described as "blood clot in the
lungs"? (Use the abbreviation form of the condition) - answer-PE

What chronic condition would require diagnosis through a lipid panel? Use the
abbreviation form. - answer-HLD

Which of the following are considered non-reimbursable chief complaints? (Select all
that apply) - answer-*follow-up
*check-up
*medication refill
*lab results

T/F. A family friend was recently evaluated for IDDM and lost his paperwork and does
not know what medications he should be taking at home. He asks you to look up his
medical record when you go to your shift today, giving you verbal permission to access
his information. In this scenario, it is justifiable for you to use your EMR login to look up
the important patient information. - answer-False

A patient is s/p angioplasty with stent and quadruple cardiac bypass. What chronic
condition should be included in their diagnosis today? Expand the abbreviation? -
answer-coronary artery disease

A patient states that he has been having abdominal pain for the last three days, and it
varies between mild and severe. Which of the following would best describe the Timing?
- answer-Waxing and waning

The patient reports a tenderness in their right upper abdomen that began 2 weeks ago.
Based on that information, do you document RUQ tenderness under the physical
exam? - answer-No

What condition correctly describes "heart attack"? Use the abbreviated form of the
condition. - answer-MI

A patient reportedly had their tonsils removed as a child. What PSHx would you record
into the chart? - answer-tonsillectomy

, What is the medical term for an elevated heart rate (over 100 beats per minute)? -
answer-tachycardia

27. Identify what details are included in the following Assessment. (Select all that apply.)

"Patient is a 56 y/o male with CRF first diagnosed 3 years ago in acute exacerbation
today. He reports decreased urinary output that has progressively worsened since onset
5 days ago. Creatinine and BUN elevated and worsening compared to last visit 3 weeks
ago. Patient recommended emergency dialysis today and warned that he may be at risk
for death and other complications if he does not seek further urgent medical attention.
Patient understands and agrees to be transferred to the ED." - answer-*Age and sex
*PHx, if relevant
*Diagnosis
*Results
*HPI
*Prognosis/Plan

T/F. All symptoms documented in the ROS are also documented in the HPI. - answer-
False

What is the medical term for "open heart surgery"? Expand the abbreviation - answer-
coronary artery bypass graft

30. Identify which of these PE systems contains contradictory findings: - answer-
Respiratory: No respiratory distress, tachypnea, lungs clear to auscultation bilaterally

If a patient signs a waiver giving you permission to capture photo of their unique rash,
would you be committing a HIPAA violation by using your cellphone to capture the
photo? Select best - answer-Yes because the phone is not an approved hospital device
and it is not encrypted

What condition correctly describes "narrowing of the coronary arteries limits blood
supply to the heart muscle causing ischemia"? Use the abbreviated form of the
condition - answer-CAD

What medical term is used to describe the physician examining the patient by touch? -
answer-palpation

Organize the parts of the chart from top (1) to bottom (5). - answer -1) HPI
2) ROS
3) PE
4) Assessment
5) Plan

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