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FINAL EXAM - SCRIBE QUESTIONS WITH
ANSWERS.
A 45 year old male presents to the clinic with a constant, ripping,
tearing pain to his central chest radiating straight to his back with
associated nausea that began 1 hour ago. He denies any
accompanying dyspnea or diaphoresis. What elements are
missing? - correct answer -1. Modifying factor
2. Relevant context
3. Severity
A female patient underwent surgery to have her ovary removed.
What PSHx would you record into the chart? - correct answer -
Oophorectomy
A patient comes into the clinic for a well woman exam. What type
of clinic visit is this? - correct answer -Health management visit
A patient has an E&M code of 99215. What information does this
code give? - correct answer -LOS 5, Established patient
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Match the chronic condition with it's corresponding
nonpharmacological treatment:
DM - correct answer -Low carb diet, increase physical activity
Match the chronic condition with it's corresponding
nonpharmacological treatment:
HTN - correct answer -Low sodium diet, decrease ETOH intake,
increase physical activity
Match the chronic condition with it's corresponding
nonpharmacological treatment:
HLD - correct answer -Low fat diet, increase physical activity
T/F. One of your co-workers is having difficulty printing a CT
report and asks you to look up the report for them. You can look
up the report as long as you do not read it. - correct answer -
False
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A female patient underwent surgery to have an ovary and
fallopian tube removed. What PSHx would you record into the
chart? - correct answer -Salpingectomy
A modifier code usually gives information about which type of
code? - correct answer -Procedure code
What three details should be included in a sentence summarizing
results in the Assessment Section? - correct answer -1. Name of
test
2. Reason for why the test was ordered
3. Result of test
Which of the following details could be categorized as the HPI
element context? - correct answer -Information regarding prior
episodes, Information regarding prior evaluations,
Information regarding risk factors
Which symptom(s) would a patient most likely present with if they
had asthma? - correct answer -Dyspnea
FINAL EXAM - SCRIBE QUESTIONS WITH
ANSWERS.
A 45 year old male presents to the clinic with a constant, ripping,
tearing pain to his central chest radiating straight to his back with
associated nausea that began 1 hour ago. He denies any
accompanying dyspnea or diaphoresis. What elements are
missing? - correct answer -1. Modifying factor
2. Relevant context
3. Severity
A female patient underwent surgery to have her ovary removed.
What PSHx would you record into the chart? - correct answer -
Oophorectomy
A patient comes into the clinic for a well woman exam. What type
of clinic visit is this? - correct answer -Health management visit
A patient has an E&M code of 99215. What information does this
code give? - correct answer -LOS 5, Established patient
, Page | 2
Match the chronic condition with it's corresponding
nonpharmacological treatment:
DM - correct answer -Low carb diet, increase physical activity
Match the chronic condition with it's corresponding
nonpharmacological treatment:
HTN - correct answer -Low sodium diet, decrease ETOH intake,
increase physical activity
Match the chronic condition with it's corresponding
nonpharmacological treatment:
HLD - correct answer -Low fat diet, increase physical activity
T/F. One of your co-workers is having difficulty printing a CT
report and asks you to look up the report for them. You can look
up the report as long as you do not read it. - correct answer -
False
, Page | 3
A female patient underwent surgery to have an ovary and
fallopian tube removed. What PSHx would you record into the
chart? - correct answer -Salpingectomy
A modifier code usually gives information about which type of
code? - correct answer -Procedure code
What three details should be included in a sentence summarizing
results in the Assessment Section? - correct answer -1. Name of
test
2. Reason for why the test was ordered
3. Result of test
Which of the following details could be categorized as the HPI
element context? - correct answer -Information regarding prior
episodes, Information regarding prior evaluations,
Information regarding risk factors
Which symptom(s) would a patient most likely present with if they
had asthma? - correct answer -Dyspnea
