Scribe 101 Test Questions and Answers

Scribe 101 Test Questions and Answers what is a PICC line and how is it charted - Answer-goes in vein in arm outside of the body for a few weeks or months for frequent IVs or blood drawn / peripherally inserted central catheter (PICC) what is a port and how is it charted - Answer-like a PICC line but on chest for a linear period of time for someone like a cancer patient / port-a-cath or medi-port what is a clot filter and how is it charted - Answer-in lower abdomen to stop DVT to lung / IVC or inferior vena cava filter why would someone need a dialysis fistula or graft - Answer-renal failure or kidney disease leg amputated and why - Answer-PVD or infection or injury/ above knee amputation (AKA) is through the femur / below knee amputation (BKA) / specify if right, left, or bilateral joint repair - Answer-arthroplasty metal plates/ pins - Answer-hardware (specify left ankle hardware) true allergy reaction - Answer-SIR - swelling/ (SOB) shortness of breath (dyspnea) due to airway swelling / itching/ rash Signs of a adverse reaction (NOT allergic) - Answer-nausea or vomiting (try taking meds with food)/ abdominal pain/ diarrhea/ dizziness (could be transition of blood pressure) Your patient states that they had a brain bleed in 2015, after a bad car accident. What you you document in their history? - Answer-Hemorrhagic CVA What abbreviation would you document if the patient said they had a blood clot in their leg? - Answer-DVT If that patient's blood clot in the leg traveled up the venous system, to the lungs, what other serious condition could result? - Answer-pulmonary embolism low back pain - Answer-Chronic Low Back Pain arthritis - Answer-Usually Osteoarthritis (OA) sometimes Rheumatoid Arthritis (RA) weak/fragile bones - Answer-osteoporosis blood clot in my leg - Answer-Lower Extremity Deep Vein Thrombosis (DVT) bulge in my aorta - Answer-Aortic Aneurysm, most common is abdominal aortic aneurysm (AAA) "Bad blood flow to my legs" - Answer-Peripheral Vascular Disease (PVD) numbness in my legs - Answer-Peripheral neuropathy (caused by DM/diabetes mellitus) Your patient is 23 weeks pregnant with her second child. Her first child is a 5 year old boy. She denies any history of miscarriages or abortions. What is her GPA? - Answer-G:2 P:1 A:0 prostate problems (abbreviation) - Answer-BPH I'm on dialysis (abbreviation) - Answer-CKD bladder infection (abbreviation) - Answer-UTI bladder infection - Answer-urinary tract infection kidney infection - Answer-Pyelonephritis (Pyelo) kidney stones - Answer-renal calculi I'm on dialysis - Answer-Chronic Kidney Disease (CKD) or End Stage Renal Disease (ESRD) on dialysis enlarged prostate - Answer-benign prostatic hypertrophy (BPH) / or prostate cancer what does the suffix -itis mean? - Answer-inflammation blood clot in the lungs - Answer-Pulmonary Embolism (PE) Your patient is a 55 y/o male, complaining of chest pain. He states that he had a heart attack in 2011. What can you document in his PMHx? - Answer-myocardial infarction (MI) and coronary artery disease (CAD) heart disease - Answer-Coronary Artery Disease (CAD) heart attack - Answer-myocardial infarction (MI) heart failure - Answer-Congestive Heart Failure (CHF) abnormal rhythm - Answer-arrhythmias (ex: atrial fibrillation) high blood pressure - Answer-Hypertension (HTN) diabetes- I only take pills - Answer-Non-Insulin Dependent Diabetes Mellitus (NIDDM aka Type II) high cholesterol - Answer-Hyperlipidemia (HLD) diabetes- I take shots - Answer-Insulin Dependent Diabetes Mellitus (IDDM/ can be Type I or II) What is the kidneys job and what happens if it doesn't do its job correctly? - Answer-removes extra fluid in body and rids of waste products from the blood/ if not --> kidney disease