FINAL EXAM SCRIBE AMERICA LATEST EXAM 150+ QUESTIONS AND ANSWERS REAL EXAM | VERIFIED ANSWERS|A GRADE

FINAL EXAM SCRIBE AMERICA LATEST EXAM 150 REAL EXAM QUESTIONS AND CORRECT ANSWERS | VERIFIED ANSWERS What is the role of each person in the clinic? - ANSWER- Mid-level: works under the supervision of the physician to diagnose and treat patients Nurse/MA: records medical histories and sx; monitors the patients, completes meaningful use requirements, administers medication, assists with procedures. Receptionist: answers phone, schedules patient appointments, answers patients questions, provides patient with summary of visit with instructions from provider at checkout; organizes the patients paperwork's Scribe: documents the patients visit on behalf of the physician. What is the scope of a scribe? - ANSWER- An unlicensed person performing documentation and other non-clinical tasks under the direction of a healthcare provider. Are physician assistants and nurse practitioners considered medical providers? - ANSWER- No, they are mid-level provider. T/F: The scribe can listen to a patient's heart and lungs as long as it is for learning purposes and under supervision of the physician. - ANSWERFALSE What will the scribe document for the outpatient visit? - ANSWERDocument the history, physical exam, results, procedures, assessment, and plan. 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 a new or 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 Management Who is the first person to speak with the patient after is he/she is placed in a room? - ANSWER- Physician What are the meaningful use requirements the nurse/MA will obtain? - ANSWER- Chief complaint, vital signs (HR, BP, T, RR), height, weight, BMI, smoking status What does H&P abbreviate and who perform this evaluation? - ANSWER- History and physical, physician evaluation Is a differential diagnosis necessary for a health management visit? - ANSWER- No, only for diagnostic visit. (Possible Dx that may be causing the symptoms) What information will be included in the patient's plan? Give three examples. - ANSWER- Follow-up with specialist if necessary, instructions for lifestyle and preventative care, and follow-up for next routine appointment. At what age would a family member's cardiac disease indicate an increased risk for similar heart disease in the patient? - ANSWERMI/CAD less than 55 y/o What are three common general family histories your physician may ask about? - ANSWER- HTN, DM, CA Would PMHx of chronic alcoholism belong in the SHx section as well as the PMHx section? - ANSWER- Social History (SHx) Why must smoking status be documented on every patient 13 years and older? - ANSWER- Meaningful use requirement. Name the three most common routes of administration of illicit drugs. - ANSWER- oral, inhaled, injection The patient's mother states, "The daycare called me to pick up Angela and her brother because Angela had a fever." What are three items you can document under social history for Angela? - ANSWER- Mother (brought in and caretaker), goes to Daycare, has a brother. If a patient has had respiratory symptoms for the past 5 weeks, are the symptoms considered chronic? - ANSWER- No. An illness is typically classified as chronic when it lasts longer than 3months. What is a comorbidity? - ANSWER- Patients with comorbidities are complex in a number of ways: The treatment of one disease may affect or contradict the treatment of the second; adverse drug interactions; compounding symptoms may lead to poor compliance with treatment plan; if both illnesses affect a specific organ system, the patient is at increased risk of organ failure. Having multiple comorbidities increases the _________ of patient care. - ANSWER- List two ways comorbidity increases complexity? - ANSWER- The treatment of one disease may affect or contradict the treatment of the second; adverse drug interactions; compounding symptoms may lead to poor compliance with treatment plan; if both illnesses affect a specific organ system, the patient is at increased risk of organ failure. Why is it important to document accurately and thoroughly on complex patients? - ANSWER- Complex patients often bill to higher level. Which of the following can be caused by HTN? - ANSWER- MI/CAD, CHF, CVA (cerebro-vascular accident: stroke), Renal Failure, Impaired Vision. Can a patient be diagnosed with HTN without showing any symptoms? - ANSWER- Yes, because it is often asymptomatic. A common part of the plan for hypertensive patients is to (increase/decrease) sodium intake? - ANSWER- DECREASE. Document: "low sodium diet encouraged" What does HCTZ stand for and what type of drug is it? - ANSWERStands for Hydrochlorothiazide. It is a diuretics, which reduces the volume of fluid in the blood vessels by urinating excess fluid. Which of the following medications are insulin? - ANSWER- Humalog (Short acting insulin, injected before or immediately after meals), Lantus (long acting insulin injected once daily), and sliding scale (patient determines insulin dosage based on current glucose). Can a patient take oral medication for type I DM? - ANSWER- No. Only with insulin. It is insulin insufficiency-- the pancreas is unable to produce insulin which moves glucose from the blood into cells. With sliding scale insulin treatment, the patient adjusts the dosage of insulin based on _________. - ANSWER- Current glucose Name two body systems that would be at increased risk of failure if the patient had both HTN and DM. - ANSWER- Heart and Kidney Name four risk factors of HLD. - ANSWER- Obesity, high lipid diet, physical inactivity, FHx, DM, EToH use. What symptoms would a person with HLD experience? - ANSWERAsymptomatic. Typically diagnosed during routine bloodwork. What is the name of the drug group you should immediately associate with HLD? - ANSWER- STATIN!!!!!! (examples include Lipitor, Zocor, and Crestor) Statin inhibits the production of cholesterol. It is not uncommon to see comorbid DM, HTN, and HLD in the same patient. Name one body system that is affected by all three. - ANSWERHeart Name the five risk factors of CAD. - ANSWER- HTN, HLD, DM, smoking, FHx <55 y/o How is CAD diagnosed? - ANSWER- Cardiac catherization by cardiologist. What type of medication can treat CAD? - ANSWER- ASA (aspirin), NTG (nitroglycerin) (Anticoagulants- blood thinning medications) A cardiologist does a cardiac cath and decides the patient is at risk of MI due to CAD. What is the least invasive procedure the cardiologist can perform? - ANSWER- Angioplasty