Scribe America OP Final Exam 100%
Accurate!
last day of the month - ANSWERSget paid on what day for hours worked 10th-24th?
16th - ANSWERSget paid on what day for hours worked 25th-9th?
Sunday - ANSWERSthe work week starts on what day of the week?
subjective - ANSWERSfeeling (from patient)
objective - ANSWERSfact (from provider)
pain - ANSWERSpatient's feeling, subjective
tenderness - ANSWERSphysician's observation, objective
benign - ANSWERSnormal, nothing of conern
acute - ANSWERSof new onset, less than 3 months
chronic - ANSWERSlong standing, more than 3 months
baseline - ANSWERSan individual's normal state of being
auscultation - ANSWERSlistening with a stethoscope
palpation - ANSWERSthe act of pressing on an area by the physician
inpatient - ANSWERSadmitted to the hospital overnight
outpatient - ANSWERSseen and sent home the same day
chief complaint - ANSWERSthe main reason for the patient's visit
mid-level provider - ANSWERSNP or PA; works under the supervision of a physician to
diagnose and treat patients
medical assistant - ANSWERSMA or nurse who records medical histories and
symptoms, monitors patient, administers medications, assists with procedures
scribe - ANSWERSdocuments the patient's visit on behalf of the physician
, new patient - ANSWERSindividual 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 - ANSWERSindividual who has been seen in the clinic within the
past 3 years; previous records available, shorter visit, concise chart
diagnostic - ANSWERSa 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 - ANSWERSa 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 - ANSWERSHPI, ROS, PMSHx, SHx, FHx
objective - ANSWERSPE, orders and results
assessment - ANSWERScurrent diagnoses
plan - ANSWERStreatment and follow up
coronary artery disease - ANSWERSif patient says heart disease, write
myocardial infarction and CAD - ANSWERSif patient says heart attack, write
congestive heart failure - ANSWERSif patient says heart failure, write
arrhythmia - ANSWERSif patient says irregular heartbeat, write
heart murmur - ANSWERSif patient says murmur, write
SVT - ANSWERSif patient says episodes of fast heartbeat, write __ (supraventricular
tachycardia)
asthma - ANSWERSif patient says asthma, write
COPD - ANSWERSif patient says emphysema/chronic bronchitis, write
pulmonary embolism - ANSWERSif patient says blood clot in lung, write
pneumonia - ANSWERSif patient says pneumonia, write __ (PNA)
gastroesophageal reflux disease - ANSWERSif patient says reflux, write __ (GERD)
gastric ulcer or peptic ulcer disease - ANSWERSif patient says ulcer, write
Accurate!
last day of the month - ANSWERSget paid on what day for hours worked 10th-24th?
16th - ANSWERSget paid on what day for hours worked 25th-9th?
Sunday - ANSWERSthe work week starts on what day of the week?
subjective - ANSWERSfeeling (from patient)
objective - ANSWERSfact (from provider)
pain - ANSWERSpatient's feeling, subjective
tenderness - ANSWERSphysician's observation, objective
benign - ANSWERSnormal, nothing of conern
acute - ANSWERSof new onset, less than 3 months
chronic - ANSWERSlong standing, more than 3 months
baseline - ANSWERSan individual's normal state of being
auscultation - ANSWERSlistening with a stethoscope
palpation - ANSWERSthe act of pressing on an area by the physician
inpatient - ANSWERSadmitted to the hospital overnight
outpatient - ANSWERSseen and sent home the same day
chief complaint - ANSWERSthe main reason for the patient's visit
mid-level provider - ANSWERSNP or PA; works under the supervision of a physician to
diagnose and treat patients
medical assistant - ANSWERSMA or nurse who records medical histories and
symptoms, monitors patient, administers medications, assists with procedures
scribe - ANSWERSdocuments the patient's visit on behalf of the physician
, new patient - ANSWERSindividual 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 - ANSWERSindividual who has been seen in the clinic within the
past 3 years; previous records available, shorter visit, concise chart
diagnostic - ANSWERSa 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 - ANSWERSa 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 - ANSWERSHPI, ROS, PMSHx, SHx, FHx
objective - ANSWERSPE, orders and results
assessment - ANSWERScurrent diagnoses
plan - ANSWERStreatment and follow up
coronary artery disease - ANSWERSif patient says heart disease, write
myocardial infarction and CAD - ANSWERSif patient says heart attack, write
congestive heart failure - ANSWERSif patient says heart failure, write
arrhythmia - ANSWERSif patient says irregular heartbeat, write
heart murmur - ANSWERSif patient says murmur, write
SVT - ANSWERSif patient says episodes of fast heartbeat, write __ (supraventricular
tachycardia)
asthma - ANSWERSif patient says asthma, write
COPD - ANSWERSif patient says emphysema/chronic bronchitis, write
pulmonary embolism - ANSWERSif patient says blood clot in lung, write
pneumonia - ANSWERSif patient says pneumonia, write __ (PNA)
gastroesophageal reflux disease - ANSWERSif patient says reflux, write __ (GERD)
gastric ulcer or peptic ulcer disease - ANSWERSif patient says ulcer, write
